Exam 37: Geropsychiatric Nursing

Which older adult is at greatest risk for falls based on the medication profile? An older adult taking:

An older adult patient will be moved from a psychiatric inpatient unit to a nursing home.Which action should be given priority by the nurse to best facilitate the move?

When planning discharge care for an older adult who is divorced,recently retired,and diagnosed with situational depression,the nurse learns that the patient's only child has moved 300 miles away.What is the nurse's best initial action?

Which scenario indicates to the nurse that an older adult is at risk for falls?

Which nursing intervention would be most important initially when evaluating the physiological health status of an older adult being admitted to an assisted living center?

Which of these nursing communications would be most effective when teaching an older adult patient about aging through the disengagement theoretical framework?

Based on a biological programming framework,which statement about aging is accurate?

An older adult who recently learned that his last surviving sibling has died refuses to take medication and is fearful of allowing anyone other than a specific staff member to assist with bathing and dressing.The patient is exhibiting signs of:

Which would be the most effective approach for a nurse to take when assessing the self-care needs and activities of daily living (ADLs) for an older adult?

Which observation would be of greatest concern for an older adult patient who is taking several prescribed medications?

Which nursing technique would be most effective when assessing an older adult patient's nutritional status?

Which strategy would be included in a nursing care plan for an older adult patient who has sundown syndrome? (Select all that apply.)

Which assessment finding best indicates that an older adult who resides at an assisted living center has functional mobility?

Which older adult patient profile presents the highest risk for falls?

A nurse evaluates the outcomes of family education about expected age-related changes.Which statements indicate the teaching was effective? (Select all that apply.)

A mildly confused older adult patient states,"I am in the Mojave desert." A nurse who is using validation therapy with the patient would make which response?

An older adult reports that "I know that I'm not the cheerful person I used to be but that's just a part of growing old." Using a psychological theoretical framework,the nurse might respond:

When the nurse asks an older adult,"Can you describe the events that led you to move to this assisted living center?" the patient looks perplexed and does not respond.Which response would the nurse make initially in order to be most therapeutic?

An older adult newly diagnosed with depression says,"Yesterday was such a busy day and with everything I had to remember I couldn't recall where I had parked my car.Am I getting Alzheimer disease?" An appropriate response from the nurse would be:

An older adult is grieving the loss of a loved one.Which approach is most therapeutic for the nurse to apply when caring for this patient?