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Exam 41: Common Psychosocial Care Problems of the Elderly

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Question 1

Multiple Choice

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When the nurse plans to use reminiscence as a psychosocial approach to managing confusion with cognitively impaired patients, the nurse should:

A) use plants, pictures, and animals to encourage interactions in the group.
B) use memory aids such as television, radio, clock, and calendar.
C) encourage individual and group sharing of information about previous life experiences.
D) increase socialization roles in the group, such as serving each other refreshments.

E) A) and D)
F) B) and C)

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C

Question 2

Multiple Choice

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The home health nurse initiates an inexpensive noninvasive treatment that can decrease depression by the use of:

A) placing the patient in front of a high action TV show for 1 hour.
B) subscriptions to travel or hobby-oriented magazines.
C) shining lights on the patient for 30 minutes a day.
D) arrangements to have a high-calorie drink twice a day.

E) A) and D)
F) A) and C)

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Question 3

Short Answer

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The nurse clarifies that the diagnosis of nocturnal dementia refers to a syndrome also called _______________.

The nurse adds to the plan of care for a cognitively impaired resident who has begun to wander night and day throughout the long-term care facility. An appropriate intervention to add to the plan of care for the resident with wandering behavior would be to:

The nurse clarifies to a family of a resident with Alzheimer's that dementia differs from confusion and delirium in that dementia is:

The nurse in a long-term care facility emphasizes to the family of a resident recently admitted that one of the purposes of the creative behavioral therapies is to:

The nurse is planning an instruction for an 84-year-old man relative to a significant change in his diet for diabetes. The nurse will plan her teaching around the idea that the elderly:

A depressed elderly patient was started on antidepressant drug therapy 3 weeks ago. The highest nursing priority when working with this patient at this time would be:

The nurse would question a new order for a tricyclic antidepressant for a patient who has had a recent:

The nurse frequently refers to The _________________, a medication list that names drugs that are potentially harmful for use in elderly patients.

In order to minimize the risk of aspiration in a resident with advanced Alzheimer's, the person feeding the patient should:

When a patient with dementia exhibits increasing agitation, hostility, and paranoia, the nurse anticipates the physician will prescribe a(n) :

The family of a patient with Alzheimer's indicates that they want to keep the patient at home but are not sure how much longer they can care for the patient because of stress on family members. A helpful suggestion by the home health nurse would be to:

The home health nurse counsels the family of a cognitively impaired man that to best provide for his welfare, the family should: (Select all that apply.)

The behavior in a depressed elderly patient that would indicate that this patient is contemplating suicide is:

The nurse instructs a family of an 87-year-old resident in a long-term care facility that his nocturnal dementia is most likely caused by: (Select all that apply.)

A recently widowed 80-year-old man has been admitted to a long-term care facility for complaints of anorexia, loss of energy, and loss of sleep. The nurse learns that the patient is recently widowed. Prioritize the nursing actions that might be needed for this patient. (Separate letters by a comma and a space as follows: A, B, C, D.) A. Provide a quiet environment. B. Involve him in some activity. C. Be alert to suicidal tendencies. D. Spend time with the patient at mealtime.

An elderly female adult is most at risk for becoming a victim of a crime by:

An elderly patient with early Alzheimer's disease is receiving the drug donepezil (Aricept) . The nurse assesses the patient lab reports carefully for drug side effects because of the drug's potential toxicity to the:

A family member tells a hospitalized elderly patient to cooperate better with the treatment plan or placement in a long-term care facility will result. The nurse recognizes this statement is consistent with ___________ elder abuse.