A nurse is caring for a newly admitted 76-year-old client. When applying the family-centered care model, which intervention by the nurse would reflect a focus on this type of care?

Calling a local hotel to find an available room for the family

Apologizing to the client's grandchild that the child is too young to visit

Allowing visitation for 10 minutes every 2 hours

Including the family in discussions with the health care provider

Answer and Explanation

The Correct Answer is D

A. Calling a local hotel to find an available room for the family: This intervention reflects a family-centered care approach by acknowledging the importance of family involvement and support. By assisting the family in finding nearby accommodations, the nurse recognizes their need to be close to the client and actively supports their presence during the client's care.

B. Apologizing to the client's grandchild that the child is too young to visit: This intervention does not reflect a family-centered care approach. Instead, it may inadvertently discourage family involvement by conveying a message that certain family members are not welcome or accommodated in the care setting.

C. Allowing visitation for 10 minutes every 2 hours: While this intervention allows for visitation, the strict time limit and schedule do not fully reflect a family-centered care approach. Family-centered care typically involves more flexible and individualized visitation policies that accommodate the preferences and needs of both the client and their family members.

D. Including the family in discussions with the health care provider: This intervention exemplifies a family-centered care approach by recognizing the importance of involving the client's family in decision-making and care planning. By including the family in discussions with the health care provider, the nurse ensures that they are informed, engaged, and empowered to participate in decisions about the client's 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. Investigate the reasons why the client is not bathing or doing laundry B. Offer time-saving bathing tips and advice on easy methods for washing clothes C. Incorporate the help of the client's family to assist with bathing D. Explain to the client about the health benefits of keeping clean

Correct Answer is A

Explanation

A. Investigate the reasons why the client is not bathing or doing laundry:

Before providing any interventions or suggestions, the nurse should first understand the underlying reasons for the client's neglect of personal hygiene. There could be various factors contributing to this behavior, such as physical limitations, cognitive decline, depression, grief from the recent loss of a spouse, lack of motivation, or environmental barriers. By investigating the root causes, the nurse can tailor interventions and support strategies to address the specific needs and challenges of the client.

B. Offer time-saving bathing tips and advice on easy methods for washing clothes:

While providing tips and advice may be helpful, it's essential to first understand why the client is neglecting personal hygiene to ensure that the suggestions are appropriate and feasible. Without addressing the underlying reasons, offering advice alone may not effectively address the issue.

C. Incorporate the help of the client's family to assist with bathing:

Involving the client's family can be a valuable support strategy, but it should come after understanding the client's individual circumstances and preferences. Additionally, not all clients may have readily available family members to assist with personal care tasks.

D. Explain to the client about the health benefits of keeping clean:

While education about the importance of personal hygiene is essential, it may not be the most immediate or effective intervention if there are underlying barriers preventing the client from maintaining cleanliness. Understanding the client's specific situation should precede any educational efforts to ensure relevance and effectiveness.

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A nurse is caring for a newly admitted 76-year-old client. When applying the family-centered care model, which intervention by the nurse would reflect a focus on this type of care?

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

Correct Answer is A

Explanation

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 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?

An 82-year-old client has always lived independently in the house that he and his late spouse purchased over 50 years ago. The client has few health problems, but has experienced two falls recently. Which action, by the nurse, is the priority action?

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?

A nurse explains all medical options to older adult clients to ensure they have the information they need to make informed decisions about their care. The nurse implements these actions based on which concept?

A nurse is assessing a client who is recently widowed. History reveals that the client worked at home as a full-time wife and mother throughout her adult life. Based on this information, the nurse would most likely expect the client to experience which situation?

Following a recent exacerbation of heart failure, an 80-year-old widow is investigating several assisted living facilities. Which characteristic about a facility under consideration would most likely be considered atypical?