Chapter 33. The Aging Individual
Multiple Choice
1. A client has recently been placed in a long-term-care facility because of marked
confusion and inability to perform most activities of daily living. Which nursing
intervention is most appropriate to maintain the clients self-esteem?
A. Leave the client alone in the bathroom to test ability to perform self-care. B. Assign
a variety of caregivers to increase potential for socialization.
C. Allow client to choose between two different outfits when dressing for the day. D.
Modify the daily schedule often to maintain variety and decrease boredom. ANS: C
The most appropriate nursing intervention to maintain this clients self-esteem is to
allow the client to choose between two different outfits when dressing for the day. The
nurse should also provide appropriate supervision to keep the client safe, maintain
consistency of caregivers, and maintain a structured daily routine to minimize
confusion.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
2. A son who recently brought his extremely confused parent to a nursing home for
admission reports feelings of guilt. Which is the appropriate nursing reply?
A. People often have mixed emotions about decisions like this. Support groups are
held here on Mondays for children of residents in similar situations.
B. You did what you had to do. I wouldnt feel guilty if I were you. C. Support groups are
available to low-income families.
D. Your parent is doing just fine. Well take very good care of him.
, ANS: A
The most appropriate reply by the nurse is to normalize the sons feelings and provide a
resource to help the son deal with feelings of guilt by giving information about an
available support group.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
3. A family asks why their father is attending activity groups at the long-term care
facility. The son states, My father worked hard all of his life. He just needs some rest at
this point. Which is the appropriate nursing reply?
A. Im glad we discussed this. Well excuse him from the activity groups.
B. The groups benefit your father by providing social interaction, sensory stimulation,
and reality orientation. C. The groups are optional. Only clients at high functioning
levels would benefit.
D. If your father doesnt go to these activity groups, he will be at high risk for developing
dementia.
ANS: B
The most appropriate nursing reply is to educate the family on the purpose of activity
groups, which is to provide social interaction, sensory stimulation, and reality
orientation. Groups can also serve to increase self-esteem and reduce depression.
KEY: Cognitive Level: Application | Integrated Processes: Teaching/Learning | Client
Need: Health
Multiple Choice
1. A client has recently been placed in a long-term-care facility because of marked
confusion and inability to perform most activities of daily living. Which nursing
intervention is most appropriate to maintain the clients self-esteem?
A. Leave the client alone in the bathroom to test ability to perform self-care. B. Assign
a variety of caregivers to increase potential for socialization.
C. Allow client to choose between two different outfits when dressing for the day. D.
Modify the daily schedule often to maintain variety and decrease boredom. ANS: C
The most appropriate nursing intervention to maintain this clients self-esteem is to
allow the client to choose between two different outfits when dressing for the day. The
nurse should also provide appropriate supervision to keep the client safe, maintain
consistency of caregivers, and maintain a structured daily routine to minimize
confusion.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
2. A son who recently brought his extremely confused parent to a nursing home for
admission reports feelings of guilt. Which is the appropriate nursing reply?
A. People often have mixed emotions about decisions like this. Support groups are
held here on Mondays for children of residents in similar situations.
B. You did what you had to do. I wouldnt feel guilty if I were you. C. Support groups are
available to low-income families.
D. Your parent is doing just fine. Well take very good care of him.
, ANS: A
The most appropriate reply by the nurse is to normalize the sons feelings and provide a
resource to help the son deal with feelings of guilt by giving information about an
available support group.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
3. A family asks why their father is attending activity groups at the long-term care
facility. The son states, My father worked hard all of his life. He just needs some rest at
this point. Which is the appropriate nursing reply?
A. Im glad we discussed this. Well excuse him from the activity groups.
B. The groups benefit your father by providing social interaction, sensory stimulation,
and reality orientation. C. The groups are optional. Only clients at high functioning
levels would benefit.
D. If your father doesnt go to these activity groups, he will be at high risk for developing
dementia.
ANS: B
The most appropriate nursing reply is to educate the family on the purpose of activity
groups, which is to provide social interaction, sensory stimulation, and reality
orientation. Groups can also serve to increase self-esteem and reduce depression.
KEY: Cognitive Level: Application | Integrated Processes: Teaching/Learning | Client
Need: Health
