Which of the following describes the older adult who is likely to ...

[Bernana]

Which of the following describes the older adult who is likely to experience the best overall health and well-being?
 
  a. Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight
  b. Resides alone, was moved to a new city recently by the family for their conveni-ence, has osteoarthritis
  c. Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family
  d. Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends

Question 2

Which nursing intervention is most likely to prevent the creation of an environment conducive to fungal growth?
 
  a. Provide oral care with soft-bristled brush.
  b. Apply nystatin powder to reddened tissue.
  c. Use mild skin cleansing agents and blot dry.
  d. Apply gauze soaked with antifungal lo-tion.

[meltdown117]

Answer to Question 1

D

Feedback
A Incorrect. This elder is not thriving in an assisted-living facility, despite having other people in the facility, as evidenced by television viewing habits and weight, both potential indicators of depression. Various aspects of this person's life are unbalanced thus inhibiting progress on the path to optimal health and wellness. In addition, the use of herbal remedies can be aggravating or precipi-tating the problems.
B Incorrect. After a move to a new region, an older adult, especially one who lives alone and is moved to a new area for the family's convenience, is likely to expe-rience loneliness and isolation until a new social network is established. Thus, although this person has a less acute health problem, the social isolation is likely to create significant disruption on the path to health and wellness.
C Incorrect. Although this elder's financial resources are plentiful, the existence of a large family does not ensure any type of psychosocial support. Most likely, this person faces a grim prognosis because the prostate cancer has crossed the diaphragm, thus reducing the likelihood of a prolonged life.
D Correct. Despite a serious chronic illness and mobility restrictions, this person has a social network and planned activities with friends. Further, this elder overcomes mobility issues to pursue personal interests; thus, this person is most likely to experience the best health and well-being because of an optimal func-tional status.

Answer to Question 2

C
Fungal infections are most likely to begin in moist, dark areas of the body such as under the breasts and at the perineum; thus the nurse works to keep the skin of these areas, as well as all skin, clean and dry and to prevent tissue irritation from harsh drying. Providing oral care with a soft-bristled brush is ineffective therapy for preventing an oral Candida infection (thrush). Be-sides, thrush is usually an opportunistic infection caused by immunosuppression. Reddened tissue can be already infected; nonetheless, applying an antifungal agent is an indicated treatment for a fungal infection. Applying antifungal lotion and keeping an area moist can contribute to fungal overgrowth.

[Bernana]

Excellent

[dyrone]

TYSM