The nurse is providing instructions to a nursing assistant regarding care of an older client with hearing loss. The nurse tells the assistant that clients with a hearing loss:

Correct Answer: A

Rationale: The correct answer is A because clients with hearing loss typically have difficulty hearing high-pitched tones, making it easier for them to respond to low-pitched tones. Low-pitched tones are easier for individuals with hearing loss to perceive due to the nature of hearing loss affecting the ability to hear higher frequencies. Choice B is incorrect as it is a generalization that does not consider the specific nature of hearing loss. Choice C is incorrect because individuals with hearing loss may require various forms of assistance beyond just lip-reading. Choice D is incorrect as individuals with hearing loss generally struggle more with high-pitched tones.

Correct Answer: A

Rationale: The correct answer is A because most areas of the brain do not lose brain cells with age due to a process called neuroplasticity. This means that the brain can adapt and reorganize itself by forming new connections between existing brain cells. Memory decline is not inevitable (B) as cognitive decline varies among individuals and can be influenced by factors like lifestyle and genetics. Basic intelligence can change with age (C) due to various factors such as experience and education. The brain does continue to make new brain cells through a process called neurogenesis, making choice D incorrect.

Correct Answer: A

Rationale: The correct answer is A: Genetic research. Telomere shortening is primarily based on the theory of cellular senescence, which is related to genetic research. Telomeres are protective caps at the end of chromosomes that shorten with each cell division. Genetic research has shown that telomere shortening is associated with aging and age-related diseases. Caloric restriction, oxidative stress, and cross-link theories of aging are not directly linked to telomere shortening. Caloric restriction focuses on extending lifespan by reducing calorie intake, oxidative stress theory suggests that aging is caused by cumulative damage from reactive oxygen species, and cross-link theory emphasizes the accumulation of non-reversible bonds between molecules as a cause of aging.

Correct Answer: D

Rationale: The correct answer is D because increasing medications would not directly address xerostomia. Xerostomia is dry mouth, often caused by decreased saliva production. Using humidifiers (A) helps increase moisture in the air, mouth rinses/artificial saliva (B) lubricate the mouth, and sugar-free hard candies (C) stimulate saliva production. Increasing medications (D) would not target the root cause of xerostomia and may even exacerbate dry mouth symptoms.

Correct Answer: C

Rationale: The correct answer is C: Loss of a spouse or close family member. This is the most significant predictor of social isolation in older adults because losing a spouse or close family member can result in decreased social interactions and emotional support. This loss can lead to feelings of loneliness and isolation. Incorrect options: A: Lack of access to healthcare - While lack of access to healthcare can impact overall health, it is not the primary factor contributing to social isolation. B: Limited income and resources - Financial constraints can affect social activities, but they are not as impactful as losing a loved one. D: High levels of physical activity - While physical activity is important for overall well-being, it is not directly correlated with social isolation in older adults.

Correct Answer: B

Rationale: The correct answer is B because decreasing fiber in the diet can actually worsen constipation. Fiber helps promote regular bowel movements by adding bulk to the stool. Walking and staying hydrated (choices A and D) are effective strategies to prevent constipation. Having a daily bowel movement (choice C) is a positive sign of bowel health. By choosing to decrease fiber intake, the client may inadvertently reduce the effectiveness of their bowel movements, leading to constipation.

Correct Answer: A

Rationale: The correct answer is A because health refers to a state of physical, mental, and social well-being, encompassing attitudes and behaviors. Choice B is incorrect as previous generations did consider illness prevention. Choice C is incorrect as wellness and self-actualization can also be influenced by genetics and environment. Choice D is incorrect as wellness can still be achieved through various aspects even if one's health is compromised.

Correct Answer: C

Rationale: The correct answer is C: 2 years. A case manager typically requires a minimum of 2 years of nursing education to effectively coordinate care for patients. This level of education provides the necessary knowledge and skills to assess, plan, implement, and evaluate patient care. - A: 1 to 1.5 years - Insufficient to acquire the depth of knowledge needed for case management. - B: 4 to 6 years - Excessive for the role of a case manager, as it typically does not require a bachelor's degree. - D: 8 or more years - Overqualified for the position of a case manager, as this level of education is beyond what is necessary for the role.

Correct Answer: B

Rationale: The correct answer is B: Cognitive decline affecting memory and decision-making. Older adults with cognitive impairments, such as dementia, may struggle with remembering to take their medications as prescribed and making sound decisions regarding their medication regimen due to cognitive decline. Memory deficits can lead to missed doses, while impaired decision-making can result in improper adherence. Choices A, C, and D are incorrect as the primary reason for medication non-adherence in this population is the cognitive decline impacting memory and decision-making, rather than lack of understanding, physical inability, or fear of side effects.