Gerontology final

A NURSE IN A LONG TERM CARE FACILITY IS CARING FOR AN OLDER ADULT CLIENT WHO HAS BEEN GIVEN A CANE TO ASSIST WITH AMBULATION. WHICH OF THE FOLLOWING NURSING ACTIONS PUTS THE CLIENT AT RISK? A. INSPECTING THE RUBBER TIP OF THE CANE OFTEN AND REPLACING IT IF IT APPEARS WORN B. PLACING THE CANE ON THE SIDE OF THE CLIENT'S WEAK LEG C. HAVING THE CLIENT LEAD WITH THE CANE WHEN WALKING DOWN STAIRS D. KEEPING THE CAN WITHIN EASY REACH WHEN THE CLIENT IS SLEEPING OR SITTING

B

A NURSE IN THE EMERGENCY DEPARTMENT IS CARING FOR AN OLDER ADULT CLIENT. WHICH OF THE FOLLOWING BEHAVIORS SHOULD INDICATE TO THE NURSE NEGLECT OF AN OLDER ADULT CLIENT BY A CAREGIVING FAMILY MEMBER? A. THE FAMILY MEMBER REFUSES TO LEAVE THE CLIENT ALONE WITH THE NURSE FOR EXAMINATION B. THE CLIENT HASN'T BEEN TAKING NECESSARY MEDICATIONS BECAUSE THE PRESCRIPTIONS HAVE NOT BEEN FILLED BY THE FAMILY MEMBER C. THE CLIENT IS BROUGHT TO THE CLINIC BY THE FAMILY MEMBER FOR A 3 MONTH CHECKUP D. THE FAMILY MEMBER SPEAKS TO THE CLIENT IN AN ANGRY, BERATING MANNER

B

A NURSE IS ASKED TO SPEAK TO A GROUP OF HEALTHY, OLDER ADULT CLIENTS ABOUT NORMAL AGING AND SEXUAL RESPONSE. THE NURSE SHOULD INCLUDE IN THE DISCUSSION TECHNIQUES TO HELP THE CLIENTS ADAPT TO WHICH OF THE FOLLOWING? A. DECREASED REFRACTORY TIME B. DECREASED VAGINAL LUBRICATION C. LOSS OF FEMALES' ORGASM ABILITY D. PREMATURE EJACULATION

B

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO IS RECOVERING FROM A LEFT SIDED CVA AND WHO HAS HEMIPARESIS OF THE RIGHT ARM AND LEG. WHICH OF THE FOLLOWING IS THE BEST PLACE FOR THE NURSE TO ARRANGE THE ITEMS USED FOR HYGIENE WHEN SETTING UP THE CLIENT'S MORNING HYGIENE CARE SUPPLIES? A. WITHIN THE CLIENT'S REACH ON THE LEFT SIDE B. WITHIN THE CLIENT'S REACH ON THE RIGHT SIDE C. JUST BEYOND THE CLIENT'S REACH ON THE LEFT SIDE D. JUST BEYOND THE CLIENT'S REACH ON THE RIGHT SIDE

A

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO IS WIDOWED AND HAS COME TO THE CLINIC FOR AN ANNUAL PHYSICAL EXAMINATION. THE CLIENT REPORTS THAT SHE HAS JUST RETIRED AND EXPRESSES FEELINGS OF LONELINESS DUE TO THE LOSS OF DAILY INTERACTIONS WITH COWORKERS. WHICH OF THE FOLLOWING RESPONSES BY THE NURSE IS MOST THERAPEUTIC? A. DO YOU KNOW A BOUT THE LOCAL SENIOR CITIZEN GROUP B. YOU NEED TO TAKE A VACATION C. BUT NOW YOU CAN FINALLY RELAX AND ENJOY YOUR LIFE D. WHY DON'T YOU GO INTO WORK AND VISIT WITH YOUR OLD FRIENDS

