A nurse is caring for an older patient in the emergency department. What information about the patient will be most helpful in creating a plan of care?

Living conditions and family support

Medications and current medical problems

Results of the Mini Mental State examination

Baseline physical and cognitive functioning

Answer and Explanation

The Correct Answer is D

A.   While this information can be helpful in understanding the patient's social context, it does not directly contribute to the development of a plan of care.
B.   This information is important for understanding the patient's medical history and identifying any potential risk factors. However, a baseline assessment of physical and cognitive functioning is also essential for developing a comprehensive plan of care.
C.   This assessment can be helpful in evaluating the patient's cognitive function, but it does not provide a complete picture of their overall physical and functional status.
D.   When caring for an older adult in the emergency department, it is crucial to have a baseline understanding of their physical and cognitive functioning. This information will help the nurse assess the patient's current condition and identify any significant changes that may require intervention.

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Correct Answer is B

Explanation

A. While age can influence health and care needs, it is not the primary criterion for assessing a patient's ability to maintain independence. The impact of age varies greatly among individuals, and functional status is a more direct measure of a person's ability to perform daily activities and manage their health.
B. Functional status refers to the patient's ability to perform daily activities and manage self-care. For someone with rheumatoid arthritis, functional status is crucial because the disease can significantly affect physical abilities due to joint pain, stiffness, and deformities. Assessing and optimizing functional status helps ensure that the patient can maintain independence by adapting their environment, using assistive devices, and implementing strategies to manage symptoms effectively.
C. Gender itself does not directly determine a patient's ability to maintain independence. While certain conditions may have different prevalence rates or impacts based on gender, independence is more closely related to functional abilities and health management rather than gender.
D. Financial status can influence access to resources, healthcare, and support services, but it is not the primary determinant of a patient's functional ability or independence. While financial resources are important for accessing necessary treatments and support, they do not directly impact the patient's functional capacity.

A. Reporting muscle aches and frequent stumbling B. Dozing off in chair and not recognizing staff C. Pulse. 118 beats/min; and BP 160/90 D. Pulse, 58 beats/min; and BP 100/60

Correct Answer is C

Explanation

A. While these symptoms can be associated with alcohol withdrawal, they are not as indicative of an immediate medical emergency as tachycardia and hypertension.
B. While these symptoms may suggest cognitive impairment, they are not as indicative of impending alcohol withdrawal syndrome as tachycardia and hypertension.
C. Alcohol withdrawal can lead to various physiological changes, including increased heart rate and blood pressure. A pulse of 118 beats/min and a blood pressure of 160/90 indicate a significant increase in both vital signs, which could be a sign of impending alcohol withdrawal syndrome.
D. These vital signs are within normal limits and do not indicate a significant risk of alcohol withdrawal syndrome.

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A nurse is caring for an older patient in the emergency department. What information about the patient will be most helpful in creating a plan of care?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is C

Explanation

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