When conducting an admissions interview with an older client, the nurse observes that the client pauses for a period of time before responding to the questions. The nurse responds to this client based on the assumption that the client is:
a. exhibiting signs of mild cognitive impair-ment.
b. nervous and having difficulty concentrat-ing on the questions.
c. reluctant to share information with some-one with whom he or she has no relation-ship.
d. sorting through his or her vast life experi-ences in order to answer appropriately.
ANS: D
Basically, elders may need more time to give information or answer questions simply because they have a larger life experience to draw from. Sorting through thoughts requires intervals of silence, and therefore listening carefully without rushing the elder is very important. It is an un-founded assumption to assume that the client's response is due to senility based exclusively on his or her age. The remaining options would not be unique to an older client but might be experi-enced at any age.
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