An older patient is admitted for bacterial pneumonia. The only abnormal assessment values include a heart rate of 102 beats per minute, slight cyanosis of the nail beds, and mild confusion. The patients daughter questions the possibility of pneumonia stating, He isn’t coughing or having any difficulty breathing. The nurse responds most appropriately by saying.

"Older adults frequently lack the typical signs of a respiratory infection."

"Respiratory problems develop only after the infection is well established."

"People your dad's age often lack the muscular strength to cough."

"We are lucky to determine the problem in its early stage."

Answer and Explanation

The Correct Answer is A

A. Older adults often present with atypical symptoms when they have respiratory infections, such as pneumonia. They may not always exhibit classic signs like a cough or significant difficulty breathing. Instead, symptoms might include confusion, changes in mental status, or subtle signs of respiratory distress. This explanation addresses the patient's daughter's concern by acknowledging that older adults can show different manifestations of illness compared to younger people.
B.A This response is misleading. Respiratory problems can develop at any stage of an infection, not only after the infection is well established. Pneumonia can sometimes present without obvious respiratory distress or symptoms, especially in older adults. It’s crucial to recognize that pneumonia can manifest in various ways and early intervention is important.
C. While it's true that older adults may experience decreased muscular strength, this response might be too specific and not fully address the broader issue. It's also possible that the patient has enough strength but is not showing the typical signs of infection. This response might oversimplify the situation and could be seen as dismissive of the patient's actual symptoms.
D. This response, while optimistic, is not entirely appropriate in this context. It might come off as minimizing the daughter's concerns and does not directly address why the patient might not exhibit typical symptoms of pneumonia. It’s important to acknowledge the atypical presentation rather than simply focusing on the timing of the diagnosis.

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Correct Answer is A

Explanation

A. Culture encompasses a broad range of shared beliefs, behaviors, and expectations that shape the way individuals and groups interact with each other and their environment. It includes aspects such as language, religion, customs, traditions, values, and social norms.
B. While geography can play a role in shaping culture, it is not the sole determinant. People from the same region may have different cultural backgrounds and beliefs.
C. While morality is an important aspect of culture, it is not the only one. Culture also includes shared beliefs about beauty, art, music, and other aspects of life.
D. Culture is not defined by physical appearance. People from different cultural backgrounds can look similar, while people from the same cultural background can look quite different.

A. assures the patient that all answers will be kept confidential B. explains the reason for asking the questions C. makes sure the interview area is comfortable and private. D. asks whether the patient has any questions about the Interview

Correct Answer is C

Explanation

A. While ensuring confidentiality is crucial for building trust and encouraging openness, it is often a standard assurance given after establishing a rapport. It does not directly address immediate comfort or the setting of the interview, which can have a significant impact on the patient’s initial anxiety.
B. Explaining the reason for asking questions can help the patient understand the purpose of the interview, making them feel more comfortable and less anxious. This can also help in building trust and encouraging the patient to provide more accurate and complete information. However, this explanation usually comes after ensuring that the interview environment is comfortable and private.
C. Creating a comfortable and private environment is a critical first step. A well-arranged and private interview area helps to make the patient feel safe and at ease, reducing their anxiety and enabling them to speak more freely. It sets the stage for a more successful and effective interview.
D. Allowing the patient to ask questions about the interview can be beneficial and may help in reducing anxiety. It provides an opportunity to clarify any uncertainties the patient might have. However, this step is usually more effective after addressing the immediate comfort and privacy concerns of the interview setting.

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Naxlex Comprehensive Predictor Exams

The student learns that which of the following is the best definition of culture?

Correct Answer is A

Explanation

To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

Correct Answer is C

Explanation

A 68-year-old man with a history of alcohol abuse is admitted to the acute care facility for reports of abdominal pain. Based on your understanding of alcohol withdrawal, the nurse knows that if patient is currently abusing alcohol, he will most likely.

A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?

An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

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

What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person?

The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

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

An older adult patient has recently experienced some difficulty sustaining an erection as a result of medication he has been prescribed. The nurse best assesses the patients perception of his own sexuality by asking