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List three important measures to take while assisting a resident with bathing and hygiene in a shared bathroom at a long-term care facility. Provide a rationale for each intervention.
- A. Ensure privacy by closing curtains or doors; prevents embarrassment and maintains dignity.
- B. Check water temperature to avoid burns; older adults may have decreased sensation.
- C. Use non-slip mats to prevent falls; shared bathrooms can be slippery and hazardous.
- D. Provide a call bell for assistance; ensures safety if the resident needs help.
Correct Answer: A,B,C
Rationale: These measures address privacy, safety, and accessibility, critical for resident comfort and well-being during bathing.
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Older adults may experience a decline in sexual desire as they age. This may be related to which of the following?
- A. Erectile dysfunction
- B. Menopause
- C. Changes in hormone production
- D. Natural result of aging
Correct Answer: A,B,C
Rationale: These factors contribute to reduced sexual desire through physiological changes affecting sexual function and hormone levels.
Older adults who have become incontinent are likely to feel very embarrassed about it. Which of the following comments best demonstrates the respect and care a nurse must show to avoid making the incontinent adult uncomfortable?
- A. I'm just checking to see if you're wet. Do you need a diaper change?'
- B. Have you passed urine lately? I don't want you getting a rash!'
- C. Hello, Mrs. Williams. Would you like to use the bathroom? It would be great if we can prevent one of those little accidents you have.'
- D. Hello, Mrs. Williams. I wanted to check to see if you need to use the bathroom now or if you need help getting into fresh underwear.'
Correct Answer: D
Rationale: This comment is respectful, discreet, and promotes dignity by offering assistance without embarrassing the patient.
An elderly patient with a hearing problem and mild confusion is not being cooperative regarding his need for a morning bath. The UAP in charge of his hygiene for the morning is frustrated and upset; she exclaims, 'Mr. Anderson isn't listening to a word I say!' Which of the following responses by the charge nurse represents effective supervision in this situation?
- A. Patient care can be frustrating at times. Mr. A. has a hearing impairment, which probably adds to his confusion. It helps the hearing impaired if you face them directly when you speak and then speak slowly. Try demonstrating what you want him to do as you speak to him, if that makes sense for the situation. I'll come and check on you right after I administer this insulin.'
- B. It sounds like you need a break. Take a few minutes to calm down and then get back to Mr. A. He'll probably be done washing by the time you get back.'
- C. I know how you feel. Mr. A. can be very hard to work with. You should get the other aide to help you. Speak loudly into his left ear. That's his good ear.'
- D. You know, it really isn't right for nurses to get frustrated with patients who can't help the way they act. You're a better aide than that. Remember, Mr. A. is old and confused and doesn't mean any harm. Go back in there and try again. Call me if you need help.'
Correct Answer: A
Rationale: This response provides constructive guidance by addressing the patient's hearing impairment and confusion, offering specific communication strategies, and ensuring follow-up support, demonstrating effective supervision.
Which of the following are teaching points to discuss with each patient regarding his or her medications?
- A. Reason for taking the medication
- B. Potential side effects and interactions
- C. How to store the medication
- D. When to take the medication
Correct Answer: A,B,C,D
Rationale: All listed points are essential for patient education to ensure safe and effective medication use, covering purpose, safety, storage, and administration.
Which of the following signs or symptoms suggest significant changes in cardiovascular health?
- A. Shortness of breath with exertion
- B. Heart rate of 100 beats per minute
- C. Bilateral ankle swelling
- D. Capillary refill of 5 seconds
Correct Answer: A,C,D
Rationale: These symptoms indicate potential heart failure or poor circulation, reflecting significant cardiovascular changes.