Correct Answer: B

Rationale: The correct answer is B because it reflects active listening and empathy by summarizing the patient's statement. This statement shows the nurse's attempt to understand the patient's perspective on life's meaning.
Choice A is about the nurse's own thought process, not reflecting the patient's feelings.
Choice C shows uncertainty, not reflective listening.
Choice D is an observation, not reflective of the patient's emotions or thoughts.

Correct Answer: A

Rationale: The correct answer is A because the sudden onset of confusion is a key characteristic of delirium, whereas dementia typically has a gradual progression.
Choice B suggests a symptom of dementia - progressive memory loss.
Choice C indicates a hallucination, which can occur in both delirium and dementia.
Choice D describes memory and cognitive impairment, which can be seen in both conditions but is more indicative of dementia due to the chronic nature of forgetfulness.

Correct Answer: C

Rationale: The correct answer is C because family members are often the primary support system for individuals with serious mental illness. In treatment planning, involving the family can provide crucial insights into the patient's social and emotional needs, enhance communication between the patient and healthcare providers, and increase the likelihood of treatment adherence. Family support can also help in crisis situations and promote better outcomes for the patient.


Choice A is incorrect because while family members may have valuable insights, they may not always know the patient's struggles comprehensively.
Choice B is incorrect as willingness to listen is not a guarantee, especially in cases where mental illness may affect the patient's judgment.
Choice D is incorrect as the patient may not always turn to family first, especially if the relationship is strained or if the family is not supportive.

Correct Answer: C

Rationale: The correct answer is C: functional abilities. A comprehensive geriatric assessment should focus on assessing the older adult's functional abilities to determine their ability to carry out activities of daily living independently. This is crucial in evaluating their overall health and quality of life. By assessing functional abilities, nurses can identify areas of impairment and develop appropriate interventions to maintain or improve the client's independence.

Physical signs of aging (
Choice
A) may provide some information about the client's health status, but focusing solely on this aspect may overlook important functional deficits. Immunological function (
Choice
B) is important but may not be the primary focus of a geriatric assessment unless specific health concerns are present. Chronic illness (
Choice
D) is also important to consider but does not encompass the holistic assessment of functional abilities needed in geriatric care.

Correct Answer: C

Rationale: The correct answer is C: social factors. The client's situation of being late due to caring for their mother-in-law highlights social factors as a risk factor. Social factors encompass relationships, support systems, living conditions, and societal influences. In this scenario, the client's caregiving responsibilities for their mother-in-law contribute to their stress and impact their ability to arrive on time. This situation reflects the influence of social dynamics on the client's behavior and well-being.

Incorrect options:
A: Genetic comorbidities are not relevant in this scenario as the client's late arrival is not attributed to any genetic factors.
B: Psychological factors may play a role in the client's stress related to caregiving, but the primary issue here is the social factor of caregiving responsibilities.
D: Victimization does not apply as the client is not being victimized in this situation; rather, they are experiencing stress due to caregiving responsibilities.