Exam 29: Psychosocial Needs of the Older Adult

In a sad voice,an elderly patient tells the nurse of the recent deaths of a spouse and daughter in an automobile accident.The patient has no other family,only a few acquaintances in the community.The nurse's priority is to gather additional assessment data to determine whether which nursing diagnosis applies to this patient?

A nurse is asked to explain why ageism is a problem among health care workers.The nurse should cite that ageism results in: (Select all that apply. )

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 75-year-old patient comes to the clinic reporting frequent headaches.As the nurse begins the interaction,which action is most important?

Select the best comment for a nurse to begin an interview with an elderly patient.

A physically frail elderly patient with mild cognitive impairments needs services of a facility that can provide supervision,safety,and recreational and social interaction during the day.Family cares for the patient during the evening and night.Which type of facility would meet this patient's needs?

A nurse assessing an elderly patient for depression and suicide potential should include questions about mood as well as: (Select all that apply. )

A 76-year-old is regressed,indifferent,and responds to others only when they initiate an interaction.What form of group therapy would be most useful to promote resocialization?

Which risk factors predispose a patient to development of geriatric alcohol abuse? Select all that apply.

A patient asks,"What advantage does a durable power of attorney for health care have over a living will?" The nurse should reply,"A durable power of attorney for health care:

A nurse wants to assess for suicidal ideation in an elderly patient.Select the best question to begin the assessment.

A new nurse asks,"My elderly patient has Lewy Body Disease.What should I do about assessing for pain?" Select the best response from the nurse manager.

A 79-year-old white male tells a nurse,"I have felt very sad lately.I do not have much to live for.My family and friends are all dead,and my own health is failing." The nurse should analyze this comment as:

An elderly patient must be physically restrained.Who is responsible for the patient's safety?

An advance directive gives valid direction to health care givers when a patient:

Health care agencies receiving federal funds must provide patients written information about:

Discharge planning begins for an elderly patient hospitalized for 2 weeks with major depression.The patient needs ongoing assessment,socialization opportunities,and education about medication and relapse prevention.The patient lives with a daughter,who works during the week.Select the best referral for this patient.

A 78-year-old resident of a skilled nursing facility has hypertension and cardiac disease.This resident is usually alert and oriented but this morning tells the nurse,"My family visited during the night.They brought flowers and candy to me." In reality,the patient's family lives 200 miles away.The nurse should first suspect that the resident:

A selective serotonin reuptake inhibitor is prescribed for an elderly patient with depression.Nursing assessment should include careful collection of information regarding:

Which statement about aging provides the best rationale for focused assessment of elderly patients?