An 82-year-old client has always lived independently in the house that he and his late spouse purchased over 50 years ago. The client has few health problems, but has experienced two falls recently. Which action, by the nurse, is the priority action?

Arrange a family meeting to organize supervision for the client

Elicit what the client perceives to be the causes of and potential solutions to the falls.

Investigate what community resources may be appropriate and available.

Perform a comprehensive musculoskeletal assessment of the client.

Answer and Explanation

The Correct Answer is B

A. Arrange a family meeting to organize supervision for the client:

This option focuses on organizing supervision for the client, assuming that the client requires constant monitoring to prevent falls. While involving family members in the care plan is important, arranging a family meeting might not be the priority until the nurse understands the client's perspective on the falls and explores potential solutions.

B. Elicit what the client perceives to be the causes of and potential solutions to the falls:

This option prioritizes communication with the client to understand their perspective on the falls, including what factors they believe contributed to the falls and what solutions they envision. It respects the client's autonomy and allows them to actively participate in their care planning, which can lead to more effective fall prevention strategies.

C. Investigate what community resources may be appropriate and available:

While community resources can be valuable for supporting older adults, investigating them may not be the priority until the nurse has assessed the client's specific needs and preferences regarding fall prevention. Understanding the client's perspective and potential solutions should come first to tailor the use of community resources accordingly.

D. Perform a comprehensive musculoskeletal assessment of the client:

While assessing musculoskeletal status is important for understanding factors that could contribute to falls, conducting a comprehensive assessment may not be the immediate priority. Instead, focusing on communication with the client to understand their perspective and potential solutions should come first to inform the assessment and subsequent interventions effectively.

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Correct Answer is A

Explanation

A. A central focus of adult day care is providing respite for caregivers:

Adult day care centers are designed to offer daytime care and supervision for older adults who may need assistance or supervision due to cognitive or physical impairments. One of the primary goals of adult day care is to provide respite for family caregivers, giving them the opportunity to work, attend to personal matters, or simply take a break from caregiving responsibilities while knowing that their loved one is in a safe and stimulating environment.

B. Older adults can go to a single location for their medical care:

While some adult day care centers may offer limited health-related services such as medication management or basic health monitoring, their primary focus is not to serve as a location for comprehensive medical care. Adult day care centers typically focus on socialization, activities of daily living assistance, and supervision rather than providing medical treatments.

C. Clients, primarily with severe illnesses, typically qualify for this care:

Adult day care services are not exclusively for individuals with severe illnesses. They cater to a range of older adults with varying levels of functional and cognitive abilities. While some clients may have conditions like Alzheimer's disease or other forms of dementia, others may attend for socialization, safety monitoring, or assistance with activities of daily living.

D. The main goal of adult day care is to provide protection for older adults at risk:

While ensuring the safety and well-being of older adults is an important aspect of adult day care, the primary goal is to support both the older adult and their family caregivers. This support includes providing socialization, cognitive stimulation, assistance with activities of daily living, and respite for caregivers.

A. Numerous factors can interfere with learning, but learning ability is not seriously altered with age. B. Simple association is well executed by older adults but complex analysis is normally absent. C. Older adults require simplified learning objectives and slower introduction of new directions D. Successful learning late in life requires a multisensory teaching approach.

Correct Answer is C

Explanation

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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An 82-year-old client has always lived independently in the house that he and his late spouse purchased over 50 years ago. The client has few health problems, but has experienced two falls recently. Which action, by the nurse, is the priority action?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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