A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?
"The food is not great, but it is nice not having to do all of my own cooking."
"I don't want to go to the activity room because none of the other residents can hear."
"The staff sometimes have to remind me to use a cane when I walk in the hall."
"When I go out, I've been using public transportation since I can't drive anymore
The Correct Answer is B
Correct answer: B
A. "The food is not great, but it is nice not having to do all of my own cooking.":
This statement acknowledges a minor issue with the food but overall expresses satisfaction with the convenience of not having to cook, indicating some level of acceptance of the transition.
B. "I don't want to go to the activity room because none of the other residents can hear."
This statement suggests a feeling of disconnection or dissatisfaction with the activities available in the assisted living facility. The client may be expressing frustration or a sense of isolation because the other residents cannot hear, which could hinder their ability to engage socially and participate in activities. Difficulty accepting the transition may manifest as resistance or reluctance to participate in aspects of facility life, such as group activities, due to perceived limitations or barriers.
C. "The staff sometimes have to remind me to use a cane when I walk in the hall.":
While this statement may indicate some adjustment to the need for assistance or reminders, it does not necessarily suggest difficulty accepting the transition. Instead, it reflects a willingness to comply with safety recommendations provided by the staff.
D. "When I go out, I've been using public transportation since I can't drive anymore":
This statement acknowledges a change in transportation habits due to inability to drive, which may be a practical adaptation to the client's circumstances rather than a sign of difficulty accepting the transition to assisted living.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. "I will use the grab bars when getting in and out of the bathtub." - Using grab bars in the bathtub can help prevent slips and falls, promoting safety during bathing.
B. "I need to have a fire escape plan with my family." - Having a fire escape plan is crucial for emergency preparedness and can help ensure the safety of the client and their family in the event of a fire.
C. "I need to set my hot water heater to 140 degrees Fahrenheit." - Setting the hot water heater to 140 degrees Fahrenheit poses a scalding risk, especially for older adults and individuals with sensitive skin. The water heater temperature should be set to a safe and comfortable level, typically between 120 to 130 degrees Fahrenheit, to prevent burns.
D. "I will apply tape over frayed areas of electrical cords." - Applying tape over frayed areas of electrical cords is not a safe practice, as it does not address the underlying issue and may pose a fire hazard. Frayed electrical cords should be replaced promptly to prevent electrical shocks and fires.
E. "I need to check my medications for expiration dates." - Checking medication expiration dates is important to ensure that the medications remain safe and effective for use, reducing the risk of adverse effects or ineffective treatment.
Correct Answer is D
Explanation
A. Giving the client's medications between meals:
Administering medications between meals does not address the risk of aspiration associated with dysphagia. Moreover, timing of medication administration in relation to meals may vary depending on the specific medication requirements.
B. Assisting the client into semi-Fowler's position:
While positioning can play a role in facilitating swallowing, semi-Fowler's position alone may not be sufficient to address the risk of aspiration in clients with dysphagia. Moreover, simply positioning the client without considering other factors may not ensure safe medication administration.
C. Encouraging the client to use a straw to take the medication:
Using a straw might not be appropriate for clients with dysphagia as it can increase the risk of aspiration, especially if the client has difficulty controlling the flow of liquid or coordinating swallowing movements.
D. Administer the client's medications one at a time.
Dysphagia refers to difficulty in swallowing, which can increase the risk of choking or aspiration. Administering medications one at a time ensures that each pill is swallowed safely and reduces the risk of aspiration. It allows the nurse to closely monitor the client's ability to swallow each medication and intervene if necessary.
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