Varcarolis Ch. 31 Guaranteed Success
A student nurse visiting a senior center says, Its depressing to see these old people. They are weak and
frail. I doubt any of them can engage in a discussion. The student is expressing:
a. reality
b. ageism.
c. empathy.
d. vulnerability.
b. ageism...
Varcarolis Ch. 31 Guaranteed Success
A student nurse visiting a senior center says, Its depressing to see these old people. They are weak and
frail. I doubt any of them can engage in a discussion. The student is expressing:
a. reality
b. ageism.
c. empathy.
d. vulnerability.
b. ageism.
ANS: B
Ageism is a bias against older people because of their age. None of the other options applies to the
ideas expressed by the student.
A nurse plans an educational program for staff of a home health agency specializing in care of the
elderly. Which topic is the highest priority to include?
a. Pain assessment techniques for older adults
b. Psychosocial stimulation for those who live alone
c. Preparation of psychiatric advance directives in the elderly
d. Ways to manage disinhibition in elderly persons with dementia
a. Pain assessment techniques for older adults
ANS: A
The topic of greatest immediacy is the assessment of pain in older adults. Unmanaged pain can
precipitate other problems, such as substance abuse and depression. Elderly patients are less likely to be
accurately diagnosed and adequately treated for pain. The distracters are unrelated or of lesser
importance.
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Select the best comment for a nurse to begin an interview with an elderly patient.
a. I am a nurse. Are you familiar with what nurses do?
b. Hello. I am going to ask you some questions to get to know you better.
c. You look comfortable and ready to participate in an admission interview. Shall we get started?
d. Hello. My name is________and I am a nurse. How you would like to be addressed by staff?
d. Hello. My name is_______and I am a nurse. How you would like to be addressed by staff?
ANS: D
The correct opening identifies the nurses role and politely seeks direction for addressing the patient in a
way that will make him or her comfortable. This is particularly important when a considerable age
difference exists between the nurse and the patient. The nurse should address patients by name and
not assume patients want to be called by a first name. The nurse should always introduce self.
Which information is most important to obtain during assessment of an older adult diagnosed with a
mental disorder?
a. Functional ability and emotional status
b. Chronological age and sexual function
c. Economic status and sources of income
d. Developmental history, interests, and activities
a. Functional ability and emotional status
ANS: A
Information related to functional ability and emotional status provides an overview of patient problems
and abilities. It guides selection of interventions and services to meet identified needs. The distracters
reflect information of relevance, but are not of highest priority.
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