A nurse manager is providing a novice geriatric nurse with ...

[jparksx]

A nurse manager is providing a novice geriatric nurse with guidelines when encouraging an older client to reminisce about his or her life and past experiences. Which suggestions will be included? (Select all that apply.)
 
  a. Don't correct the client even when you suspect the memory is incorrect
  b. When the focus remains on sad topics, as-sess the client for possible depression
  c. Refrain from interjecting personal stories into the reminiscing process
  d. Expect and respect a degree of repetition
  e. Use close-ended questions to help focus the reminiscing

Question 2

Which statement by the nurse is the strongest example of ageism by professional nurses?
 
  a. It takes a special nurse to provide good care to the older population of clients.
  b. It's difficult for a nurse to develop an effective relationship with an older client because of the barriers their age creates.
  c. It is so difficult to find nurses who are truly effective geriatric nurses.
  d. With the older population increasing so dramatically in numbers, nursing will have a difficult time meeting their needs.

[atrochim]

Answer to Question 1

ANS: A, B, D
Suggestions for encouraging reminiscing include listening without correction or criticism, re-membering that it is the client's recollections that are important; being patient with repetition since sometimes people need to tell the same story often to come to terms with the experience, especially if it was very meaningful to them; being attuned to signs of depression in conversation (dwelling on sad topics) or changes in physical status or behavior, and providing appropriate as-sessment and intervention; and keeping the conversation focused on the person reminiscing, but not hesitating to share some of your own memories that relate to the situation being discussed. Use open-ended questions to encourage reminiscing since they encourage free thought.

Answer to Question 2

ANS: C
Ageism affects health professionals as well as the general public and this attitude is reflected in the lack of nurses who choose to work in the field of geriatrics. The characteristics of a good geriatric nurse are no different than those of any effective nurse. Assuming that age produces barriers to an effective nurse-client relationship is an example of ageism. The growing number of older adults is not an example of ageism.

[jparksx]

Excellent

[frankwu0507]

TYSM