Case Study 2 The nurse is planning a function-focused care plan for Mr. Jones, who is 78, alert and oriented, and does not demonstrate any problems at this time.   He is taking 6 medications and has a history of Hypertension , Diabetes mellitus, Chronic Obstructive Pulmonary Disorder (COPD), and continues to smoke.  Mr. Jones states that he does not move around that much because “I don’t feel like it. I just feel tired and “down” all the time.” He has no history of falls or pressure injuries. A week later, the nurse performs an Activity of Daily Living (ADL) assessment and notes the following    findings:                Transfers independently but has an unsteady gait                Dressing takes longer than it did a week ago                Independently capable of using the bathroom but is unsteady walking                He has refused a bath this week. The client’s mood has not improved and he looks away as the nurse performs the assessment.  He says he does not really have an appetite and wants to go back to sleep. Based upon this newer assessment information, which priorities should the nurse place on the plan of care? Select all that apply.

The nurse is planning health promotion activities for older adults in a senior community center. Which of the following would be least likely to provide health benefits for older adults?

The nurse is discharging the older client from the hospital after abdominal surgery. Which of the following interventions would enhance the client’s understanding of the discharge plan?

The nurse manager is wanting to include education on cultural competency to the nursing staff and would best justify the need based on which of the following?

The nurse works with a program that performs interviews, blood work, and digital rectal examinations aimed at identifying older men with benign prostatic hyperplasia (BPH). The program also facilitates bathroom alterations in older adults’ homes to ensure men with BPH have easy access to a toilet. Which component of health promotion still needs to be implemented in the program?

The nurse is teaching the family of an older adult client about the role of adult day care centers. Which statement by the family member indicates a need for further teaching?

The nurse assesses the risk of the members of an older adult community. Which individual is most likely to be living at or below the poverty line?

The nurse is educating the 81 year old adult client, who is feeling worthless about getting old, about successful aging. Which statement made by the client indicates that the education provided was successful?

The nurse is teaching student nurses about Age-Friendly Health Care Systems and what is used to promote quality of care in older adults. Which of the following interventions should the student nurse prioritize to include the components of this system? Select all that apply.

The nurse teaches an older adult client about the use of the telehealth equipment to monitor congestive heart failure. Which statement by the client shows understanding?