Nokea
The nurse is assessing an older adult from a different culture using the explanatory model. Which question(s) should the nurse ask? (Select all that apply.)
- A. How can we negotiate to solve the problem?
- B. What treatment can improve your condition?
- C. Should we try my plan first to see if it helps?
- D. How long have you experienced the problem?
Correct Answer: B, E, F
Rationale: The correct answers are B, E, and F. B is correct because understanding what treatment can improve the condition is essential for culturally sensitive care. E is correct as it helps understand the patient's beliefs about the cause of the illness. F is correct to assess the impact of the illness on the patient's life. A is incorrect as it focuses more on negotiation rather than understanding the patient's perspective. C is incorrect as it assumes the nurse's plan is superior without considering the patient's beliefs. D is incorrect as it only focuses on the duration of the problem rather than the patient's explanatory model.
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Which of the following organizations have interdisciplinary membership?
- A. Gerontological Society of America
- B. National Gerontological Nurses Association
- C. American Society on Aging
- D. Association of Gerontology in Higher Education
Correct Answer: A
Rationale: The correct answer is A, the Gerontological Society of America, because it includes members from various disciplines such as sociology, psychology, biology, and medicine. This interdisciplinary approach allows for a holistic understanding of aging. The other choices focus specifically on nursing (B), aging (C), or higher education (D), and do not encompass a wide range of disciplines like choice A. This makes them more specialized and less likely to have a diverse membership across different fields.
A paper on culture and illness would likely include the statement that
- A. Culture is the same as ethnicity.
- B. Ethnic groups always share common geographic origin and religion.
- C. Ethnicity involves recognized traditions, symbols, and literature.
- D. Most members of an ethnic group exhibit identical cultural traits.
Correct Answer: C
Rationale: The correct answer is C because ethnicity involves recognized traditions, symbols, and literature. This statement aligns with the topic of culture and illness, as ethnicity plays a significant role in shaping cultural beliefs and practices related to health and illness. It highlights the importance of cultural elements in understanding how different ethnic groups perceive and address health issues.
A: Culture is not the same as ethnicity; culture encompasses a broader range of beliefs and practices.
B: This choice is incorrect as ethnic groups can have diverse origins and religions.
D: Most members of an ethnic group do not exhibit identical cultural traits as cultural diversity exists within ethnic groups.
How does sarcopenia impact functional independence in older adults?
- A. It leads to increased body fat and reduced muscle mass, hindering mobility.
- B. It results in diminished lung capacity, reducing the ability to perform daily activities.
- C. It causes joint stiffness, leading to pain and limited range of motion.
- D. It significantly affects balance and mobility, increasing the risk of falls.
Correct Answer: D
Rationale: The correct answer is D because sarcopenia, which is the age-related loss of muscle mass and strength, directly impacts balance and mobility in older adults. Muscle weakness from sarcopenia reduces stability and coordination, increasing the risk of falls. This affects functional independence as it limits the ability to perform daily activities safely. Choices A, B, and C are incorrect as sarcopenia primarily affects muscle mass and strength, not body fat, lung capacity, or joint stiffness.
A case manager is likely to have how many years of nursing education?
- A. 1 to 1.5
- B. 4 to 6
- C. 2
- D. 8 or more
Correct Answer: C
Rationale: The correct answer is C: 2 years. A case manager typically requires a minimum of 2 years of nursing education to effectively coordinate care for patients. This level of education provides the necessary knowledge and skills to assess, plan, implement, and evaluate patient care.
- A: 1 to 1.5 years - Insufficient to acquire the depth of knowledge needed for case management.
- B: 4 to 6 years - Excessive for the role of a case manager, as it typically does not require a bachelor's degree.
- D: 8 or more years - Overqualified for the position of a case manager, as this level of education is beyond what is necessary for the role.
Which action should the nurse take when addressing older adults?
- A. Speak in an exaggerated pitch.
- B. Use a lower quality of speech.
- C. Use endearing terms such as 'honey.'
- D. Speak clearly.
Correct Answer: D
Rationale: The correct answer is D: Speak clearly. This is important when addressing older adults as many may have hearing impairments. Speaking clearly helps ensure they can understand and follow instructions. Using an exaggerated pitch (A) may come across as patronizing. Using a lower quality of speech (B) can be perceived as disrespectful. Using endearing terms (C) may not be appropriate for all individuals and can be seen as condescending. In summary, speaking clearly is the most effective way to communicate respectfully with older adults.