The gerontologic nurse plans community programming for older women, noting what facts about this population subgroup? (Select all that apply)

Increased chance of living in poverty

Suffering many chronic diseases

More likely to live alone

Taking care of a spouse

Living with extended families

Answer and Explanation

Correct Answer : A,B,C,D

A.   Older women are statistically more likely to live in poverty compared to older men. This is often due to a combination of factors including lower lifetime earnings, career interruptions for caregiving, and less access to pension benefits.
B.   Older women are indeed more likely to suffer from multiple chronic diseases such as hypertension, diabetes, and arthritis. Chronic conditions are common in this age group and can significantly impact quality of life. Community programming should include education and resources related to managing chronic diseases, as well as access to preventive care and support services.
C.   Older women are more likely to live alone compared to older men. This may be due to longer life expectancy and higher rates of widowhood among women. Programs should address the needs of those living alone, such as social support, community engagement opportunities, and services that mitigate isolation, like social activities or check-in services.
D.   Many older women are caregivers for their spouses or other family members. This caregiving role can be physically and emotionally demanding. Community programs should offer support for caregivers, including respite care, counseling services, and caregiver education to help manage stress and prevent burnout.
E.   While this can occur, older women are less likely to live with extended families compared to living alone. Living arrangements vary widely, and while some older women may live with extended families, it is not as prevalent as living alone. Community programming should be adaptable to different living situations but may focus more on the needs of those living alone or as caregivers.

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Correct Answer is A

Explanation

A. Older adults often present with atypical symptoms when they have respiratory infections, such as pneumonia. They may not always exhibit classic signs like a cough or significant difficulty breathing. Instead, symptoms might include confusion, changes in mental status, or subtle signs of respiratory distress. This explanation addresses the patient's daughter's concern by acknowledging that older adults can show different manifestations of illness compared to younger people.
B.A This response is misleading. Respiratory problems can develop at any stage of an infection, not only after the infection is well established. Pneumonia can sometimes present without obvious respiratory distress or symptoms, especially in older adults. It’s crucial to recognize that pneumonia can manifest in various ways and early intervention is important.
C. While it's true that older adults may experience decreased muscular strength, this response might be too specific and not fully address the broader issue. It's also possible that the patient has enough strength but is not showing the typical signs of infection. This response might oversimplify the situation and could be seen as dismissive of the patient's actual symptoms.
D. This response, while optimistic, is not entirely appropriate in this context. It might come off as minimizing the daughter's concerns and does not directly address why the patient might not exhibit typical symptoms of pneumonia. It’s important to acknowledge the atypical presentation rather than simply focusing on the timing of the diagnosis.

A. assures the patient that all answers will be kept confidential B. explains the reason for asking the questions C. makes sure the interview area is comfortable and private. D. asks whether the patient has any questions about the Interview

Correct Answer is C

Explanation

A. While ensuring confidentiality is crucial for building trust and encouraging openness, it is often a standard assurance given after establishing a rapport. It does not directly address immediate comfort or the setting of the interview, which can have a significant impact on the patient’s initial anxiety.
B. Explaining the reason for asking questions can help the patient understand the purpose of the interview, making them feel more comfortable and less anxious. This can also help in building trust and encouraging the patient to provide more accurate and complete information. However, this explanation usually comes after ensuring that the interview environment is comfortable and private.
C. Creating a comfortable and private environment is a critical first step. A well-arranged and private interview area helps to make the patient feel safe and at ease, reducing their anxiety and enabling them to speak more freely. It sets the stage for a more successful and effective interview.
D. Allowing the patient to ask questions about the interview can be beneficial and may help in reducing anxiety. It provides an opportunity to clarify any uncertainties the patient might have. However, this step is usually more effective after addressing the immediate comfort and privacy concerns of the interview setting.

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The gerontologic nurse plans community programming for older women, noting what facts about this population subgroup? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

Correct Answer is C

Explanation

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