Correct Answers | Verified | Latest Update 2026
Save
Terms in this set (18)
Which nursing interventions Providing simple explanations about why questions
implemented during Mr. Palo's are being asked
assessment will assist him to Phrasing questions so as to require simple answers
communicate as effectively as his Arranging for frequent breaks in the assessment
cognitive deterioration allows? process
(Select all that apply.) Allowing ample time for the patient to respond to
questions.
Rationale: The nurse provides simple explanations
as often as patients need them, such as "I'm asking
these questions so the staff can see how your
health is." It helps to ask simple questions (those
that require simple answers) rather than compound
questions, and to allow patients ample time to
answer. Patients may become confused or tire
easily, so frequent breaks in the interview may be
needed, Although it might become necessary to
rely on family for answers to assessment questions,
Mr. Palo appears capable of being the primary
information provider. Relying on his daughter at this
point would be nontherapeutic because it would
minimize his role in the assessment process.
, Which statement made by Mr. Palo "I put my bills in a special box, and Maggie pays
identifies an intervention that his them twice a month."
family has implemented to help deal
with his decline in executive Rationale: Having difficulty paying one's bills on
functioning? time and correctly would be an example of a
disturbance in executive functioning, which is the
ability to think abstractly and to plan, initiate,
sequence, monitor and stop complex behavior. The
other options address Mr. Palo's poor nutrition,
social isolation, and ineffective self-hygiene issues.
Which assessment findings would General weakness
indicate that Mr. Palo is experiencing Altered mental status
both insufficient nutritional and fluid Weight loss
intake? (Select all that apply.) Poor skin turgor
Rationale: Indications of poor nutritional and fluid
intake would include all the options with the
exception of bradycardia. Such deficiencies would
result in tachycardia and hypotension.
When assessing Mr. Palo's risk for "Are you basically satisfied with your life?"
acute depression, the nurse is using "Do you often get bored?"
the Geriatric Depression Scale: Short "Do you feel pretty worthless the way you are
Form. What question(s) should the now?"
nurse be prepared to ask Mr. Palo?
(Select all that apply.) Rationale: This depression screening tool focuses
on older patients' feelings and the possible
presence of boredom, worthlessness, and
satisfaction with their current life. The origin or
specific circumstances associated with their
feelings are not addressed by the screening's short
form.