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 ["A","B","C","D","E"]

Explanation

A. Hope for the future

Engaging in spiritual beliefs and practices can provide individuals, including older adults, with a sense of hope and purpose. Spiritual beliefs often offer a framework for understanding life's challenges and uncertainties, and they may provide comfort and assurance about the future.

B. Coping strengths

Spirituality can serve as a source of coping strength for individuals facing difficulties or challenges. By drawing upon their spiritual beliefs and practices, older adults may find resilience, inner strength, and a sense of peace amidst adversity.

C. Empowerment

Actively participating in spiritual beliefs and practices can empower older adult clients by giving them a sense of control, meaning, and connection to something greater than themselves. This sense of empowerment can contribute to their overall well-being and quality of life.

D. Cope with past challenges

Spirituality often provides a framework for understanding and making meaning of past experiences, including challenges or traumas. Engaging in spiritual practices may offer older adults opportunities for reflection, forgiveness, and healing as they come to terms with their past and integrate those experiences into their life narratives.

E. Reminiscence of the past

Spiritual beliefs and practices can evoke memories and facilitate reminiscence of the past for older adults. Engaging in rituals, traditions, or spiritual activities that they are familiar with may trigger memories of significant life events, relationships, or moments of spiritual significance, fostering a sense of continuity and connection across the lifespan.

A. The client has a weight gain of 2 lb (1 kg) per month. B. The client eats 90% of meals and snacks. C. The client chooses high-protein food. D. The client has decreased oral discomfort.

Correct Answer is A

Explanation

Choice A rationale:
Weight gain is the most objective and reliable indicator of improved nutritional status in clients with wasting syndrome. It directly reflects an increase in lean body mass, which is essential for restoring health and function.
A weight gain of 2 lb (1 kg) per month is considered a safe and achievable goal for clients with HIV-III and wasting syndrome. This rate of weight gain promotes gradual replenishment of nutrient stores without overwhelming the body's systems.
While other assessment findings, such as increased food intake or decreased oral discomfort, may be positive signs, they do not necessarily guarantee that nutritional goals have been met. It's possible for a client to consume more calories without experiencing weight gain due to factors such as malabsorption or increased metabolic demands. Similarly, decreased oral discomfort may improve appetite but not ensure adequate nutrient intake.
Choice B rationale:
While eating 90% of meals and snacks is a positive sign, it does not guarantee adequate nutrient intake or weight gain. The client may still be consuming insufficient calories or experiencing malabsorption.
The focus of nutritional intervention for wasting syndrome is to increase lean body mass, which is best reflected by weight gain. Eating patterns alone may not accurately capture this progress.
Choice C rationale:
Choosing high-protein foods is important for supporting tissue repair and immune function, but it does not guarantee adequate overall caloric intake or weight gain. The client may still be consuming insufficient calories or experiencing malabsorption.
Weight gain is a more comprehensive indicator of improved nutritional status, as it reflects both protein intake and overall caloric balance.
Choice D rationale:
Decreased oral discomfort can improve appetite and facilitate food intake, but it does not guarantee adequate nutrient intake or weight gain. The client may still be consuming insufficient calories or experiencing malabsorption.
Weight gain is a more direct and reliable indicator of improved nutritional status, as it reflects the actual utilization of nutrients for tissue repair and growth.

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Naxlex Comprehensive Predictor Exams

A nurse working at a long-term care facility encourages older adult clients to engage in spiritual beliefs and practices that they are familiar with. The nurse encourages this activity to promote which effect? (Select All that Apply.)

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

Explanation

A client with HIV-III and wasting syndrome has inadequate nutrition. What assessment finding by the nurse best indicates that goals have been met for this client problem?

Correct Answer is A

Explanation

During a busy shift, a registered nurse directed an unlicensed care provider to change a dressing and perform wound care on an older adult client's surgical incision. This action exists outside of the unlicensed care provider's scope of practice. Which concept would apply to this situation?

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?

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A nurse manager works in a setting where projections for the future include a more diverse ethnic mix of older adults. Which action will the nurse manager take?

A gerontological nurse is reviewing a journal article about legal issues and nursing practice. The nurse identifies which situation as a matter of public law?

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 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?