A recreational therapist has proposed an organized program to the ...

[RYAN BANYAN]

A recreational therapist has proposed an organized program to the nurse manager of a long-term care facility that the therapist claims can significantly improve the self-concept of residents.
 
  Which of the following components of the therapist's program is most likely to achieve the stated goal? A) Bringing in a staff member's dog to regularly interact with residents.
  B) Organizing a series of health promotion classes for residents that will be conducted by staff nurses.
  C) Holding reminiscence sessions where residents are encouraged to write autobiographical life reviews.
  D) Beginning a chair aerobics class to increase physical activity by frail residents.

Question 2

A patient tells the nurse that his wife, who has been diagnosed with inoperable ovarian cancer, is talking about dying and fear of death. He asks the nurse for suggestions that will be of assistance to his wife.
 
  Which response by the nurse would be most helpful? a. Your wife will probably die of another disease before she dies of ovarian cancer.
  b. Talk of death is normal at this time but will diminish in the future.
  c. Your wife is expressing an acceptance of utilizing hospice care.
  d. It is perfectly normal to want to talk about death. It is most helpful to support her by listening.

[SAUXC]

Answer to Question 1

C
Feedback:
Activities such as having life-review discussions, recording oral histories, and compiling a scrapbook of life events not only help older adults feel a sense of worth about the lives they have lived but also provide a sense of history and legacy for younger generations. This is more likely to foster residents' self-concepts than exercise, education, or pet therapy.

Answer to Question 2

D
In patients with inoperable cancer, a nursing diagnosis of Fear related to diagnosis of cancer is appropriate. Assisting patients with recognizing and clarifying fears and with developing coping strategies for those fears by listening is helpful.

[RYAN BANYAN]

Excellent

[Zebsrer]

TYSM