Correct Answer: C

Rationale: Step 1: Healthy People 2020 focuses on improving the health and well-being of all individuals, including older adults. Step 2: Identifying minimum levels of training for people who care for older adults is crucial to ensure quality care. Step 3: This issue aligns with the goal of promoting quality of care and safety for older adults. Step 4: Other choices are not directly addressed in Healthy People 2020 goals. Summary: Choice C is correct as it directly relates to improving the care of older adults, while the other choices focus on specific issues not highlighted in Healthy People 2020.

Correct Answer: B

Rationale: The correct answer is B: high likelihood of orthostatic hypotension upon rising quickly. Orthostatic hypotension is a common issue in the elderly, causing a sudden drop in blood pressure when standing up quickly, leading to dizziness and falls. This factor directly contributes to the high incidence of falls in the elderly. Increased muscle mass and tone (A) actually reduce the risk of falls, while improving eyesight in dim light (C) would decrease the risk. Constipation (D) is not directly related to falls in the elderly.

Correct Answer: D

Rationale: The correct answer is D because nursing interventions can focus on enhancing the client's quality of life, comfort, and emotional well-being even in the face of terminal illness. Nurses can provide support, educate the client and family, manage symptoms, and empower the client to find meaning and purpose in their life. This approach contributes to a higher level of wellness by addressing holistic needs beyond just medical interventions. Incorrect choices: A: Wellness can be achieved through various means, not just aggressive medical interventions. B: Wellness is still achievable in terms of emotional, social, and spiritual well-being even with a terminal illness. C: Wellness involves physical, emotional, social, and spiritual aspects beyond just the absence of disease.

Correct Answer: C

Rationale: The correct answer is C because regular repositioning and the use of pressure-relieving devices are essential to prevent skin breakdown in immobile older adults. Repositioning helps redistribute pressure, maintaining blood flow to the skin and preventing tissue damage. Pressure-relieving devices such as cushions or special mattresses further reduce pressure on vulnerable areas. Choices A and B do not address the root cause of skin breakdown and may even exacerbate the issue. Choice D is incorrect as complete bed rest can lead to further complications like pressure ulcers. In summary, choice C is the most effective intervention as it directly targets the risk factors for skin breakdown in immobile older adults.

Correct Answer: A

Rationale: The correct answer is A: Decreased manual dexterity and inability to hold a toothbrush. As people age, they may experience decreased hand strength and motor skills, making it difficult to hold and manipulate objects like a toothbrush. This can lead to a decline in oral hygiene practices. Malocclusion of teeth (B) does not directly impact the ability to brush teeth. Decrease in taste acuity (C) may affect appetite but not tooth brushing habits. Lack of dental insurance (D) is a financial barrier and may affect access to dental care, but it does not directly impact the physical ability to brush teeth.