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Pdigker Pdigker
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Posts: 337
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6 years ago
When providing information regarding age-related visual problems, the nurse recog-nizes that the target population is: Select all that apply.
 
  a. A victim of eye trauma
  b. Economically disadvantaged
  c. African-American
  d. More likely male
  e. 65 years of age and older

Question 2

Which nursing statement shows a true appreciation for an older client's willingness to tell their personal stories about the war?
 
  a. It's so nice to see them excited and engaged as they tell the stories.
  b. It helps their memory so much to re-tell their stories.
  c. I learn so much about a client when they share their life story with me.
  d. They are so proud of the things they have accomplished in their life.

Question 3

What research finding is the basis for care planning of the client receiving palliative care?
 
  a. Palliative care is most useful when implement in the last 6 months of life.
  b. Pain management is inadequately addressed among the terminally ill popula-tion.
  c. Palliative care is only offered to patients whose deaths are imminent.
  d. Resuscitation in the case of a cardiac or respiratory arrest is not implemented

Question 4

An older African-American client shares that they, Don't hear as well as they used to. Responding based on evidence-based data, the nurse will:
 
  a. Inquire as to whether the client has tinnitus
  b. Assess the client for middle ear fluid accumulation
  c. Ask whether the client has ever been diagnosed with otosclerosis
  d. Check the client's ears for a cerumen impaction

Question 5

An older adult client is being admitted to an assisted living residence facility. Which nursing intervention best initially assesses the client's hearing?
 
  a. The client's reaction when the telephone rings is documented by the nurse
  b. The nurse asks the client to, Adjust the television volume to a comfortable level.
  c. The nurse asks, Do you think you have a hearing problem?
  d. The client is asked whether they wear glasses or a hearing aide

Question 6

The nurse is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome?
 
  a. Asking the family to answer interview questions
  b. Frequently repeating instructions and requests
  c. Speaking at a slower than normal speed
  d. Using very simple sentences and phrasings

Question 7

When caring for an ill adult client, the nurse is particularly concerned that the client communicates well since:
 
  a. Assessment, planning of care and even the therapeutic relationship is based on effective communication
  b. It is the social connection that all individuals base interpersonal relationships upon
  c. How well an individual communicates is a reflection on both their physical and emotional well-being
  d. The need to communicate is a basic need of all individuals
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Replies
wrote...
6 years ago
Answer to #1

ANS: C, D, E
Older adults represent the vast majority of the visually impaired population, with over two-thirds of those with visual impairment being over age 65. Although there are no gender differences in the prevalence of vision problems in older adults, there are more visually im-paired women than men because, on average, women live longer than men. However, Afri-can-Americans are twice as likely to be visually impaired than are whites. Neither economic status nor injury play a substantial role in the development of visual problems in the older adult population.

Answer to #2

ANS: C
A memory is an incredible gift given to the nurse, a sharing of a part of oneself when one may have little else to give, and it provides insight into who the person really is telling the story.

Answer to #3

ANS: B
Research has indicated that advance care planning and terminal pain management are inade-quate and support of the grieving family may be nonexistent. No research supports that palli-ative care is most effective in any particular period of the death trajectory. There are no time limits placed on palliative care. A DNR is required in order to eliminate resuscitation efforts

Answer to #4

ANS: D
Cerumen impaction is the most common and easily corrected of all interferences in the hearing of older people. Individuals at particular risk of impaction are African-Americans. While the other options can result in a hearing loss, they are not seen as frequently.

Answer to #5

ANS: C
An appropriate intervention and one considered an essential part of primary care for older adults, is to simply ask the question: Do you feel you have a hearing loss? This question has been shown to have reasonable sensitivity and specificity for hearing impairment. The vol-ume of the television and the response to a ringing telephone can be affected by variables other than hearing loss. The question regarding glasses and a hearing aide can be perceived as insensitive.

Answer to #6

ANS: A
An example of communication that conveys ageist attitudes is ignoring the older person and talking to family and friends as if the person is not present. This is likely to convey feelings to the client that they are not important enough to include in the conversation. Some features of elder-speak (speaking more slowly, repeating, or paraphrasing) may be beneficial in communication with older people with dementia

Answer to #7

ANS: A
Good communication skills are the basis for accurate assessment, care planning, and the de-velopment of therapeutic relationships between the nurse and the older person. While the other options are true they do not directly address the concerns of an ailing client
Pdigker Author
wrote...
6 years ago
Makes more sense now, TY
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