Each of the following is part of a program for addressing bowel ...

[leo leo]

Each of the following is part of a program for addressing bowel incontinence in an older adult patient except which one?
 
  a. Ensuring that a toilet or commode is readily accessible to the patient
  b. A diet containing 6 to 10 grams of fiber and 2 liters of water each day
  c. Expectations of a rapid and full recovery
  d. Exercises to strengthen abdominal and pelvic floor muscles

Question 2

Which statement is true about caregiving?
 
  a. Dementia in an elder can cause grief in the caregiver comparable to the grief from the elder's death.
  b. Middle-aged adults and older parents reverse lifelong caregiving roles with in-creasing age.
  c. Older adults should relocate to the caregiver's home when long distances separate the two.
  d. Increasing numbers of adult children who are developmentally disabled become caregivers for their older parents.

[eliasc0401]

Answer to Question 1

C

Feedback
A Incorrect. Difficulty of access to facilities within the time available is a factor in bowel incontinence as well as in bladder incontinence.
B Incorrect. These amounts of fiber and fluid are needed to ensure more solid and controllable stool and to protect against dehydration.
C Correct. Unrealistic expectations of rapid and full recovery should not be im-posed on the patient.
D Incorrect. These exercises can help regain control of elimination function.

Answer to Question 2

A

Feedback
A Correct. As the dementia progresses, the patient may cease to recognize the spouse or child.
B Incorrect. The parent still remains the parent, and the notion that the parent somehow becomes a child again is demeaning.
C Incorrect. The older person may have significant support in the community where he or she lives.
D Incorrect. The elder parents remain caregivers for the disabled children, which is a serious burden.