During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

gather information from a family member accompanying the patient.

omit the interview and proceed to a physical examination.

repeat the questions at the end of the visit to cross check for accuracy of data.

reassure the patient that forgetfulness is a normal part of the aging process.

Answer and Explanation

The Correct Answer is A

A.   Gathering information from a family member can help obtain a more accurate history, especially when the patient has difficulty recalling specific details due to age-related memory changes.
B.   Omitting the interview would lead to incomplete information and potentially delay appropriate care.
C.   Repeating the questions may be helpful but may not always yield reliable data if the patient struggles to remember key details.
D.   While forgetfulness can be normal with aging, healthcare providers need to ensure accurate information is collected to provide optimal care.

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Correct Answer is ["A","B","C","D"]

Explanation

A. A significant drop in blood pressure when standing (typically greater than 20 mm Hg systolic or 10 mm Hg diastolic) is a hallmark of orthostatic hypotension.
B. Dizziness upon standing is a classic symptom of orthostatic hypotension due to decreased blood flow to the brain.
C. Blurred vision can also result from decreased blood flow and is a common symptom of orthostatic hypotension.
D. Syncope (fainting) can occur as a result of orthostatic hypotension when the brain does not receive enough oxygenated blood due to the drop in blood pressure.

A. When did these symptoms start?" B. What is your occupation?" C. Do you have a headache?" D. Do you have any abdominal pain?"

Correct Answer is B

Explanation

A. While understanding the onset of symptoms is important, the patient's occupation might provide more insight into potential environmental or work-related exposures that could explain the symptoms, such as chronic exposure to irritants or pollutants.

B. The occupation is highly relevant, as it may help identify occupational hazards, such as exposure to chemicals, dust, or other respiratory irritants, which could be contributing to the symptoms.
C. Although a headache could be related to fatigue or other symptoms, it is not the most relevant question in this case.
D. Abdominal pain is less likely to be the focus when the primary symptoms are chest congestion and a cough, which suggest respiratory involvement.

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During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses that the 86-year-old patient is experiencing orthostatic hypotension when assessments indicate: (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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Correct Answer is B

Explanation

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