The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority criterion for continued Independence to be the patients:
age
functional status
gender
financial status
The Correct Answer is B
A. While age can influence health and care needs, it is not the primary criterion for assessing a patient's ability to maintain independence. The impact of age varies greatly among individuals, and functional status is a more direct measure of a person's ability to perform daily activities and manage their health.
B. Functional status refers to the patient's ability to perform daily activities and manage self-care. For someone with rheumatoid arthritis, functional status is crucial because the disease can significantly affect physical abilities due to joint pain, stiffness, and deformities. Assessing and optimizing functional status helps ensure that the patient can maintain independence by adapting their environment, using assistive devices, and implementing strategies to manage symptoms effectively.
C. Gender itself does not directly determine a patient's ability to maintain independence. While certain conditions may have different prevalence rates or impacts based on gender, independence is more closely related to functional abilities and health management rather than gender.
D. Financial status can influence access to resources, healthcare, and support services, but it is not the primary determinant of a patient's functional ability or independence. While financial resources are important for accessing necessary treatments and support, they do not directly impact the patient's functional capacity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Angiotensin II receptor blockers (ARBs) are a class of medications used to treat high blood pressure. They work by blocking the effects of angiotensin II, a hormone that constricts blood vessels and causes the kidneys to retain sodium and water. This can lead to increased blood pressure and damage to the kidneys.
B. While ARBs do have a well-defined therapeutic window, this is not the primary reason why they are especially useful in older adults.
C. ARBs should be used with caution in patients with liver problems, as they can be metabolized by the liver.
D. ARBs are generally considered to be as effective as other antihypertensive medications, such as angiotensin-converting enzyme (ACE) inhibitors.
Correct Answer is D
Explanation
A. While assessing the patient's functional limitations is important for determining the appropriate level of care needed, it does not directly address the competency of the UAP staff.
B. Arranging for UAP services is important, but it does not guarantee the quality of care provided. Evaluating the competency of the UAP staff is essential to ensure that the patient receives safe and effective care.
C. While the nurse may play a role in case management and advocacy, it's important to ensure that the UAP staff is competent to provide the necessary care.
D. To ensure the quality of care and safety of an older adult patient who requires in-home UAP assistance, it's crucial to evaluate the competency of the UAP staff. This involves assessing their skills, knowledge, and ability to provide safe and effective care.
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