Questions and Answers with Complete
Solutions
A nurse is reinforcing teaching about skin changes in the older adult client with a newly licensed
nurse. Which of the following findings should the nurse identify as a benign, age-related skin
change commonly seen in older adult clients?
A. Liver spots
B. Nevi
C. Atopic dermatitis
D. Psoriasis ✔✔A. Liver spots
A nurse at a long-term care facility is contributing to the plan of care for an older adult client
who has dementia. Which of the following interventions should the nurse include in the plan?
A. Vary the staff members caring for the client
B. Use photographs as memory triggers
C. Provide a minimum of three activity choices to the client
D. Break client tasks down to three or four steps at a time ✔✔B. Use photographs as memory
triggers
A nurse is caring for an older adult client who reports that she has just retired and expresses
feeling of loneliness due to the loss of daily interactions with coworkers. Which of the following
responses should the nurse make?
A. "Do you know about the local senior citizen group?"
, B. "You need to take a vacation."
C. "But now you can finally relax and enjoy your life."
D. "Why don't you go into work and visit with your old friends?" ✔✔A. "Do you know about the
local senior citizen group?"
A nurse is caring for a client who is using a continuous passive motion device following a right
total knee replacement. Which of the following actions should the nurse take when applying the
CPM device?
A. Apply the CPM device in the flexed position
B. Line up the frame joints od the CPM device with the client's knee
C. Check the range-of-motion settings on the CPM device daily
D. Place the head of the client's bed at 45 degrees during CPM use ✔✔B. Line up the frame
joints od the CPM device with the client's knee
A nurse is reinforcing teaching with an older adult client who is healthy and has chronic
constipation about establishing a bowel retraining program. Which of the following statements
should the nurse include in the teaching?
A. "Limit physical activity during the day."
B. "Set a time limit of 10 minutes when attempting to defecate."
C. "Increase the fiber content of your diet."
D. "Increase your fluid intake to 5,000 milliliters per day." ✔✔C. "Increase the fiber content of
your diet."