Exam 7: Psychological and Cognitive Function

The nurse is admitting an older patient who requires a cane for ambulation, bilateral hearing aids, and monthly vitamin B12 injections. The daughter of the patient tells the nurse that the patient no longer remembers how to use a toothbrush or turn on the television set. Which information requires further assessment?

During an assessment, the nurse learns that an older patient feels his heart race during times of stress. How would the nurse best describe this event?

The daughter of an elderly patient expresses concern about a change in the patient's mental health. Which is most likely due to normal cognitive changes? Select all that apply.

An older patient with cardiac disease has frequent sleep problems and insomnia. How would the nurse describe these manifestations?

The nurse is planning an educational session on suicide in the older patient population. What information should the nurse include in this presentation? Select all that apply.

The nurse is concerned that an older patient has a problem related to regular alcohol consumption. What did the nurse assess in this patient? Select all that apply.

An older patient wakes up from sleep, confused, and insists a family member is in the other room. What information within the patient's medical record should the nurse consider as a source of the patient's confusion?

The discharge nurse is teaching insulin administration to an older patient. Which teaching strategy would be best?

Which statement made by an older patient best indicates to the nurse that the patient might be contemplating suicide?

The nurse is preparing a presentation on grief. What information should be included regarding factors that can affect duration and the course of grieving? Select all that apply.

The nurse is planning care for an older patient diagnosed with major depression who states that voices are telling the patient to kill himself. Which nursing diagnosis would be a priority for this patient?

The nurse is assessing an older patient exhibiting signs of paranoia. Which is known to increase the risk of developing of this disorder? Select all that apply.

An elderly, Asian patient is admitted for suicide precautions. After performing an assessment, the nurse identifies a history of multiple, unsuccessful suicide attempts in the past three years. Which factor(s) may have contributed to the delay in treatment? Select all that apply.

An older patient admits to feeling worthless and depressed since the death of their spouse. Which health risk is most concerning to the nurse?

While organizing a walking program at an assisted living facility, one resident asks why older people should exercise. Which is the nurse's best response?

The son of an older patient is concerned about the patient's ongoing forgetfulness and asks the nurse to explain what could be wrong with the patient. How should the nurse respond to the son?

An older patient's spouse passed away 4 years ago; however, the patient still sets a place at the dinner table for the spouse and has never removed any clothing or other personal items from the home. What does the nurse suspect the patient is experiencing?

An older patient is prescribed a monoamine oxidase inhibitor (MAOI) medication. Which meal choice requires the nurse to intervene immediately?

What should the nurse instruct an older patient to do to cope with age-associated cognitive changes? Select all that apply.

An elderly patient is admitted for abdominal pain. The nurse assesses withdrawal, somatic complaints, and continued, unrelieved pain. What nursing action is indicated?