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
Q

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?

A

Corns and calluses should be soaked in water but never cut.

26
Q

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?

A

Use organizers to place daily medications.

27
Q

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?

A

Suggest that the client bend the chin towards the chest when swallowing

28
Q

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?

A

Provide unsaturated fats containing essential fatty acids.

29
Q

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?

A

Weight loss within the past month that is greater than 5% of the total body weight.

30
Q

True/False: Independent living complexes designed and built for older adults are known as retirement communities.

A

True.

31
Q

True/False: Clients in long-term care facilities are generally referred to as residents.

A

True.

32
Q

True/False: A diminished sense of smell is expected with aging.

A

True.

33
Q

True/False: Older clients should be given a bath every day as a measure to maintain personal hygiene.

A

False.

34
Q

True/False: As one ages, more time is spent in deep sleep.

A

False.

35
Q

The branch of nursing dealing with the care of ill, older adults is known as:

A

Geriatric Nursing.

36
Q

Difficulty swallowing is termed as:

A

Dysphagia.

37
Q

The result of seniors consuming numerous medications is:

A

Polypharmacy.

38
Q

The medical terminology for bad breath is:

A

Halitosis.

39
Q

Sensorineural hearing loss that occurs with aging is:

A

Presbycusis.

40
Q

Without teeth:

A

Edentulous.

41
Q

Emotional, physical, and sexual abuse, financial exploitation, or neglect of older people:

A

Elder abuse.

42
Q

Choking:

A

Aspiration.

43
Q

Inability to use or understand speech:

A

Aphasia.

44
Q

Branch of medicine concerned with problems and illnesses of aging adults and their treatment:

A

Geriatrics.

45
Q

Medications given to control behavior:

A

Chemical restraints.

46
Q

Easily broken:

A

Friable.

47
Q

Study of the effects of normal aging and age-related diseases on the human:

A

Gerontology.

48
Q

Exhaustion and frustration of daily obligations related to the care of an older person:

A

Caregiver stress.

49
Q

Specific hearing disorder of aging:

A

Presbycusis.

50
Q

Long-term care:

A

LTC.

51
Q

Awareness of posture, movement, and changes in equilibrium in relation to other objects:

A

Proprioception.

52
Q

Temporary relief and rest for caretakers:

A

Respite.

53
Q

Many older adults are considered this:

A

Vulnerable adult.

54
Q

A condition in depressed clients in which they give the impression of being demented and their behaviors are actually related to depression:

A

Pseudodementia.

55
Q

The curvature of the spine that causes a humpback appearance:

A

Kyphosis.

56
Q

Facial hair:

A

Hirsutism.

57
Q

An autoimmune disease that includes dry eyes as a symptom:

A

Sjogren’s syndrome.

58
Q

Anything that limits the client’s free movement:

A

Restraints.

59
Q

Impaired vision that results from normal aging:

A

Presbyopia.