The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

69-year-old with peripheral vascular disease who is visited by home health care weekly.

73-year-old with a history of chronic bronchitis who lives with family.

86-year-old who lost a spouse and is moving into an assisted living facility.

79-year-old with moderate Alzheimer disease who requires assistance with all activities of daily living (ADLs)

Answer and Explanation

The Correct Answer is D

A.   Peripheral vascular disease (PVD) impairs blood flow to the extremities, which can affect the body's ability to regulate temperature, heal wounds, and manage cardiovascular function. Despite having regular home health care, which helps with monitoring and managing the condition, PVD still poses challenges to maintaining homeostasis.
B.   Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that impairs lung function and impacts the body's ability to exchange gases efficiently. This condition can lead to chronic hypoxemia (low oxygen levels) and hypercapnia (elevated carbon dioxide levels), which directly affect homeostasis.
C.   This individual is undergoing significant life changes, including bereavement and relocation, which can affect emotional and physiological well-being. While these stressors can impact overall health, they are less directly related to physiological processes that maintain homeostasis compared to chronic physical conditions.
D.   Alzheimer’s disease leads to significant cognitive decline, which impairs the ability to perform daily activities and manage personal health. This cognitive impairment can result in a reduced ability to recognize and respond to physiological needs, which compromises homeostatic mechanisms. The need for assistance with all ADLs indicates severe functional impairment, making this patient highly vulnerable to disruptions in homeostasis due to their inability to self-manage health and daily activities effectively.

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Correct Answer is A

Explanation

A. In Korean culture, silence and avoiding eye contact can be seen as signs of respect and deference, especially towards individuals perceived as having authority or expertise. Therefore, the patient's behavior is likely not a sign of dissatisfaction or discomfort, but rather a cultural expression of respect for the nurse.
B. While it is possible for the patient to be dissatisfied with his care, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.
C. This is not necessarily the case. The patient may simply be uncomfortable speaking up or asking questions in a language that is not his native tongue.
D. While it is possible for the patient to be uncomfortable discussing personal matters, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.

A. informs the patients physician about the drug noncompliance B. checks the drug guide to see if decreasing the frequency if the drugs is possible C. asks the patients spouse to consistently administer the drugs D. teaches the patient to administer daily pills with a pill dispenser

Correct Answer is D

Explanation

A. While it's important to communicate any concerns about medication adherence with the physician, the nurse should first try to address the underlying issue, which in this case is the patient's memory impairment.
B. While decreasing the frequency of medications may be possible in some cases, it's important to consult with the physician before making any changes to the medication regimen.
C. Relying on a family member to administer medications can be problematic, as it may not be feasible for them to do so on a regular basis. It's important for the patient to take responsibility for their own medication management, with the support of the nurse.
D. Memory impairment is a common problem in older adults and can affect medication adherence. Using a pill dispenser can help patients remember when to take their medications. Pill dispensers are often organized by day and time, making it easier for patients to keep track of their medication schedule.

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The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for an older Korean patient, the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact. Being culturally sensitive, the nurse recognizes that the patients actions are most likely a(n):

Correct Answer is A

Explanation

An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

Correct Answer is D

Explanation

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