A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?
"My hearing has improved since I got my hearing aids.”
"My wrinkled hands show how hard I've worked all my life.”
"I avoid going out because I sometimes have problems with incontinence.”
"These lines in my face reveal a part of my character."
The Correct Answer is C
A. "My hearing has improved since I got my hearing aids.": This statement reflects a positive adaptation to aging, showing that the client is accepting the use of hearing aids to improve hearing. It does not suggest body image issues.
B. "My wrinkled hands show how hard I've worked all my life.": This indicates the client has a positive view of their aging body, interpreting wrinkles as a reflection of life experiences and hard work. It shows an acceptance of physical changes.
C. "I avoid going out because I sometimes have problems with incontinence.": This suggests the client feels embarrassed or self-conscious about incontinence, which is often associated with an impaired body image. The client is avoiding social situations due to this physical issue, which can lead to feelings of shame and isolation.
D. "These lines in my face reveal a part of my character.": This statement demonstrates a positive acceptance of the physical changes associated with aging. The client views facial lines as a sign of character, not a source of distress, indicating a healthy body image.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assess the client every hr for circulation, possible injury, and readiness for discontinuation: While regular assessment is necessary, it should be done more frequently than every hour. A check every 15-30 minutes is recommended for safety.
B. Check the client's peripheral pulses and skin integrity every 15 min: Frequent assessments of circulation, skin integrity, and injury help prevent complications like tissue damage or nerve impairment.
C. Assist the client with passive range of motion exercises every 3 hr: Passive range of motion exercises should be done more frequently than every 3 hours to prevent stiffness and joint contractures.
D. Attach the extremity restraint straps to the bed rails using a quick-release buckle: Restraints should never be attached to bed rails, as this increases injury risk. Straps should be secured to a stationary part of the bed frame.
Correct Answer is B
Explanation
A. Call the provider to discuss the client's preference with them and their family: While involving the provider and family is important, the first step should be to educate the client about their options for designating a decision-maker.
B. Explain to the client the process of designating another individual to make decisions for them: The nurse should first provide information about how the client can designate a trusted individual to make decisions for them, such as through a durable power of attorney for healthcare. This allows the client to make an informed decision.
C. Ask the client to discuss these preferences with their family first: The nurse should first empower the client by explaining the process of designating a decision-maker. It is crucial to respect the client’s autonomy in making this decision before involving family.
D. Ask the client if they would like their wishes documented in their health care records: Before documenting, the nurse should ensure the client understands the process of assigning a decision-maker. Documentation is important, but the client needs to understand their options first.
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