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Total Questions : 5

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Question 1:

(Select all that apply.).

A. The older adults’ preferences and interests. B. The older adults’ cultural and ethnic backgrounds. C. The older adults’ cognitive and functional abilities. D. The older adults’ income and education levels. E. The older adults’ age and gender.

Answer and Explanation

Choice A:

The nurse should consider the older adults’ preferences and interests, cultural and ethnic backgrounds, cognitive and functional abilities, and income and education levels when designing a health promotion program for them.

These factors can affect the older adults’ motivation, participation, adherence, and outcomes of the program.For example, the nurse should tailor the program to match the older adults’ needs, values, beliefs, and expectations; assess their cognitive and functional status and provide appropriate interventions; and consider their financial and educational resources and barriers.

Choice B:

Choice C:

Choice D:

Choice E:

The older adults’ age and gender are not sufficient factors to consider when designing a health promotion program.Age and gender are not homogeneous categories that determine the health status or behavior of older adults.Rather, they are influenced by multiple biological, psychological, social, and environmental factors that vary among individuals.

Therefore, the nurse should not rely on stereotypes or assumptions based on age and gender alone.

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Question 2:

A client who is 75 years old tells the nurse that he feels lonely and isolated since his wife died last year.He says he has no friends or family nearby and rarely leaves his home.

Which of the following interventions should the nurse suggest to help the client cope with his situation? (Select all that apply.).

A. Encourage the client to join a bereavement support group. B. Refer the client to a home health aide for assistance with daily activities. C. Suggest the client to volunteer at a local school or community center. D. Teach the client some relaxation techniques to reduce stress and anxiety. E. Recommend the client to adopt a pet for companionship.

Answer and Explanation

Choice A:

These interventions are aimed at helping the client cope with his situation by providing new opportunities for social connection, companionship, and support.According to the APA, loneliness is a cognitive discomfort or uneasiness from perceiving oneself to be alone.It can be caused by various factors such as physical isolation, lack of close confidants, personality factors, psychological disorders, cultural factors, or relationship loss.Loneliness can have negative effects on the physical and mental health of older adults, such as increased risk of cardiovascular disease, depression, anxiety, cognitive decline, and mortality.

Choice B:

Referring the client to a home health aide for assistance with daily activities does not address his emotional needs or help him cope with his loneliness.

It may even increase his sense of dependency and isolation.

Choice C:

Choice D:

Teaching the client some relaxation techniques to reduce stress and anxiety may be helpful for his mental well-being, but it does not address the root cause of his loneliness or help him establish meaningful social relationships.

Choice E:

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Question 3:

A nurse is caring for an older adult client who has mild cognitive impairment. The client asks the nurse, “What day is it today?” Which of the following responses should the nurse give?

A. “It’s Monday, June 3rd.”. B. “Why do you want to know?.”. C. “You don’t remember?.”. D. “It’s on the calendar over there.”.

Answer and Explanation

Choice A:

“It’s Monday, June 3rd.” The nurse should give the client factual and specific information to orient them to time and place.This can help reduce confusion and anxiety for the client who has mild cognitive impairment.

Choice B:

It is dismissive and does not address the client’s question.

Choice C:

It is sarcastic and may make the client feel ashamed or embarrassed.

Choice D:

The correct answer is A.

Choice B is wrong because it is dismissive and does not address the client’s question.

Choice C is wrong because it is sarcastic and may make the client feel ashamed or embarrassed.

Choice D is wrong because it is vague and does not provide direct information to the client.

Mild cognitive impairment (MCI) is a mild decline in single or multiple cognitive domains, while global cognition and basic activities of daily living remain intact.Nurses play an important role in early detection of MCI and providing care to maintain maximum independence for persons with MCI.Some of the nursing interventions for MCI include:.

• Assessing the patient’s environment and surroundings for the presence of hazards and removing them.

• Providing cues and reminders to help the patient remember important information and tasks.

• Encouraging the patient to engage in physical, cognitive, and social activities that can stimulate brain function and delay cognitive decline.

• Educating the patient and family about MCI, its causes, risk factors, symptoms, diagnosis, treatment, and prognosis.

• Referring the patient to appropriate resources and support services such as memory clinics, support groups, or counseling.t is vague and does not provide direct information to the client.

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Question 4:

A nurse is conducting a physical assessment of an older adult client who has multiple chronic conditions.The client says, “I’m so tired of taking all these pills and going to all these appointments. What’s the point?” Which of the following statements should the nurse make?

A. “You have a lot to live for, don’t give up.”. B. “I understand how you feel, it must be hard.”. C. “You need to take care of yourself, or you’ll get worse.”. D. “Tell me more about what’s bothering you.”.

Answer and Explanation

Choice A:

It is dismissive of the client’s feelings and does not address the underlying issues.It may also imply that the client has no reason to feel hopeless or depressed, which can make them feel misunderstood or judged.

Choice B:

It is not empathetic but rather sympathetic. Saying “I understand how you feel” may sound insincere or patronizing, especially if the nurse has not experienced the same situation as the client.It may also discourage the client from sharing more details about their feelings.

Choice C:

It is threatening and coercive.It may make the client feel guilty or fearful about their health condition, which can increase their stress and anxiety.It may also undermine the client’s autonomy and dignity, which are important for older adults.

Choice D:

This statement demonstrates the nurse’s empathy, respect, and active listening skills, which are essential for effective communication with older adult clients.It also invites the client to express their feelings and concerns, which can help the nurse assess the client’s mental health, coping strategies, and social support.

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Question 5:

A nurse is educating an older adult client about sexuality and aging.Which of the following information should the nurse include?

A. Sexual interest and activity decline with age B. Sexual function and response are unaffected by age C. Sexual expression and satisfaction are possible at any age D. Sexual problems and concerns are inevitable with age.

Answer and Explanation

Choice A:

This is wrong because it assumes that sexual interest and activity decline with age for everyone, which is not true.Some older adults may experience a decrease in sexual desire or frequency due to various factors, such as health conditions, medications, stress, relationship issues or personal preferences, but others may maintain or even increase their sexual interest and activity as they age.

Choice B:

This is wrong because it ignores the fact that aging does bring some physical changes that can affect sexual function and response.

For example, the vagina can become shorter, narrower and less lubricated, which can make vaginal penetration painful or uncomfortable for some women.

Men may experience erectile dysfunction or reduced firmness or size of their erections.These changes do not mean that sex is impossible or undesirable, but they may require some adjustments or alternative ways of expressing sexuality.

Choice C:

Sexual expression and satisfaction are possible at any age.

This is because sexuality is not only about physical function, but also about feelings, desires, identity, intimacy and connection.Aging does not necessarily diminish these aspects of sexuality, and many older adults enjoy an active and fulfilling sex life.

Choice D:

This is wrong because it implies that sexual problems and concerns are inevitable with age, which is not true. While some older adults may face challenges or difficulties in their sexual lives, others may not have any problems or concerns at all.

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