Correct Answer: D

Rationale: The correct answer is D because promoting independence without assistance to all clients may not always maintain safety for the elderly. Elderly individuals may require some level of assistance for certain activities to prevent falls or other safety risks. Providing assistance when needed is crucial for ensuring their safety. A: Modifying the environment to reduce obstacles and barriers to ambulation helps prevent falls. B: Consistent checks of ambulation abilities ensure early detection of any decline in mobility. C: Orienting to new surroundings and repeating as needed helps prevent confusion and disorientation.

Correct Answer: B

Rationale: The correct answer is B because super-centenarians, who are individuals aged 110 years or older, often exhibit a high level of functional independence despite their advanced age. This is supported by research showing that many super-centenarians maintain physical and cognitive abilities that allow them to perform daily activities without significant assistance. This statement aligns with the concept of successful aging, where individuals maintain autonomy and independence in later years. Option A is incorrect because a significant number of super-centenarians are not dependent on full-time nursing care for daily activities. Option C is incorrect as many super-centenarians can still engage in social activities despite health limitations. Option D is incorrect as most super-centenarians do not experience severe cognitive decline that affects their daily living.

Correct Answer: D

Rationale: The correct answer is D. Ingesting excessive acetaminophen can lead to liver damage, not renal failure. Diabetes mellitus, prostate hypertrophy causing urinary obstruction, and heart failure are known to cause renal failure due to their effects on kidney function. Diabetic nephropathy can damage the kidneys over time, prostate hypertrophy can obstruct urine flow and lead to kidney damage, and heart failure can result in decreased blood flow to the kidneys, causing renal failure. Thus, D is the correct answer as it does not directly cause renal failure, unlike the other choices.

Correct Answer: B

Rationale: The correct answer is B because the Nurse Competence in Aging (NCA) initiative focuses on developing resources for nurses to access evidence-based information on topics related to the care of older adults. This is evident in the initiative's goal to enhance the knowledge and skills of nurses caring for older adults. The other choices are incorrect because A is not specific to the NCA initiative, C pertains to scholarships rather than resources for accessing information, and D is incorrect as the NCA initiative did not develop the first certification in gerontological nursing.

Correct Answer: C

Rationale: Certainly! Regular strength training exercises are crucial for improving strength and overall function in older adults with frailty. Strength training helps build muscle mass, improve balance, and increase mobility, leading to enhanced functional abilities. It also helps prevent falls and maintain independence. High-protein diet (A) supports muscle health but alone is not sufficient. Medication management (B) is important but not the primary factor for physical function. Limiting physical activity (D) can worsen frailty by causing deconditioning and loss of muscle strength.