A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?

"The food is not great, but it is nice not having to do all of my own cooking."

"I don't want to go to the activity room because none of the other residents can hear."

"The staff sometimes have to remind me to use a cane when I walk in the hall."

"When I go out, I've been using public transportation since I can't drive anymore

Answer and Explanation

The Correct Answer is B

Correct answer: B

A. "The food is not great, but it is nice not having to do all of my own cooking.":

This statement acknowledges a minor issue with the food but overall expresses satisfaction with the convenience of not having to cook, indicating some level of acceptance of the transition.

B. "I don't want to go to the activity room because none of the other residents can hear."

This statement suggests a feeling of disconnection or dissatisfaction with the activities available in the assisted living facility. The client may be expressing frustration or a sense of isolation because the other residents cannot hear, which could hinder their ability to engage socially and participate in activities. Difficulty accepting the transition may manifest as resistance or reluctance to participate in aspects of facility life, such as group activities, due to perceived limitations or barriers.

C. "The staff sometimes have to remind me to use a cane when I walk in the hall.":

While this statement may indicate some adjustment to the need for assistance or reminders, it does not necessarily suggest difficulty accepting the transition. Instead, it reflects a willingness to comply with safety recommendations provided by the staff.

D. "When I go out, I've been using public transportation since I can't drive anymore":

This statement acknowledges a change in transportation habits due to inability to drive, which may be a practical adaptation to the client's circumstances rather than a sign of difficulty accepting the transition to assisted living.

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Correct Answer is B

Explanation

A. The client adjusts the head of their bed to 90°: Adjusting the head of the bed to 90° is a correct action for clients with dysphagia as it helps facilitate swallowing by promoting an upright position, reducing the risk of aspiration.

B. The client drinks their thickened juice with a straw.

Drinking thickened liquids with a straw is not recommended for clients with dysphagia. Straws can increase the risk of aspiration, as they bypass the natural protection mechanisms in the mouth and throat that help prevent liquids from entering the airway. Therefore, the nurse should intervene and provide the client with an appropriate drinking cup instead of a straw when consuming thickened liquids.

C. The client tucks their chin when they swallow: Tucking the chin when swallowing is a recommended technique for clients with dysphagia, as it helps close off the airway and directs the food or liquid toward the esophagus, reducing the risk of aspiration.

D. The client takes frequent breaks while eating: Taking frequent breaks while eating is a beneficial strategy for clients with dysphagia, as it allows them to rest and swallow safely without feeling rushed or overwhelmed by large amounts of food or liquid.

A. Family history B. Fasting glucose level C. History of hyperlipidemia D. History of rheumatoid E. History of hypertension F. Cholesterol level

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

Explanation

A. Family history: A family history of heart disease can increase an individual's risk of developing heart disease themselves, as genetic factors play a role in cardiovascular conditions.

B. Fasting glucose level: Elevated fasting glucose levels, indicative of diabetes or prediabetes, can contribute to heart disease risk. Diabetes is a significant risk factor for heart disease and can lead to complications such as atherosclerosis and coronary artery disease.

C. History of hyperlipidemia: Hyperlipidemia refers to elevated levels of lipids (cholesterol and triglycerides) in the blood. High levels of LDL cholesterol ("bad" cholesterol) and low levels of HDL cholesterol ("good" cholesterol) are associated with an increased risk of heart disease.

D. History of rheumatoid arthritis: Rheumatoid arthritis is an autoimmune condition that involves inflammation in the joints. Chronic inflammation associated with rheumatoid arthritis can affect blood vessels and increase the risk of heart disease and cardiovascular events.

E. History of hypertension: Hypertension, or high blood pressure, is a major risk factor for heart disease. It puts added strain on the heart and blood vessels, increasing the risk of atherosclerosis, heart attacks, and other heart-related complications.

F. Cholesterol level: Elevated levels of LDL cholesterol ("bad" cholesterol) and triglycerides, as well as low levels of HDL cholesterol ("good" cholesterol), are associated with an increased risk of heart disease.

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A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

Correct Answer is B

Explanation

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

Explanation

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