A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?
"My hearing has improved since I got my hearing aids.”
"My wrinkled hands show how hard I've worked all my life.”
"I avoid going out because I sometimes have problems with incontinence.”
"These lines in my face reveal a part of my character."
The Correct Answer is C
A. "My hearing has improved since I got my hearing aids.": This statement reflects a positive adaptation to aging, showing that the client is accepting the use of hearing aids to improve hearing. It does not suggest body image issues.
B. "My wrinkled hands show how hard I've worked all my life.": This indicates the client has a positive view of their aging body, interpreting wrinkles as a reflection of life experiences and hard work. It shows an acceptance of physical changes.
C. "I avoid going out because I sometimes have problems with incontinence.": This suggests the client feels embarrassed or self-conscious about incontinence, which is often associated with an impaired body image. The client is avoiding social situations due to this physical issue, which can lead to feelings of shame and isolation.
D. "These lines in my face reveal a part of my character.": This statement demonstrates a positive acceptance of the physical changes associated with aging. The client views facial lines as a sign of character, not a source of distress, indicating a healthy body image.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Do you snore loudly?": Loud snoring is a common symptom of sleep apnea, particularly obstructive sleep apnea. The nurse should inquire about snoring, as it may indicate airway obstruction during sleep, a key feature of the condition.
B. "What time do you go to bed?": While bedtime habits are relevant to sleep hygiene, the specific timing of going to bed is not as directly related to diagnosing sleep apnea. Other questions, such as snoring or breathing patterns, are more relevant for this assessment.
C. "How often do you have trouble sleeping?": Trouble sleeping can be a symptom of various sleep disorders, but it is not specific to sleep apnea. The nurse should focus on symptoms like snoring, choking, or stopping breathing during sleep, which are more indicative of sleep apnea.
D. "Do you fall asleep unexpectedly?": Falling asleep unexpectedly may suggest excessive daytime sleepiness, which can be a result of sleep apnea. However, snoring is a more direct and common symptom of sleep apnea that should be prioritized in the initial assessment.
Correct Answer is D
Explanation
A. Speech therapy referral: A speech therapy referral is appropriate for a client with dysphagia following a stroke. Speech therapists can assess the severity of swallowing difficulties and provide strategies to improve swallowing function. This is standard care.
B. Dietitian consult: A dietitian consult is essential to ensure proper nutritional intake and modify the client's diet for safe swallowing. A dietitian can help adjust the texture of foods and recommend alternatives to reduce the risk of aspiration.
C. Oral suction at the bedside: Oral suctioning is a precautionary measure for clients with dysphagia to clear any potential obstructions from the airway. It’s essential to have suction equipment available at the bedside in case of choking or aspiration.
D. Clear liquids: Clear liquids are not recommended for clients with dysphagia because they pose a higher risk for aspiration. Clear liquids can be difficult for individuals with swallowing difficulties to control and may lead to choking or aspiration pneumonia.
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