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?

Tasteless food

Overuse of salt

Loss of taste buds

Lack of variety

Answer and Explanation

The Correct Answer is C

A. Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.

B. Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.

C. Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.

D. Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.

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Correct Answer is C

Explanation

A. Reaction formation involves behaving in a way opposite to one's true feelings, which is not a constructive coping mechanism.
B. Compensation is a coping mechanism where the patient overcomes weaknesses by emphasizing strengths but may not directly address stress.
C. Adaptation involves adjusting and finding effective ways to manage stress and is a positive coping mechanism.
D. Projection involves attributing one's own undesirable thoughts or feelings to others, which is not a healthy way of resolving stress.

A. personality disorder. B. dementia. C. delirium. D. sundowning syndrome.

Correct Answer is D

Explanation

A. Personality disorder. Personality disorders are long-term patterns of behaviour and inner experiences that deviate significantly from the expectations of the individual's culture. The described behaviour is a specific pattern related to the time of day, not indicative of a personality disorder.
B. Dementia. While dementia is the underlying condition, the specific worsening of symptoms in the evening is known as sundowning syndrome. Dementia alone does not specify the time-related pattern of increased confusion and agitation.
C. Delirium. Delirium is an acute, often sudden change in cognition and attention, usually caused by an underlying medical condition or substance use. The described behavior follows a regular daily pattern, indicating a different issue.
D. Sundowning syndrome. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, commonly seen in individuals with Alzheimer's disease or other forms of dementia.

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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?

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Naxlex Comprehensive Predictor Exams

What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?

Correct Answer is C

Explanation

A nurse is caring for an older adult who lives in a long-term care facility on the Alzheimer unit. Every evening around 5:00 p.m., the resident becomes increasingly agitated and more confused, a state that lasts throughout the evening. The nurse recognizes this behaviour as:

Correct Answer is D

Explanation

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