ATI Engage Adult Medical Surgical PN
(Alterations in cognition)
A older patient is unable to read the paper due to visual impairment what do you do as the
nurse ? - ANS Offer glasses ; Adequate light in the room
An older patient suffers from hearing loss. What do you do as the nurse taking this into
consideration? - ANS Speak slowly and clearly ; Low-pitched tone but with a slightly raised
voice *Dont Yell*
Ensure there is no background noise ; facing the client
define cultural competence - ANS having an awareness and acceptance of cultures and the
ability to interact effectively with people of diverse cultures
What questions may you ask to determine the clients ability to perform ADLS? - ANS How often
do you bathe/shower/wash your hair?
Do you need help when bathing/showering/dressing/brushing teeth?
Are you able to move around your house independently?
Do you drive?
What is the temperature normally for older adults ?
-Is it difficult to assess an older patient for infection - ANS Lower core temp
-due to decrease in metabolism
-due to decrease in fat
-Diminished control of vasodilation and vasoconstriction
(1) Yes due to the above
Dementia - ANS (irreversible) a slowly progressive decline in mental abilities, including memory,
thinking, and judgment, that is often accompanied by personality changes
delirum - ANS (Can be reversed) confusion, disoriented shorter term, then dementia
Alzheimer's disease - ANS an irreversible, Damaged to neurons progressive brain disorder,
characterized by the deterioration of memory, language, and eventually, physical functioning
Neurons - ANS Neurons help maintain homeostasis by transmitting messages from the brain to
other body parts
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