A client has recently been placed in a long-term-care facility because of marked confusion and inability to perform most activities of daily living. Which nursing intervention is most appropriate to maintain the client's self-esteem?
A. Leave the client a
C. Allow client to choose between two different outfits when dressing for the day.
A son who recently brought his extremely confused parent to a nursing home for admission reports feelings of guilt. Which is the appropriate nursing reply?
A. "People often have mixed emotions about decisions like this. Support groups are held here on Mon
A. "People often have mixed emotions about decisions like this. Support groups are held here on Mondays for children of residents in similar situations.
A family asks why their father is attending activity groups at the long-term care facility. The son states, "My father worked hard all of his life. He just needs some rest at this point." Which is the appropriate nursing reply?
A. "I'm glad we discussed t
B. "The groups benefit your father by providing social interaction, sensory stimulation, and reality orientation.
A nursing instructor is teaching about reminiscence therapy. What student statement indicates that learning has occurred?
A. "Reminiscence therapy is a group in which participants create collages representing significant aspects of their lives."
B. "Remin
B. "Reminiscence therapy encourages members to share both positive and negative significant life memories to promote resolution.
A couple resides in a long-term care facility. The husband is admitted to the psychiatric unit after physically abusing his wife. He states, "My wife is having an affair with a young man, and I want it investigated." Which is the appropriate nursing reply
D. "I understand that you are upset. Let's talk about it.
Which psychiatric disorder would a nurse expect to see diagnosed in a client's later life?
A. Schizophrenia
B. Major depressive disorder
C. Phobic disorder
D. Dependent personality disorder
B. Major depressive disorder
An elderly client who lives with a caregiver is admitted to an emergency department for a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition should
C. Abuse, neglect, or both
An elderly, emaciated client is brought to an emergency department by the client's caregiver. The client has bruises and abrasions on shoulders and back in multiple stages of healing. When directly asked about these symptoms, which type of client response
B. The client may deny or minimize the injuries.
A client diagnosed with neurocognitive disorder due to Alzheimer's disease has difficulty communicating because of cognitive deterioration. Which nursing intervention is appropriate to improve communication?
A. Discourage attempts at verbal communication
C. Verbalize the nurse's perception of the implied communication.
An elderly client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regimen?
A. Altered cortical and intellectual functio
C. Altered liver and kidney functioning
An elderly client has met the criteria for a diagnosis of major depressive disorder. The client does not respond to antidepressant medications. Which treatment should a nurse anticipate that the physician would prescribe for this client?
A. Electroconvuls
A. Electroconvulsive therapy (ECT)
According to the U.S. Census Bureau criteria, how would a nurse classify a 70-year-old man?
A. This man would be classified as "older."
B. This man would be classified as "elderly."
C. This man would be classified as "aged."
D. This man would be classifie
B. This man would be classified as "elderly.
A nurse is conducting a class on fall prevention at a local senior center. In relationship to the slowed cognitive processing of advanced age, which teaching modification would be most appropriate for the nurse to implement?
A. Encouraging the clients to
D. Providing more time for client feedback
A client diagnosed with glaucoma is being discharged to an assisted living facility. In what way should the discharge nurse modify teaching to most effectively present information to this client?
A. Repeat information at least four times.
B. Present disch
D. Reinforce critical content by providing large-print handouts.