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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Primary provider: The primary provider is responsible for assessing a client’s capacity to make their own medical decisions. They determine whether the client is able to understand the nature of their condition and the treatment options available.

B. Charge nurse: While the charge nurse plays an important role in overseeing nursing care and ensuring proper communication, the decision about whether a client is capable of making their own medical decisions falls to the primary provider, not the charge nurse.

C. Health care surrogate: A health care surrogate is an individual designated to make medical decisions for a client when they are unable to do so themselves. However, the primary provider is responsible for determining if the client has the capacity to make decisions before a surrogate is involved.

D. Social worker: Social workers provide support and assistance with advance directives and decision-making, but the responsibility for evaluating whether the client can make medical decisions lies with the primary provider, not the social worker.

A. "Do you snore loudly?" B. "What time do you go to bed?" C. "How often do you have trouble sleeping?" D. "Do you fall asleep unexpectedly?"

Correct Answer is A

Explanation

A. "Do you snore loudly?": Loud snoring is a common symptom of sleep apnea, particularly obstructive sleep apnea. The nurse should inquire about snoring, as it may indicate airway obstruction during sleep, a key feature of the condition.

B. "What time do you go to bed?": While bedtime habits are relevant to sleep hygiene, the specific timing of going to bed is not as directly related to diagnosing sleep apnea. Other questions, such as snoring or breathing patterns, are more relevant for this assessment.

C. "How often do you have trouble sleeping?": Trouble sleeping can be a symptom of various sleep disorders, but it is not specific to sleep apnea. The nurse should focus on symptoms like snoring, choking, or stopping breathing during sleep, which are more indicative of sleep apnea.

D. "Do you fall asleep unexpectedly?": Falling asleep unexpectedly may suggest excessive daytime sleepiness, which can be a result of sleep apnea. However, snoring is a more direct and common symptom of sleep apnea that should be prioritized in the initial assessment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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