NGN ATI NURSING NUR Questions and Answers Latest Update 2023 Rated A+
An older adult who is a traditional Chinese man has a blood pressure of 80/54 m... [Show More] m Hg and refuses to remain in the bed.
Which intervention should the nurse use to promote and maintain his health?
a.Have the health care provider speak to him.
b.Use principles of the holistic health system.
c.Ask about his perceptions and treatment ideas.
d.Consult with a practitioner of Chinese medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain your perception of the problem, acknowledge the differences and similarities, recommend treatment, and negotiate agreement), the nurse gathers information from the patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse determines what the patient believes about caregiving, decision making, treatment, and other pertinent health-related information. Speaking with the health care provider is premature until the assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can be potentially unsuitable and insulting for this patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this patient.
PTS: 1 DIF: Apply REF: p. 18
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance.
The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement?
a.Move on to the discussion about medication.
b.Ask the older woman how she feels about this topic.
c.Instruct the interpreter to repeat the instructions.
d.Have the older woman repeat the instructions for clarity.
ANS: B
When working with an interpreter, the nurse closely watches the older adult for nonverbal communication and emotion regarding a specific topic and therefore validates the assessment about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the older adult is uncomfortable discussing elimination, then important instructions can be missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
PTS: 1 DIF: Apply REF: p. 18-19
TOP: Communication and Documentation MSC: Safe, Effective Care Environment
Decreased functioning of which physical structure is likely to result in decreased metabolism in older adults?
a.Kidney
b.Thyroid gland
c.Brain
d.Skeleton ANS: B
Secretion of thyroid hormones tends to decrease with age, resulting in a greater likelihood of a slower metabolism, hypothyroidism, and thinning hair and nails. Decreased kidney function leads to decreased glomerular filtration rate and the ability of the kidneys to concentrate urine and clear waste. Decreasing brain function tends to result in decreased cognitive functioning. Osteoclastic activity tends to decrease with age, increasing the risk for osteopenia and osteoporosis.
PTS: 1 DIF: Understand REF: p. 32
TOP: Nursing Process: Assessment MSC: Physiological Integrity
Which change in the skin is abnormal in an older person?
a.Thinner and more fragile skin
b.Red, swollen 3-day-old wound
c.Greater number of freckles
d.Loss of hair on the extremities
ANS: B
Although the skin of an older person may require 48 to 72 hours to mount an initial inflammatory response to a wound, increasing redness after that time, particularly with purulent discharge, is a sign of infection. This change is normal as ridges in the skin are lost. Melanin distribution becomes more uneven with age. Hair is commonly lost from the legs and other areas of older adults. Hair loss from the legs is not a sign of peripheral vascular disease.
PTS: 1 DIF: Understand REF: p. 27
TOP: Nursing Process: Assessment MSC: Physiological Integrity
In differentiating between health and wellness in health care, which of the following statements is true?
a.Health is a broad term encompassing attitudes and behaviors.
b.The concept of illness prevention was never considered by previous generations.
c.Wellness and self-actualization develop through learning and growth.
d.Wellness is impossible when one’s health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes wellness, which involves one’s whole being. The concept of illness prevention was never considered by previous generations; throughout history, basic self-care requirements have been recognized. Wellness and self-actualization develop through learning and growth—as basic needs are met, higher level needs can be satisfied in turn, with ever- deepening richness to life. Wellness is possible when one’s health is compromised—even with chronic illness, with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenance
The nurse plans activities for older women born between 1920 and 1930 and who reside in an assisted-living facility.
Which is the best intervention for the nurse to implement?
a.Have them bake cookies twice a week.
b.Conduct interviews for specific interests.
c.Arrange dog and cat visits from volunteers.
d.Take them to the library for guest speakers. [Show Less]
