Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 7 Psychological and Cognitive Function
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Gerontological Nursing, 4e (Tabloski) Chapter 7 Psychological and Cognitive Function
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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.
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