The nurse is planning care for an older adult client with a head injury sustained from a motor vehicle crash. Which information should the nurse keep in mind when planning this client's care? Select all that apply
A) Anxiety, illness, and pain can alter the ability to learn.
B) Reflexes are less intense in an older client.
C) Impulse transmission and reactions to stimuli are slower.
D) The plantar and Achilles reflexes are hyperactive in this age group.
E) Impairment in vision and hearing should be taken into consideration.
Answer: A, C, E
In the older client, anxiety, illness, and pain can alter the ability to learn. Reflexes are less intense in an older client. Responses to stimuli are slower because of reduced impulse transmission. Many older adults have some impairment of hearing and visions, which should be taken into consideration when planning care. Reflex responses may slightly increase or decrease. Many older clients show a loss of the Achilles reflex, and the planar reflex may be difficult to elicit.
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