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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.
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The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement?
- A. Move on to the discussion about medication.
- B. Ask the older woman how she feels about this topic.
- C. Instruct the interpreter to repeat the instructions.
- D. Have the older woman repeat the instructions for clarity.
Correct Answer: B
Rationale: The correct answer is B because it directly addresses the older woman's emotional response to the instructions, showing empathy and understanding. By asking how she feels, the nurse can uncover any concerns or fears she may have, leading to effective communication and tailored support. Moving on to medication (A) ignores the woman's distress, potentially worsening the situation. Instructing the interpreter to repeat instructions (C) may not address the underlying issue. Having the woman repeat instructions (D) does not acknowledge her emotional state and may not resolve her tension.
All of the following except___ can occur due to the decreased tactile sensations that occur in the older person.
- A. Burns on feet and hands due to inability to feel the temperature of bath water
- B. Social isolation due to not wanting to be touched
- C. Development of sores on feet due to inability to feel pressure and injury
- D. Increased tendency to fall due to decreased sensation of feet to floor
Correct Answer: B
Rationale: The correct answer is B because social isolation is not directly related to decreased tactile sensations. A, C, and D are consequences of decreased tactile sensations in older individuals. A can occur due to not feeling the temperature, C due to not feeling pressure and injury, and D due to decreased sensation causing falls. Social isolation is more related to emotional or psychological factors rather than physical sensations. It is crucial to differentiate between physical consequences and social consequences when considering the effects of decreased tactile sensations in older individuals.
The nurse plans care for older adults who are in good health but isolated from their families. If the nurse's goal is to move the adults toward gerotranscendence, which intervention should the nurse use in the plan of care?
- A. Give a daily tea party for the group.
- B. Call each family to encourage visiting.
- C. Assist them to resume midlife patterns.
- D. Help each person with individual activities.
Correct Answer: D
Rationale: The correct answer is D: Help each person with individual activities. This intervention aligns with promoting gerotranscendence, as it focuses on supporting older adults in engaging in personal growth and reflection. By assisting individuals with meaningful activities tailored to their preferences and abilities, the nurse encourages self-discovery and personal fulfillment.
A: Giving a daily tea party for the group may foster social interaction but does not necessarily address individual growth or self-reflection.
B: Calling each family to encourage visiting may help reduce isolation but does not directly promote gerotranscendence.
C: Assisting them to resume midlife patterns may not be suitable as older adults may benefit more from exploring new activities and perspectives in their later years.
Define Ageism.
- A. Ageism is a form of prejudice in which older adults are stereotyped by characteristics found in only a few members of their group.
- B. Ageism is the discrimination against individuals who are younger than 65.
- C. Ageism is when younger people are overlooked in healthcare.
- D. Ageism is the positive stereotype that all older adults are wise.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Ageism is defined as prejudice or discrimination against individuals based on their age.
2. Choice A accurately defines ageism by highlighting the prejudicial nature and stereotyping of older adults.
3. Choices B and C are incorrect as ageism can occur against any age group, not just those over 65 or younger people in healthcare.
4. Choice D is incorrect as ageism involves negative stereotypes, not positive ones like assuming all older adults are wise.
Identify the best statement about gerontological nursing.
- A. Nurses have only recently become involved in the care of older adults.
- B. Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program.
- C. Purposes of gerontological nursing include the promotion of health and support for maximal independence.
- D. ANA certification is available only for gerontological nurses in research positions.
Correct Answer: C
Rationale: The correct answer is C because gerontological nursing focuses on promoting health and maximizing independence in older adults. This statement aligns with the core principles of gerontological nursing, which emphasize holistic care and quality of life for elderly individuals. Choice A is incorrect because nurses have been involved in caring for older adults for a long time. Choice B is incorrect because gerontological care was not the second specialty certified by the ANA. Choice D is incorrect because ANA certification is not limited only to research positions in gerontological nursing.