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 D

Explanation

A. While dietary changes can be helpful for managing constipation, it's still important for the patient to consult with their healthcare provider before using laxatives.
B. This statement is partially correct, but it's important to note that not all laxatives interact with all medications. The patient should consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
C. While it's important for the patient to be aware of the potential side effects of laxatives, the most important step is to consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
D. While constipation can be a bothersome issue, it's important for patients to consult with their healthcare provider before using over-the-counter laxatives. This is especially true for patients who are already taking prescription medications, as laxatives can interact with other drugs and potentially cause adverse effects.

A. Administering blood pressure screening at a mall B. Fitting impoverished older adults with glasses C. Dispensing free flu vaccinations at a clinic D. Teaching about the risks of sun exposure

Correct Answer is A

Explanation

A. This activity involves assessing individuals for high blood pressure, which is a common risk factor for cardiovascular diseases. Blood pressure screening is a classic example of secondary prevention because it aims to detect hypertension early so that it can be managed before complications, such as heart disease or stroke, develop. This activity is appropriate for secondary prevention as it helps identify those with undiagnosed hypertension and provides an opportunity for early intervention.
B. Fitting glasses addresses a specific need related to vision but does not primarily focus on early detection or intervention for diseases. It falls more under the category of tertiary prevention, which aims to manage existing conditions and prevent further complications or disabilities. While improving vision is beneficial, this activity does not primarily fit the secondary prevention model of detecting disease early in asymptomatic individuals.
C. This activity is an example of primary prevention, not secondary prevention. Primary prevention aims to prevent diseases before they occur, such as through vaccination to prevent influenza. Although flu vaccines are important for public health, they do not fit the secondary prevention model, which is concerned with early detection and intervention for existing or developing health issues.
D. This activity is also an example of primary prevention. Teaching about sun exposure risks aims to prevent skin cancer by promoting behaviors that reduce the risk of developing the disease. It focuses on educating people to avoid sunburns and protect their skin to prevent skin cancer from developing in the first place. Thus, it does not fit the secondary prevention model.

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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

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

Correct Answer is D

Explanation

The nurse wishes to participate in a community secondary prevention activity. Which activity does the nurse choose?

Correct Answer is A

Explanation

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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?

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