To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

assures the patient that all answers will be kept confidential

explains the reason for asking the questions

makes sure the interview area is comfortable and private.

asks whether the patient has any questions about the Interview

Answer and Explanation

The Correct Answer is C

A.   While ensuring confidentiality is crucial for building trust and encouraging openness, it is often a standard assurance given after establishing a rapport. It does not directly address immediate comfort or the setting of the interview, which can have a significant impact on the patient’s initial anxiety.
B.   Explaining the reason for asking questions can help the patient understand the purpose of the interview, making them feel more comfortable and less anxious. This can also help in building trust and encouraging the patient to provide more accurate and complete information. However, this explanation usually comes after ensuring that the interview environment is comfortable and private.
C.   Creating a comfortable and private environment is a critical first step. A well-arranged and private interview area helps to make the patient feel safe and at ease, reducing their anxiety and enabling them to speak more freely. It sets the stage for a more successful and effective interview.
D.   Allowing the patient to ask questions about the interview can be beneficial and may help in reducing anxiety. It provides an opportunity to clarify any uncertainties the patient might have. However, this step is usually more effective after addressing the immediate comfort and privacy concerns of the interview setting.

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Correct Answer is C

Explanation

A. Disregard is a general term that can refer to a lack of attention or concern. It does not specifically refer to the failure to exercise reasonable care.

B. Malpractice is a specific type of negligence that occurs when a professional person, such as a doctor or nurse, fails to provide services in a reasonably competent manner, resulting in harm to the patient. While negligence is a broader term, malpractice is a more specific term that applies to professionals.
C. Negligence is a legal term that refers to the failure to exercise the degree of care that a reasonable person would exercise in similar circumstances. In the context of nursing, negligence occurs when a nurse commits an act that a prudent nurse should not have done, or omits an act that a prudent nurse should have done, resulting in injury or harm to another person.
D. Neglect is a general term that can refer to the failure to provide for the needs of another person, such as a child or elderly adult. While negligence can involve neglect, it is a broader term that encompasses a wider range of behaviors.

A. age B. cancer diagnosis C. nutritional status D. cognitive limitations

Correct Answer is C

Explanation

A. While age can affect the absorption of some medications, it is not the primary factor that would impact the effectiveness of a topical cream in this case.
B. The cancer diagnosis itself does not directly affect the absorption of topical medications. However, the underlying disease process and treatment may impact the patient's overall health and nutritional status, which can in turn affect medication absorption.
C. Topical medications are absorbed through the skin. Malnutrition can lead to skin thinning and decreased circulation, which can impair the absorption of topical medications. Therefore, the patient's nutritional status is the most likely factor to negatively impact the effectiveness of the topical cream.
D. The patient's cognitive limitations may make it difficult to follow instructions regarding the application of the topical cream, but this does not directly affect the medication's effectiveness.

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To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person?

Correct Answer is C

Explanation

The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult patient in the terminal stage of lung cancer. The nurse carefully monitors the effectiveness of the medication because its effectiveness will be most negatively impacted by the patient's:

Correct Answer is C

Explanation

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