Correct Answer: A

Rationale: Surveying the target population helps identify specific interests and health concerns ensuring that the programs are tailored to the needs of older adults. Determining the availability of health care providers is important but may not directly address the specific interests or concerns of the older adults. Basing the programs on their developmental stage is important but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.

Correct Answer: C

Rationale: Controlled substances typically require a licensed nurse or provider to witness the wasting not assistive personnel. Wasted medication should be disposed of according to facility policies but not necessarily in a sharps container unless it is a sharp object. Recording the amount of medication wasted on the controlled substance inventory record is a crucial step to maintain accurate documentation. Returning the unused portion of a controlled substance to the pharmacy is not an appropriate action and goes against medication safety protocols. Controlled substances should be wasted and documented properly.

Correct Answer: D

Rationale: Wrapping the finger in a warm cloth helps improve blood flow and can facilitate the blood sample collection. Rubbing the fingertip with an alcohol pad cleans the site before the puncture. Puncturing the side of the fingertip is not the recommended site for a capillary finger stick. The recommended site is the center of the fleshy pad of the fingertip. Elevating the finger above heart level can assist in increasing blood flow to the fingertip.

Correct Answer: A

Rationale: Keeping the client's bed linens dry helps maintain the client's comfort and prevents chilling associated with damp linens. Applying an alcohol-water solution may increase evaporative cooling and is not a standard intervention for fever. Encouraging increased fluid intake is appropriate to promote hydration but the specific amount should be individualized based on the client's condition and needs. Applying ice packs to the groin is not a recommended site for cooling and may cause discomfort. The choice of cooling measures should be appropriate and based on the healthcare provider's orders or institutional protocols.

Correct Answer: A

Rationale: Holding the cane on the affected side is a correct technique to provide support. Keeping two points of support on the ground is a proper technique for stability. Advancing the cane before moving the unaffected leg is incorrect and may lead to instability and increased risk of falls. Supporting weight on both legs while moving the cane forward is a correct technique for stability during ambulation.