All of the following except___ can occur due to the decreased tactile sensations that occur in the older person.

Correct Answer: B

Rationale: The correct answer is B because social isolation is not directly related to decreased tactile sensations. A, C, and D are consequences of decreased tactile sensations in older individuals. A can occur due to not feeling the temperature, C due to not feeling pressure and injury, and D due to decreased sensation causing falls. Social isolation is more related to emotional or psychological factors rather than physical sensations. It is crucial to differentiate between physical consequences and social consequences when considering the effects of decreased tactile sensations in older individuals.

Correct Answer: A

Rationale: The correct answer is A: peripheral arterial disease. Altered level of consciousness in an 81-year-old female is unlikely to be directly caused by peripheral arterial disease. Instead, hypoglycemia, pneumonia, and hypotension from dehydration are common causes of altered mental status in the elderly. Hypoglycemia can lead to brain dysfunction, pneumonia can cause low oxygen levels affecting brain function, and dehydration-induced hypotension can reduce blood flow to the brain. Therefore, peripheral arterial disease is not typically a direct cause of altered consciousness in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Cataracts. Cataracts are the most common type of vision impairment in older adults due to the clouding of the eye's lens. As people age, proteins in the lens can clump together, leading to vision issues. Glaucoma (B) is characterized by damage to the optic nerve, AMD (C) affects the macula in the retina, and diabetic retinopathy (D) is a complication of diabetes affecting blood vessels in the retina. However, cataracts are the primary cause of vision impairment in older adults due to the natural aging process of the eye.

Correct Answer: C

Rationale: The correct answer is C: kidney stones. Intra-renal renal failure refers to damage within the kidney itself. Kidney stones mainly affect the urinary tract rather than directly causing damage within the kidney. A: certain aminoglycoside antibiotics can cause intra-renal renal failure by damaging the kidney tubules. B: glomerulonephritis is inflammation of the glomeruli in the kidney, leading to intra-renal renal failure. D: diabetic or hypertensive nephrosclerosis can cause intra-renal renal failure due to long-term damage to the kidney's blood vessels and structures.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy, collaboration, and a patient-centered approach. By asking how to work together, the nurse acknowledges the daughter's concerns and fosters a collaborative relationship. This approach respects the daughter's role in her mother's care and encourages open communication. Choice A is incorrect as it uses a threatening tone and may alienate the daughter, leading to a breakdown in communication. Choice B is incorrect as it dismisses the daughter's cultural values, which are important in providing holistic care. Choice C is incorrect as it suggests that the daughter is incapable of caring for her mother, which can be disempowering and offensive.

Correct Answer: D

Rationale: The correct answer is D: Complicated medication regimens. Older adults often have multiple medical conditions requiring several medications, leading to confusion and difficulty in following complex regimens. This complexity increases the likelihood of medication nonadherence. Lack of health literacy (A) may contribute but is not the primary factor. High cost of medications (B) and limited access to healthcare providers (C) are important barriers, but they are not as directly linked to nonadherence as the complexity of medication regimens.

Correct Answer: B

Rationale: The correct answer is B: Greater when used in conjunction with pharmacological therapy. This is because combining alternative therapies with pharmacological treatment can often provide a synergistic effect, resulting in better pain management outcomes. Alternative therapies such as physical therapy, acupuncture, or mindfulness techniques can complement the effects of medications, leading to improved pain relief. Options A and D are incorrect as age alone does not determine the effectiveness of alternative therapies. Option C is also incorrect as combining therapies can enhance overall pain management strategies.

Correct Answer: A

Rationale: The correct answer is A: Coordinating care for the older adult population. This is a key emerging issue in the health of older adults as it focuses on improving the integration and coordination of healthcare services to ensure comprehensive and efficient care delivery. This includes addressing the complex needs of older adults, promoting continuity of care, and enhancing communication among healthcare providers. Rationale: 1. Coordinating care addresses the holistic needs of older adults. 2. It aims to prevent fragmented care and improve health outcomes. 3. Enhances collaboration among healthcare providers and community resources. 4. Promotes patient-centered care and improves quality of life for older adults. Other Choices: B: Assisting older adults in the management of their own care - While important, this focuses on individual responsibility rather than systemic coordination. C: Identifying levels of training for those caring for older adults - Relevant but not a primary emerging issue in the health of older adults. D: Making community resources available for older adults - Important, but

Correct Answer:

Rationale: Correct Answer: Regular physical activity and healthy diet Rationale: 1. Regular physical activity helps maintain cardiovascular health, muscle strength, and balance in older adults, reducing the risk of falls and chronic diseases. 2. A healthy diet provides essential nutrients for overall health and helps prevent conditions like obesity, diabetes, and heart disease. 3. Both components are key in primary prevention by promoting overall well-being, reducing the risk of age-related health issues, and enhancing quality of life. Incorrect Choices: A: Annual health screenings - While important for early detection, screenings alone do not prevent health issues. B: Social isolation prevention programs - Important for mental health, but not primary prevention. C: Routine medication management - Important for managing existing conditions, not primary prevention. D: Memory enhancement exercises - Beneficial for cognitive health but not primary prevention for physical health issues in older adults.