An older adult client is being admitted to an assisted living ...

[lbcchick]

An older adult client is being admitted to an assisted living residence facility. Which nursing intervention best initially assesses the client's hearing?
 
  a. The client's reaction when the telephone rings is documented by the nurse
  b. The nurse asks the client to, Adjust the television volume to a comfortable level.
  c. The nurse asks, Do you think you have a hearing problem?
  d. The client is asked whether they wear glasses or a hearing aide

Question 2

The nurse is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome?
 
  a. Asking the family to answer interview questions
  b. Frequently repeating instructions and requests
  c. Speaking at a slower than normal speed
  d. Using very simple sentences and phrasings

[Shshxj]

Answer to Question 1

ANS: C
An appropriate intervention and one considered an essential part of primary care for older adults, is to simply ask the question: Do you feel you have a hearing loss? This question has been shown to have reasonable sensitivity and specificity for hearing impairment. The vol-ume of the television and the response to a ringing telephone can be affected by variables other than hearing loss. The question regarding glasses and a hearing aide can be perceived as insensitive.

Answer to Question 2

ANS: A
An example of communication that conveys ageist attitudes is ignoring the older person and talking to family and friends as if the person is not present. This is likely to convey feelings to the client that they are not important enough to include in the conversation. Some features of elder-speak (speaking more slowly, repeating, or paraphrasing) may be beneficial in communication with older people with dementia

[lbcchick]

Wow, this really help

[xiazhe]

Excellent