QUESTION When communicating with older adult clients, the nurse recognizes that a. hearing problems can diminish an older person’s ability to interact with others. b. hearing loss associated with normal aging begins after age 40 years. c. older adults who experience hearing loss initially cannot hear lower-frequency sounds of vowels. d. older adults distinguish sounds […]
QUESTION The nurse is caring for a frail older adult client who is admitted to the hospital after falling. The client has been living alone independently and appears reluctant to accept assistance. The nurse recognizes that the client’s reluctance to accept assistance is most likely caused by fear of a. inability to pay for services. […]
QUESTION The nurse has just completed a care plan on a visually impaired client. Which of the following interventions is most appropriate for this client? a. Stand away from the client when communicating to not obstruct the view of the immediate environment. b. Provide the client with reading material that has all capital letters. c. […]
QUESTION When visiting a client in his or her home, the home health nurse notes that the client frequently shifts the conversation to reminisce. Which of the following communication techniques would be most effective for the nurse to use with this client? a. Restating b. Changing the subject c. Providing information d. Asking about the […]
QUESTION When assessing an older adult client, the nurse notes that the client demonstrates an inability to take purposeful action even when the muscles, senses, and vocabulary appear to be intact. The client appears to register on a command but acts in a way that suggests little understanding of what transpired verbally. The nurse recognizes […]
QUESTION The nurse is caring for an older adult client who has early moderate cognitive impairment and has been diagnosed with dementia. When interacting with the client’s family, the nurse should teach family members that a. memory for recent events is retained longer than remote memory. b. it is important to focus on recent events […]
QUESTION The nurse is performing an admission assessment on a client with cognitive impairment. When developing a plan of care for this client, the nurse should plan to a. provide instructions one step at a time. b. offer several instructions at a time when orienting the client to their room. c. teach the client new […]
QUESTION The nurse is caring for a family that is experiencing a crisis. The nurse recognizes that interventions for initial family responses to crisis include a. minimizing the family’s sense of control within the hospital environment. b. prohibiting extreme expression of feelings. c. providing the family with information that is lengthy and abstract. d. repeating […]
QUESTION A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations. When communicating with this client, the nurse should a. use words directly applicable to the client’s daily routine. b. restate ideas using different words in a different sequence. c. refrain from validating the […]
QUESTION When performing a mental status examination on an older adult client, the nurse discovers that the client is illiterate and only has a third-grade education. How should the nurse assess the client’s cognition? a. Have the client spell the word “world” backwards. b. Have the client spell the word “world” forwards. c. Ask the […]
