A group of nursing students is reviewing information about the course of aging in future older adults and qualities that contribute to successful aging. The students demonstrate understanding of this information when they identify which of the following as least important?

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Question 1 of 5

A group of nursing students is reviewing information about the course of aging in future older adults and qualities that contribute to successful aging. The students demonstrate understanding of this information when they identify which of the following as least important?

Correct Answer: D

Rationale: The correct answer is D: Physical health. Successful aging is not solely dependent on physical health, as individuals can still age successfully despite some physical health challenges. Capacity to adapt to change, engagement in life, and stability with reliable social support are key qualities that contribute significantly to successful aging. Adapting to changes helps individuals cope with life transitions, staying engaged in life promotes mental well-being, and having stable social support enhances overall quality of life. Therefore, physical health, while important, is considered least important compared to the other qualities in contributing to successful aging.

Question 2 of 5

A nurse is preparing to administer medications to a female client with bipolar disorder who is experiencing acute mania. Which of the following would be most appropriate for the nurse to do?

Correct Answer: B

Rationale: The correct answer is B: Allow the client to participate in the treatment decision. Involving the client in the treatment decision-making process empowers them and promotes autonomy, which is important in mental health care. It also helps build trust and rapport. Choice A is incorrect as it may lead to resistance and conflict. Choice C is inappropriate and a violation of the client's rights unless there is an imminent risk of harm. Choice D is not the most appropriate initial action, as involving the client directly in their care should be prioritized.

Question 3 of 5

The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?

Correct Answer: C

Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers. Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa. Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques. Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.

Question 4 of 5

The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C: Achieving independent functioning of the child as an adult. This is the most appropriate long-term goal as it focuses on empowering the child to lead a fulfilling and independent life despite their condition. It emphasizes working towards maximizing the child's potential and enhancing their quality of life. A: Locating suitable residential placement for the child is not the most appropriate long-term goal as it does not focus on the child's independence and potential growth. B: Finding a foster home for the child is not suitable as it does not address the child's long-term development and independence. D: Preventing the onset of psychiatric disorders in the child is important but may not be the most relevant long-term goal as it does not directly address the child's mental retardation or focus on their independent functioning as an adult.

Question 5 of 5

A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?

Correct Answer: C

Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice A) and lack of vocational skills (choice B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice D) can impact the client's support system but are not the primary reason for relapse in this scenario.

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