To effectively assess an older adult patient's sexual needs, the nurse must initially

To effectively assess an older adult patient's sexual needs, the nurse must initially
 
  a. reflect on personal feelings that create barriers to effective communication with the patient.
  b. be familiar with the sexual needs of the older adult population.
  c. assess the patient's physical capacity to engage in sexual activities.
  d. inform the patient of the personal nature of the detailed questioning this assessment requires.

Question 2

The nurse has conducted a nutrition screen on a patient using the Nutrition Screening Initiative tool. The patient scored a 4 . What action by the nurse is most appropriate?
 
  a. Refer the patient to a dietician for a nutri-tional assessment.
  b. Encourage the patient to add more protein items to the diet.
  c. Reinforce the patient's good eating habits and nutrition.
  d. Consult the provider about adding an iron supplement.

Question 3

An older patient has fallen twice in the hospital in the last 2 days. What action by the nurse is best?
 
  a. Request restraint orders from the provider.
  b. Assess the patient for undiagnosed illness.
  c. Remind the patient to call for help getting up.
  d. Have a family member stay with the pa-tient.

Question 4

An older patient diagnosed with dementia has begun behaviors that increase the risk of falling. The patient's son tells the nurse that physical restraints may be used. The nurse responds
 
  a. I'll document that, so that the staff can use them when necessary.
  b. Physical restraints are seldom effective on patients with dementia.
  c. The staff will use physical restraints only as a last resort.
  d. There are more effective methods to use to help ensure her safety.

Question 5

An older adult patient who has been seen at a neighborhood clinic for years tells the nurse that he will be moving to live with his son in a neighboring state. The nurse impacts the patient's health and wellness the most therapeutically when stating
 
  a. Be sure to reestablish with a health care provider as soon as you get settled.
  b. You seem to have a good relationship with your son; I'm sure this will be a good move.
  c. You need to continue to be compliant with your plan of care regardless of where you live.
  d. Moving often causes temporary sleep disturbances, so stick to your evening rou-tine.

Question 6

A nurse works with a patient who is malnourished. What lab value does the nurse assess for the most up-to-date information on the patient's status?
 
  a. Albumin
  b. Prealbumin
  c. Transferrin
  d. Total iron

Question 7

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? (Select all that apply.)
 
  a. Giving an influenza vaccination in early autumn of each year.
  b. Suggesting the patient attend Cooking to Manage Hypertension classes taught by a registered dietician.
  c. Giving a pneumococcal vaccination to celebrate the patient's 65th birthday.
  d. Identifying several local smoking cessa-tion support groups.
  e. Providing the patient with a take-home occult stool screening kit.

Question 8

The nurse is preparing to instruct a family member regarding how to appropriately assist a 76-year-old patient incorporate a healthy daily walk into the family's routine. The nurse includes a suggestion that
 
  a. a 30-minute walk after dinner is the best form of exercise for someone that age.
  b. if the patient appears to be having diffi-culty talking while walking, it is time to stop.
  c. the patient should be encouraged to walk a few feet farther each evening.
  d. the family member selects a flat, easily accessible walking path to follow.