The nursing home staff needs assistance to feed properly the residents who need assistance with feeding. Which of the following should the nurse implement to ensure that the residents are properly fed?
a. Instruct the feeding assistants to feed four people at a time.
b. Draw on the availability of family mem-bers who are able to follow instructions.
c. Ask some residents to self-feed for part of the mealtime.
d. Assign a small group of nursing assistants to do the feeding.
Question 2The nurse prepares to discharge an older male adult who has heart failure and is in stable condition, when his wife states that she will avoid sexual activities with him because of his heart disease.
Which should the nurse use in patient teaching about sexual activity for an older adult with heart failure? a. An older adult with heart failure should avoid sexual relations because of the de-mand it places on his heart.
b. Sexual relations and climbing six flights of stairs expends the same amount of energy.
c. Fear and lack of knowledge can cause older people to reduce their sexual activity unnecessarily.
d. Sexuality is a private matter between the older male adult and his wife.
Question 3An older adult with a gastrostomy tube has difficulty using the dominant hand. Which of the following should the nurse provide to prevent complications of the gastrostomy tube?
a. Use foam swabs to brush the teeth.
b. Provide oral care every 4 hours.
c. Supply a soft tooth brush and floss.
d. Position the patient at 90 degrees for tube feedings.
Question 4Although the older man who was forced to retire from law enforcement has multiple physical complaints, the primary care health care provider finds nothing abnormal.
After the man tells the nurse that his girlfriend just left him, which of the following is the priority nursing intervention to complete before the older adult leaves? a. Ask him how he plans to cope with his loss.
b. Use direct questions about access to fire-arms.
c. Collaborate with his provider for antide-pressants.
d. Allow him to express himself by intently listening.
Question 5The nurse evaluates the urinalysis (UA) of a female patient with an indwelling urinary catheter. The UA report shows gross contamination of the urine.
Rank the nursing inter-ventions in order, beginning with the first intervention the nurse should implement. a. Provide perineal hygiene.
b. Provide urinary catheter care.
c. Check the duration of catheterization.
d. Obtain a urine specimen from a sterile port.
Question 6In a retirement planning program, the community health nurse wants to help participants avoid disappointment in retirement. The nurse's program emphasizes elements that must be adequate to meet postretirement expectations.
Which of the following are included? (Choose all that apply.) a. Financial planning
b. Company-sponsored benefits
c. Company-sponsored health care
d. Government-sponsored benefits
e. Ability to maintain personal residence
f. Safety and security of personal residence
Question 7The nurse instructs the unlicensed assistive personnel to feed an older adult. If the nurse is unable to observe feeding directly, then which action should the nurse use to assess the older adult's risk for aspiration immediately after feeding?
a. Note food volume eaten. c. Inspect for pocket-ing.
b. Observe skin color. d. Monitor for bra-dypnea.
Question 8Which older adult is most likely to have normal mental health?
a. The older adult who grieves over the loss of a spouse for 2 years but is traveling again
b. The older adult who exhibits long periods of depression with occasional manic epi-sodes
c. The older adult who has lost two friends in a war, has had three failed marriages, and is bankrupt
d. The older adult who has been treated for chronic depression and whose brother killed himself 1 year ago
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