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NURS MISC Chronic Illness and Older Adults Test Bank,100% CORRECT

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NURS MISC Chronic Illness and Older Adults Test Bank MULTIPLE CHOICE 1. When caring for an older patient with hypertension who has been hospitalized after a transient ischemic (TIA), which topic is the most important for the nurse to include in the discharge teaching? a. Effect of atheros...

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  • November 9, 2022
  • 15
  • 2022/2023
  • Exam (elaborations)
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NURS MISC Chronic Illness and
Older Adults Test Bank

MULTIPLE
CHOICE

1. When caring for an older patient with hypertension who has been hospitalized
after a transient ischemic (TIA), which topic is the most important for the nurse
to include in the discharge teaching?
a. Effect of atherosclerosis on blood vessels
b. Mechanism of action of anticoagulant drug therapy
c. Symptoms indicating that the patient should contact the health care provider
d. Impact of the patient’s family history on likelihood of developing a serious
stroke
ANS: C
One of the tasks for patients with chronic illnesses is to prevent and manage a
crisis. The patient needs instruction on recognition of symptoms of hypertension
and TIA and appropriate actions to take if these symptoms occur. The other
information also may be included in patient teaching but is not as essential in the
patient’s self-management of the illness.

DIF: Cognitive Level: Apply (application) REF: 63
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological
Integrity

2. The nurse performs a comprehensive geriatric assessment of a patient who is
being assessed for admission to an assisted living facility. Which question is the
most important for the nurse to ask?
a. “Have you had any recent infections?”
b. “How frequently do you see a doctor?”
c. “Do you have a history of heart disease?”
d. “Are you able to prepare your own meals?”

ANS: D
The patient’s functional abilities, rather than the presence of an acute or chronic
illness, are more useful in determining how well the patient might adapt to an
assisted living situation. The other questions will also provide helpful
information but are not as useful in providing a basis for determining patient
needs or for developing interventions for the older patient.

DIF: Cognitive Level: Apply (application) REF:71
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
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, 3. An older patient who takes multiple medications for chronic cardiac and
pulmonary diseases is alert and lives with a daughter who works during the day.
During a clinic visit, the patient verbalizes to the nurse that she has a strained
relationship with her daughter and does not enjoy being alone all day. Which
nursing diagnosis should the nurse assign as the priority for this patient?
a. Risk for injury related to drug interactions
b. Social isolation related to weakness and fatigue
c. Compromised family coping related to the patient’s many care needs
d. Caregiver role strain related to need to adjust family employment schedule

ANS: A




This study source was downloaded by 100000802531269 from CourseHero.com on 10 -12-2022 10:57:59 GMT -05:00


https://www.coursehero.com/file/13099968/ch5/

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