A school nurse is bringing a group of students to a nursing home ...

[RYAN BANYAN]

A school nurse is bringing a group of students to a nursing home for a social exchange project. Before the students arrive, the nurse reminds them to do which of the following when speaking to the residents?
 
  1. Speak as loud as they can.
  2. Speak into the residents' ears.
  3. Write out what they want to say on a piece of paper.
  4. Speak distinctly, while facing the residents.

Question 2

An elderly client comes to the clinic for follow-up after a long hospitalization. When the client asks about increasing strength and endurance, the nurse should respond with which of the following?
 
  1. Your muscles can be strengthened which might help you function better.
  2. It won't matter if you exercise. At your age, there's little room for improvement.
  3. Once muscle mass is decreased, there's nothing that can be done for strength improvement.
  4. Maybe you should think about going to a nursing home. At least the people there will be able to help with your needs.

[al]

Answer to Question 1

Correct Answer: 4
Rationale 1: This option assumes that all residents have significant hearing loss, which is ageism.
Rationale 2: This option assumes that all residents have significant hearing loss, which is ageism.
Rationale 3: This option assumes that all residents have significant hearing loss, which is ageism.
Rationale 4: Hearing loss in the elderly is greater in the higher frequencies than the lower. Older adults with hearing loss usually hear speakers with low, distinct voices best and it is always appropriate to speak while facing a target.

Answer to Question 2

Correct Answer: 1
Rationale 1: There is evidence that an older adult's muscles can be strengthened through exercise and training, with concomitant improvements in functional status.
Rationale 2: It would be inappropriate for the nurse to assume that there is no room for improvement.
Rationale 3: Physical changes associated with the aging process are normal, but not something that can't be improved upon.
Rationale 4: There is evidence that an older adult's muscles can be strengthened through exercise and training, with concomitant improvements in functional status. It would be inappropriate for the nurse to suggest that the client is a suitable candidate for long-term care.

[RYAN BANYAN]

Thank you!

[al]

Always glad to help...