A

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO WAS ADMITTED TO A LONG TERM CARE FACILITY AND REQUIRES TOTAL CARE. WHICH OF THE FOLLOWING IS AN APPROPRIATE NURSING ACTION WHILE PROVIDING MOUTH CARE? A. TURN THE CLIENT ON HIS SIDE BEFORE STARTING MOUTH CARE B. USE THE THUMB AND INDEX FINGER TO KEEP THE CLIENT'S MOUTH OPEN C. USE A STILL TOOTHBRUSH TO CLEAN THE CLIENT'S TEETH D. PLACE THE CLIENT ON HIS BACK WITH A PILLOW UNDER HIS HEAD

A

A NURSE IS CARING FOR AN OLDER ADULT CLIENT. THE NURSE SHOULD BE GUIDED BY ERIKSON'S OBSERVATION THAT OLDER ADULTS NEED TO RESOLVE CONFLICTS BETWEEN A. INTEGRITY AND DESPAIR B. INTIMACY AND ISOLATION C. GENERATIVITY AND STAGNATION D. IDENTITY AND ISOLATION

A

A NURSE IS EDUCATING A GROUP OF OLDER ADULT CLIENTS REGARDING THEIR DIET CHOICES. WHICH OF THE FOLLOWING DIET MODIFICATIONS SHOULD THE NURSE RECOMMEND TO THE OLDER ADULT CLIENTS? A. INCREASED CALCIUM B. INCREASED CALORIES C. DECREASED FLUIDS D. DECREASED SPICES

A

A NURSE IS PERFORMING A SKIN ASSESSMENT ON AN OLDER ADULT CLIENT. WHICH OF THE FOLLOWING FINDINGS SHOULD THE NURSE RECOGNIZE AS A BENIGN, AGE RELATED SKIN CHANGE COMMONLY SEEN IN OLDER ADULT CLIENTS? A. LIVER SPOTS B. NEVI C. ECZEMA D. PSORIASIS

A

A NURSE WORKING IN A COMMUNITY HEALTH CENTER IS COMPLETING AS ASSESSMENT OF AN OLDER ADULT FEMALE CLIENT. TO WHICH OF THE FOLLOWING FINDINGS SHOULD THE NURSE GIVE IMMEDIATE ATTENTION? A. RALES IN THE BASES B. HYPOACTIVE BOWEL SOUNDS C. URINARY FREQUENCY D. PAINFUL INTERCOURSE

A

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO HAD A TOTAL HIP ARTHROPLASTY AND IS LEARNING HOW TO AMBULATE WITH A STANDARD WALKER. WHICH OF THE FOLLOWING ACTIONS, WITNESSED BY THE NURSE, INDICATES THAT THE CLIENT IS USING THE WALKER CORRECTLY? A. THE CLIENT ADVANCES ONE SIDE OF THE WALKER WHILE SIMULTANEOUSLY ADVANCING HIS UNAFFECTED LEG; HE THEN REPEATS THE PROCESS ON THE OTHER SIDE B. THE CLIENT LIFTS THE WALKER IN FROM WHILE BALANCING ON BOTH FEET,T HEN WALKS INTO THE WALKER, SUPPORTING HIS BODY WEIGHT ON HIS HANDS WHILE ADVANCING HIS AFFECTED SIDE C. EACH TIME THE CLIENT STEPS ON THE UNAFFECTED SIDE, HE ADVANCES THE WALKER; WHEN MOVING THE AFFECTED SIDE, HE STEPS INTO THE WALKER AND LIFTS THE UNAFFECTED FOOT D. THE CLIENT BALANCES ON BOTH FEET WITH MOST OF HIS WEIGHT ON THE UNAFFECTED SIDE AND LIFTS THE WALKER FORWARD; HE THEN BALANCES ON THE WALKER AND SWINGS BOTH FEET FORWARD INTO THE WALKER

