A nurse in a community setting plans wellness outcomes with a 68-year-old female client who desires to participate in a half-marathon run. Which of the following outcomes should the nurse document?
A) The client will remain free of disease.
B) The client will participate in daily aerobic activity class without falls.
C) The client will increase activity until able to run 30 minutes.
D) The client will participate in the half marathon that is scheduled in 6 months.
Question 2A nurse uses the Functional Consequences Theory to assess older adults. Which of the following situations best demonstrates the effect of physical environment on the older adult?
A) A resident of a care facility experiences a fall because there are not grab bars outside his bathtub.
B) A hospital client develops Clostridium difficilerelated diarrhea because a care provider did not perform adequate handwashing.
C) An older adult cannot afford a wheeled walker and suffers a fall while trying to ambulate using a cane.
D) An assisted living resident requires care for emphysema that resulted from a 70 pack-year history of cigarette smoking.
Question 3A nurse plans interventions to promote wellness in older adults. Which of the following interventions is most appropriate to meet this goal?
A) Talking with the physician about available treatment options for an older adult with an acute illness
B) Facilitating early mobilization to prevent muscle wasting and loss of function in an older hospital client
C) Deferring the final decision regarding an older adult's choice of assisted living facility to the person's son and daughter
D) Placing a 76-year-old on the waitlist for a kidney transplant
Question 4A nurse in the long-term care facility plans care to improve quality of life. Which of the following actions is most likely to enhance the older adult's connectedness?
A) Teaching a client who has had a below-the-knee amputation how to care for his stump
B) Organizing a client's intravenous antibiotic therapy on an outpatient basis
C) Performing a focused respiratory assessment on a client who has a diagnosis of lung cancer
D) Advocating for a husband and wife to remain in the same room of a long-term care facility, as is their preference
Question 5An 89-year-old adult is dismayed that his primary care provider referred him for a driving evaluation because he experiences vision problems and slower reaction time. Which of the following concepts is illustrated in this example?
A) Risk factors
B) Age-related changes
C) Positive functional consequences
D) Wellness outcomes
Question 6A nurse plans the care of older adults in a long-term care setting. Which of the following interventions incorporates the residents' connectedness to society?
A) Ensuring that there are multiple television sets available to residents of the facility
B) Arranging regular visits by schoolchildren to the facility
C) Conducting reminiscence therapy
D) Allowing residents to have input into the meal planning at the facility
Question 7A nurse determines risk factors for an 81-year-old client's plan of care. Which of the following characteristics of the client would the nurse consider as a risk factor? (Select all that apply.)
A) Chronic bronchitis
B) Loss of bone density
C) Decreased vital lung capacity
D) Delayed gastric emptying
E) Digoxin (Lanoxin) toxicity