A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

The client verbalizes regret about never marrying.

The client has poorly fitting dentures.

The client has no living family.

The client is sedentary throughout most of the day.

Answer and Explanation

The Correct Answer is D

Rationale:

A. While the client's feelings about never marrying are important, they do not represent an immediate health risk or safety concern.

B. Poorly fitting dentures can affect the client's quality of life and ability to eat, but they do not represent an immediate health risk or safety concern.

C. While having no living family can be a social concern, it does not represent an immediate health risk or safety concern.

D. The client being sedentary throughout most of the day is a risk factor for numerous health problems, including cardiovascular disease, obesity, and decreased mobility. It is also a modifiable risk factor that can be addressed to improve the client's health and quality of life. Encouraging the client to engage in regular physical activity is a priority.

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Correct Answer is B

Explanation

Rationale:

A. Avoiding the use of facial gestures during the instructions may not be effective for a client with expressive aphasia.

B. Determining the client's ability to use a communication board is appropriate because it helps the nurse understand how the client communicates.

C. Speaking with a loud voice while providing the information may not be effective for a client with expressive aphasia.

D. Providing the teaching without expecting the client to respond may not be effective for a client with expressive aphasia.

A. "You can allow your family to visit as often as you wish." B. "Tell me your expectations about activities related to the end-of-life." C. "We can talk to the provider about incorporating nonpharmacological pain management in your care." D. "You can provide the name of a spiritual support person we can contact for you."

Correct Answer is B

Explanation

Rationale:

A. This response addresses the client's desire to have family visits but does not directly address the client's concerns about end-of-life care.

B. Asking the client to express their expectations about activities related to the end-of-life allows the nurse to understand the client's wishes and concerns and to provide appropriate support.

C. This response addresses the client's need for pain management but does not directly address the client's concerns about end-of-life care.

D. This response addresses the client's need for spiritual support but does not directly address the client's concerns about end-of-life care.

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A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

Correct Answer is B

Explanation

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