The LPN/LVN is caring for an older adult who was admitted to the long-term care facility 2 months previously. Three weeks ago his son was killed in a car accident. The patient I been staying in his room and not attending meals or activities. What would be the highest priority patient problem for this patient?

Grieving related to loss of son

Social isolation related to depression

Ineffective coping related to the number of recent losses

Hopelessness related to relocation to a nursing home

Answer and Explanation

The Correct Answer is A

A. Grieving related to loss of son: The recent loss of his son is a significant and primary concern, leading to social withdrawal and other behaviours.
B. Social isolation related to depression: While social isolation is a concern, it stems from the primary issue of grieving.
C. Ineffective coping related to the number of recent losses: Ineffective coping is important but addressing the grieving process is more immediate and central.
D. Hopelessness related to relocation to a nursing home: Hopelessness due to relocation may contribute but is not the immediate primary issue in light of the recent death.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Fever B. A decrease in venous return C. Orthostatic hypotension D. Dehydration

Correct Answer is C

Explanation

A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

Correct Answer is C

Explanation

The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?

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The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?

How often does a 76-year-old need a screening for preventive health?

A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?

Cultural and ethnic considerations for skin assessment include which aspect??

Which areas are affected only minimally by age?