B

A NURSE IS EDUCATING A GROUP OF AP ABOUT THE CARE OF OLDER ADULT CLIENTS. THE NURSE EDUCATOR IS INCLUDING INFORMATION ABOUT THE DEVELOPMENTAL TASKS OF OLDER ADULTS. WHICH OF THE FOLLOWING SHOULD THE NURSE USE AS AN EXAMPLE OF NURSING ACTION THAT BEST MEETS THE PSYCHOSOCIAL TASKS OF OLDER ADULTS, ACCORDING TO ERIKSON? A. GIVING RESIDENTS CHOICES IN THEIR MENUS B. PROVIDING CLIENTS OPPORTUNITIES TO DISCUSS THEIR LIVES AND LOSSES C. FACILITATING OPEN VISITATION BETWEEN CLIENTS AND THEIR FAMILIES D. ALLOWING RESIDENTS TO WEAR THEIR OWN CLOTHING

B

A NURSE IS IN CHARGE OF AN AP WHO AVOIDS WORKING WITH OLDER ADULTS AND ASKS TO BE ASSIGNED TO CARE FOR YOUNG ADULT CLIENTS ON THE UNIT. WHICH OF THE FOLLOWING FACTORS SHOULD THE NURSE RECOGNIZE IS MOST LIKELY RESPONSIBLE OF THE AP'S DISCOMFORT WITH OLDER ADULT CLIENTS? A. THE AP DID NOT HAVE A GOOD RELATIONSHIP WITH HIS GRANDPARENTS B. THE AP HAS FEARS AND PRECONCEIVED NOTIONS ABOUT AGING C. THE AP DISLIKES PHYSICAL CONTACT WITH OLDER ADULT CLIENTS D. THE AP PREFERS TO SOCIALIZE WITH CLIENTS OF THE SAME AGE

B

A NURSE ON A SURGICAL UNIT REPORTS THAT AN OLDER ADULT CLIENT IS HAVING PERIODS OF AGITATION AT NIGHT THAT INCLUDE SCREAMING OUT LOUDLY FOR HELP. THE NURSE MANAGER SUGGESTS SEVERAL INTERVENTIONS TO DECREASE THIS BEHAVIOR. WHICH OF THE FOLLOWING INTERVENTIONS SHOULD THE NURSE RECOGNIZE IS LEAST APPROPRIATE FOR AN OLDER ADULT CLIENT? A. REMAINING CALM AND ENCOURAGING THE CLIENT TO EXPRESS ANY FEARS B. REQUESTING THAT THE CLIENT'S PRIMARY CARE PROVIDER PRESCRIBE A SEDATIVE MEDICATION C. KEEPING A NIGHT-LIGHT ON IN THE CLIENT'S ROOM D. ASSESSING THE CLIENT'S LEVEL OF PAIN OR THE PRESENCE OF OTHER PHYSICAL COMFORT

B

A NURSE RUNS A DAY CARE TREATMENT GROUP FOR OLDER ADULT CLIENTS. WHICH OF THE FOLLOWING INTERVENTION STRATEGIES SHOULD THE NURSE RECOGNIZE IS MOST APPROPRIATE TO HELP THE CLIENTS ACHIEVE THEIR DEVELOPMENTAL TASK, ACCORDING TO ERIKSON? A. MUSIC THERAPY B. REMINISCENCE THERAPY C. GROUP THERAPY D. PET THERAPY

B

AN OLDER ADULT CLIENT WITH A MODERATE HEARING LOSS SEEKS MEDICAL ATTENTION IN THE CLINIC. THE NURSE CAN BEST MEET THE NEEDS OF THE HEARING IMPAIRED CLIENT BY DOING WHICH OF THE FOLLOWING? A. OVER-ENUNCIATING WORDS TO MAKE LIP READING EASIER B. UNDERSTANDING THAT NOT ALL IMPAIRED CLIENTS COMMUNICATE THE SAME WAY C. SPEAKING LOUDER SINCE THIS INCREASES THE CHANCES OF HEARING D. REALIZING THAT MOST HEARING-IMPAIRED INDIVIDUALS ARE UNABLE TO SPEAK

