A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet.
The patient awakened and hit the UAP in the face.
Which statement best explains the patient’s action?
The patient interpreted the UAP’s behavior as potentially harmful.
Older adult patients often demonstrate exaggerations of behaviors used earlier in life.
The patient learned violent behavior by watching other patients act out.
Crowding in skilled nursing facilities increases an individual’s tendency toward violence.
The Correct Answer is A
Choice A rationale
The patient likely interpreted the UAP’s behavior as potentially harmful. This is a common reaction in confused older adults, especially when they are awakened unexpectedly. The patient may not have fully understood the situation and reacted out of fear or confusion.
Choice B rationale
While it’s true that older adults can sometimes demonstrate exaggerations of behaviors used earlier in life, there’s no information in the scenario to suggest this is the case.
Choice C rationale
There’s no evidence to suggest that the patient learned violent behavior by watching other patients act out. It’s more likely that the patient reacted out of fear or confusion.
Choice D rationale
While crowding can increase stress and agitation in some individuals, there’s no information in the scenario to suggest that this is a factor in the patient’s behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. The symptoms of a hypertensive crisis can include a severe headache, nausea, and vomiting, but not typically dry mouth and constipation.
Choice B rationale
Increased prolactin levels in the bloodstream can cause symptoms such as breast enlargement, production of breast milk, and menstrual changes, but not typically dry mouth and constipation.
Choice C rationale
Central nervous system stimulation can cause symptoms such as restlessness, insomnia, and tremors, but not typically dry mouth and constipation.
Choice D rationale
Anticholinergic reactions can cause a wide range of symptoms, including dry mouth and constipation. These are common side effects of many medications, including Risperdal.
Correct Answer is A
Explanation
Severe depression can indeed lead to excessive sleeping. This is known as hypersomnia, which is characterized by prolonged nighttime sleep or excessive daytime sleepiness.
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