Nokea
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.
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A peak flow meter
- A. is used to administer inhaled medications in dry powder form
- B. gives feedback to determine whether the client is developing asthma symptoms
- C. is used to identify specific allergy trigger agents
- D. can only be used by a respiratory therapist or nurse with special education
Correct Answer: B
Rationale: The correct answer is B because a peak flow meter is used to monitor and measure the peak expiratory flow rate, which helps determine if the client is developing asthma symptoms such as airway constriction. It provides feedback on the client's lung function, helping to assess asthma control and guide treatment. Choices A, C, and D are incorrect because a peak flow meter is not used for administering medications, identifying allergy triggers, or limited to specific healthcare professionals.
The nurse provides opportunities for nursing home residents to read aloud to others. Which cognitive skill is this nursing intervention most likely to improve?
- A. Verbal fluency
- B. Logical analysis
- C. Object naming
- D. Visuospatial skills
Correct Answer: A
Rationale: Verbal fluency is the correct answer because reading aloud improves language skills, vocabulary, and verbal expression. It requires cognitive processes like word retrieval, organization, and articulation. Logical analysis (B) is not directly related to reading aloud. Object naming (C) focuses on identifying objects visually, not verbally. Visuospatial skills (D) involve understanding and manipulating visual information, not verbal expression. Reading aloud specifically targets verbal fluency by enhancing communication abilities and language processing.
Identify the correct statement describing the abuse of elderly persons in the United States.
- A. Elder abuse is the most often reported form of domestic violence
- B. Statistically, neglect is the most common form of elder abuse
- C. Most cases of elder abuse are reported to the proper authorities
- D. Healthcare practitioners are only mandated to report verified, not suspected, cases of elder abuse
Correct Answer: B
Rationale: The correct answer is B: Statistically, neglect is the most common form of elder abuse. Neglect involves the failure to provide necessary care or assistance to an elderly person, making it a prevalent form of elder abuse. This is supported by research and studies on elder abuse cases.
A is incorrect because elder abuse is often underreported compared to other forms of domestic violence.
C is incorrect as many cases of elder abuse go unreported due to various reasons such as fear, shame, or lack of awareness.
D is incorrect as healthcare practitioners are mandated to report any suspected cases of elder abuse, not just verified cases, to protect the well-being of the elderly.
An older patient who was just diagnosed with a terminal disease states, "All my life I attended church, but I am still worried about what will happen after death." The nurse's best response is which of the following?
- A. "The unknown may be frightening. Do you want to talk about this?"
- B. "Religious people know that God is a good God."
- C. "People that have had near-death experiences say it is peaceful."
- D. "You must feel good about attending church most of your life."
Correct Answer: A
Rationale: The correct answer is A: "The unknown may be frightening. Do you want to talk about this?" This response acknowledges the patient's fear and offers an opportunity for the patient to express their concerns. It shows empathy and encourages open communication.
Choice B is incorrect because it assumes all religious people share the same belief, which may not be the case for this patient. Choice C is incorrect as it imposes experiences of others onto the patient, which may not align with their beliefs or feelings. Choice D is incorrect as it assumes the patient's feelings without giving them a chance to express themselves.
The nurse is providing instructions to a nursing assistant regarding care of an older client with hearing loss. The nurse tells the assistant that clients with a hearing loss:
- A. Respond to low pitched tones.
- B. Have difficulty hearing any frequency of sound.
- C. Need assistance with lip-reading only.
- D. Respond to high-pitched tones more clearly.
Correct Answer: A
Rationale: The correct answer is A because clients with hearing loss typically have difficulty hearing high-pitched tones, making it easier for them to respond to low-pitched tones. Low-pitched tones are easier for individuals with hearing loss to perceive due to the nature of hearing loss affecting the ability to hear higher frequencies. Choice B is incorrect as it is a generalization that does not consider the specific nature of hearing loss. Choice C is incorrect because individuals with hearing loss may require various forms of assistance beyond just lip-reading. Choice D is incorrect as individuals with hearing loss generally struggle more with high-pitched tones.