Nokea
A home care nurse discusses turning a patient every 2 hours, but the patient’s daughter removes the turning clock. The best response by the nurse is:
- A. “You must follow my guidelines and turn her every 2 hours, or I will not be able to take care of her.”
- B. “I understand that you value your culture, but culture cannot stop you from providing good care to your mother.”
- C. “I understand that you care very much for your mother. Perhaps caring for her is too much for you.”
- D. “How can we best work together to provide the best care for your mother?”
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy, collaboration, and a patient-centered approach. By asking how to work together, the nurse acknowledges the daughter's concerns and fosters a collaborative relationship. This approach respects the daughter's role in her mother's care and encourages open communication.
Choice A is incorrect as it uses a threatening tone and may alienate the daughter, leading to a breakdown in communication. Choice B is incorrect as it dismisses the daughter's cultural values, which are important in providing holistic care. Choice C is incorrect as it suggests that the daughter is incapable of caring for her mother, which can be disempowering and offensive.
You may also like to solve these questions
An older man in a nursing home has high cholesterol (245 mg/dL). Which intervention helps him achieve the highest level of wellness?
- A. Instruct him about increasing dietary fiber.
- B. Ask the health care provider for a low-fat diet.
- C. Schedule a consultation for him with the dietitian.
- D. Review a menu with him to choose suitable foods.
Correct Answer: D
Rationale: The correct answer is D because reviewing a menu with the older man allows for personalized food selection, taking into account his preferences and dietary restrictions. This approach promotes adherence to a healthy eating plan, leading to better cholesterol management and overall wellness.
Choice A is not the best option as simply instructing him to increase dietary fiber may not address his specific dietary needs. Choice B suggests asking the health care provider for a low-fat diet, which may not consider the individual's food preferences or cultural background. Choice C of scheduling a consultation with a dietitian is a good option, but it may not be as immediately accessible or practical as reviewing a menu together with the individual.
Identify the Healthy People 2020 emerging issues in the health of older adults.
- A. Coordinating care for the older adult population
- B. Assisting older adults in the management of their own care
- C. Identifying levels of training for those caring for older adults
- D. Making community resources available for older adults
Correct Answer: A
Rationale: The correct answer is A: Coordinating care for the older adult population. This is a key emerging issue in the health of older adults as it focuses on improving the integration and coordination of healthcare services to ensure comprehensive and efficient care delivery. This includes addressing the complex needs of older adults, promoting continuity of care, and enhancing communication among healthcare providers.
Rationale:
1. Coordinating care addresses the holistic needs of older adults.
2. It aims to prevent fragmented care and improve health outcomes.
3. Enhances collaboration among healthcare providers and community resources.
4. Promotes patient-centered care and improves quality of life for older adults.
Other Choices:
B: Assisting older adults in the management of their own care - While important, this focuses on individual responsibility rather than systemic coordination.
C: Identifying levels of training for those caring for older adults - Relevant but not a primary emerging issue in the health of older adults.
D: Making community resources available for older adults - Important, but
The nurse is providing an educational session to new employees, and the topic is abuse of the older adult. The nurse helps the employees identify that which client is most typical of a victim of abuse?
- A. 75 y.o man with moderate hypertension
- B. 68 y.o man with newly dx cataracts
- C. 90 y.o woman with advanced Parkinson's dz
- D. 70 y.o woman with early dx Lyme dz
Correct Answer: C
Rationale: The correct answer is C: 90 y.o woman with advanced Parkinson's dz. Older adults with advanced Parkinson's disease are more vulnerable to abuse due to their physical and cognitive impairments. They may be dependent on caregivers, making them easy targets for abuse. The other choices do not indicate significant vulnerability to abuse. Choice A is a common demographic but lacks specific vulnerability factors. Choice B with cataracts and Choice D with early Lyme disease do not inherently increase the risk of abuse.
A nurse caring for older adults must be aware of which consequences of ageism in language? (Select all that apply.)
- A. Reduced sense of self
- B. Poor nutritional intake
- C. Lowered sense of self-competence
- D. Decreased memory performance
Correct Answer: A, C, D
Rationale: Step-by-step rationale:
1. Reduced sense of self: Ageist language can contribute to older adults feeling devalued and less confident.
2. Lowered sense of self-competence: Negative language can impact self-esteem and belief in one's abilities.
3. Decreased memory performance: Ageist language can reinforce negative stereotypes, leading to self-doubt and cognitive decline.
Summary of incorrect choices:
B: Poor nutritional intake - Not directly related to consequences of ageism in language.
Incorrect choices do not address the psychological and emotional impacts of ageist language on older adults.
All of the following except___ are signs or symptoms of Parkinson's disease.
- A. Mask-like facial expressions
- B. Shuffling gait
- C. Loss of vision in one eye
- D. Tremors without intention (at rest)
Correct Answer: C
Rationale: The correct answer is C because loss of vision in one eye is not a typical sign or symptom of Parkinson's disease. A, B, and D are all common signs of Parkinson's disease. A - Mask-like facial expressions result from decreased facial muscle movement. B - Shuffling gait is a characteristic walking pattern in Parkinson's patients. D - Tremors without intention (at rest) are a classic symptom of Parkinson's disease due to disrupted brain signals. Therefore, C is the odd one out as it is not directly associated with Parkinson's disease manifestations.