A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the client demonstrates a need for further review?

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Question 1 of 5

A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the client demonstrates a need for further review?

Correct Answer: C

Rationale: Older adults need 35-50g of fiber daily, per the document. White rice is low-fiber, unlike barley , beans , and whole-wheat bread , indicating a need for more education. Selecting C shows misunderstanding, as fiber prevents constipation a common issue making it the choice requiring review.

Question 2 of 5

A nurse admits an older adult from a home environment. The client lives with an adult son and daughter-in-law. The client has urine burns on the skin, no dentures, and several pressure injuries. What action by the nurse is most appropriate?

Correct Answer: D

Rationale: Urine burns, missing dentures, and pressure injuries suggest neglect, requiring reporting per agency policy as a mandatory reporter, per the document. Asking family may bias the investigation, police or APS follow hospital protocol, not initial steps. D ensures proper escalation, making it most appropriate.

Question 3 of 5

What is Walking Meditation?

Correct Answer: D

Rationale: Walking Meditation is a mindfulness practice rooted in Buddhist traditions, emphasizing awareness and calm. It's not about rapid breathing or pressure points , nor fast-paced walking for fitness , which contradicts its meditative purpose. It also doesn't involve music , as the focus is on bodily awareness, not external stimuli. The correct answer, D, captures its essence: slow, deliberate walking paired with deep breathing to foster relaxation and present-moment awareness. This practice reduces stress by engaging the parasympathetic nervous system, lowering heart rate, and enhancing mental clarity, making it distinct from exercise or other stress-reduction methods.

Question 4 of 5

In the provision of care and the establishment of the therapeutic relationship, the nurse must first:

Correct Answer: C

Rationale: Establishing a therapeutic relationship requires self-awareness as the foundation. Being aware of one's personality and self-talk allows the nurse to manage biases and emotions, ensuring interactions remain client-centered. Avoiding labeling is important but secondary to self-awareness, which prevents labeling in the first place. A review of systems is clinical, not relational, and understanding the client's response comes after engaging with them. Self-awareness, per Peplau and therapeutic models, enables empathy and professionalism, preventing countertransference and fostering trust, making C the critical first step in care provision.

Question 5 of 5

A young woman who has just started college is 6 weeks into the semester and has several tests and assignments due in approximately 3 days. She has developed a sore throat and fever. The development of illness is related to:

Correct Answer: C

Rationale: Stress from looming deadlines can lead to immunosuppression , weakening the immune system and increasing susceptibility to infections like a sore throat and fever. Decreased energy and sleep deprivation may contribute but are less specific causes of illness; they're symptoms of stress, not the mechanism. Exposure to streptococcus could be a factor, but the question ties illness to her situation, not a specific pathogen. Chronic stress elevates cortisol, suppressing T-cell activity and antibody production, making C the most direct link between her circumstances and illness onset.

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