A 78-Year-Old Client Is Being Seen in the Geriatrician's Office

question 4

Multiple Choice

A 78-year-old client is being seen in the geriatrician's office for a blood pressure check.She has a history of hypertension and osteoarthritis,and has recently fallen and fractured two ribs.She has been prescribed extra strength Tylenol for the pain.What statement by the client requires further evaluation by the nurse?

• A) "I find that when I drink herbal tea and then take my Tylenol at bedtime,I sleep through the whole night."
• B) "I heard that meditation may help me deal with the pain without taking all that Tylenol."
• C) "I take two extra strength Tylenol tablets (500 mg/tablet)every 4 hours around-the-clock and it helps my pain."
• D) "I make sure that I take my Tylenol with breakfast when I first get up."

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Definitions:

Cognitive Map

A mental representation of one's physical environment, allowing for navigation, understanding spatial relationships, and planning routes.

Gestalt

An approach emphasizing that the whole of something is greater than its parts, used particularly in psychology to describe patterns and perceptions.

Insight

The ability to comprehend someone or something thoroughly and precisely.

Negative Reinforcement

A behavior reinforcement strategy where the removal of an unfavorable outcome or stimulus increases the likelihood of a behavior being repeated.