WGU COTOA 2021 Questions and answers, 2022 update, Graded A+

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WGU COTOA 2021 Questions and answers, 2022 update, Graded A+ An older adult has urinary frequency at night and cannot get to the toilet in time. Which environmental change is most appropriate for i... nitially addressing the situation? A. Placing a commode near the bed B. Keeping adult diapers nearby C. Having an external catheter handy D. Removing the glass of water from the bedside stand - ✔✔Placing a commode near the bed. A small, 82-year-old woman with dementia climbed over the bed rails but did not hurt herself. Which environmental change will improve her safety and comfort? A. Sitter near the bed B. High bed, vest retraint C. Low bed, waist restraint D. Low bed, no side rails - ✔✔Low bed, no side rails Which exercise program would prevent an older person's loss of muscle tone while strengthening and maintaining the ability to go upstairs? A. Bird watching B. Regular walking C. Resistance training D. Daily swimming - ✔✔Walking (dont know)A nurse is teaching care guidelines to the wife of a client whos is diagnosed with a congenital illness. The wife tells the nurse, I am unable to care for my husband properly due to my work, and I am afraid that he may need to be institutionalized." Which nursing intervention will help provide effective care to the client? A. Dying care B. Values clarifcation C. Respite care D. Mutual goal setting - ✔✔Respite care (don't know if correct) What is a likely method in which a physical therapist on an interprofessional care team helps a client? A. Teaching the client how to use adaptive utensils B. Teaching the client ways to cough and bring up secretions C. Managing ventilators under the direction of the primary healthcare provider D. Desuging enteral and parenteral plans for clients who can bno longer eat by mouth - ✔✔Teaching the client how to use adaptive utensils (don't know if correct) An oncology nurse made an appointment for an older adult with palliative care, the individual's diagnosis is metastatic melanoma, and the individual is currently symptom free. The individual made one visit to the PC and said she did not have time for it. How should the palliative care nurse hand this situation? A. Discharge the pt B. Encourage her to return as needed C. Tell the patient that she will be in pain at some point D. Instruct the pt that the PC is for her own good - ✔✔Encourage her to return as needed ( do know if correct) Which aging theory proposes that repeated insults and the accumulation of metabolic wastes in the body eventually cause the cells to die?A. Genetic theory B. Cellular malfunction C. Autoimmune reaction D. Wear-and-tear theory - ✔✔Wear and tear theory The advance directive of an older adult receiving palliative care says, "no feeding tube." The nurse does not personally agree with the advance directive. How should the nurse handle this situation? A. Present alternatives to the patient B. Schedule a surgical consult C. Share this personal opinion with the pt D. Repect and ahere to the patients decision - ✔✔Respect and adhere to the patient's decision. When is individualized physical therapy for an older adult best scheduled? A. When the therapist has the most time B. After breakfast in the morning C. When the indivdual says it it most beneficial D. After the indivduals afternoon nap - ✔✔( not sure if right) after breakfast in the morning What unique characteristic of older Hispanic adults affects provision of healthcare? A. Believing that illness is gods plan B. Relying on family interdependece C. Including acupuncture in treatment D. Exercising independence in decision making - ✔✔(not sure if right I put..) acupuncture A vigorous recent widower visits his PCP and states he is lonely, which recommendation should the team make for this pt.?A. Taking an antidepressant B. Finding a new relationship C. Moving in with his children D. Taking a sleeping pill - ✔✔Find a new relationship The assessment of which home environmental factor is neccessary for a client with mobility concerns? A. Presence of stairs or other obstacles B. Availability of heating and cooling services C. An urban setting D. Physical limitation of the caregivers - ✔✔Prescence of stairs or other obstacles Which of the following is considered to be an irreversible, progressive decline in mental abilities? A. Presbyopia B. Dementia C. Alzheimer disease D. Stoke - ✔✔Dementia While assessing an older client, a nurse finds the client to be extremely depressed and suffering from low self-esteem. What psychosocial problem can the nurse infer from these symptoms? A. The client is at risk for suicide B. The client has powerlessness C. The client has disturbed thought processes D. The client is expericing complicated grieving - ✔✔The client is at risk for suicideWhich question included in the assessment questionnaire will help the nurse to teach appropriate coping skills to the client with breast cancer? - ✔✔What do you do to reduce stress? Which statement of the client helps the nurse to reach the conclusion that a client is experiencing a midlife crisis? - ✔✔"I feel I have not achieved anything great in my life. What can I do to make my life meaningful?" An older patient is functionally very impaired and needs some help with all ADLS. The older patient's daughter-in-law has exoressed concern about the shower. Which step should the nurse address first? - ✔✔Assess the shower for safety concerns What is an example of an isometric exercise? - ✔✔Pressing the hand against the wall Which injury assocaited with liagments or tendons may affect mobility? - ✔✔Strain What is likely to devleop in an indivdual who is on prolonged bed rest? A. Stress B. Irreversible physiological changes C. Adverse lifestyle D. Fatigue - ✔✔Irreversible physiological chnages (dont know if correct) What type of exercise involves the cardiovascular system and skeletal muscles? - ✔✔Aerobic [Show More]

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