B

A NURSE IN AN ASSISTED LIVING FACILITY IS ASSESSING AN OLDER ADULT CLIENT WHO MOVED IN 3 MONTHS AGO FOLLOWING THE DEATH OF A SPOUSE. THE NURSE NOTES THAT THE CLIENT HAS FREQUENTLY FORGOTTEN TO TAKE A PRESCRIBED MEDICATIONS AND HAS BEEN SKIPPING MEALS. THE CLIENT REPORTS AWAKENING EARLY IN THE MORNING AND ADMITS TO FEELING VERY SAD. WHICH OF THE FOLLOWING STATEMENTS SHOULD GUIDE THE NURSE IN PLANNING CARE FOR THIS CLIENT? A. THE CLIENT MAY HAVE FINANCIAL DIFFICULTY AND BE UNABLE TO AFFORD FOOD AND MEDICATION B. OLDER ADULTS MAY BE NONCOMPLIANT IN TAKING MEDICATIONS AS DIRECTED BY THE PROVIDER C. OPTIMAL LIVING ARRANGEMENTS FOR FORGETFUL OLDER ADULT CLIENTS MAY INCLUDE PLACEMENT IN LONG-TERM CARE FACILITIES D. UNRESOLVED GRIEF IN RESPONSE TO LOSS IS A MAJOR FACTOR IN DEPRESSION AND SUBSEQUENT SUICIDE IN OLDER ADULTS

D

A NURSE IS CARING FOR AN OLDER ADULT WHO IS RECEIVING MULTIPLE MEDICATIONS. WHICH OF THE FOLLOWING IS AN APPROPRIATE STATEMENT BY THE NURSE? A. DOSAGE INTERVALS ARE OFTEN SHORTER WHEN RECEIVING MULTIPLE MEDICATIONS B. HIGHER DOSES ARE OFTEN NEEDED WHEN RECEIVING MULTIPLE MEDICATIONS C. ONLY PRESCRIPTION MEDICATION NEED TO BE INCLUDED IN YOUR MEDICATION LIST D. RECEIVING MULTIPLE MEDICATIONS CAN LEAD TO DRUG INTERACTIONS

D

A NURSE IS TAKING AN OLDER ADULT CLIENT'S HISTORY. THE CLIENT REPORTS BEING DEPRESSED AND HAVING DIFFICULTY SLEEPING FOR SEVERAL MONTHS. IN EVALUATING THE CLIENT'S SLEEP DISTURBANCE, THE NURSE SHOULD BE GUIDED BY KNOWLEDGE OF WHICH OF THE FOLLOWING? A. OLDER ADULTS REQUIRE MUCH LESS SLEEP THAN YOUNG ADULTS B. OLDER ADULTS SELDOM AWAKE AT NIGHT ONCE THEY FALL ASLEEP C. OLDER ADULTS HAVE AN INCREASE IN DEEP SLEEP D. ANXIETY AND DEPRESSION FREQUENTLY CAUSE DISTURBED SLEEP PATTERNS

D

A NURSE IS CARING FOR A CLIENT WHO IS IN PAIN AND IS RECEIVING A TRANSDERMAL PATCH. THE NURSE SHOULD UNDERSTAND THAT TRANSDERMAL MEDICATION SHOULD BE APPLIED TO WHICH OF THE FOLLOWING PLACES ON OLDER ADULTS? A. HAIRLESS AREA OF THE TORSO B. PERIUMBILICAL AREA OF THE ABDOMEN C. DELTOID AREA OF THE ARMS D. ANTERIOR AREA OF THE THIGH

A

A NURSE IS PERFORMING AN ASSESSMENT ON AN OLDER ADULT CLIENT. WHICH OF THE FOLLOWING EFFECTS OF THE AGING PROCESS SHOULD THE NURSE EXPECT TO SEE? A. INCREASED URINARY FREQUENCY B. DECREASED NEED FOR SLEEP C. BARREL CHEST D. ABSENCE OF SEXUAL ACTIVITY

A

A NURSE IN A LONG TERM CARE FACILITY IS CARING FOR AN OLDER ADULT CLIENT WHO HAS DEMENTIA. WHICH OF THE FOLLOWING ASSESSMENT FINDINGS SHOULD THE NURSE RECOGNIZE IS MOST LIKELY TO BE SEEN IN THIS CLIENT? A. PHOBIA B. AGNOSIA C. OBSESSIVE THOUGHTS D. HALLUCINATIONS

