A client is newly admitted to a long-term care facility. The client is not satisfied with the conditions of the facility, takes a highly active role in one's health care and, because of the ability to access information, has as much knowledge as the health care providers on some health issues. Which intervention(s) will the nurse use to support this client? (Select All that Apply.)

Offer the client options in the health care provided to him or her.

Defer to the client in all matters of health care.

Ask open-ended questions to determine health knowledge.

Encourage the client to join the resident council.

Inform the client that the health care provider has the final say in care.

Answer and Explanation

Correct Answer : A,C,D

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.

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Correct Answer is B

Explanation

A. Compensation for slowed response to changes in balance:

This option refers to techniques or strategies that individuals can use to compensate for changes in balance, such as adopting a wider base of support, taking smaller steps, or using handrails for support. While compensation strategies can be helpful in managing balance issues, they may not be sufficient to prevent falls, especially in individuals at increased risk due to factors like wearing an orthotic boot.

B. Use of an assistive device:

This option involves the use of devices such as canes, walkers, or crutches to provide additional support and stability during ambulation. When someone is at an increased risk for falls, especially after being prescribed an orthotic boot, using an assistive device can significantly reduce the risk of falls by providing extra support and helping to maintain balance. Teaching the client about the proper use of an assistive device is an essential aspect of fall prevention education.

C. Use of paths with support devices in case of imbalance:

This option suggests using paths or routes that have support devices, such as handrails or grab bars, available in case the individual experiences imbalance while walking. While having support devices along walking paths can be helpful, it may not always be feasible or practical. Additionally, relying solely on external support devices may not address the underlying issues contributing to the risk of falls, such as impaired balance or mobility.

D. Coordination of walking activities when family is present:

This option involves coordinating walking activities with the presence of family members. While having family members present during walking activities can provide emotional support and assistance if needed, it may not directly address the client's risk of falls or provide strategies for fall prevention. While family support is valuable, it should complement other fall prevention measures rather than serve as the primary strategy for managing fall risk.

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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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A gerontological nurse is teaching a client about safe ambulation because the client is at an increased risk for falls after being prescribed an orthotic boot. Which will the nurse teach the client?

Correct Answer is B

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 for an older adult client who has been admitted to the hospital with cirrhosis. The client has expressed that the details of the current condition and treatment remain confidential. Which response by the nurse would be appropriate?

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?

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?

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.)