Medical-Surgical Nursing Study Set 1
Quiz 1 :
Common Health Problems of Older Adults
A 67 year old man visits his doctor. He had recently lost his wife. The loss of his wife has caused the patient to slip into depression. In addition he is a veteran of the Vietnam War. Many survivors of the war suffer from post-traumatic stress disorder and anxiety. He is not able to cope with the death of his wife and starts drinking beer and taking marijuana. These after effects of the war along with the death of his wife are the reason for the new symptoms seen in the patient. The new symptoms are: • Decreased appetite • Extreme fatigue • Moodiness
An old adult is being taught by a nurse regarding his diet and exercise. He gives a statement which indicates that the nurse needs to further teach him. The statements are discussed below. Option A is not the correct option since inclusion of fiber in the diet is not wrong. It helps in the correct digestion of food. Hence option A is wrong. Option B is not the correct option since being fit in old age is not wrong. It is good to be fit at all ages. Hence, option B is wrong. Option D is not the correct option since prune juice does not harm to the body. It only is a good source of energy in the body. Hence, option D is wrong. Option C is the correct option since reduction in intake of fluids will lead to dehydration and imbalance of electrolytes in the body. If the electrolyte imbalance increases, it will lead to serious consequences like illness/death. Old people should drink at least 2 liters of water per day with other fluids. Since alcohol and caffeine can cause dehydration, they should be avoided. Hence, the correct option is C. I will stop drinking fluids after 4pm to prevent urination in the night.
The loss of his wife has caused the patient to slip into depression. In addition he is a veteran of the Vietnam War. Many survivors of the war suffer from post-traumatic stress disorder and anxiety. The screening tools you can use are: 1. Geriatric depression scale - Short form: The patient answers yes or no to 15 questions. A score of 10 or greater indicates depression. 2. Short Michigan Alcoholism Screening test - Geriatric version: A questionnaire with 10 questions to which the patient has to reply yes or no. The assessment data you need to collect as a nurse is we need to ascertain the real cause for the depression. Depression can be major or minor. The absence of neurotransmitters in the brain is the cause for the major type. In the minor type, the cause can be a loss or illness like cardiac disease, stroke and arthritis.