Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 7 Psychological and Cognitive Function
- Course
- Institution
Gerontological Nursing, 4e (Tabloski) Chapter 7 Psychological and Cognitive Function
[Show more]
Content preview
Gerontological Nursing, 4e (Tabloski)Chapter 7 Psychological and Cognitive Function
Duringranrinterview,rthernursernotesrthatranrolderrpatientrisrhavingrmildrdifficultyrwithrsomerwordsrandr
forgetsrthernamesrofrpeople.rTherpatientrisralert,rorientedrtortime,rperson,randrplace,randrmakesrappropri
aterresponses.rWhatrdoesrthernurserdeterminerthisrpatient'srcognitiverchangesrtormean?
1. Normalrsignsrofraging
2. Earlyrsymptomsrofrdementia
3. Indicatorsrofrdepressionrinrtherelderly
4. MemoryrimpairmentrthatrmayrberrelatedrtorcerebralrischemiarA
nswer:r 1
Explanation:r 1.rCognitiverchangesrvaryrwidelyrinrtherelderly;rhowever,rolderrpeoplerwillrnotrsufferr
significantrmemoryrimpairment.rManyrmayrexperiencermildrproblemsrwithrwordrfindingrandrreme
mberingrnames.rTherchangesrobservedrinrthisrpatientrarernormalrsignsrofraging.
2. Arproblemrwithrfindingrwordsrandrforgettingrnamesrisrnotrarsymptomrofrdementia.
3. Arproblemrwithrfindingrwordsrandrforgettingrnamesrisrnotrarsymptomrofrdepression.
4. Arproblemrwithrfindingrwordsrandrforgettingrnamesrisrnotrrelatedrtorcerebralrischemia.rPa
gerRef:r164
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r ReductionrofrRiskrPotentialrNurs/Int
egrConc.:r NursingrProcess:rDiagnosis
LearningrOutcome:r 1.rDescriberage-
relatedrchangesrthatraffectrpsychologicalrandrcognitiverfunctioning.
1) Anrolderrpatientrwakesruprfromrsleep,rconfused,randrinsistsrarfamilyrmemberrisrinrtherotherrroom.r
Whatrinformationrwithinrtherpatient'srmedicalrrecordrshouldrthernurserconsiderrasrarsourcerofrtherpati
ent'srconfusion?
1. Therpatientrisrelderly.
2. Therpatient'srspouserrecentlyrdied.
3. Therpatientrreceivedrpainrmedication.
4. Therpatientrhasrarhistoryrofrcardiacrdisease.rA
nswer:r 3
Explanation:r 1.rAgerdoesrnotrcauserconfusion.
2. Therlossrofrarlovedronermayrcauserdepressionrbutrisrnotridentifiedrasrarreasonrforrconfusion.
3. Certainrmedicationsrlikersleepingrpills,rtranquilizers,randrsomerpainrmedicationsrcanrcausersy
mptomsrsimilarrtordementia.
4. Cardiacrdiseaseralonerisrnotrknownrtorcauserconfusion.rP
agerRef:r166
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:r ReductionrofrRiskrPotentialrNurs/Int
egrConc.:r NursingrProcess:rDiagnosis
LearningrOutcome:r 4.rExaminerriskrfactorsrthatrinfluencercognitiverfunctioningrinrolderradults.
1
Copyrightr©r2019rPearsonrEducation,rInc.
, 2) Therdischargernurserisrteachingrinsulinradministrationrtoranrolderrpatient.rWhichrteachingrstr
ategyrwouldrberbest?
1. Providerwrittenrmaterialsrtorreinforcertherverbalrinstructions.
2. Encouragerrepetitiverexercisesrtorreviewrnewrinformationruntilritrisrunderstood.
3. Allowrlongerrteachingrtimesrtorcompensaterforrarslowerrlearningrpace.
4. Providerinstructionrtorrelativesrsortherpatientrwillrnotrberoverwhelmedrwithrnewrinformation.rAn
swer:r 2
Explanation:r 1.rShort-termrmemory,rorrprimaryrmemory,rremainsrrelativelyrstablerwhenraging.
2. Normalrage-
relatedrchangesrincluderarslowingrofrinformationrprocessing,rwhichrresultsrinrtherneedrforrrepetition
rofrinformation.
3. Anotherrage-
relatedrchangerincludesrtherinabilityrtormaintainrsustainedrattention.rLongrteachingrsessionsr
wouldrnotrberappropriate.
4. Assumingrtherolderrpatientrcannotrlearnrnewrinformationrisrarfalserbeliefrofrtheragingrprocess.rPag
erRef:r164
CognitiverLevel:r Analyzing
ClientrNeed:r HealthrPromotionrandrMaintenancerClien
trNeedrSub:r AgingrProcess
Nurs/IntegrConc.:r NursingrProcess:rImplementation
LearningrOutcome:r 1.rDescriberage-
relatedrchangesrthatraffectrpsychologicalrandrcognitiverfunctioning.
3) Thernurserisradmittingranrolderrpatientrwhorrequiresrarcanerforrambulation,rbilateralrhearingraids
,randrmonthlyrvitaminrB12rinjections.rTherdaughterrofrtherpatientrtellsrthernurserthatrtherpatientrnor
longerrremembersrhowrtoruserartoothbrushrorrturnronrthertelevisionrset.rWhichrinformationrrequire
srfurtherrassessment?
1. Vitaminrdeficiency
2. Lossrofrhearing
3. Assistiverdevicerforrambulation
4. Cognitiverchange
Answer:r 4
Explanation:r 1.rVitaminrdeficiencyrisrbeingrcurrentlyrtreatedrwithrmedicationrandrdoesrnotrrequirerf
urther,rimmediaterassessment.
2. Hearingrlossrisrcompensatedrwithrhearingraidrdevicesrandrdoesrnotrrequirerfurther,rimmediaterass
essment.
3. Usingrarcanerforrambulationrcompensatesrforrunstablerambulationrandrdoesrnotrrequirerfur
ther,rimmediaterassessment.
4. Normal,rhealthyrolderrpersonsrwhorforgetrwhatranritemrisrusedrforrorrhowrtoruseritrshouldrberrefer
redrforrfurtherrevaluationrandrtreatment.
PagerRef:r165
CognitiverLevel:r Analyzing
ClientrNeed:r PsychosocialrIntegrity
ClientrNeedrSub:r Sensory/PerceptualrAlterationsrNurs
/IntegrConc.:r NursingrProcess:rEvaluation
LearningrOutcome:r 1.rDescriberage-
relatedrchangesrthatraffectrpsychologicalrandrcognitiverfunctioning.
2
Copyrightr©r2019rPearsonrEducation,rInc.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Futurenurses. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now