A 78-year-old client who lives alone in an apartment has enjoyed good health until recently. In the last 2 months, the client has fallen twice and required assistance, most recently having to wait several hours until the client's daughter found the client in the bathroom. Which solution should the nurse most likely suggest first?

Spending the day at adult day care

A live-in home health care provider

Use of a home monitoring system

Relocation to an assisted living facility

Answer and Explanation

The Correct Answer is C

A. Spending the day at adult day care:

While adult day care programs can offer socialization, supervision, and activities for older adults during the day, they may not directly address the safety concerns associated with the client's recent falls, especially if the falls are occurring at home. Additionally, spending the day at adult day care may not address the need for immediate assistance in case of falls or emergencies when the client is at home alone.

B. A live-in home health care provider:

Having a live-in home health care provider can provide continuous assistance and supervision for the client, which may address safety concerns and reduce the risk of falls, particularly if the falls are related to mobility issues or other health conditions. However, this option may be more intrusive and costly compared to other solutions, and it may not be necessary if the client's needs can be addressed with less intensive interventions.

C. Use of a home monitoring system:

A home monitoring system, such as a medical alert system or a fall detection device, can provide immediate assistance in the event of a fall or emergency. This option allows the client to maintain independence and continue living alone while ensuring that help is readily available when needed. It addresses the immediate safety concerns raised by the client's recent falls and provides peace of mind for both the client and their family members.

D. Relocation to an assisted living facility:

Relocating to an assisted living facility may be considered as a last resort if other options are not feasible or if the client's needs cannot be adequately addressed at home. However, this option may be overly intrusive and disruptive to the client's lifestyle, especially if they prefer to remain in their own home. It is typically reserved for situations where the client requires a higher level of care and supervision that cannot be provided in a home setting.

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

Explanation

A. Offer the client options in the health care provided to him or her: This intervention recognizes the client's autonomy and empowers them to make choices about their healthcare. By offering options, the nurse respects the client's preferences and allows them to participate in decision-making, which can enhance their sense of control and satisfaction with their care.

B. Defer to the client in all matters of health care: While it's important to respect the client's autonomy and involve them in decision-making, deferring to the client in all matters of healthcare may not always be appropriate. Healthcare decisions should be made collaboratively, considering the client's preferences along with the healthcare provider's expertise and evidence-based practice.

C. Ask open-ended questions to determine health knowledge: Open-ended questions encourage the client to express their thoughts, concerns, and preferences freely. By asking open-ended questions, the nurse can gain insight into the client's level of health literacy, understanding of their condition, and preferences for care. This information can inform the development of a tailored care plan that meets the client's individual needs.

D. Encourage the client to join the resident council: Joining the resident council allows the client to actively participate in decision-making processes within the long-term care facility. It provides them with a platform to voice their opinions, advocate for their needs, and contribute to the improvement of facility policies and practices. This involvement can enhance the client's sense of empowerment, social connectedness, and overall satisfaction with their living environment.

E. Inform the client that the healthcare provider has the final say in care: While healthcare providers play a crucial role in guiding and implementing healthcare decisions, it's essential to emphasize shared decision-making and collaborative care. Informing the client that the healthcare provider has the final say may undermine their autonomy and discourage active participation in decision-making. Instead, the focus should be on fostering a partnership between the client and healthcare team, where decisions are made collaboratively based on mutual respect, trust, and shared goals.

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age. B. Simple association is well executed by older adults but complex analysis is normally absent. C. Older adults require simplified learning objectives and slower introduction of new directions D. Successful learning late in life requires a multisensory teaching approach.

Correct Answer is C

Explanation

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age.

This statement is partially correct. While it is true that learning ability can be influenced by various factors such as health, cognitive function, motivation, and sensory impairments, it's not entirely accurate to say that learning ability is not seriously altered with age. Aging can indeed bring changes in cognitive function, including slower processing speed, reduced working memory capacity, and declines in certain aspects of learning and memory. Therefore, it's important for the nurse to recognize potential age-related changes and tailor teaching strategies accordingly.

B. Simple association is well executed by older adults but complex analysis is normally absent.

This statement oversimplifies the cognitive abilities of older adults. While some cognitive functions may decline with age, older adults are still capable of complex analysis and critical thinking. Research suggests that older adults can perform well on tasks that require experience-based knowledge, wisdom, and problem-solving skills. However, they may experience challenges with processing speed and working memory, which can affect learning and problem-solving in certain contexts. Therefore, the nurse should not underestimate the cognitive abilities of older adults but should consider individual differences and adapt teaching strategies accordingly.

C. Older adults require simplified learning objectives and slower introduction of new directions.

This statement aligns with principles of gerontological nursing and adult learning theory. Older adults may benefit from simplified learning objectives and a slower pace of instruction due to potential age-related changes in cognitive function, sensory abilities, and attention span. Breaking down complex information into smaller, manageable chunks and providing clear, step-by-step instructions can enhance comprehension and retention for older learners. Therefore, this principle is important for the nurse to integrate into the teaching session to optimize learning outcomes for the 90-year-old client.

D. Successful learning late in life requires a multisensory teaching approach.

While a multisensory teaching approach can be beneficial for learners of all ages, it is not the most important principle to integrate into teaching sessions with older adults. While sensory impairments may become more common with age, not all older adults experience significant sensory deficits. Additionally, older adults can benefit from various teaching strategies tailored to their individual needs and preferences. While multisensory approaches can enhance engagement and comprehension, the emphasis should be on adapting teaching strategies to accommodate age-related changes in cognitive function and learning preferences. Therefore, while beneficial, this principle may not be the most critical for the nurse to prioritize in this scenario.

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Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is teaching a 90-year-old client about a new medication regimen. Which principle would be most important for the nurse to integrate into the teaching session?

Correct Answer is C

Explanation

A nurse is providing care to several clients. The nurse reviews each client's diagnostic and assessment findings. Which result would warrant the nurse to investigate further?

A community health nurse provides care for numerous older adult clients. Which client would the nurse identify as demonstrating a deficit in knowledge, experience, and skills that could potentially compromise health?

A gerontological nurse is providing care to a large older adult population with diverse problems. To effectively care for the clinical complexities of these clients and ensure best practices, the nurse would rely on which information as the foundation?

Following a recent exacerbation of heart failure, an 80-year-old widow is investigating several assisted living facilities. Which characteristic about a facility under consideration would most likely be considered atypical?

A nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?

A nurse manager at a long-term care facility is engaged in efforts to change many staff members' inaccurate and negative views of older adults. When talking with the staff, which statement indicates the need for the nurse manager to intervene?

A 67-year-old male client comes to the clinic for an evaluation. When obtaining the client's history, a report of which finding would the nurse identify as a common age-related issue?