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?

Numerous factors can interfere with learning, but learning ability is not seriously altered with age.

Simple association is well executed by older adults but complex analysis is normally absent.

Older adults require simplified learning objectives and slower introduction of new directions

Successful learning late in life requires a multisensory teaching approach.

Answer and Explanation

The Correct Answer is C

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age.

This statement is partially correct. While it is true that learning ability can be influenced by various factors such as health, cognitive function, motivation, and sensory impairments, it's not entirely accurate to say that learning ability is not seriously altered with age. Aging can indeed bring changes in cognitive function, including slower processing speed, reduced working memory capacity, and declines in certain aspects of learning and memory. Therefore, it's important for the nurse to recognize potential age-related changes and tailor teaching strategies accordingly.

B. Simple association is well executed by older adults but complex analysis is normally absent.

This statement oversimplifies the cognitive abilities of older adults. While some cognitive functions may decline with age, older adults are still capable of complex analysis and critical thinking. Research suggests that older adults can perform well on tasks that require experience-based knowledge, wisdom, and problem-solving skills. However, they may experience challenges with processing speed and working memory, which can affect learning and problem-solving in certain contexts. Therefore, the nurse should not underestimate the cognitive abilities of older adults but should consider individual differences and adapt teaching strategies accordingly.

C. Older adults require simplified learning objectives and slower introduction of new directions.

This statement aligns with principles of gerontological nursing and adult learning theory. Older adults may benefit from simplified learning objectives and a slower pace of instruction due to potential age-related changes in cognitive function, sensory abilities, and attention span. Breaking down complex information into smaller, manageable chunks and providing clear, step-by-step instructions can enhance comprehension and retention for older learners. Therefore, this principle is important for the nurse to integrate into the teaching session to optimize learning outcomes for the 90-year-old client.

D. Successful learning late in life requires a multisensory teaching approach.

While a multisensory teaching approach can be beneficial for learners of all ages, it is not the most important principle to integrate into teaching sessions with older adults. While sensory impairments may become more common with age, not all older adults experience significant sensory deficits. Additionally, older adults can benefit from various teaching strategies tailored to their individual needs and preferences. While multisensory approaches can enhance engagement and comprehension, the emphasis should be on adapting teaching strategies to accommodate age-related changes in cognitive function and learning preferences. Therefore, while beneficial, this principle may not be the most critical for the nurse to prioritize in this scenario.

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Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations.

- This choice emphasizes the importance of aligning medical treatments with the cultural expectations of patients. Culturally competent healthcare providers recognize that cultural beliefs, values, and preferences can influence individuals' perceptions of illness and treatment. By understanding a patient's cultural background, healthcare providers can adapt treatment plans to be more acceptable and effective within the cultural context. This approach fosters trust and cooperation between patients and healthcare providers, ultimately improving health outcomes.

B. Increase compliance among minority clients.

- This choice suggests that understanding culture can lead to increased compliance with medical recommendations among minority clients. Culturally competent care involves acknowledging and respecting cultural differences in healthcare beliefs and practices. By incorporating cultural considerations into healthcare delivery, providers can enhance patient trust and engagement, leading to improved adherence to treatment plans and better health outcomes, particularly among minority populations who may face unique cultural barriers to accessing and utilizing healthcare services.

C. Provide individualized and culturally sensitive care.

- This choice emphasizes the broader goal of providing individualized and culturally sensitive care to all patients, regardless of their cultural background. Culturally competent healthcare involves recognizing and respecting the diversity of patients' cultural beliefs, values, and practices, and tailoring care to meet their unique needs and preferences. By delivering care that is responsive to cultural differences, healthcare providers can ensure that patients feel valued, understood, and respected, leading to improved patient satisfaction and better health outcomes.

D. Ensure that clients get the respect customary in their own ethnic group.

- This choice highlights the importance of providing respect to patients in a manner that aligns with their own cultural norms and values. Culturally competent care involves recognizing and honoring patients' cultural identities and customs, including expectations regarding respect and dignity. Healthcare providers who understand the cultural context of their patients can ensure that interactions are conducted in a manner that is respectful and appropriate, fostering trust and rapport between providers and patients and promoting positive healthcare experiences.

A. Backdating the paperwork because it will clearly maximize the client's well-being at a nominal cost to the insurer. B. Refusing to backdate the paperwork because to do so would be considered untruthful. C. Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company. D. Backdating the paperwork to ensure that the client does not sustain harm from having to go without oxygen therapy.

Correct Answer is B

Explanation

A. Backdating the paperwork because it will clearly maximize the client's well-being at a nominal cost to the insurer: This option prioritizes the client's well-being and demonstrates veracity by ensuring that the client receives necessary care. However, backdating the paperwork may still be considered unethical or fraudulent.

B. Refusing to backdate the paperwork because to do so would be considered untruthful: This option aligns with veracity by adhering to truthfulness and honesty. It acknowledges the ethical implications of backdating paperwork, even if it could benefit the client.

C. Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company: While refusing to backdate the paperwork may uphold honesty, it places the interests of the insurance company above those of the client, which may not align with ethical nursing practice.

D. Backdating the paperwork to ensure that the client does not sustain harm from having to go without oxygen therapy: This option prioritizes the client's well-being and demonstrates veracity by ensuring the client receives necessary care. However, it still involves an unethical action of backdating paperwork, which may have legal and professional consequences.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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