The nurse is assessing an older adult from a different culture using the explanatory model. Which question(s) should the nurse ask? (Select all that apply.)

Correct Answer: B, E, F

Rationale: The correct answers are B, E, and F. B is correct because understanding what treatment can improve the condition is essential for culturally sensitive care. E is correct as it helps understand the patient's beliefs about the cause of the illness. F is correct to assess the impact of the illness on the patient's life. A is incorrect as it focuses more on negotiation rather than understanding the patient's perspective. C is incorrect as it assumes the nurse's plan is superior without considering the patient's beliefs. D is incorrect as it only focuses on the duration of the problem rather than the patient's explanatory model.

Correct Answer: A

Rationale: Verbal fluency is the correct answer because reading aloud improves language skills, vocabulary, and verbal expression. It requires cognitive processes like word retrieval, organization, and articulation. Logical analysis (B) is not directly related to reading aloud. Object naming (C) focuses on identifying objects visually, not verbally. Visuospatial skills (D) involve understanding and manipulating visual information, not verbal expression. Reading aloud specifically targets verbal fluency by enhancing communication abilities and language processing.

Correct Answer: B

Rationale: The correct answer is B: Thyroid gland. The thyroid gland produces hormones that regulate metabolism. In older adults, decreased thyroid function, known as hypothyroidism, can lead to a decrease in metabolism. This can result in symptoms such as fatigue, weight gain, and slowed heart rate. A: Kidney - While the kidneys play a role in filtering waste and maintaining fluid balance, decreased kidney function typically does not directly impact metabolism. C: Brain - The brain plays a crucial role in regulating various bodily functions, but it does not directly control metabolism. D: Skeleton - The skeleton provides structural support and protects organs but does not directly influence metabolism.

Correct Answer: A

Rationale: The correct answer is A: Diabetes. Healthy People 2020 focuses on improving the health of older adults, and diabetes is a chronic condition prevalent in this population. It can significantly impact health, function, and quality of life if not managed properly. Diabetes can lead to complications such as heart disease, stroke, kidney disease, and vision problems. By targeting diabetes, the goal is to prevent these complications and improve overall health outcomes for older adults. Summary of why other choices are incorrect: B: Arthritis - While arthritis is common in older adults, it is not a targeted chronic focus area identified by Healthy People 2020 for this population. C: Congestive heart failure - Although heart health is important, congestive heart failure is not specifically highlighted as a priority for improvement in older adults by Healthy People 2020. D: Dementia - Dementia is a serious concern in the aging population, but it is not one of the targeted chronic focus areas identified by Healthy People 202

Correct Answer: B

Rationale: The correct answer is B because a peak flow meter is used to monitor and measure the peak expiratory flow rate, which helps determine if the client is developing asthma symptoms such as airway constriction. It provides feedback on the client's lung function, helping to assess asthma control and guide treatment. Choices A, C, and D are incorrect because a peak flow meter is not used for administering medications, identifying allergy triggers, or limited to specific healthcare professionals.

Correct Answer: B

Rationale: The correct answer is B: Difficulty reading small print and decreased ability to focus on objects at varying distances. As people age, the lens of the eye becomes less flexible, leading to presbyopia, which results in difficulty seeing close objects clearly. This explains the client's decreased ability to accommodate. This choice is correct because presbyopia specifically affects near vision, making it harder to read small print and focus on objects up close. A: Blurring of vision due to increased intraocular pressure - This choice is incorrect because presbyopia is not related to increased intraocular pressure. C: Narrowing of field of vision-loss of peripheral vision - This choice is incorrect because presbyopia does not affect peripheral vision; it specifically impacts near vision. D: Sensitivity to light (photophobia) - This choice is incorrect because presbyopia does not cause sensitivity to light; it is solely related to difficulty in focusing on near objects.

Correct Answer: C

Rationale: The correct answer is C: "It is the brain's ability to maintain function despite age-related changes and pathology." Cognitive reserve in older adults refers to the brain's ability to withstand age-related changes and pathology while maintaining cognitive function. This concept suggests that individuals with higher cognitive reserve may show fewer cognitive deficits even in the presence of brain damage or pathology. Choice A is incorrect because cognitive reserve is not about compensating for damage through enhanced neurogenesis but rather about maintaining function despite changes. Choice B is incorrect because cognitive reserve is not specifically about the relationship between cognitive decline and physical health; it focuses on maintaining cognitive function. Choice D is incorrect because cognitive reserve is not about developing new cognitive abilities later in life but rather preserving existing cognitive function.

Correct Answer: C

Rationale: The correct answer is C because older adults often experience adverse drug reactions due to their slower renal and hepatic function. This leads to a decreased ability to clear drugs from the body efficiently, increasing the risk of drug accumulation and toxicity. Choice A is incorrect because aging typically results in slower drug metabolism, not faster. Choice B is also incorrect as older adults tend to take more medications, increasing the likelihood of drug interactions and adverse reactions. Choice D is incorrect because aging is associated with a decline in immune function, making older adults more susceptible to adverse drug reactions.

Correct Answer: B

Rationale: The correct answer is B: Family support and involvement. This is crucial in determining the effectiveness of rehabilitation after a stroke because a supportive and involved family can provide emotional support, encouragement, and assistance with activities of daily living. This positively impacts the patient's motivation, compliance with treatment, and overall well-being, leading to better rehabilitation outcomes. A: Age of the patient - While age can be a factor in stroke recovery, it is not the most important factor as older patients can still make significant progress with proper rehabilitation and support. C: Number of medications prescribed - While medication management is important in stroke recovery, it is not the most crucial factor for rehabilitation effectiveness. D: Patient’s previous health conditions - While previous health conditions can impact stroke recovery, the level of family support and involvement plays a more significant role in determining the effectiveness of rehabilitation after a stroke.