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1. Abnursebisbcaringbforbanbolderbadultbclientbwhobwasbadmittedbtobablongbtermbcarebfacilityba
ndbrequiresbtotalbcare.bWhichbofbthebfollowingbisbanbappropriatebnursingbactionbwhilebpro
vidingbmouthbcare?
Turnbthebclientbonbhisbsidebbeforebstartingbmouthbcare
2. Abnursebisbeducatingbabgroupbofbassistivebpersonnelbaboutbthebcarebofbolderbadultbclients.b
Thebnursebeducatorbisbincludingbinformationbaboutbthebdevelopmentalbtasksbofbolderbadul
ts.bWhichbofbthebfollowingbshouldbthebnursebusebasbanbexamplebofbabnursingbactionbthatbbe
stbmeetsbthebpsychosocialbtasksbofbolderbadults,baccordingbtobErikson?
-Providingbthebclient’sbopportunitybtobdiscussbtheirblivesbandblosses
3. Abnursebworkingbinbabcommunitybhealthbcenterbisbcompletingbanbassessmentbofbanbolderba
dultbfemalebclient.bTobwhichbofbthebfollowingbfindingsbshouldbthebnursebgivebimmediatebac
tion?
- Ralesbinbthebbases
4. AnbolderbadultbclientbwithbabmoderatebhearingblossbseeksbmedicalbattentionbinbthebclinicbT
hebnursebcanbbestbmeetbthebneedsbofbthebhearingbimpairedbclientbbybdoingbwhichbofbthebfol
lowing?
Understandingbthatbnotballbhearingbimpairedbclientsbcommunicatebthebsamebway
5. Abnursebisbeducatingbabgroupbofbolderbadultbclientsbregardingbtheirbdietbchoices.bWhichbofbt
hebfollowingbdietbmodificationsbshouldbthebnursebrecommendbtobthebolderbadultbclients?bI
ncreasedbcalciumb→olderbadultsbhaveblostbbonebdensitybandbarebpronebtobfractures;btheref
ore,bitbisbappropriatebtobrecommendbabdietbthatbisbhighbinbcalcium.
6. Abnursebisbaskedbtobspeakbtobabgroupbofbhealthy,bolderbadultbclientsbaboutbnormalbagingba
ndbsexualbresponse.bThebnursebshouldbincludebinbthebdiscussionbtechniquesbtobhelpbthebcl
ientsbadaptbtobwhichbofbthebfollowing?
Decreasedbvaginalblubricationb→bolderbadultbfemalebptsbmaybreportbpainfulbintercoursebre
latedbtobvaginalbnarrowingbandbdecreasedbvaginalbsecretions.bThebnursebshouldbsuggestbtheb
usebofbwater-
solubleblubricantsbwithbintercoursebtobamelioratebthebeffectsbofbthesebnormalbchanges.
7. Abnursebinbablongbtermbcarebfacilitybisbcaringbforbanbolderbadultbclientbwhobhasbbenbgivingbab
canebtbassistbwithbambulation.bWhichbofbthebfollowingbnursingbactionsbputsbthebclientbat
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risk?
Placingbthebcanbonbthebsidebofbthebclient'sbweakbside
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8. Abnursebisbcaringbforbanb85byearboldbclient.bWhichbofbthebfollowingbassessmentbfindingsbs
houldbthebnursebreportbtobthebproviderbimmediately?
-
Cannotbdiscriminatebbetweenbhotbandbcoldbsensationsbbelowbthebkneebofbthebleftbextre
mityb→blackbofbfeelingborbsensationbbelowbthebkneebofbtheblegbcanbbebabmanifestationbofbpoo
rbcirculationbtobthatbextremity.
9. Abnursebisbcaringbforbanbolderbadultbclientbwhobisbreceivingbmultiplebmedication.bWhichbofbt
hebfollowingbisbanbappropriatebstatementbbybthebnurse?
-Receivingbmultiplebmedicationsbcanbleadbtobdrugbinteractions
10. Abnursebisbcaringbforbanbolderbadultbclientbwhobisbbeingbadmittedbtobthebhospitalbwithbabdominalbp
an.bDuringbthebinitialbassessment,bthebnursebnotesbthatbthebclientbjustbnodsbandbsmilesbinbresponsebto
bthebquestionsbasked.bWhichbofbthebfollowingbcommonbdevelopmentalbconcernsbisbthebclientbexhib
iting?
-
hearingblossb→bthebsensesboftenbdiminishbwithbagebandbitbisbnotbunusualbforbolderbadultbclientsbtobb
ebhardbofbhearing.bThebnursebmaybnotbbebreceivingbappropriatebresponsesbbecausebthebclientbisbhard
bofbhearing.bHearingblossbisbnotbnecessarilybabnormalbphysiologicalbchangebof bolderbadultsbandbshou
ldbbebfurtherbevaluatedbandbtreated.
11. Abnursebisbcaringbforbanbolderbadultbclientbwhobisbdying.bThebclientbtellsbthebnurse,b"Ibjustbw
antbtoblivebonebmorebmonthbsobIbcanbseebmybgrandchildbgetbmarried."bThebnursebshouldbrec
ognizebthat,baccordingbtobKubler-Ross'bstagesbofbgrief,bthebclientbisbinbwhichbstage?
-Bargaining
12. Abnursebinbablong-
termbcarebfacilitybrecognizesbthatbtherebisbpotentialbforbphysicalbandbpsychologicalbabuseb
ofbolderbadultbresidents.bWhichbofbthebfollowingbisbthebbestbnursingbaction?
Providebstaffbwithbeducationbaboutbthebabusebofbolderbadultbclientsbandbstressbmanage
mentb→bproactivebinterventionbthatbwillbgivebstaffbmembersbthebinformationbandbskillsbthatb
arebnecessarybtobpreventbabusebinbthisbsetting.bThebnursebshouldbrecognizebthatbcaringbforbol
derbadultbclientsbcanbbebstressfulbandbfrustratingbatbtimes.bGivingbstaffbmembersbtrainingbfor
bstress-managementbskillsbaddressesbthisbaspect bofbpotentialbabuse.
13. Abnursebisbtakingbanbolderbadultbclient'sbhistory.bThebclientbreportsbbeingbdepressedbandbha
vingbdifficultybsleepingbforbseveralbmonths.bInbevaluatingbthebclient'sbsleepbdisturbance,bthe
bnursebshouldbbebguidedbbybthebknowledgebofbwhichbofbthebfollowing?
-Anxietybandbdepressionbfrequentlybcausebdisturbedbsleepbpatterns
14. Abnursebisbcaringbforbabclientbwhobisbinbpainbandbisbreceivingbabtransdermalbpatch.bThebnu
rsebshouldbunderstandbthatbtransdermalbmedicationbshouldbbebappliedbtobwhichbofbthebfoll
owingbplacesbonbolderbadultbclients?
Hairlessbareabofbthebtorsob→bcirculationbinbthebextremitiesbdecreasesbwithbage,btherefore