A nurse is conducting a physical assessment of an older adult client who has multiple chronic conditions.The client says, “I’m so tired of taking all these pills and going to all these appointments. What’s the point?” Which of the following statements should the nurse make?
“You have a lot to live for, don’t give up.”.
“I understand how you feel, it must be hard.”.
“You need to take care of yourself, or you’ll get worse.”.
“Tell me more about what’s bothering you.”.
The Correct Answer is D
The correct answer is D. “Tell me more about what’s bothering you.” This statement demonstrates the nurse’s empathy, respect, and active listening skills, which are essential for effective communication with older adult clients . It also invites the client to express their feelings and concerns, which can help the nurse assess the client’s mental health, coping strategies, and social support .
Choice A is wrong because it is dismissive of the client’s feelings and does not address the underlying issues. It may also imply that the client has no reason to feel hopeless or depressed, which can make them feel misunderstood or judged .
Choice B is wrong because it is not empathetic but rather sympathetic.
Saying “I understand how you feel” may sound insincere or patronizing, especially if the nurse has not experienced the same situation as the client. It may also discourage the client from sharing more details about their feelings .
Choice C is wrong because it is threatening and coercive.
It may make the client feel guilty or fearful about their health condition, which can increase their stress and anxiety. It may also undermine the client’s autonomy and dignity, which are important for older adults .
Normal ranges for vital signs in older adults are similar to those in younger adults, except for blood pressure, which tends to increase with age due to arterial stiffness. The normal range for systolic blood pressure in older adults is 120-140 mmHg, and for diastolic blood pressure is 60-90 mmHg .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A.
“It’s Monday, June 3rd.” The nurse should give the client factual and specific information to orient them to time and place.This can help reduce confusion and anxiety for the client who has mild cognitive impairment.
Choice B is wrong because it is dismissive and does not address the client’s question.
Choice C is wrong because it is sarcastic and may make the client feel ashamed or embarrassed.
Choice D is wrong because it is vague and does not provide direct information to the client.
Mild cognitive impairment (MCI) is a mild decline in single or multiple cognitive domains, while global cognition and basic activities of daily living remain intact.Nurses play an important role in early detection of MCI and providing care to maintain maximum independence for persons with MCI.Some of the nursing interventions for MCI include:.
• Assessing the patient’s environment and surroundings for the presence of hazards and removing them.
• Providing cues and reminders to help the patient remember important information and tasks.
• Encouraging the patient to engage in physical, cognitive, and social activities that can stimulate brain function and delay cognitive decline.
• Educating the patient and family about MCI, its causes, risk factors, symptoms, diagnosis, treatment, and prognosis.
• Referring the patient to appropriate resources and support services such as memory clinics, support groups, or counseling.
Correct Answer is ["A","B","C","D"]
Explanation
The correct answer isA, B, C, and D.
The nurse should consider the older adults’ preferences and interests, cultural and ethnic backgrounds, cognitive and functional abilities, and income and education levels when designing a health promotion program for them.
These factors can affect the older adults’ motivation, participation, adherence, and outcomes of the program.For example, the nurse should tailor the program to match the older adults’ needs, values, beliefs, and expectations; assess their cognitive and functional status and provide appropriate interventions; and consider their financial and educational resources and barriers.
Choice E is wrong because the older adults’ age and gender are not sufficient factors to consider when designing a health promotion program.
Age and gender are not homogeneous categories that determine the health status or behavior of older adults.Rather, they are influenced by multiple biological, psychological, social, and environmental factors that vary among individuals.
Therefore, the nurse should not rely on stereotypes or assumptions based on age and gender alone.
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