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 B

Explanation

A. controlling the interview by selecting the memories to be discussed: Guided reminiscence should be a collaborative process between the nurse and the patient. The nurse should facilitate the conversation and encourage the patient to share their own memories, rather than imposing specific topics.

B. Guided reminiscence is a therapeutic technique that involves helping individuals recall and reflect on past experiences. The goal is to promote positive emotions, improve cognitive function, and enhance a sense of well-being.
C. While it may be helpful to break up the reminiscence sessions into shorter intervals, the focus should be on creating a comfortable and supportive environment for the patient to share their memories.
D. While it may be helpful to prompt the patient to recall specific memories, the emphasis should be on allowing the patient to freely explore their own memories and experiences.

A. reflex tone B. body for bruising C. serum creatinine level D. prothrombin time

Correct Answer is D

Explanation

A. Reflex tone refers to the neurological response of the body to stimuli and is not directly related to the action or monitoring of anticoagulant therapy. While assessing reflexes might be important for overall patient health, it is not specifically relevant to monitoring the effects of warfarin. Reflex tone does not provide information on the anticoagulation status or risk of bleeding associated with warfarin therapy.
B. Checking the body for bruising helps assess the safety of warfarin therapy and may indicate the need for dosage adjustments or further investigation if bruising is excessive. However, while monitoring for bruising is essential, it is not the primary method for assessing the effectiveness and safety of anticoagulant therapy.
C. While monitoring kidney function is relevant for overall medication management, it is not the primary focus for directly assessing the effectiveness or safety of warfarin therapy. Kidney function is more related to adjusting doses and avoiding potential complications.
D. Regularly reviewing PT is crucial for managing warfarin therapy because it directly reflects the anticoagulation effect of the medication. The International Normalized Ratio (INR), derived from PT, is used to ensure the patient is within the therapeutic range for effective anticoagulation while minimizing the risk of bleeding.

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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 nurse most effectively implements guided reminiscence during a patient interview by

Correct Answer is B

Explanation

An older adult patient has been prescribed warfarin (coumadin). The nurses primary intervention involves daily review of the patient's:

Correct Answer is D

Explanation

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