Correct Answer: B

Rationale: The correct answer is B because using large size fonts on written material is important for elderly individuals in assisted living facilities who may have visual impairments. This accommodation ensures that the residents can easily read and understand the information being presented. This is crucial for effective communication and engagement in the educational program. A: While using simple language is generally beneficial, the primary concern for this specific population is visual accessibility rather than language complexity. C: Providing the program in a quiet area is important for minimizing distractions, but it is not as critical as ensuring the residents can read the material. D: While building on prior knowledge is a good practice in teaching, it is secondary to ensuring that the information is visually accessible to the residents.

Correct Answer: A

Rationale: The correct answer is A: Determine whether there are medication duplications. This is the first intervention the nurse should take because medication duplications can lead to potential drug interactions and adverse effects. By identifying duplicate medications, the nurse can prevent harm to the client. Choice B: Starting to educate the client on proper medication adherence may be important, but it is not the first priority in this scenario. Choice C: Monitoring the client's blood pressure closely is not directly related to the issue of multiple medications and should not be the first intervention. Choice D: Asking the client to stop taking some medications without proper assessment and consultation with a healthcare provider can be risky and may not address the issue of medication duplications.

Correct Answer: B

Rationale: The correct answer is B because in most cultures, including Western ones, older adults are more likely to initially seek traditional or cultural methods of treatment before resorting to biomedical professionals. This is often due to cultural beliefs and practices ingrained in societies. A is incorrect because personalistic or magicoreligious beliefs still exist in Western societies alongside biomedical principles. C is incorrect because Ayurvedic medicine is a traditional Indian system of medicine, not the same as traditional Chinese medicine. D is incorrect because the belief in balancing opposite qualities is characteristic of holistic or traditional medicine practices, not necessarily magicoreligious belief systems.

Correct Answer: C

Rationale: The correct answer is C because life expectancy is influenced by multiple factors such as gender, ethnicity, and living environment. Gender does play a role, but it is not the sole determinant. Ethnicity and living environment also significantly impact life expectancy. Genetic factors may contribute, but they are not the primary factor affecting life expectancy. Therefore, choice C is the most comprehensive and accurate statement. Choices A and B are incorrect as they oversimplify the factors that influence life expectancy, while choice D is also incorrect as it overlooks the significant impact of other factors beyond genetics.

Correct Answer: A

Rationale: The correct answer is A: Decreased lean body mass and decreased glomerular filtration rate. 1. Decreased lean body mass: With aging, there is a natural decline in muscle mass which can affect the distribution and metabolism of digoxin, potentially increasing its concentration in the body. 2. Decreased glomerular filtration rate: As individuals age, there is a decrease in kidney function, particularly in the glomerular filtration rate, which can lead to decreased excretion of digoxin, resulting in its accumulation and potential toxicity. Therefore, these age-related changes can place the older client at risk for digoxin toxicity. Summary: B: Increased muscle mass and improved renal function - This choice is incorrect as aging is associated with decreased muscle mass and declining renal function. C: Higher levels of albumin and increased drug metabolism - This choice is incorrect as aging is typically associated with decreased albumin levels and slower drug metabolism. D: Decreased hepatic function and increased body fluid