Which method elicits the most accurate information during a physical assessment of an older adult?
A. use reliable assessment tools for older adults
B. Review the past medical record for medications
C. Ask the client to recount one's health history
D. Obtain the client's information from a caregiver - ✔✔A. use reliable assessment tools for older adults
Specific assessment tools (D) for an older adult, such as Older Adult Resource Services Center
Instrument, mini-mental assessment, fall risk, depression, or skin breakdown risk, consider age-related
physiologic and psychosocial changes related to aging and provide the most accurate and complete
information. A and B are subjective and may vary in reliability based on the client's memory and
caregiver's current involvement. Although C is a good resource to identify polypharmacy, a written
record may not be available or currently accurate.
A client who has just tested positive for HIV does not appear to hear what the nurse is saying during
post-test counseling. Which information should the nurse offer to facilitate the client's adjustment to
HIV infection?
A. teach the client about the medications that are available for treatment
B. discuss retesting to verify the results, which will ensure continuing contact
C. identify the need to test others who have had risky contact with the client
D. inform the client how to protect sexual and needle-sharing partners - ✔✔B. discuss retesting to verify
results, which will ensure continuing contact
encouraging retesting supports hope and gives the client time to cope with the diagnosis. Although posttest counseling should include education about A, B, and C, retesting encourages the client to maintain
medical follow-up and management.
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