NR 326 Week 7 Edapt Assignments

Nursing Care of an Older Adult Experiencing Altered Mental Health Knowing that older adults are less likely to receive mental health treatment, which of the following staff education programs is a high priority? -Providing cost-effective eye care for older adults -Identifying nutritional deficiencies in older adults -Identifying clinical depression in older adults -Providing counseling referrals for older adults Which of the following are common alterations in mental health that may appear in older adults? Select that all apply. -Neurocognitive disorders -Substance abuse disorders -Delirium -Suicide risk -Depression During your nursing assessment, Mr. Jones is having difficulty walking because of shortness of breath secondary to chronic obstructive pulmonary disease (COPD). He says, "Every day is hard when you get old. No one cares about old people. I'm better off dead." For Mr. Jones' statement, which is the best response by the nurse? -“Rest periods are important. Don’t try to overexert yourself.” -“You are still able to get around, and your mind is alert.” -“It sounds like you’re having a difficult time. Tell me about it.” -“Let’s not focus on the negative. Tell me something good.” Which factors could help reduce risk and protect older adults from suicide? -Substance misuse -Social connectedness -Care for physical health problems -Adapting to change -Adequate coping skills Which risk factors can contribute to caregiver elder abuse? -Prior history of violence -Adequate coping with caregiver role -Substance misuse -Economic stress -White females, aged 70 or older Who should be assessed first on the inpatient psychiatric unit? You are to begin your nursing shift and receive reports on three older adult clients with alterations in mental health. Review their information below and determine the order to see the three patients. Which client should be seen first (immediate), second (urgent), and third (non-urgent)? Nursing diagnosis Assessment findings Immediate / Urgent / Non-Urgent Risk for suicide related to depressed mood depressed feelings of low self-worth history of alcohol abuse self-harm Immediate, Urgent, Non-urgent Powerlessness related to dependence on others irritability and anger depressed mood stating “I have no control over my life anymore.” Immediate, Urgent, Non-urgent Risk for trauma (elder abuse) related to caregiver role strain stating, “I’m just a burden on my family.” bruising on arms in different stages of healing Immediate, Urgent, Non-urgent presenting in unclean clothing, body odor, and poor eye contact; looking at the floor when answering questions (withdrawn) flat affect denial of suicidal ideation denial of abuse Review the nursing diagnosis items in the left column and the nursing action choices below. Drag and drop each nursing action item to match its corresponding diagnosis. Report findings of suspected elder abuse to social services and law enforcement. Teach clients deep breathing and relaxation techniques. Help clients identify areas of life situations that clients can control. -Powerlessness -Risk for suicide -Risk for trauma (elder abuse) Which nursing actions can help achieve the expected outcomes below? Drag and drop the chosen action in the left column to match the corresponding outcome. Possible Nursing Actions Expected Outcomes The client