In this situation, the resident is confused and keeps trying to grab a hairbrush while the nurse aide is trying to dress them. Giving the resident the hairbrush to hold can help distract them and keep them occupied, making it easier for the nurse aide to complete the dressing task. This allows the resident to feel a sense of control and involvement, reducing their agitation and making the dressing process smoother. Restraining the resident's hand may escalate the situation and cause distress, while putting the hairbrush away and trying to dress the resident more quickly may not address the underlying issue of the resident's desire for the hairbrush.
When trying to communicate with a resident who speaks a different language, using pictures and gestures is the most effective method. This allows the nurse aide to visually convey information, making it easier for the resident to understand. It eliminates the language barrier and promotes clear communication. This approach is more practical than assuming that repeating words often or relying on the resident's nodding will ensure understanding. Additionally, facing the resident and speaking softly may not be as helpful as using visual aids.
The nurse aide should consider the resident's cultural background before offering comfort to a crying resident. Cultural background plays a significant role in how individuals express and perceive emotions. Different cultures have varying norms and expectations regarding emotional expression and comfort. By considering the resident's cultural background, the nurse aide can ensure that their approach to offering comfort is sensitive and respectful, taking into account any cultural preferences or practices that may influence the resident's response to emotional distress.
The question "What are your favorite foods?" is most likely to encourage conversation because it prompts the resident to share their personal preferences and opinions. This question invites the resident to talk about their tastes and experiences, which can lead to a more engaging and interactive conversation compared to the other options provided.
A resident who has stress incontinence may leak urine when laughing or coughing. Stress incontinence is a type of urinary incontinence that occurs when there is pressure or stress on the bladder, such as during laughing, coughing, sneezing, or lifting heavy objects. This can cause the muscles that control urine flow to weaken, leading to leakage. It is not necessary for the resident to have an indwelling urinary catheter, wear an incontinent brief at night, or need toileting every 1-2 hours throughout the day.
As individuals age, it is common for the bladder to hold less urine. This is due to a decrease in the bladder's capacity and a weakening of the muscles that control urine flow. This age-related change can result in an increased frequency of urination and a decreased ability to hold urine for long periods of time. It is important to note that while this is considered a normal age-related change, it is still important to monitor and manage any urinary issues to ensure overall health and well-being.
When a resident is expressing anger, it is important for the nurse aide to listen closely to the resident's concerns. This allows the nurse aide to understand the underlying issues that are causing the resident's anger. By actively listening, the nurse aide can gather important information that can help address the resident's concerns and find a solution to the problem. It also shows the resident that their feelings are being acknowledged and validated, which can help to de-escalate the anger and build a trusting relationship between the resident and the nurse aide.
The correct answer is to ask if the resident realizes that the shoes do not match. This response shows empathy and respect for the resident's autonomy by acknowledging their choice of attire. It also allows the nurse aide to gently bring attention to the mismatched shoes, which may be a sign of confusion or cognitive decline. By asking if the resident realizes the shoes do not match, the nurse aide can assess the resident's awareness and provide appropriate assistance if needed.
The best response by the nurse aide is to understand that the resident is grieving and give him chances to talk. This response acknowledges the resident's emotional state and offers support by providing opportunities for him to express his feelings. It shows empathy and compassion towards the resident during this difficult time.
The correct answer suggests that when moving a resident up in bed who is able to move with assistance, the nurse aide should bend the resident's knees and ask the resident to push with his/her feet. This technique helps to engage the resident's muscles and allows them to actively participate in the movement, promoting independence and maintaining their strength. Using the resident's own strength to push themselves up also reduces the strain on the nurse aide's back and minimizes the risk of injury.
The correct answer is to have a schedule for toileting. Bladder retraining programs typically involve establishing a regular schedule for toileting to help the resident regain control over their bladder function. This involves setting specific times for the resident to use the bathroom, gradually increasing the time intervals between bathroom visits, and encouraging the resident to hold their urine for longer periods. This helps to retrain the bladder muscles and improve bladder control. Fluid intake restrictions, wearing incontinent briefs, or having an indwelling urinary catheter are not typically part of a bladder retraining program.
