Nursing Medical-Surgical Review. Questions with accurate answers. 100% Approved pass rate. (26pages)

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.