A gerontological nurse is providing care to a large older adult population with diverse problems. To effectively care for the clinical complexities of these clients and ensure best practices, the nurse would rely on which information as the foundation?

Standards provided by nursing associations

Scientific data about theories, life adjustments, and pathophysiology of aging

Evidence-based practice

A large pool of knowledgeable colleagues in advanced practice roles

Answer and Explanation

The Correct Answer is C

A. Standards provided by nursing associations:

Nursing associations establish standards of practice to guide nurses in delivering safe and effective care. These standards outline the expectations and responsibilities of nurses in various healthcare settings. While adhering to nursing standards is important, they may not always encompass the full spectrum of clinical complexities faced by older adult populations. Nursing standards often provide general guidelines rather than specific evidence-based recommendations for complex clinical scenarios.

B. Scientific data about theories, life adjustments, and pathophysiology of aging:

Scientific data related to theories, life adjustments, and pathophysiology of aging are essential for understanding the physiological, psychological, and social aspects of aging. This knowledge helps nurses comprehend the unique healthcare needs of older adults and informs their clinical decision-making. While scientific data provides a foundational understanding of aging processes, it may not always translate directly into evidence-based practice guidelines for managing specific health conditions or complex clinical situations.

C. Evidence-based practice:

Evidence-based practice (EBP) involves integrating the best available evidence from scientific research with clinical expertise and patient preferences to inform decision-making in patient care. EBP ensures that nursing interventions are grounded in research findings and tailored to individual patient needs and preferences. By critically appraising and applying research evidence to clinical practice, nurses can provide high-quality, patient-centered care that is supported by the latest scientific knowledge.

D. A large pool of knowledgeable colleagues in advanced practice roles:

Colleagues in advanced practice roles, such as nurse practitioners or clinical nurse specialists, can serve as valuable resources for sharing expertise and knowledge in caring for older adult populations. These colleagues may offer insights, guidance, and recommendations based on their advanced clinical training and experience. While collaborating with knowledgeable colleagues is important for professional development and sharing best practices, it should complement, rather than replace, evidence-based practice as the foundation for providing high-quality care.

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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. High urinary volume B. Overflow incontinence C. Frequent urination D. Fruity urine odor

Correct Answer is B

Explanation

A. High urinary volume:

While older adults may experience changes in urinary habits, such as increased urinary frequency or urgency, high urinary volume is not typically considered a common age-related issue. It may instead be indicative of other conditions like diabetes or excessive fluid intake.

B. Overflow incontinence:

Overflow incontinence, characterized by the inability to fully empty the bladder, leading to frequent dribbling of urine, is a common age-related issue in older adult males. It can be caused by factors such as benign prostatic hyperplasia (BPH), which is more prevalent as men age.

C. Frequent urination:

Frequent urination, also known as urinary frequency, can occur in older adults due to various reasons, including decreased bladder capacity or irritability. While it is common in aging populations, it is not as specifically associated with age-related changes as overflow incontinence.

D. Fruity urine odor:

Fruity urine odor is not typically considered a common age-related issue. It may indicate the presence of certain medical conditions like uncontrolled diabetes, where the body produces ketones that can impart a fruity smell to the urine.

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A gerontological nurse is providing care to a large older adult population with diverse problems. To effectively care for the clinical complexities of these clients and ensure best practices, the nurse would rely on which information as the foundation?

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 67-year-old male client comes to the clinic for an evaluation. When obtaining the client's history, a report of which finding would the nurse identify as a common age-related issue?

Correct Answer is B

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 nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?

A nurse is determining ways to address ethnic diversity among clients being provided care. Which action would be the most direct way for the nurse to do this?

A nurse is educating an older adult client about the role of the immune response and autoimmune activity in the aging process. Which statement by the nurse leads to effective teaching?

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?

An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not like the food here." What factor should the staff assess for this problem?