Chapter 92: The Aging Adult Flashcards

1
Q

Presbycusis

A

Sensorineural hearing problem.

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2
Q

Presbyopia

A

Impaired vision due to normal aging.

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3
Q

Aphasia

A

Inability to use or understand speech.

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4
Q

Kyphosis

A

Curvature of the spine.

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5
Q

An elderly client has been diagnosed with hirsutism. Which indicates the presence of hirsutism in this client?

A

Presence of facial hair.

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6
Q

An elderly client has difficulty swallowing food. How can a nurse help in such a condition?

A

-Elevate the head end of the client’s bed.
-Encourage the client to bend his chin toward the chest.
-Cut the food into smaller bite-size portions.

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7
Q

An elderly client’s daughter wants to leave her mother at a senior care center when she goes out to work. What facilities are available at senior care centers?

A

-Educational discussions.
-Recreational games.
-Lunchtime meals.

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8
Q

A nurse is caring for an older adult client who is obese. Which health risk should the nurse point out as associated with obesity?

A

Myocardial Infarction.

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9
Q

A client has been admitted to a healthcare facility due to elder abuse. What is the most common category of elder abusers?

A

Children.

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10
Q

A nurse is providing assistance to a diabetic elderly client. Which is a major nursing consideration when providing nail and foot care for the client?

A

Document any injury to the client’s foot.

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11
Q

An older client decides to live away from his family but wants to stay in a care center where he can be provided both care and privacy. Which type of facility should the nurse suggest?

A

Retirement complexes.

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12
Q

An aging adult is being treated for constipation. Which should the nurse make sure is increased in the client’s diet?

A

Fiber intake.

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13
Q

A nurse is caring for an aging adult prescribed an enteric-coated medication. The client is not agreeing to swallow the medication. What should the nurse do?

A

Tell the client that she must take the medicine.

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14
Q

A nurse is caring for an aging adult prescribed an enteric-coated medication. The client is not agreeing to swallow the medication. What should the nurse do?

A

Tell the client that she must take the medicine.

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15
Q

A nurse is providing care for an elderly client who has diabetes. What nursing measure is the nurse likely to undertake when caring for such a client?

A

Provide bladder retraining.

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16
Q

A client has developed a large pressure wound on the right trochanter. How can the nurse best ensure this client’s nutritional needs are met to assist with healing?

A

Increase daily protein requirements.

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17
Q

The nurse is caring for a client at risk for aspiration. What action would be best for the nurse to take when assisting the client with the meal to prevent aspiration?

A

Have the client bend the chin toward the chest when swallowing.

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18
Q

A new LPN is preparing to administer medication. Which action by the LPN requires the charge nurse to intervene? Select all that apply.

A

-The LPN is crushing an enteric-coated aspirin.
-The LPN is hiding a pill in applesauce when the client refuses the pill.

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19
Q

An older adult client in a long-term care facility, who feels cold all of the time, reports this to the nurse. Which is the best response by the nurse?

A

“Layer clothing to maintain internal warmth.”

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20
Q

An alert, oriented client voided incontinently, soiling clothing. What action by the nurse is a priority?

A

Provide assistance with washing and changing clothing.

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21
Q

The nurse is assisting an aging client with nutritional needs. Which fact should the nurse keep in mind when planning meals for this client?

A

Older adults have reduced caloric needs.

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22
Q

A nurse is caring for a client with a loss of proprioception. The client uses a bed with side reels. What measure should the nurse implement to prevent discomfort and support independence for the client when using a bed with side rails?

A

Keep only one side rale of the bed up.

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23
Q

The nurse cares for older adult clients in a sub-acute nursing facility and institutes nursing measures to keep them safe. Which is the leading cause of disability and death in nursing homes.

A

Falls.

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24
Q

The nurse is performing toenail care for clients in a long-term care facility. For which client would this most likely be contraindicated?

A

A client with diabetes.

25
The nurse provides nail and foot care to an elderly client in a nursing home. Which should the nurse consider when performing this procedure for older adults?
Corns and calluses should be soaked in water but never cut.
26
A nurse caring for an older adult who is often too forgetful to comply with the medication program. What should the nurse do to help the client in taking medications appropriately?
Use organizers to place daily medications.
27
The nurse assists a frail adult with an impaired swallowing mechanism to eat a nutritious meal. Which nursing intervention would be appropriate for this client?
Suggest that the client bend the chin towards the chest when swallowing
28
A nurse is caring for a 72-year-old client recovering from a fracture in the neck of the femur. What should the nurse consider when preparing a diet chart for this client?
Provide unsaturated fats containing essential fatty acids.
29
The nurse caring for older adults in a long-term care facility compares the resident's current weight with their usual weight. Which finding is significant and should be reported to the physician?
Weight loss within the past month that is greater than 5% of the total body weight.
30
True/False: Independent living complexes designed and built for older adults are known as retirement communities.
True.
31
True/False: Clients in long-term care facilities are generally referred to as residents.
True.
32
True/False: A diminished sense of smell is expected with aging.
True.
33
True/False: Older clients should be given a bath every day as a measure to maintain personal hygiene.
False.
34
True/False: As one ages, more time is spent in deep sleep.
False.
35
The branch of nursing dealing with the care of ill, older adults is known as:
Geriatric Nursing.
36
Difficulty swallowing is termed as:
Dysphagia.
37
The result of seniors consuming numerous medications is:
Polypharmacy.
38
The medical terminology for bad breath is:
Halitosis.
39
Sensorineural hearing loss that occurs with aging is:
Presbycusis.
40
Without teeth:
Edentulous.
41
Emotional, physical, and sexual abuse, financial exploitation, or neglect of older people:
Elder abuse.
42
Choking:
Aspiration.
43
Inability to use or understand speech:
Aphasia.
44
Branch of medicine concerned with problems and illnesses of aging adults and their treatment:
Geriatrics.
45
Medications given to control behavior:
Chemical restraints.
46
Easily broken:
Friable.
47
Study of the effects of normal aging and age-related diseases on the human:
Gerontology.
48
Exhaustion and frustration of daily obligations related to the care of an older person:
Caregiver stress.
49
Specific hearing disorder of aging:
Presbycusis.
50
Long-term care:
LTC.
51
Awareness of posture, movement, and changes in equilibrium in relation to other objects:
Proprioception.
52
Temporary relief and rest for caretakers:
Respite.
53
Many older adults are considered this:
Vulnerable adult.
54
A condition in depressed clients in which they give the impression of being demented and their behaviors are actually related to depression:
Pseudodementia.
55
The curvature of the spine that causes a humpback appearance:
Kyphosis.
56
Facial hair:
Hirsutism.
57
An autoimmune disease that includes dry eyes as a symptom:
Sjogren's syndrome.
58
Anything that limits the client's free movement:
Restraints.
59
Impaired vision that results from normal aging:
Presbyopia.