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

Explanation

A. "It is normal to expect a gradual loss of memory and intelligence with age." - This statement reflects a negative stereotype about older adults, suggesting that memory decline and decreased intelligence are typical aspects of aging. While some cognitive changes may occur with age, such as slower processing speed, memory decline is not an inevitable part of aging for all older adults. The nurse manager should intervene to address and correct this misconception.

B. "Older adults' motor skills get progressively slower as they age." - This statement acknowledges a common physiological change associated with aging. While motor skills may decline to some extent with age, it is not necessarily negative or inaccurate to recognize this change. However, it is essential to ensure that such statements are not presented in a demeaning or stigmatizing manner.

C. "A lot of the physical changes that accompany aging are inevitable." - This statement acknowledges the reality of physical changes that occur with aging, which is generally accurate. However, it is essential to emphasize that while some changes may be common, they are not necessarily inevitable for all older adults. Intervening to provide a balanced perspective and address any misconceptions would still be beneficial.

D. "Older people seem to have many more chronic health problems than younger people." - This statement reflects a factual observation about the prevalence of chronic health conditions in older adults compared to younger age groups. While it may seem negative, it is generally accurate and does not necessarily require intervention from the nurse manager unless it is presented in a stigmatizing or discriminatory manner.

A. Educator B. Caregiver C. Advocate D. Innovator

Correct Answer is A

Explanation

A. Educator:

In this role, the nurse imparts knowledge and teaches the client about their health condition, including its causes, symptoms, management strategies, and preventive measures. The nurse provides information in a clear and understandable manner, tailoring the education to the client's individual needs and preferences. In the context of stress incontinence, the nurse may teach the client about pelvic floor exercises, bladder training, lifestyle modifications, and other techniques to manage the condition effectively.

B. Caregiver:

In the role of a caregiver, the nurse provides direct physical care and assistance to the client, such as helping with activities of daily living, administering medications, and providing emotional support. While caring for a client with stress incontinence may involve assisting with hygiene and addressing related concerns, such as skin care, the primary focus of the nurse in this scenario is on educating the client about managing the condition rather than providing hands-on care.

C. Advocate:

As an advocate, the nurse acts on behalf of the client to ensure their rights, preferences, and needs are respected and addressed within the healthcare system. This may involve advocating for appropriate treatment options, facilitating communication between the client and healthcare providers, and helping the client make informed decisions about their care. While advocacy is an important aspect of nursing practice, it may not be the primary role in this scenario, where the focus is on educating the client about managing stress incontinence.

D. Innovator:

The role of an innovator involves implementing new ideas, approaches, or technologies to improve patient care and outcomes. While nurses may engage in innovative practices to address various healthcare challenges, such as developing new treatment protocols or implementing evidence-based interventions, the act of educating a client about managing stress incontinence does not necessarily involve innovation in this context. Instead, it primarily involves applying established knowledge and best practices to meet the client's needs.

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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

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?

Correct Answer is A

Explanation

A nurse is providing care to an older adult who is experiencing stress incontinence. The nurse explains effective methods of controlling this condition to the client. Which role is the nurse assuming?

Correct Answer is A

Explanation

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