An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

Would you drink to relax after a particularly stressful day?

Have you ever experienced a memory loss as a result of consuming alcohol?

Do you ever drink when you are alone?

How many alcoholic drinks do you consume each week?

Answer and Explanation

The Correct Answer is D

A.   While this question may provide some insight into the patient's drinking habits, it is not as direct and informative as asking about the quantity of alcohol consumed.
B.   This question may reveal a history of alcohol-related problems, but it does not provide information about the patient's current drinking habits.
C.   While this question may be relevant in some cases, it is not a universal indicator of alcohol abuse. Many people may drink alone without having a problem with alcohol.
D.   To assess an older adult's risk potential for alcohol abuse, it is important to get a sense of their drinking habits. Asking about the number of alcoholic drinks consumed each week is a direct and informative way to assess their drinking patterns.

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Correct Answer is D

Explanation

A. While assessing the patient's functional limitations is important for determining the appropriate level of care needed, it does not directly address the competency of the UAP staff.
B. Arranging for UAP services is important, but it does not guarantee the quality of care provided. Evaluating the competency of the UAP staff is essential to ensure that the patient receives safe and effective care.
C. While the nurse may play a role in case management and advocacy, it's important to ensure that the UAP staff is competent to provide the necessary care.
D. To ensure the quality of care and safety of an older adult patient who requires in-home UAP assistance, it's crucial to evaluate the competency of the UAP staff. This involves assessing their skills, knowledge, and ability to provide safe and effective care.

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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An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

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Naxlex Comprehensive Predictor Exams

To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

Correct Answer is D

Explanation

The nurse is assessing patients for impending alcohol withdrawal. The nurse assesses the patient with which of the following conditions as a priority?

Correct Answer is C

Explanation

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