Author Question: A 68-year-old client has a long history of poor eating habits and low activity levels. The client ... (Read 143 times)

Sufayan.ah · **on:** Jul 11, 2018

A 68-year-old client has a long history of poor eating habits and low activity levels. The client now has a diagnosis of type 2 diabetes mellitus. Which of the following nursing interventions should be the priority?

A) Adherence to diabetes screen protocols
B) Education about the role that his lifestyle has played in his diagnosis
C) Maintenance of function and activities of daily livings
D) Self-care measures to aid in the management of his disease

Question 2

A palliative care team has taken over primary responsibility for the care of an older adult who has recently experienced a stroke. A visitor asks, What is palliative care? Which of the following is the best response by the nurse?

A) Spiritual and psychosocial care that takes place near the end of life
B) Nursing care and medical treatment that prioritizes the wishes of patients and families
C) The prioritization of complementary and alternative measures over biomedical interventions
D) The provision of holistic care to patients experiencing incurable health states

annierak · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: D
The care of older adults with diabetes should prioritize self-care measures such as diet, exercise, medications, and glucose monitoring. Screening is not relevant since the client has already been diagnosed with the disease in question. Education about lifestyle factors and maintenance of function are relevant and appropriate, but these are superseded by the importance of facilitating self-care.

Answer to Question 2

Ans: D
Palliative care is a holistic approach to care that may be applied during complex and/or declining health states. It is not necessarily limited to the end of life and does not involve a rejection of biomedical interventions. The wishes of patients and their families are prioritized, but this is not the defining feature of palliative care. It includes spiritual and psychosocial care, but is not limited to these domains.