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CARE OF THE OLDER ADULT EXAM REVIEW QUESTIONS AND ANSWERS
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CARE OF THE OLDER ADULT EXAM REVIEW QUESTIONS AND ANSWERS
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CARE OF THE OLDER ADULT EXAMREVIEW QUESTIONS AND ANSWERS
Family members of older adults with limitations from chronic illnesses may experience
multiple stressors. Which is not considered one of these stressors? - Answer-feeling
valued, useful, and productive
Based on an understanding of the cognitive changes that normally occur with aging,
what might the nurse expect a newly hospitalized older adult to do? - Answer-Take
longer to respond and react
What term is used to describe various disorders that progressively affect cognitive
function? - Answer-Dementia
An older adult client enjoys good overall health, but has just been diagnosed with
pneumonia and has begun receiving an intravenous (IV) antibiotic. Shortly after being
administered the first dose, the client pulled out his IV line and is now attempting to
scale his bed rails. Which of the following phenomena most likely underlies this change
in the client's cognition? - Answer-Delirium
Which of the following statements is true for nursing care of older adults? - Answer-Most
older adults are functional, benefiting from health-oriented interventions.
The nurse is assigned to a 52-year-old male patient. He is talkative and usually friendly
when the nurse enters his room. Today, however, he is standing at the mirror and says:
"I lost my job because the company downsized, there isn't anything I can do." As his
caregiver, the nurse recognizes this expression of concern is related to which of the
following? - Answer-His career goals and retirement plans are compromised.
An client 81 years of age is in a long-term-care facility. His family could no longer cope
with his progressing senile dementia, including wandering away and unpredictable
behavior. Late one night the nurse finds the client wandering in the hall. He says he is
looking for his wife. What should the nursing approach should be? - Answer-Remind
him of where he is and assess why he is having difficulty sleeping.
An older adult is admitted to the health care facility with a diagnosis of depression. The
nurse would be especially alert for: - Answer-Suicidal thoughts
A nurse is caring for an elderly client who fell and sustained a hip fracture. Which of the
following interventions need to be included in the nursing care plan? Select all that
apply. - Answer-• Cough and deep breathe every 2 hours
• Avoid massaging over bony prominences
• Auscultate breath sounds every 1-2 hours
, A patient often actively engages in reminiscence when the nurse is delivering care. The
nurse recognizes that: - Answer-Reminiscence is a normal process in achieving ego
integrity.
When completing an assessment, especially of the older adult, the nurse knows the
importance of including spiritual development. Older adults have completed moral
development and many experience self-transcendence, which may be defined as what?
- Answer-Capability to reach beyond prior limits with more awareness of other people's
values and beliefs.
A nurse documents the following assessment on an older adult client's chart: "dry, thin
skin." Which nursing diagnosis would be appropriate for this client? - Answer-Risk for
injury
A nurse is assessing an older adult using the short form of the geriatric depression
scale. The nurse determines that the client is depressed based on which score? -
Answer-6
A nursing instructor is preparing a class discussion on the older adult. Which statement
would the instructor include about this population? Select all that apply. - Answer-•
Minority populations of older adults is estimated to almost double by the year 2020.
• Older men typically are more likely to be married than older women are.
• There are more older adult African Americans who are considered poor than older
adult whites.
A nursing instructor is educating a class about older adults. Which measure would the
instructor identify as one of the most valuable to maximize the quality of life for this
population? - Answer-Pain palliation
A nurse at a long-term care facility is working to develop a program to promote regular
medical check-ups for the residents in order to minimize the risk of infection. When
proposing this program to the facility's governing board, which statement would the
nurse emphasize as the underlying rationale for this type of program? - Answer-The
antibody response in older adults is lower, placing them at increased risk.
An older adult informs the nurse that she is having a difficult time sleeping at night.
What action may assist the client in getting a better night of sleep? - Answer-Encourage
a routine for sleeping and waking
A woman aged 88 years who lives alone has deficits in vision and hearing, although
these deficits are corrected by glasses and hearing aids. Her blood pressure medicine
is making her dizzy. What response to these health problems would the home health
nurse identify? - Answer-Risk for accidental injury
A nurse is preparing to medicate an elderly patient with an opioid analgesic. Which of
the following does the nurse consider in the use of this medication? - Answer-Delirium,
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