A 83-year-old client has entered a nursing home, where the client will reside until death. Until age 70, the client worked as a successful bank president and was an active community leader. When intervening with the client, the nurse would be especially alert for feelings related to which aspect of life?

Dependency

Mortality

Family

Unemployment

Answer and Explanation

The Correct Answer is A

A. Dependency:

This client, who was once a successful bank president and active community leader, may struggle with the loss of independence and the need to rely on others for daily care. Feelings of dependency can be particularly challenging for individuals who were once highly independent and influential.

B. Mortality:

Mortality is a universal concern for individuals, especially as they age, but it is not specifically tied to the client's previous occupation or lifestyle before entering the nursing home.

C. Family:

Although family is important, the scenario does not specifically indicate any issues or changes related to family dynamics that would be the primary focus. The primary concern would be the client’s adjustment to the new living situation and the associated loss of independence.

D. Unemployment:

Unemployment is not relevant in this context, as the client has been retired since age 70.

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Correct Answer is C

Explanation

A. Standards provided by nursing associations:

Nursing associations establish standards of practice to guide nurses in delivering safe and effective care. These standards outline the expectations and responsibilities of nurses in various healthcare settings. While adhering to nursing standards is important, they may not always encompass the full spectrum of clinical complexities faced by older adult populations. Nursing standards often provide general guidelines rather than specific evidence-based recommendations for complex clinical scenarios.

B. Scientific data about theories, life adjustments, and pathophysiology of aging:

Scientific data related to theories, life adjustments, and pathophysiology of aging are essential for understanding the physiological, psychological, and social aspects of aging. This knowledge helps nurses comprehend the unique healthcare needs of older adults and informs their clinical decision-making. While scientific data provides a foundational understanding of aging processes, it may not always translate directly into evidence-based practice guidelines for managing specific health conditions or complex clinical situations.

C. Evidence-based practice:

Evidence-based practice (EBP) involves integrating the best available evidence from scientific research with clinical expertise and patient preferences to inform decision-making in patient care. EBP ensures that nursing interventions are grounded in research findings and tailored to individual patient needs and preferences. By critically appraising and applying research evidence to clinical practice, nurses can provide high-quality, patient-centered care that is supported by the latest scientific knowledge.

D. A large pool of knowledgeable colleagues in advanced practice roles:

Colleagues in advanced practice roles, such as nurse practitioners or clinical nurse specialists, can serve as valuable resources for sharing expertise and knowledge in caring for older adult populations. These colleagues may offer insights, guidance, and recommendations based on their advanced clinical training and experience. While collaborating with knowledgeable colleagues is important for professional development and sharing best practices, it should complement, rather than replace, evidence-based practice as the foundation for providing high-quality care.

A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely. B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized. C. Developing new techniques for the wound care of venous ulcers in an older adult. D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation.

Correct Answer is A

Explanation

A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely: Advocacy involves supporting and empowering individuals to make informed decisions about their care and well-being. In this scenario, the nurse is advocating for the older adult's autonomy and rights by providing guidance on navigating a potentially challenging situation involving family dynamics and legal matters.

B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized: Advocacy can also involve creating conducive environments for clients to achieve their health goals. In this case, the nurse is advocating for the client's recovery and functional independence by ensuring access to resources and interventions that support mobility rehabilitation post-stroke.

C. Developing new techniques for the wound care of venous ulcers in an older adult: This action is more aligned with innovation and research rather than advocacy. While it may ultimately benefit older adults with venous ulcers, advocacy typically involves more direct support or action on behalf of individual clients or groups to address their immediate needs or rights.

D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation: This action is focused on education and skill development among healthcare staff rather than advocacy for individual clients. It aims to improve the quality of care provided to older adults but does not directly involve advocating for their rights or needs.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A gerontological nurse is assuming the role of an advocate. Which action would exemplify this role?

Correct Answer is A

Explanation

A nurse is assisting an older adult client who is being treated for pancreatitis to create a menu. Which food selection by the client would lead the nurse to develop a teaching plan for the client?

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?

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?

An 82-year-old client has always lived independently in the house that he and his late spouse purchased over 50 years ago. The client has few health problems, but has experienced two falls recently. Which action, by the nurse, is the priority action?

A gerontological nurse is conducting an in-service program for a group of nurses working at a long-term care facility. After describing the holistic model of gerontological care, the nurse determines that the class has been successful when the group define health as:

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