B

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO IS DYING. THE CLIENT TELLS THE NURSE I JUST WANT TO LIVE ONE MORE MONTH SO I CAN SEE MY GRANDCHILD GET MARRIED. THE NURSE SHOULD RECOGNIZE THAT ACCORDING TO KUBLER-ROSS STAGES OF GRIEF, THE CLIENT IS IN THE STAGE OF WHICH OF THE FOLLOWING? A. DEPRESSION B. ACCEPTANCE C. DENIAL D. BARGAINING

D

A NURSE IS PERFORMING A PHYSICAL EXAMINATION ON AN OLDER ADULT CLIENT. THE NURSE SHOULD IDENTIFY THE RISK FOR WHICH OF THE FOLLOWING MANIFESTATIONS DURING TYMPANOMETRY? A. DISEQUILIBRIUM B. CONFUSION C. SENSORINEURAL HEARING LOSS D. TRANSIENT VERTIGO

D

A NURSE IS WORKING IN A GERONTOLOGY CLINIC. WHICH OF THE FOLLOWING SHOULD THE NURSE RECOGNIZE AS AN UNEXPECTED MANIFESTATION OF THE AGING PROCESS? A. DECREASED COLONIC MOTILITY B. IMPAIRED EXCRETION OF MEDICATIONS C. HIGH PITCHED FREQUENCY HEARING LOSS D. OBESITY

D

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO CAME TO THE CLINIC REPORTING INSOMNIA. WHICH OF THE FOLLOWING QUESTIONS SHOULD THE NURSE ASK TO ASSESS THE QUALITY OF THE CLIENT'S SLEEP? A. DO YOU FEEL RESTED IN THE MORNING? B. HOW LONG DO YOU SLEEP? C. WHAT TIME DO YOU GO TO SLEEP? D. DO YOU DREAM WHILE YOU ARE ASLEEP?

A

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO IS EXPRESSING FEELINGS OF GRIEF AND LONGING FOR EARLIER LIFE. WHICH OF THE FOLLOWING NURSING ACTIONS IS MOST APPROPRIATE FOR HELPING THE CLIENT COPE WITH THESE FEELINGS OF LOSS? A. LISTEN ATTENTIVELY, AND ALLOW THE CLIENT TO TALK ABOUT THE PAST B. GIVE THE CLIENT SOME ACTIVITIES TO PERFORM SO THE CLIENT WON'T HAVE TIME TO DWELL ON THE PAST C. LET THE CLIENT KNOW THAT THIS IS A COMMON ISSUE OF OLDER ADULT CLIENTS D. TELL THE CLIENT ABOUT SOME YOUNGER CLIENTS WHO ARE IN WORSE SHAPE THAN THE CLIENT

A

A COMMUNITY HEALTH NURSE IS CONDUCTING AN INTAKE INTERVIEW ON AN OLDER ADULT CLIENT WHO LIVES ALONE IN PUBLIC HOUSING. THE NURSE ASSESSES THAT, ALTHOUGH THE CLIENT IS ABLE TO ANSWER ALL QUESTIONS APPROPRIATELY, THE CLIENT HAS A DECREASED ATTENTION SPAN, EXHIBITS SADNESS, AND HAS A LOW ENERGY LEVEL. THE NURSE SHOULD CONCLUDE THAT THE CLIENT IS MOST LIKELY SHOWING MANIFESTATIONS ASSOCIATED WITH WHICH OF THE FOLLOWING? A. DELUSIONS B. DEMENTIA C. DELIRIUM D. DEPRESSION

D

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO IS BEING ADMITTED TO THE HOSPITAL WITH ABDOMINAL PAIN. DURING THE INITIAL ASSESSMENT, THE NURSE NOTES THAT THE CLIENT JUST NODS AND SMILES IN RESPONSE TO THE QUESTIONS ASKED. WHICH OF THE FOLLOWING COMMON DEVELOPMENTAL CONCERNS IS THIS CLIENT EXHIBITING? A. INABILITY TO COMPREHEND WHAT THE NURSE IS SAYING B. CONFUSION C. TOO MUCH PAIN TO FOCUS ON THE QUESTIONS D. HEARING LOSS

