In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include which of the following?

Having another nurse aide assist in holding the client’s mouth open with a tongue depressor

Involving the client in the process of oral hygiene, such as using the hand-over-hand technique to brush the client's teeth

Speaking to the client sternly and instructing the client to open their mouth and cooperate immediately

Quickly performing oral hygiene without explanation since the client is uncooperative

Answer and Explanation

The Correct Answer is B

Choice A reason: This method is not appropriate because it can cause physical and psychological harm to the client. It can injure the client's mouth, trigger a gag reflex, or cause choking. It can also make the client feel violated, frightened, or angry. This can worsen the client's behavior and damage the trust between the client and the caregiver.

Choice B reason: This method is appropriate because it can help the client maintain their dignity, autonomy, and sense of control. It can also stimulate the client's cognitive and motor skills, and encourage the client to participate in their own care. This can improve the client's mood and behavior, and foster a positive relationship between the client and the caregiver.

Choice C reason: This method is not appropriate because it can cause emotional and psychological harm to the client. It can make the client feel disrespected, humiliated, or threatened. It can also increase the client's anxiety, agitation, or resistance. This can worsen the client's behavior and damage the trust between the client and the caregiver.

Choice D reason: This method is not appropriate because it can cause physical and psychological harm to the client. It can injure the client's mouth, trigger a gag reflex, or cause choking. It can also make the client feel ignored, neglected, or devalued. This can worsen the client's behavior and damage the trust between the client and the caregiver.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Heart failure can cause fluid retention, which can lead to dehydration if the fluid is not properly balanced.

Choice B reason: Functional impairments can limit the ability to drink or access fluids, which can increase the risk of dehydration.

Choice C reason: Longitudinal furrows on the tongue are a sign of dehydration, as the tongue loses moisture and becomes dry and cracked.

Choice D reason: Hypertension is not directly related to dehydration, although it can be affected by fluid intake and electrolyte balance.

Choice E reason: Diabetes can cause increased urination, which can lead to dehydration if the fluid loss is not replaced.

A. The classic symptoms may not be present in older adults. B. There are no recognizable symptoms; it is a 'silent killer'. C. Presenting symptoms occur very quickly. D. The disease rarely occurs in older adults.

Correct Answer is A

Explanation

Choice A reason: This is the correct answer because thyroid disorders can cause nonspecific symptoms in older adults, such as fatigue, weight loss, depression, or cognitive impairment, that may be attributed to aging or other conditions.

Choice B reason: This is incorrect because there are recognizable symptoms of thyroid disorders, such as goiter, palpitations, tremors, heat intolerance, or cold intolerance, depending on whether the thyroid is overactive or underactive. However, these symptoms may be less obvious or absent in older adults.

Choice C reason: This is incorrect because presenting symptoms of thyroid disorders do not occur very quickly, but rather gradually over time. This may delay the diagnosis and treatment of the condition.

Choice D reason: This is incorrect because the disease is not rare in older adults, but rather more common, especially in women. The prevalence of thyroid disorders increases with age, and can affect up to 20% of older adults.

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In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing an older male client, what are some issues that might put him at risk for dehydration? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

Which is the most likely reason that thyroid disorders are often difficult to diagnose in older adults?

Correct Answer is A

Explanation

Which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF) in older adults?

Older adults should consume how much fluid per day?

After an acute exacerbation of chronic obstructive pulmonary disease (COPD), the nurse prepares an older adult for discharge to home. Which is the most important client teaching for the nurse to include for the prevention of hospitalizations for exacerbations of COPD?

An older adult who is a non-Hispanic Caucasian has a fasting blood sugar level above 130 mg/dL. Which client assessment does the nurse use to confirm a high risk for diabetes mellitus in the client?

You are taking care of an older female adult with severe cognitive impairments. She is unable to tell you when she needs to urinate and, as a result, is often incontinent. What do you realize she is experiencing?

An older adult client had hip replacement surgery 1 day ago, and the nurse thinks that the client is also demonstrating dementia. Which client assessment does the nurse use to determine whether this client is experiencing pain?

Hyperglycemia is harder to detect in older adults due to which of the following?