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?

"It is normal to expect a gradual loss of memory and intelligence with age."

"Older adults' motor skills get progressively slower as they age."

"A lot of the physical changes that accompany aging are inevitable

"Older people seem to have many more chronic health problems than younger people."

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is B

Explanation

A. Spiritual care in line with the family's belief system: This option aligns with the principles of hospice care, which emphasize holistic support for both the patient and their family, including addressing spiritual needs. Therefore, this intervention is appropriate and should be included in hospice care.

B. Surgery to remove plaques from the client's cerebral arteries to prevent future strokes: This intervention contradicts the philosophy of hospice care, which prioritizes comfort and quality of life for patients with life-limiting illnesses rather than aggressive treatments aimed at prolonging life or preventing future complications. Therefore, this intervention would not be included in hospice care and indicates a need for further teaching.

C. Psychosocial support aimed at the family's response to their loved one's imminent death: Hospice care recognizes the significant impact of a terminal illness on the patient's family and provides psychosocial support to help them cope with their emotions and prepare for the patient's death. This intervention is consistent with hospice principles and should be included in the care plan.

D. A primary focus on the client's quality of life in the time until the client's death: This is a fundamental aspect of hospice care, which prioritizes the patient's comfort, dignity, and overall well-being during their remaining time. Therefore, this intervention is appropriate and aligns with hospice philosophy.

A. The client requires transfusions of packed red blood cells during care. B. Assessment by a male health care provider was required. C. A do-not-resuscitate (DNR) order was recommended by the care team. D. An autopsy was ordered due to the client's unique disease etiology.

Correct Answer is D

Explanation

A. The client requires transfusions of packed red blood cells during care.

In Judaism, blood transfusions are generally accepted as a medical intervention to save a life or improve health. However, opinions may vary among individuals and communities. It's essential to respect the client's wishes regarding medical interventions, including blood transfusions, and to involve the family in decision-making if necessary. While this intervention may not inherently conflict with Jewish beliefs, individual preferences and religious interpretations should be respected.

B. Assessment by a male health care provider was required.

In Orthodox Judaism, there are rules regarding modesty and gender separation, particularly concerning physical contact with members of the opposite sex. Some Orthodox Jewish women may prefer female healthcare providers, especially for intimate examinations or procedures. It's crucial to respect the client's religious beliefs and preferences regarding modesty and gender-related care.

C. A do-not-resuscitate (DNR) order was recommended by the care team.

End-of-life decisions, including DNR orders, can be complex and sensitive topics in Judaism. While some Jewish individuals may choose to have a DNR order based on their beliefs about the sanctity of life and quality of life, others may prefer all possible measures to be taken to prolong life. It's essential to involve the client, their family, and potentially a spiritual advisor or rabbi in discussions about end-of-life care preferences and decisions.

D. An autopsy was ordered due to the client's unique disease etiology.

Autopsies are generally discouraged in Judaism because they are viewed as desecrating the body and delaying burial, which is an important aspect of Jewish tradition. However, there may be exceptions in certain circumstances, such as when required by law or when necessary for medical research or legal reasons. Nevertheless, sensitivity to the religious beliefs and practices of the client and their family is crucial when considering autopsy requests.

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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?

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Correct Answer is B

Explanation

A nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?

Correct Answer is D

Explanation

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