An older adult client experiences a change in mental status. Which assessment finding represents a critical thinking approach?

Type of diet

Cultural considerations

Gender

History of onset

Answer and Explanation

The Correct Answer is D

A. Type of diet: While the type of diet may be relevant to the overall health and well-being of the older adult client, it may not directly contribute to understanding the change in mental status. While nutritional deficiencies or imbalances could potentially impact mental status, other factors are more immediately relevant to assessing the change in mental status.

B. Cultural considerations: Cultural considerations are important in providing holistic care to the older adult client, but they may not directly contribute to understanding the change in mental status. Cultural factors could influence communication styles, beliefs about health and illness, and preferences for care, but they may not be the primary focus when assessing a change in mental status.

C. Gender: Gender may have some relevance to the overall health and well-being of the older adult client, but it may not directly contribute to understanding the change in mental status. While certain gender-related factors, such as hormonal changes or gender-specific health conditions, could potentially impact mental health, they may not be the primary focus when assessing a change in mental status.

D. History of onset: This represents a critical thinking approach because understanding the history of onset of the change in mental status is essential for identifying potential causes and determining appropriate interventions. The timing and circumstances surrounding the onset of the change can provide valuable information about possible contributing factors, such as recent illnesses, medication changes, trauma, or environmental changes. By gathering information about the history of onset, the nurse can engage in critical thinking to formulate hypotheses, prioritize assessments, and develop a plan of care tailored to the client's needs.

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Correct Answer is D

Explanation

A. White meats and breads: While white meats and breads may be part of a balanced diet, they do not contribute significant amounts of dietary fiber. White bread, in particular, is often lower in fiber compared to whole grain varieties.

B. Red meats and milk: Red meats and milk are good sources of protein and calcium but do not provide significant amounts of dietary fiber. While milk products contain some lactose, a type of sugar that may have a mild laxative effect in some individuals, they are not considered primary sources of fiber.

C. Fats and bran: While bran is a good source of dietary fiber, consuming excessive amounts of fats is not recommended for promoting regular bowel movements. While some fats may be necessary in the diet, they should be consumed in moderation.

D. Fruits and vegetables: This is the correct answer. Fruits and vegetables are rich sources of dietary fiber, including both soluble and insoluble fiber. Soluble fiber helps soften stools, while insoluble fiber adds bulk to the stool, facilitating easier defecation. Including a variety of fruits and vegetables in the diet can significantly increase fiber intake and promote regular bowel movements.

A. responsibility. B. confidentiality. C. social justice. D. advocacy

Correct Answer is D

Explanation

A. Responsibility: Responsibility refers to the duty or obligation to fulfill one's role or tasks appropriately. While advocating for the client may be considered a responsibility of the nurse, the specific action described in the scenario—calling the insurance company to strongly explain the client's need for rehabilitation—is more accurately categorized as advocacy.

B. Confidentiality: Confidentiality pertains to protecting the privacy and confidentiality of patient information. The scenario does not involve the disclosure of confidential information but rather advocating for the client's needs regarding their rehabilitation placement.

C. Social justice: Social justice involves promoting fairness, equality, and equitable access to resources and opportunities for all members of society. While advocating for the client may align with principles of social justice, the specific action described in the scenario—calling the insurance company to argue for the client's rehabilitation placement—is more directly related to individual advocacy rather than addressing broader societal inequalities.

D. Advocacy: Advocacy refers to actively supporting and speaking up for the rights, needs, and interests of others. In this scenario, the nurse advocates for the elderly client by calling the insurance company to strongly explain why the client needs to go to a rehabilitation facility despite the facility's refusal. This action demonstrates the nurse's commitment to ensuring the client receives appropriate care and support.

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An older adult client experiences a change in mental status. Which assessment finding represents a critical thinking approach?

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Correct Answer is D

Explanation

Correct Answer is D

Explanation

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