Question 1 An older African-American client shares that they, "Don't hear as
well as they used to." Responding based on evidence-based data, the nurse will:
Question 1 options:
Inquire as to whether the client has tinnitus.
Assess the client for middle ear fluid accumulation.
Ask whether the client has ever been diagnosed with otosclerosis.
Check the client's ears for a cerumen impaction.
Question 2 The major focus regarding nursing education for the older adult
regarding the use of herbal supplements is the:
Question 2 options:
High risk of herbal overdose since the manufacturing process lacks effective
controls.
Likelihood that the client will substitute herbals for more expensive prescribed
medications.
Expense of the herbal supplements since they are seldom covered by insurance.
Possibility of herbals interaction dangerously with the client's prescribed
medications.
Question 3 When comparing the Older American's Resources and Services
(OARS) with the Katz index of ADLs, what is true?
Question 3 options:
The Katz index and the OARS both measure only ADL performance.
The OARS is a comprehensive assessment tool that measures ability in five
areas; the Katz index measures only ADL performance.
The OARS is used only for older adults in the long-term care setting; the Katz
index is used in all settings.
The OARS is not valid for use in older adults who are cognitively impaired,
whereas the Katz index is.
, Question 4 The nurse is recommending that a client diagnosed with moderate
stage Alzheimer's disease attend a support group when he becomes defensive
about not driving his automobile and the effects it will have on, "being stuck at
home." Which is the priority outcome expected for this client when attending
the group sessions?
Question 4 options:
Facilitates socialization thus minimizing the effects of social isolation.
Helps with minimizing the loss as a factor in causing depression.
Provides caregivers with respite while assuring the client is well attended to.
Allows for the opportunity for a mental health professional to assess the client.
Question 5 Which intervention is therapeutic when facilitating communication
with a cognitively impaired older client? Select all that apply.
Question 5 options:
Explain a task using simple, concise phrasing and one step at a time.
Give instructions to a group whenever possible to provide peer support.
Allow for additional time for the client to respond to questions or directions.
Use non-verbal as well as verbal cues to help get your message across to the
client.
Speak loudly to gain and retain the client's attention.
Question 6 When a client's thyroid panel shows an elevated TSH, the nurse
reviews the client's medication history for a current prescription for:
Question 6 options:
Lithium.
Heparin.
Aspirin.
Phenytoin (Dilantin).
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