Gerontology Scenario 7: Millie Larsen,
Part 1
Millie Larsen's daughter Dina is requesting that Millie be relocated to an assisted living
facility upon discharge, even if her current delirium resolves. In partnership with Dina,
the nurse utilizes the SPICES assessment tool to assist in making appropriate
discharge assessments. Which of the following questions would likely be asked as part
of this assessment? (Select all that apply.) - ✔️✔️Has your mother been having any
difficulty sleeping?, Does your mother have access to healthy food choices?, In her
normal state, does your mother have frequent episodes of incontinence?, Has your
mother experienced frequent falls?, Has your mother identified any issues with skin
breakdown?
The nurse begins asking Dina questions utilizing the Confusion Assessment Method
(CAM) tool. Which assessment questions asked of Millie's daughter Dina support the
goal of this tool? (Select all that apply.) - ✔️✔️Did your mother's confusion come on
suddenly?, Did you find it difficult for your mother to focus when you were speaking to
her?, Did your mother ramble or engage in incoherent conversation?
The nurse caring for Mille Larsen is reviewing the information provided in the shift
report. Which of the following initial cues are commonly associated with the presence of
a urinary tract infection (UTI) in an older adult? (Select all that apply.) -
✔️✔️Disorientation, Foul-smelling urine, White blood count of 12,000
Millie Larsen's daughter, Dina, indicates that her mother's disorientation and confusion
were not present before the current hospital admission. She is anxious to learn more
about these new-onset symptoms. The nurse informs Dina that her mother's Choose
Answer.. is likely related to her urinary tract infection and that the Choose Answer..
assessment tool will assist them in learning more about Millie Larsen's mental status. -
✔️✔️delirium, CAM
Based on the information provided when gathering data using the Confusion
Assessment Method instrument, the nurse informs Dina that her mother's delirium is
likely related to the UTI and should resolve as the infection is treated. Based on this
finding, current vital signs, and lab values including a sodium level of 148, potassium
level of 4.8, BUN of 30, and creatinine level of 1.5, the nurse recognizes the need to
prioritize which of the following nursing interventions for Millie Larsen? (Select all that
apply.) - ✔️✔️Perform a head-to-toe assessment, Evaluate the patient's current home
medication routine, Contact the provider regarding Millie Larsen's blood pressure
Part 1
Millie Larsen's daughter Dina is requesting that Millie be relocated to an assisted living
facility upon discharge, even if her current delirium resolves. In partnership with Dina,
the nurse utilizes the SPICES assessment tool to assist in making appropriate
discharge assessments. Which of the following questions would likely be asked as part
of this assessment? (Select all that apply.) - ✔️✔️Has your mother been having any
difficulty sleeping?, Does your mother have access to healthy food choices?, In her
normal state, does your mother have frequent episodes of incontinence?, Has your
mother experienced frequent falls?, Has your mother identified any issues with skin
breakdown?
The nurse begins asking Dina questions utilizing the Confusion Assessment Method
(CAM) tool. Which assessment questions asked of Millie's daughter Dina support the
goal of this tool? (Select all that apply.) - ✔️✔️Did your mother's confusion come on
suddenly?, Did you find it difficult for your mother to focus when you were speaking to
her?, Did your mother ramble or engage in incoherent conversation?
The nurse caring for Mille Larsen is reviewing the information provided in the shift
report. Which of the following initial cues are commonly associated with the presence of
a urinary tract infection (UTI) in an older adult? (Select all that apply.) -
✔️✔️Disorientation, Foul-smelling urine, White blood count of 12,000
Millie Larsen's daughter, Dina, indicates that her mother's disorientation and confusion
were not present before the current hospital admission. She is anxious to learn more
about these new-onset symptoms. The nurse informs Dina that her mother's Choose
Answer.. is likely related to her urinary tract infection and that the Choose Answer..
assessment tool will assist them in learning more about Millie Larsen's mental status. -
✔️✔️delirium, CAM
Based on the information provided when gathering data using the Confusion
Assessment Method instrument, the nurse informs Dina that her mother's delirium is
likely related to the UTI and should resolve as the infection is treated. Based on this
finding, current vital signs, and lab values including a sodium level of 148, potassium
level of 4.8, BUN of 30, and creatinine level of 1.5, the nurse recognizes the need to
prioritize which of the following nursing interventions for Millie Larsen? (Select all that
apply.) - ✔️✔️Perform a head-to-toe assessment, Evaluate the patient's current home
medication routine, Contact the provider regarding Millie Larsen's blood pressure
