A nurse cares for an 81-year-old client whose current hospital ...

[KWilfred]

A nurse cares for an 81-year-old client whose current hospital admission has been prompted by an exacerbation of chronic renal failure. Which of the following actions by the nurse will best emphasize the goal of client wellness?
 
  A) Ask for the client's code status be changed to do not resuscitate.
  B) Explore the client's abilities and strengths.
  C) Show the client others who are more ill.
  D) Teach the client that health problems do not have to affect daily routines.

Question 2

A nurse administrator is involved in strategic planning for a large long-term care facility that has locations in numerous regions of the country. What trend should the nurse administrator anticipate?
 
  A) A decrease in the proportion of older adults who are members of minority groups
  B) A gradual decline in overall life expectancy
  C) Average longevity of men exceeding that of women
  D) Increased use of assisted living facilities by older adults

[chereeb]

Answer to Question 1

Ans: B
A focus on existing strengths and abilities can foster wellness in older adults, even when they are experiencing health challenges. It is inappropriate to actively compare clients with each other, and changing Mr. Say's code status is unlikely to promote wellness, even if this is necessary. It is inaccurate to claim that health problems do not affect daily routines.

Answer to Question 2

Ans: D
Assisted living facilities have become a more common option for older adults; this trend is expected to continue. Life expectancy is continuing to increase, with women usually outliving men. An increasing proportion of the older adult population will be members of minority groups.