D

A NURSE IS CARING FOR AN OLDER ADULT CLIENT WHO IS ON BED REST FOLLOWING A KNEE ARTHROPLASTY. WHICH OF THE FOLLOWING ITEMS SHOULD THE NURSE INCLUDE ON THE CLIENT'S BREAKFAST TRAY TO HELP THE CLIENT AVOID A COMMON COMPLICATION OF IMMOBILITY? A. A BANANA B. HASH BROWN POTATOES C. AN EGG AND CHEESE OMELET D. STEWED PRUNES

D

A PUBLIC HEALTH NURSE IS PLANNING AN IMMUNIZATION CLINIC FOR OLDER ADULTS. THE NURSE SHOULD INSTRUCT THE CLIENTS ATTENDING THE CLINIC TO HAVE AN INFLUENZA VACCINE DURING WHICH OF THE FOLLOWING TIMES? A. IF THEY HAVE NEVER HAD INFLUENZA B. EVERY TEN YEARS C. ONLY IF IN A HIGH-RISK GROUP D. ANNUALLY IN THE FALL

D

A NURSE IN A DAY CARE CENTER IS CONDUCTING AN IN-SERVICE FOR ASSISTIVE PERSONNEL ABOUT THE BASIC NEEDS OF OLDER ADULT CLIENTS. WHICH OF THE FOLLOWING IS AN APPROPRIATE STATEMENT MADE BY THE NURSE? A. CALORIC NEEDS ARE INCREASED B. FLUID NEEDS ARE INCREASED C. SLEEP CYCLES ARE IMPAIRED D. EXERCISE NEEDS TO BE DECREASED

C

A NURSE IN A LONG TERM CARE FACILITY RECOGNIZES THAT THERE IS POTENTIAL FOR PHYSICAL AND PSYCHOLOGICAL ABUSE OF OLDER ADULT RESIDENTS. WHICH OF THE FOLLOWING IS THE BEST NURSING ACTIONS? A. TEACH RESIDENTS TO BEHAVE IN WAYS THAT DO NOT PROVOKE STAFF MEMBERS B. KEEP STAFF MEMBERS WHO TEND TO HAVE A TEMPER AWAY FROM CLIENTS WHO SUFFER FROM CONDITIONS THAT PUT THEM AT RISK FOR BEING ABUSED C. PROVIDE STAFF WITH EDUCATION ABOUT THE ABUSE OF OLDER ADULT CLIENTS AND STRESS MANAGEMENT D. ENSURE STAFF MEMBERS WHO WORK ON THE NURSE'S SHIFT ARE CLOSELY MONITORED FOR ANY INAPPROPRIATE BEHAVIOR TOWARD RESIDENTS

C

A NURSE IN ALONG TERM CARE FACILITY IS CARING FOR A CLIENT. THE CLIENT'S CHILDREN REPORT TO THE CHARGE NURSE THAT THEIR FATHER REPORTS ANOTHER CLIENT WANDERING INTO HIS ROOM DURING THE NIGHT DISRUPTING HIS SLEEP. THE FAMILY REQUESTS THAT THE NURSE USE RESTRAINTS ON THE WANDERING CLIENT. WHICH OF THE FOLLOWING ALTERNATIVES TO USING RESTRAINTS SHOULD THE NURSE CONSIDER? A. LOCK THE CLIENT'S ROOM SO THAT THE WANDERING CLIENT CANNOT ENTER B. REQUEST A PRESCRIPTION FOR ANTI-ANXIETY MEDICATION FOR THE WANDERING CLIENT C. ASSIGN THE WANDERING CLIENT TO A ROOM CLOSER TO THE NURSE'S STATION D. PROVIDE VISUAL AND AUDITORY STIMULI FOR THE WANDERING CLIENT

C

A NURSE IS CARING FOR A HEALTHY OLDER ADULT CLIENT WHO HAS CHRONIC CONSTIPATION. WHICH OF THE FOLLOWING IS AN IMPORTANT TEACHING POINT THE NURSE SHOULD INCLUDE WHEN ESTABLISHING A BOWEL TRAINING PROGRAM WITH THIS CLIENT? A. AVOID STRENUOUS EXERCISE B. USE AN OTC LAXATIVE DAILY C. INCREASE THE FIBER CONTENT OF YOUR DIET D. INCREASE YOUR FLUID INTAKE TO 5000 ML PER DAY

