A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?
Decrease in perspiration
Thinning of the fingernails
Loss of bone mass
Decrease in pain threshold
The Correct Answer is C
A. Decrease in perspiration: A decrease in perspiration is a normal physiological change associated with aging. Sweat glands become less active, leading to reduced perspiration.
B. Thinning of the fingernails: While nail changes can occur with aging, thinning of the fingernails is not as commonly highlighted as a key physiological change compared to bone mass loss or decreased perspiration.
C. Loss of bone mass: Loss of bone mass is a well-documented physiological change associated with aging, leading to conditions like osteoporosis.
D. Decrease in pain threshold: The pain threshold may actually increase with age, making older adults less sensitive to pain rather than more sensitive.
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Related Questions
Correct Answer is C
Explanation
A. Delegating client care tasks to an assistive personnel Delegation is part of nursing management, not specifically advocacy.
B. Completing an incident report for a medication error This is part of ensuring safety and quality but is not directly related to advocacy.
C. Adhering to the client's refusal of treatment Advocacy involves respecting the client's rights and choices, including the right to refuse treatment.
D. Completing required continuing education courses This is related to professional development, not specifically client advocacy.
Correct Answer is B
Explanation
A. "Your doctor has been performing this surgery for a long time now." While this statement aims to reassure the client by emphasizing the doctor's experience, it does not address the client's feelings or encourage further discussion about their fears.
B. "Would it help you to talk more with me about how you feel?" This is a therapeutic response that encourages the client to express their feelings and concerns, showing empathy and providing an opportunity for the client to discuss their fears in more detail.
C. "I have prayed for you and everything is going to be fine." While this statement may be comforting to some, it can be inappropriate and may not address the client's specific fears or promote open communication. It also assumes the client's belief system, which might not be the same as the nurse's.
D. "Why are you afraid to have surgery all of a sudden?" This response can be perceived as dismissive and might make the client feel judged or misunderstood. It does not encourage a supportive discussion about the client's fears.
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