A nurse is caring for an older patient in the emergency department. What information about the patient will be most helpful in creating a plan of care?

Living conditions and family support

Medications and current medical problems

Results of the Mini Mental State examination

Baseline physical and cognitive functioning

Answer and Explanation

The Correct Answer is D

A.   While this information can be helpful in understanding the patient's social context, it does not directly contribute to the development of a plan of care.
B.   This information is important for understanding the patient's medical history and identifying any potential risk factors. However, a baseline assessment of physical and cognitive functioning is also essential for developing a comprehensive plan of care.
C.   This assessment can be helpful in evaluating the patient's cognitive function, but it does not provide a complete picture of their overall physical and functional status.
D.   When caring for an older adult in the emergency department, it is crucial to have a baseline understanding of their physical and cognitive functioning. This information will help the nurse assess the patient's current condition and identify any significant changes that may require intervention.

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Correct Answer is A

Explanation

A. Culture encompasses a broad range of shared beliefs, behaviors, and expectations that shape the way individuals and groups interact with each other and their environment. It includes aspects such as language, religion, customs, traditions, values, and social norms.
B. While geography can play a role in shaping culture, it is not the sole determinant. People from the same region may have different cultural backgrounds and beliefs.
C. While morality is an important aspect of culture, it is not the only one. Culture also includes shared beliefs about beauty, art, music, and other aspects of life.
D. Culture is not defined by physical appearance. People from different cultural backgrounds can look similar, while people from the same cultural background can look quite different.

A. Identifying several local smoking cessation support groups. B. Giving an influenza vaccination in early autumn of each year. C. Suggesting the patient attend "Cooking to Manage Hypertension" classes taught by a registered dietician D. Providing the patient with a take-home occult stool screening kit E. Giving a pneumococcal vaccination to celebrate the patients 65th birthday.

Correct Answer is ["A","B","C","E"]

Explanation

A. This option is relevant to primary disease prevention because it aims to prevent smoking-related diseases before they occur. By providing information about smoking cessation support groups, the nurse helps the patient reduce or eliminate a major risk factor for many serious diseases, including cancer and cardiovascular disease. This aligns with the goals of primary prevention.

B.A This option is a form of primary disease prevention. The influenza vaccination helps prevent the flu before it starts, thus reducing the risk of illness and its complications. Vaccinations are a classic example of primary prevention, as they protect against diseases before they occur.
C. This option also aligns with primary disease prevention. Teaching the patient about dietary changes to manage hypertension can help prevent the development of hypertension-related complications such as heart disease or stroke. By addressing dietary habits before hypertension develops, this intervention supports primary prevention.
D. This option is not primarily a primary prevention measure. Occult stool screening kits are used for early detection of colorectal cancer, which is more about secondary prevention. Secondary prevention focuses on early detection and intervention to reduce the impact of a disease once it has already developed but before symptoms appear.
E. This option represents primary disease prevention. The pneumococcal vaccine helps prevent pneumonia and other serious infections caused by pneumococcal bacteria. Vaccination, especially in older adults, is an effective method to prevent illness before it occurs, fitting the primary prevention category.

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A nurse is caring for an older patient in the emergency department. What information about the patient will be most helpful in creating a plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student learns that which of the following is the best definition of culture?

Correct Answer is A

Explanation

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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