The nurse is discussing an older adult’s past marital history during the admission assessment. The nurse can best determine that the patient has a healthy ability to cope with emotional stressors when the patient states:

"After my husband died, I married a good man who was there for me and my children."

"Since my husband's death, I’ve grown even closer to my sisters."

"It’s been hard since my husband died, but you manage to go on somehow."

"After my husband died, I managed to raise and educate our two children by myself."

Answer and Explanation

The Correct Answer is A

A.   This statement indicates that the patient has been able to form a new, healthy relationship and find support after the loss of her husband. This suggests a positive coping mechanism and resilience in the face of emotional stress.

B.   While this indicates the patient has found support from family, it doesn't directly address her ability to cope with emotional stressors.
C.   This statement suggests that the patient has been able to cope with the loss, but it doesn't provide specific information about her coping mechanisms.
D.   While this demonstrates the patient's resilience and ability to handle challenges, it doesn't necessarily indicate a healthy ability to cope with emotional stressors.

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Correct Answer is D

Explanation

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.

A. review the listed medications for possible interactions B. explain to the patient the dangers of taking so many different medications C. evaluate the patients understanding of why he is taking each medication D. confirm with the physician that all the medications are required

Correct Answer is A

Explanation

A. When a patient is taking multiple medications, it's important to review them for potential interactions. Polypharmacy, the use of multiple medications, is common in older adults and can increase the risk of adverse drug reactions, side effects, and decreased effectiveness of medications.
B. While it's important to educate the patient about the risks of polypharmacy, the nurse's initial priority should be to assess the medications for potential interactions.
C. This is an important step in patient education, but it should be done after the nurse has reviewed the medications for potential interactions.
D. While it's important to verify the appropriateness of each medication, the nurse's initial priority should be to assess for potential interactions.

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The nurse is discussing an older adult’s past marital history during the admission assessment. The nurse can best determine that the patient has a healthy ability to cope with emotional stressors when the patient states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

Correct Answer is A

Explanation

The nurse is discussing an older adult’s past marital history during the admission assessment. The nurse can best determine that the patient has a healthy ability to cope with emotional stressors when the patient states:

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