A family asks why their father is attending activity groups at the long-term care facility. The son states, "My father worked hard all of his life. He just needs some rest at this point." Which is the appropriate nursing response

"If your father doesn't go to these activity groups, he will be at high risk for developing cognitive problems."

"I'm glad we discussed this. Well excuse him from the activity groups."

"The groups benefit your father by providing social interaction, sensory stimulation, and reality orientation."

"The groups are optional. Only clients at high functioning levels would benefit."

Answer and Explanation

The Correct Answer is C

A. While activity groups can help with cognitive function, it’s not accurate to state that skipping the activities will definitely lead to cognitive problems.
B. Excusing him from the activities without explaining their benefits would not provide the family with the necessary education about why they are important for his well-being.
C. Activity groups in long-term care facilities provide important social interaction, sensory stimulation, and reality orientation, which are beneficial for maintaining cognitive function and overall well-being in older adults.
D. The statement that groups are only for high-functioning clients is inaccurate. Activity groups are designed to benefit all levels of functioning, especially for promoting engagement and quality of life in elderly patients.

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Correct Answer is C

Explanation

A. Using soap and water is the correct method for hand hygiene when caring for patients with C. diff, as the spores are not effectively removed by alcohol-based sanitizers.
B. Rubbing hands together to remove C. diff spores is the correct technique when washing with soap and water.
C. Alcohol-based hand sanitizers are not effective in removing C. diff spores. Soap and water are necessary to physically remove the spores from the hands.
D. Hand hygiene for family members is important in preventing the spread of infection, and this statement reflects proper infection control practices.

A. Hypoventilation B. Cheyne Stokes respirations C. Kussmaul respirations D. Central apnea

Correct Answer is C

Explanation

A. Hypoventilation refers to shallow or slow breathing, which is not typically seen in diabetic ketoacidosis (DKA).
B. Cheyne-Stokes respirations involve a pattern of alternating deep and shallow breaths, often seen in patients with neurological conditions or severe heart failure, not in DKA.
C. Kussmaul respirations are deep, rapid breaths and are a classic sign of diabetic ketoacidosis (DKA). This respiratory pattern is the body’s attempt to compensate for metabolic acidosis, as seen in DKA, by blowing off CO2 to reduce acidity in the blood.
D. Central apnea refers to a cessation of breathing due to a failure of the brain to send signals to the respiratory muscles and is not associated with DKA.

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A family asks why their father is attending activity groups at the long-term care facility. The son states, "My father worked hard all of his life. He just needs some rest at this point." Which is the appropriate nursing response

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by the nursing assistant indicates the need for further teaching regarding infection control measures for patients with Clostridioides difficile (C. diff)?

Correct Answer is C

Explanation

A patient, who is admitted with diabetes mellitus, has a glucose level of 380 mg/dL and a moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis, which respiratory pattern would the nurse expect to find?

Correct Answer is C

Explanation

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