Which nursing intervention is a holistic approach to an older ...

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Which nursing intervention is a holistic approach to an older adult?
 
  a. Performs glucose testing during the weekly worship service.
  b. Wheels ambulatory adults to exercise when running late.
  c. Assigns female nurses to older women who are Islamic.
  d. Allows older adults in a nursing home to eat meals alone.

Question 2

An older female adult client is diagnosed with a chronic illness. Which principle should the nurse apply when answering her questions?
 
  a. The most prevalent form of disease in the United States is acute illness.
  b. Usually, chronic disease has a negligible impact on the family.
  c. Chronic illness is unending, and coping can be influenced by the perception of uncertainty.
  d. Older adults cope successfully with chronic disease by learning about the disease.

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Answer to Question 1

C
The nurse uses a holistic approach to the care of an older female adult who is Islamic because the woman and her family are more likely to be willing participants in a therapeutic regimen that re-spects a tenet of their culture.
Interrupting an older adult's worship with glucose testing can be interpreted as a lack of respect for spiritual needs. The nurse can provide for and respect the physical and spiritual as-pects of the older adult's life by testing for glucose before the service begins. In transporting ambulatory adults to the exercise program in a wheelchair to save time, the nurse disregards the need for self-esteem and exercise, both important aspects of physical well-being. Ambulatory adults can walk with assistance, if needed, to exercise programs and can benefit from the addi-tional activity and independence. The nurse can be tempted to allow an older adult to eat meals alone in his or her room if this will motivate the person to eat or if the older adult has dysphasia and is embarrassed. However, while focusing on physical needs, the nurse ignores psychosocial and other aspects of health and well-being.

Answer to Question 2

C

Feedback
A Incorrect. The prevalent form of disease at this time is chronic illness.
B Incorrect. The effect on the family, as on the client, can be profound.
C Correct. Chronic illnesses are enduring and necessitate lifetime adaptations. Uncertainty exacerbates the impact of a chronic disease.
D Incorrect. There are no guarantees. Knowledge requires effort on the part of all concerned to apply it.

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TYSM

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