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 B
Explanation
A. "Tell me more about your partner." - While exploring the client's feelings about their partner may be relevant to understanding their current emotional state, it does not directly address the statement indicating suicidal ideation. The priority in this situation is to assess the client's risk of self-harm or suicide.
B. "Have you thought about harming yourself?"
This response directly addresses the client's statement expressing thoughts of dying and allows the nurse to assess the client's risk of self-harm or suicide. It opens up a dialogue about the client's feelings and intentions, which is crucial for ensuring their safety and providing appropriate support and intervention.
C. "You should discuss these feelings with your provider." - While encouraging the client to communicate with their healthcare provider is important, it does not address the immediate concern of potential self-harm or suicide. The nurse should assess the client's safety and provide support before encouraging further discussion with the provider.
D. "Why did you stop taking your medication?" - While medication non-adherence may contribute to worsening symptoms of depression, it is not the immediate concern in this situation. The client's statement expressing thoughts of dying requires immediate assessment of suicidal ideation and intervention to ensure their safety.
Correct Answer is D
Explanation
A. Hypertension in a parent: While a family history of hypertension may increase the risk of developing high blood pressure, it is considered a non-modifiable risk factor because individuals cannot change their genetic predisposition. However, individuals can take steps to manage hypertension through lifestyle modifications and medication.
B. Cultural beliefs: Cultural beliefs may influence health behaviors and attitudes toward health care, but they are not directly modifiable risk factors for heart disease. However, healthcare providers can work with individuals to address cultural barriers and develop culturally sensitive strategies for promoting heart-healthy behaviors.
C. Air quality: Environmental factors such as air pollution can contribute to cardiovascular disease risk, but air quality is not a modifiable risk factor for individuals on an individual level. However, efforts to improve air quality through environmental policies and regulations can help reduce population-level risk of heart disease.
D. Physical inactivity
Modifiable risk factors are those that can be changed or controlled to reduce the risk of developing a particular health condition. Physical inactivity is a modifiable risk factor because individuals can make lifestyle changes to increase their level of physical activity, which can help lower their risk of heart disease. Regular exercise has been shown to improve cardiovascular health by strengthening the heart, reducing blood pressure, improving cholesterol levels, and maintaining a healthy weight.
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