When assessing the intellectual abilities of an older adult, the ...

[geodog55]

When assessing the intellectual abilities of an older adult, the nurse demonstrates an understanding of a major barrier to reliable testing of this population when:
 
  a. sharing with the client that the test can be scheduled at whatever time is good for you.
  b. providing the client with frequent rest periods
  c. stating, Just take your time and try to relax; there are no wrong answers to this test.
  d. assuring that the area is well-lit and quiet

Question 2

The nurse is caring for an older client who experienced a hip replacement surgery 10 hours ago. Which intervention will help minimize this client's risk of developing deliri-um?
 
  a. Requesting that staff offer fluids each time they interact with the client.
  b. Medicating the client to best facilitate restorative sleep.
  c. Encouraging the client to remain still and thus minimize pain.
  d. Suggesting that visitors is limited to family members only.

[yeungji]

Answer to Question 1

ANS: C
The ability to concentrate is inversely related to anxiety. Since test-taking may not be a skill that the older client has maintained over the years, such encouragement is most appropriate. The client may not necessarily require frequent rest periods. The remaining options are considerations for any age.

Answer to Question 2

ANS: A
Encouraging fluid intake will help prevent dehydration, which is a major contributor to the development of delirium. Avoid use of sleeping medicationsuse music, warm milk, or noncaffeinated herbal tea to alleviate discomfort and encourage sleep. Avoid excessive bed rest; institute early mobilization as appropriate. It is appropriate to have family and visitors available to the client, within reason, since doing so will help stimulate the client cognitively.