A 90-year-old client is admitted to a hospital medical unit with a high population of older adults. The nurse notes that the client has been talking about death frequently. Which response by the nurse would be appropriate?

"Remember that in this day and age, many people can live far beyond 90 years of age."

"I have noticed you have brought up the issue of dying a lot. Tell me more about how you feel."

"Try to focus more on the positive benefits of healing rather than what might happen."

"You will find that aiming for health rather than thinking about death will have positive results."

Answer and Explanation

The Correct Answer is B

A. "Remember that in this day and age, many people can live far beyond 90 years of age."

- This response attempts to provide reassurance to the client by emphasizing the potential for longevity in modern times. However, it may not address the underlying concerns or emotions the client is experiencing related to thoughts of death. While the intention may be to offer hope and optimism, the client's repeated discussions about death suggest a need for further exploration of their feelings and concerns rather than dismissal or avoidance of the topic.

B. "I have noticed you have brought up the issue of dying a lot. Tell me more about how you feel."

- This response acknowledges the client's concerns and invites them to share their feelings in a supportive and nonjudgmental manner. By actively listening to the client and encouraging them to express their thoughts and emotions, the nurse creates an opportunity for therapeutic communication and exploration of the client's concerns about death. This approach facilitates a deeper understanding of the client's perspective and provides an opportunity for emotional support and validation.

C. "Try to focus more on the positive benefits of healing rather than what might happen."

- This response attempts to redirect the client's focus away from thoughts of death towards more positive aspects, such as healing and recovery. While positivity and encouragement can be beneficial, this response may inadvertently dismiss or invalidate the client's feelings and concerns about death. It does not address the underlying emotions driving the client's repeated discussions about death and may not effectively meet their emotional needs for support and understanding.

D. "You will find that aiming for health rather than thinking about death will have positive results."

- This response also attempts to redirect the client's focus away from thoughts of death towards more positive goals related to health and well-being. While promoting health is important, this response may not fully acknowledge or address the client's concerns about death. It may also overlook the emotional distress the client may be experiencing and the need for empathetic listening and support. Instead of dismissing the client's concerns, it is essential to validate their feelings and provide an opportunity for open and honest communication about their thoughts and fears regarding death.

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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. The client is using this as a means of going home. B. The food served may violate religious beliefs. C. The food served may not be culturally appropriate. D. The client does not like to eat with other residents of the home.

Correct Answer is C

Explanation

A. The client is using this as a means of going home.

While this could be a possibility, it is not the primary concern in this scenario. Assuming this without further evidence may lead to misunderstanding the client's needs and preferences.

B. The food served may violate religious beliefs.

While this could be a concern, the client's statement, "I just do not like the food here," suggests a personal preference rather than a religious restriction. It's important to consider religious beliefs, but it's not the immediate issue raised by the client.

C. The food served may not be culturally appropriate.

This option directly addresses the client's statement about not liking the food. It suggests that the food may not align with the client's cultural preferences, which is a significant factor to consider in understanding the client's refusal to eat. Exploring cultural preferences and providing culturally appropriate meals can help address the client's concerns.

D. The client does not like to eat with other residents of the home.

While social factors may contribute to the client's reluctance to eat, the primary concern expressed by the client is dissatisfaction with the food itself, not with the dining environment or social interactions. While social factors may also need to be addressed, they are not the immediate focus based on the information provided.

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A 90-year-old client is admitted to a hospital medical unit with a high population of older adults. The nurse notes that the client has been talking about death frequently. Which response by the nurse would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not like the food here." What factor should the staff assess for this problem?

Correct Answer is C

Explanation

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.)

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 conducting a program for a group of nurses who work with older adults. During the program, one of the nurses asks, "Everybody gets old. Why do we need to understand the aging process?" Which response by the nurse would be appropriate?

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