Which of the following assessment data will the nurse anticipate finding on the older adult? Select all that apply.
Slower reaction time
Decreased intestinal motility
Increased risk for respiratory infections
Increased bladder capacity
Decalcification of bones
Correct Answer : A,B,C,E
Choice A reason: This is a correct answer. Slower reaction time is a common finding on the older adult, as the nervous system becomes less efficient and responsive with age. The older adult may have difficulty processing information, responding to stimuli, or performing complex tasks. The nurse should assess the older adult's cognitive and sensory function, and provide them with safety and assistance as needed.
Choice B reason: This is a correct answer. Decreased intestinal motility is a common finding on the older adult, as the digestive system becomes slower and weaker with age. The older adult may have problems with constipation, indigestion, or malabsorption. The nurse should assess the older adult's bowel habits, dietary intake, and nutritional status, and provide them with education and intervention as needed.
Choice C reason: This is a correct answer. Increased risk for respiratory infections is a common finding on the older adult, as the immune system becomes less effective and protective with age. The older adult may have more susceptibility to viruses, bacteria, or fungi that can cause pneumonia, bronchitis, or tuberculosis. The nurse should assess the older adult's respiratory function, symptoms, and history, and provide them with prevention and treatment as needed.
Choice D reason: This is not a correct answer. Increased bladder capacity is not a common finding on the older adult, as the urinary system becomes smaller and less elastic with age. The older adult may have problems with urinary incontinence, retention, or infection. The nurse should assess the older adult's urinary habits, output, and quality, and provide them with education and intervention as needed.
Choice E reason: This is a correct answer. Decalcification of bones is a common finding on the older adult, as the skeletal system becomes less dense and strong with age. The older adult may have problems with osteoporosis, fractures, or arthritis. The nurse should assess the older adult's bone health, mobility, and pain, and provide them with education and intervention as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not the most concerning factor. Poor nutritional habits may affect the client's physical health, but they are not directly related to the client's psychosocial well-being. The nurse can educate the client on the benefits of a balanced diet and provide nutritional counseling if needed.
Choice B reason: This is not the most concerning factor. A lack of exercise may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can encourage the client to engage in physical activity that suits their preferences and abilities, and provide exercise guidance if needed.
Choice C reason: This is the best answer. A low self-esteem may affect the client's mental and emotional health, and it is directly related to the client's psychosocial well-being. The nurse should assess the client's self-esteem and identify the factors that contribute to it, such as their self-image, self-talk, and self-efficacy. The nurse should also provide positive feedback, support, and empowerment to the client, and refer them to counseling or therapy if needed.
Choice D reason: This is not the most concerning factor. The need for long-term antibiotics may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can educate the client on the indications, side effects, and precautions of the antibiotics, and monitor the client's response and compliance to the medication.
Correct Answer is D
Explanation
Choice A reason: Johnson's Behavioral Systems Model focuses on how the client's behavior affects their health and well-being. It does not provide specific suggestions for enhancing caring moments.
Choice B reason: Peplau's Theory of Interpersonal Relationships emphasizes the importance of the nurse-client relationship and the role of the nurse as a counselor, teacher, and leader. It does not offer ten suggestions for maximizing caring moments.
Choice C reason: Nightingale's Environmental Theory states that the nurse's role is to manipulate the environment to promote the client's health and recovery. It does not address the concept of caring moments.
Choice D reason: Watson's Theory of Human Caring proposes that caring is the essence of nursing and that the nurse should create a caring relationship with the client. It offers ten carative factors or suggestions for maximizing caring moments, such as practicing loving-kindness, being present, cultivating spiritual practices, and creating a healing environment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today