A nurse is developing a plan of care for a 68 year-old. Which information will the nurse consider?
Should be standardized because most geriatric patients have the same needs.
Needs to be individualized to the patient's unique needs.
Focuses on the disabilities that all aging persons go through.
Must be based on chronological age alone.
The Correct Answer is B
A. Should be standardized because most geriatric patients have the same needs: While some general principles apply to older adults, such as fall prevention or vaccination recommendations, standardizing care overlooks individual variations in health status, comorbidities, functional ability, and personal preferences. Assuming uniform needs can lead to inadequate or unsafe care.
B. Needs to be individualized to the patient's unique needs: Effective care planning for older adults requires assessment of each patient’s physical, cognitive, emotional, and social status. Individualized care addresses specific comorbidities, medication regimens, functional limitations, and personal goals, ensuring interventions are relevant, safe, and promote quality of life. Tailoring care improves adherence, patient satisfaction, and overall outcomes.
C. Focuses on the disabilities that all aging persons go through: Not all aging individuals experience the same disabilities or functional decline. Focusing solely on presumed age-related deficits may result in biased care and unnecessary interventions. Assessment should prioritize actual health status and risk factors rather than assumptions about aging.
D. Must be based on chronological age alone: Chronological age is an imperfect indicator of health or functional ability. Two patients of the same age can have vastly different physical, cognitive, and psychosocial needs. Planning care solely based on age ignores critical factors such as lifestyle, comorbidities, and personal goals, which are essential for safe, patient-centered care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Calculation:
- Convert the client’s weight to kilograms
Weight (kg) = 185 ÷ 2.2
= 84.1 kg
- Calculate the ordered dose in mg
Ordered Dose (mg) = 1.2 mg × 84.1 kg
= 100.9 mg
- Identify the concentration of the available medication
Available: 80 mg/0.8 mL = 100 mg/mL (since 80 ÷ 0.8 = 100 mg/mL)
- Calculate the volume to administer
Volume (mL) = Ordered Dose ÷ Concentration
Volume = 100.9 ÷ 100
= 1.009 mL
- Round to the nearest tenth
= 1.0 mL
Correct Answer is C
Explanation
A. Review the patient's medication history: While medication review is important for identifying drugs that may affect neurological function, it is not the most immediate priority. Understanding the patient’s current neurological status takes precedence to detect acute changes that may require urgent intervention.
B. Ask the patient's family member about changes in the patient's mental status: Gathering collateral information is valuable for establishing a baseline, especially if the patient has cognitive impairments. However, it does not provide real-time data on the patient’s current neurological condition, which is more urgent.
C. Assess the patient's level of consciousness: Evaluating level of consciousness is the first and most critical step in a neurological assessment. Changes in consciousness can indicate acute neurological compromise such as stroke, head injury, or metabolic disturbances, and require immediate recognition and intervention.
D. Determine if the patient has unsteady gait: Assessing gait is part of the neurological examination but is less urgent than assessing consciousness. Mobility assessments are important for safety and long-term care planning but do not identify acute neurological deterioration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.