C

A NURSE IS CARING FOR AN 85 YEAR OLD CLIENT. WHICH OF THE FOLLOWING ASSESSMENT FINDINGS SHOULD THE NURSE REPORT TO THE PROVIDER IMMEDIATELY? A. RESPONDS TO QUESTIONS ASKED BY THE NURSE WITH INAPPROPRIATE ANSWERS B. WALKS INTO FURNITURE THAT IS IN HER ROOM C. CANNOT DISCRIMINATE BETWEEN HOT AND COLD SENSATIONS BELOW THE KNEE OF THE LEFT EXTREMITY D. IS UNABLE TO REMEMBER EVENTS

C

A NURSE IS CARING FOR AN OLDER ADULT CLIENT. WHICH OF THE FOLLOWING INTERVENTIONS SHOULD THE NURSE RECOMMEND TO MAINTAIN MUSCLE FUNCTION AND BONE INTEGRITY? A. FREQUENT REST PERIODS B. DECREASED DIETARY PROTEIN C. REGULAR EXERCISE D. LOW CALCIUM DIET

C

A NURSE IS EVALUATING THE PLAN OF CARE FOR AN OLDER ADULT CLIENT THAT WILL BE DISCHARGED HOME WITH A HOME HEALTH AIDE. CURRENTLY, THE CLIENT HAS A HOME HEALTH AIDE 4 HR A DAY TO ASSIST WITH MEAL PREPARATION AND HYGIENE CARE. WHICH OF THE FOLLOWING SHOULD BE THE NURSE'S PRIMARY CONSIDERATION WHEN MAKING CHANGES TO THE CLIENT'S PLAN OF CARE? A. AVAILABILITY OF APPROPRIATE CAREGIVERS TO PROVIDE CARE B. LENGTH OF TIME THE CLIENT HAS HAD THE SAME CARE PLAN C. EFFECTIVENESS OF THE INTERVENTIONS FOR THE CLIENT'S CARE D. CHANGES IN THE CLIENT'S MEDICAL CARE REGIMEN

C

A NURSE IS TRANSFERRING AN OLDER ADULT CLIENT WHO HAS RIGHT SIDED WEAKNESS FROM THE BED TO A WHEELCHAIR. WHICH OF THE FOLLOWING NURSING ACTIONS SHOULD THE NURSE PERFORM TO PROVIDE THE SAFEST CLIENT TRANSFER? A. KEEP THE CLIENT AT ARM'S LENGTH WHILE PERFORMING THE TRANSFER B. BEND AT THE WAIST TO GET DOWN TO THE CLIENT'S LEVEL C. MAINTAIN A STRAIGHT BACK AND BEND AT THE KNEES D. ATTEMPT TO TRANSFER THE CLIENT ALONE BEFORE DETERMINING THAT HELP IS NEEDED

C

AN OLDER ADULT CLIENT IS ADMITTED TO THE HOSPITAL AFTER BEING ON BED REST AT HOME. THE CLIENT HAS BEEN INCONTINENT AND SMELLS STRONGLY OF URINE. HIS SPOUSE, WHO HAS BEEN CARING FOR HIM AT HOME, STATES THAT SHE IS SORRY AND EMBARRASSED ABOUT THE UNPLEASANT SMELL. WHICH OF THE FOLLOWING RESPONSES BY THE NURSE IS THERAPEUTIC? A. A LOT OF CLIENTS WHO ARE CARED FOR AT HOME HAVE THE SAME PROBLEM B. DON'T WORRY ABOUT IT. HE WILL GET A BATH, AND THAT WILL TAKE CARE OF THE ODOR C. IT MUST BE DIFFICULT TO CARE FOR SOMEONE WHO IS CONFINED TO BED D. WHEN WAS THE LAST TIME THAT HE HAD A BATH

C