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.
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Mr. Kaufmann, a 77-year-old man with Alzheimer's disease, has become combative with the nursing staff. You assign a male UAP to his care. Choose the best answer from the following possible explanations about this delegation decision.
- A. It is a good delegation decision because the male UAP can handle a patient who is combative better than a female UAP can.
- B. It is not a good delegation decision because two UAPs will be needed to provide his care.
- C. It is a good delegation decision only if you make yourself available to help if the patient is confused.
- D. It is a good delegation decision only if the patient who is combative is in wrist restraints.
Correct Answer: C
Rationale: The delegation is appropriate if the nurse ensures availability to assist, as combative behavior in Alzheimer's patients may require additional support, regardless of the UAP's gender or restraints.
Older adults may not empty their bladders completely when they void because of changes in neuromuscular functioning of the bladder muscle or, in men, enlargement of the prostate gland. Which of the following is a common complication of insufficient bladder emptying?
- A. Constipation from enlarged bladder pressing on lower gastrointestinal tract
- B. Renal failure
- C. Urinary tract infection
- D. Bladder spasms
Correct Answer: C
Rationale: Residual urine from incomplete bladder emptying increases the risk of urinary tract infections due to bacterial growth.
A recliner with side arms, a lap belt, and wheels used for people who cannot sit unassisted is called a
- A. Geri-chair
- B. Wheelchair
- C. Hospital bed
- D. Lift chair
Correct Answer: A
Rationale: A geri-chair is specifically designed with side arms, a lap belt, and wheels to support individuals who cannot sit unassisted, providing safety and mobility.
people may have experienced a decline in physical status and are often still working.
- A. 55-65 years old
- B. 65-75 years old
- C. 75-85 years old
- D. 85-95 years old
Correct Answer: A
Rationale: The 55-65 age group may have physical decline but often remains active in the workforce.
The people who live in long-term care facilities are generally referred to as , not patients.
- A. Clients
- B. Residents
- C. Inmates
- D. Guests
Correct Answer: B
Rationale: In long-term care facilities, individuals are referred to as residents to emphasize their home-like environment and autonomy, rather than the clinical term 'patients.'
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