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The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?

Develop a seating chart for the main dining room based on the unit to facilitate a more organized and efficient meal delivery

Provide nutritious food according to the residents' expressed food preferences.

Replace the fluorescent lighting with candles at every table to create a cozy, restaurant-like atmosphere.

Distribute "med-pass nutritional supplements.

Answer and Explanation

Correct Answer : B,D

B. Provide nutritious food according to the residents' expressed food preferences.

Explanation: Offering nutritious food based on residents' preferences can enhance their satisfaction with meals, making them more likely to eat and maintain adequate nutritional intake. Taking individual preferences into account helps create a more person-centered approach to nutrition.

D. Distribute "med-pass" nutritional supplements.

Explanation: Nutritional supplements may be beneficial for residents who have difficulty meeting their nutritional needs through regular meals. "Med-pass" supplements can be distributed with medications or as a separate supplement to enhance calorie and nutrient intake, especially for those with specific dietary requirements.

The other options are not recommended:

A. Develop a seating chart for the main dining room based on the unit to facilitate a more organized and efficient meal delivery.

Explanation: While organization and efficiency are important, creating a seating chart based on the unit might not directly address the nutritional status of residents. Instead, focus should be on providing appetizing, nutritious meals and accommodating residents' preferences.

C. Replace the fluorescent lighting with candles at every table to create a cozy, restaurant-like atmosphere.

Explanation: While creating a pleasant dining environment is important, replacing fluorescent lighting with candles may not be practical or safe in a healthcare setting. Moreover, the emphasis should be on the nutritional content of the meals rather than the ambiance.

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Correct Answer is ["A","B","D"]

Explanation

A. Comprehensive assessment

Explanation: A comprehensive assessment involves a thorough evaluation of various cognitive functions, including memory, attention, language, problem-solving, and executive functions. This allows for a comprehensive understanding of an individual's cognitive abilities.

B. Assessing for atypical presentation of illness

Explanation: Assessing for atypical presentation of illness is relevant in a cognitive assessment because some medical conditions or illnesses can manifest with cognitive symptoms. Recognizing atypical presentations helps in identifying potential underlying causes of cognitive changes.

C. Complete blood count

Explanation: While laboratory tests like a complete blood count (CBC) may be useful in identifying certain medical conditions that could affect cognition, it is not a direct component of a cognitive assessment. Cognitive assessments typically involve clinical interviews, neuropsychological testing, and observation of cognitive functions. Blood tests and other diagnostic tools may be used to complement the cognitive assessment but are not considered components of it.

D. Differentiating delirium, dementia, and depression

Explanation: Distinguishing between delirium, dementia, and depression is crucial in a cognitive assessment. Each condition has distinct characteristics, and accurate differentiation is necessary for appropriate intervention and management.

A. Ensuring ready access to a toilet or commode client B. Encouraging the intake of 1 L of water each day C. Expecting a rapid and full recovery D. Toileting the client 10 to 15 minutes after meals

Correct Answer is A

Explanation

A. Ensuring ready access to a toilet or commode.

Explanation: Ensuring ready access to a toilet or commode for the client is a practical measure to address bowel incontinence. This proactive approach allows the client to respond to the urge to defecate promptly, reducing the risk of incontinence episodes.

B. Encouraging the intake of 1 L of water each day.

Explanation: While maintaining adequate hydration is important for overall bowel health, it may not directly address the issue of bowel incontinence.

C. Expecting a rapid and full recovery.

Explanation: The expectation of rapid and full recovery does not constitute a specific intervention for addressing bowel incontinence. The approach to managing bowel incontinence is typically individualized and may involve various strategies depending on the underlying causes.

D. Toileting the client 10 to 15 minutes after meals.

Explanation: Toileting the client after meals is a timing strategy that may help take advantage of the gastrocolic reflex, but it is only one aspect of a comprehensive program for managing bowel incontinence. Other interventions, such as dietary adjustments, exercise, and toileting schedules, may also be considered based on the client's specific needs.

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The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?

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Naxlex Comprehensive Predictor Exams

Components to a cognitive assessment include which of the following? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

Which option is part of a program that addresses bowel incontinence in an older adult client?

Correct Answer is A

Explanation

A nurse counseling an 85-year-old person regarding modifying driving habits would include

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