Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?

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ATI Capstone Mental Health Assessment Quizlet Questions

Question 1 of 5

Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?

Correct Answer: D

Rationale: The correct answer is D: Electric wheelchair. This is because anxiety related to falling can impact an older adult's mobility and independence. Providing an electric wheelchair can help the patient move around safely and independently, reducing the fear of falling and promoting personal freedom. Choice A: Yoga and tai-chi may help with relaxation and balance, but they may not address the immediate mobility concerns of the patient with mild dementia and anxiety related to falling. Choice B: Xanax is a medication commonly used to treat anxiety, but it may not address the underlying mobility issues and could potentially cause side effects in older adults. Choice C: Relaxation techniques can be beneficial for managing anxiety, but in this case, addressing the patient's mobility concerns with an electric wheelchair would be more appropriate and effective.

Question 2 of 5

A nursing instructor is explaining the concept of the continuum of care to a group of students. Which of the following would the nurse include in this description?

Correct Answer: D

Rationale: The correct answer is D because the continuum of care refers to a seamless and integrated system that spans from illness to wellness states. This means that care is provided across different levels, from prevention to acute care to rehabilitation. This approach ensures that patients receive comprehensive care tailored to their needs at every stage of their health journey. Choice A, care provided in episodic intervals, is incorrect because the continuum of care is continuous and not fragmented into separate episodes. Choice B, a system of care that focuses primarily on wellness, is incorrect as it does not capture the comprehensive nature of the continuum of care, which includes all stages of health and illness. Choice C, a single organization as responsible for care delivery, is incorrect because the continuum of care involves coordination and collaboration among multiple healthcare providers and settings to ensure holistic care.

Question 3 of 5

A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication for hemodialysis?

Correct Answer: A

Rationale: The correct answer is A: glomerular filtration rate of 14 mL/minute. A GFR of 14 mL/minute indicates severe kidney dysfunction, warranting hemodialysis to filter waste products and excess fluids from the blood. B: BUN 16 mg/dL, C: serum magnesium 1.8 mg/dL, and D: serum phosphorus 4.0 mg/dL are within normal ranges and do not specifically indicate the need for hemodialysis in chronic kidney disease.

Question 4 of 5

A group of nursing students is reviewing information about intimate partner violence (IPV). The group demonstrates understanding of this topic when they identify which of the following?

Correct Answer: B

Rationale: The correct answer is B because it highlights a common misconception that men may not recognize certain behaviors as abusive. This is important in understanding IPV dynamics as it can lead to underreporting and lack of support for male victims. Choice A is incorrect because typically women are more likely to be seriously injured in IPV situations. Choice C is incorrect as IPV rates are similar in same-sex and heterosexual relationships. Choice D is incorrect as reactions to IPV can vary based on gender due to societal norms and expectations.

Question 5 of 5

Which remark by a patient indicates passage from orientation to the working phase of a nurse–patient relationship?

Correct Answer: D

Rationale: The correct answer is D because it shows the patient's willingness to address their issues and actively seek solutions. This indicates a transition to the working phase where the patient is ready to engage in problem-solving and therapeutic work. Choice A indicates denial or reluctance to open up about problems. Choice B suggests difficulty in expressing emotions. Choice C reflects skepticism about the therapeutic process.

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