ATI LEARNING SYSTEM GERONTOLOGY PRACTICE QUIZ W/RATIONALES LATEST UPDATED EXAM

A nurse at a long-term care facility is assisting with planning care for a group of older adult clients. When planning care, the nurse should consider that older adult clients are most likely to exhibit a decrease in which of the following? A. Short-term memory B. Creative ability C. Decision-making skills D. Cognitive capacity - A. Short-term memory Short-term memory- The ability to process short-term memories decreases as part of the aging process. As a result, older adult clients might require reminders regarding their medications, ADLs, or daily schedules. The nurse should tell the volunteers that residents might have difficulty remembering their names from day to day, ask the same question repeatedly, or need assistance remembering recent events. Creative ability does not decrease in older adult clients. Most long-term care facilities provide recreational activities, including opportunities for creating things through artistic expression, for clients. Clients who have dementia and other neurologic disorders might still be able to participate in creative activities. Decision-making skills do not decrease in older adult clients as a result of the aging process. Clients who have dementia and neurologic disorders might still be able to participate in making decisions about themselves or their care. Unless the client is found to be incompetent, the client will retain decision-making rights, including selfdetermination and autonomy. Cognition does not decrease in older adult clients as a result of the aging process. Clients who have dementia or other organic or traumatic brain disorders might still be able to learn simple tasks or adjust to new situations or routines. The client's speed, rather than ability, to perform a task might decrease. A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). Which of the following instructions should the nurse include regarding clients who are hearing impaired? A. Maintain eye contact with the clients B. Stand to one side of the clients and speak into their good ears