Answer to Question 1
A
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A The older adult patient may take smaller steps, keeping the feet closer together, which decreases the base of support. Thus, body balance is unstable, and the older adult is at greater risk for falls and injuries.
B This tendency may not necessarily result in less stress on the patient's knees, hips, and ankles.
C This tendency may not necessarily decrease the amount of energy the patient expends on movement.
D This tendency may not necessarily allow for mobility despite the effects of aging on the patient's joints.
Answer to Question 2
B
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A The question What is the hardest part about your wife's impending death? is appropriate but only after safety issues have been addressed.
B If the patient indicates suicidal or homicidal ideations, the nurse must calmly determine if the person has a plan and how lethal the means are.
C The question, What can I do to help make caring for your wife less stressful? is appropriate to assist with problem solving once safety issues have been addressed.
D The question, Can you tell me how caring for your wife has affected you personally? is appropriate to assist with problem solving once safety issues have been addressed.
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
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