Module 13: Discussion: Older Adult A All Sections A home care nurse visits an elderly patient with Parkinson dementia. The patient is confused and unable to communicate his or her needs; as a result, the caregivers also do not understand the patient's needs very well. What activities should the nurse perform to facilitate communication and minimize the adverse consequences of confused thinking? Give reasons for these activities.
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- Scenario #11. A 65 year old client suffered a hip fracture and underwent hip surgery yesterday. He is scheduled to ambulate with physical therapy this morning. Which intervention should the nurse implement to assist the client to be able to perform the therapy? A. Assist the client to the bedside chair with the therapist’s help.B. Administer pain medication 30 minutes before therapy.C. Ask the unlicensed assistive personnel to brush the client’s hair.D. Ask the client to delay the therapy until late in the day. 2. This afternoon, the nurse administered intravenous morphine as the client was complaining of hip pain. Forty-five minutes after the nurse administered the morphine, the client continues to complain of severe pain to his hip. Which intervention should the nurse implement first?A. Administer another dose of morphine.B. Turn on the television to distract the client.C. Assess the client’s affected hip.D. Notify the health-care provider of the problem.Scenario #2: The nurse is…6. I need answer Inwhat aspect can I Apply psychology as a Nurses?Your 51-year old patient reports that she has frequent headaches. Describe the key assessments you will perform. What findings would you consider worrisome? How do we communicate with patients if we find a worrisome finding? What referrals would you consider as important?
- Nursing questions solve Identifyapproaches for establishing presence with patients?The nurse uses blended competencies when caring for patientsin a rehabilitation facility. Which examples of interventionsinvolve cognitive skills? Select all that apply.a. The nurse uses critical thinking skills to plan care for apatient.b. The nurse correctly administers IV saline to a patient whois dehydrated.c. The nurse assists a patient to fill out an informed consentform.d. The nurse learns the correct dosages for patient painmedications.e. The nurse comforts a mother whose baby was born withDown syndrome.f. The nurse uses the proper procedure to catheterize afemale patient.Can nurses make a significant impact on the prevention of patient falls in the healthcare setting? Why or why not?
- Identify the safety hazards and threats to security for whichyou and family members of different ages are most at risk.What anticipatory planning and teaching could be done toprevent these hazards? Note your willingness and that of yourfamily to make the necessary changes, and identify the nursing strategies that would be most likely to secure patient coopera-tion in making the needed changes.A nurse is caring for a 70-year-old client with depression in an extended care facility. During assessment, the client tells the nurse, “You must know that I cannot see very well now. I find it very difficult to complete important activities. Most nurses just leave me to do things by myself.” a. What subjective data could be documented by the nurse? b. What further assessments should the nurse make?c. What modifications must be made to help the client?A nurse is providing discharge teaching for patientsregarding their medications. For which patients wouldthe nurse recommend actions to promote sleep? Selectall that apply.a. A patient who is taking iron supplements for anemiab. A patient with Parkinson disease who is taking dopaminec. An elderly patient taking diuretics for congestive heartfailured. A patient who is taking antibiotics for an ear infectione. A patient who is prescribed antidepressantsf. A patient who is taking low-dose aspirin prophylactically