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 B

Explanation

A. Full disclosure deters malpractice suits and negligence claims: While full disclosure of medical options and information is important for ethical and legal reasons, the primary purpose is not solely to deter malpractice suits or negligence claims. Full disclosure is a fundamental aspect of patient-centered care and respects the patient's right to autonomy and informed decision-making.

B. Empowerment has a positive effect on health status: This choice is correct. Empowerment involves providing individuals with the knowledge, skills, and resources they need to make informed decisions about their health. Research has shown that empowering patients to participate actively in their healthcare decisions leads to better health outcomes and overall well-being.

C. The activity theory of aging requires maintenance of lifestyle: The activity theory of aging suggests that older adults should remain active and engaged in activities to maintain a sense of fulfillment and well-being. While staying active is important for healthy aging, it is not directly related to the concept of providing information to older adult clients to empower them in decision-making.

D. Information is an effective strategy for stress management: While providing information and education can certainly help individuals manage stress by promoting a sense of control and understanding, this choice does not directly address the concept of empowering older adult clients to make informed decisions about their care.

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 choice suggests that while various factors can affect learning, such as health conditions, medications, and environmental factors, age itself does not significantly alter learning ability. While it is true that older adults can continue to learn and acquire new knowledge, there are often age-related changes in cognitive function, sensory perception, and memory that may impact learning. Therefore, this statement may not fully acknowledge the potential challenges older adults may face in learning new information.

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

This choice suggests that older adults may excel in simple associative learning tasks but may struggle with more complex analytical tasks. While older adults may have accumulated a wealth of life experiences and knowledge, cognitive changes associated with aging, such as declines in processing speed and working memory, can impact complex problem-solving abilities. However, this statement oversimplifies the capabilities of older adults and does not fully capture the diverse range of cognitive abilities and learning styles among older individuals.

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

This choice highlights the importance of adapting teaching strategies to meet the specific needs of older adults. As individuals age, there may be changes in cognitive function, sensory perception, and memory that can impact their ability to learn new information. Therefore, simplifying learning objectives and introducing new directions at a slower pace can enhance comprehension and retention of information. This choice acknowledges the need for tailored approaches to accommodate potential age-related challenges in learning.

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

This choice emphasizes the benefit of utilizing multiple senses in teaching older adults. Multisensory teaching approaches, such as incorporating visual, auditory, and tactile stimuli, can enhance learning and retention of information, especially in individuals with age-related sensory changes. While multisensory approaches can be effective, they are not the only consideration when teaching older adults. Adapting the complexity of content, pacing, and reinforcement strategies are also important factors in facilitating successful learning outcomes for older individuals.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse explains all medical options to older adult clients to ensure they have the information they need to make informed decisions about their care. The nurse implements these actions based on which concept?

Correct Answer is B

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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