All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:

Correct Answer: A

Rationale: Oxidative enzyme levels decrease with age, not increase, affecting drug metabolism.

Correct Answer: B

Rationale: Jean Watson's Human Caring Theory, developed in the 1970s, defines caring as a healing force transmitted through the nurse's consciousness, connecting to the patient's spirit. She sees nursing as transcending physical acts, fostering openness to a higher human essence. Unlike Benner's skill progression, Leininger's cultural focus, or Swanson's process model, Watson's approach is deeply philosophical, emphasizing transpersonal caring moments like a nurse's empathy soothing a dying patient's fear. Her 10 Carative Factors (e.g., instilling hope) guide this spiritual exchange, influencing holistic nursing practices globally, particularly in palliative care, where emotional and existential support is paramount.

Correct Answer: C

Rationale: Lawrence Kohlberg's moral development theory, from the 1950s, hinges on mutual trust e.g., a child learns fairness through reciprocal relationships. Freud's psychoanalysis, Erikson's psychosocial stages, and Peters' principle-based morality differ. Kohlberg's stages premoral (reward/punishment), conventional (social norms), post-conventional (personal ethics) explain moral growth, influencing nursing ethics education on trust-based patient interactions.

Correct Answer: D

Rationale: Maslow's theory (1940s) allows need priorities to shift e.g., delaying hunger for safety in crisis. Needs interrelate (safety affects esteem), aren't rigid, and can be deferred. Nurses adapt care e.g., addressing fear before nutrition in trauma reflecting this alterability, key to responsive patient management.

Correct Answer: A

Rationale: Body temperature peaks late day (8 PM-midnight) due to circadian rhythms e.g., higher metabolism. Lowest is early morning (not noon), thyroxin raises temp (not lowers), and elderly risk hypothermia (not hyperthermia) from poor regulation. Nurses monitor this pattern for fever assessment, per physiological norms.