Health Planning for Older Adults Flashcards
A nurse is teaching a class about caring for the aging population and the increase in lifespan. Which of the following statements is correct?
a. super centenarians are people who have lived to be over 100 years old
b. lifespan marks the average age of the population until death
c. aging is a product of both chronological age and biological age
d. globally, people over the age of 65 are considered old
c. aging is a product of both chronological age and biological age
A nurse is giving a lecture to a group of new nurses who have started working in a Skilled Nursing Facility about caring for the aging population. The nurse stresses the need to include which of the following in addition to a standard health assessment for a new patient?
a. mental health assessment
b. cultural assessment
c. financial assessment and evaluation
d. family assessment
b. cultural assessment
A nurse is presenting a lecture about the theories of aging and how to potentially treat the elderly according to the various theories. A student mentions hearing that enzyme CoQ10 could be effective in delaying the signs of aging. What theory does this address?
a. free-radical theory
b. cross-linkage theory
c. protein synthesis erros
d. genetic theories
a. free-radical theory
A nurse is training new staff at a senior’s residential community about ways to help the residents age well. According to the nurse, the most important thing that volunteers and staff can do is
a. assist them with their activities of daily living
b. provide ample time to rest and relax
c. keep them socially engaged and active
d. minimize stress and responsibilities
c. keep them socially engaged and active
A nurse is describing aging according to the Rowe and Kahn Model of Successful Aging to a class of new nursing students. Which of the following is not one of their key components of successful aging?
a. low likelihood of disease and disability
b. actively engaged with life
c. minimal stress and loss
d. high functioning ability, both cognitive and physical
c. minimal stress and loss
A nurse is looking to create health policies in the community to promote healthy aging. Which of the following would likely be successful?
a. programs that promote nutritious eating choices and maintaining a healthy weight in young children
b. increasing access to alternative medications and treatments for common diseases in the elderly
c. free or reduced public transportation costs for people over the age of 65
d. increased access to education
a. programs that promote nutritious eating choices and maintaining a healthy weight in young children
A nurse has noticed an increase in the number of older patients in the community coming down with pneumonia from influenza each winter. In addition to increasing access to the influenza vaccine each winter, which intervention would likely be effective for this particular age group?
a. increasing hand washing
b. improving nutrition by increasing access to healthy foods and prepared meals
c. getting more restorative sleep
d. increasing exercise through community programs
b. improving nutrition by increasing access to healthy foods and prepared meals
A nurse has set up a workshop in the senior community center to teach the residents who are newly diagnosed with diabetes how to manage their disease and inject insulin. The nurse documents this on the paperwork to the nursing manager as which type of intervention?
a. primary prevention
b. secondary prevention
c. tertiary prevention
d. quatenary prevention
c. tertiary prevention
A nurse is working at a specialized clinic for patients with chronic obstructive pulmonary disease (COPD). Each year, the nurse recommends that patients get the influenza vaccine from their primary care provider, but notices that there are a lot of older women who do not get the vaccine, despite the recommendations. What should the nurse do first?
a. print educational materials about the importance of yearly flu shots
b. set up low cost transportation to local primary care providers for the women
c. start offering the flu shot at the COPD clinic
d. perform a focused community assessment to determine why these women aren’t getting the flu shot
D. perform a focused community assessment to determine why these women aren’t getting the flu shot
Two nurses are talking about the number of patients that are admitted to the hospital each week due to falls in the home. They decide to partner up with the local senior center to design a community program aimed at reducing falls in the senior population. Which of the following interventions would likely be most effective?
a. create printed material that the seniors can take home and use to assess their home
b. train volunteers to go into the homes of seniors at high risk for falls to assess their homes and help improve the home environment
c. provide an exercise program in the community center to increase agility and balance
d. pair up with seniors at high risk with a volunteer caretaker who can help with chores and running errands.
B. train volunteers to go into the homes of seniors at high risk for falls to assess their homes and help improve the home environment
A nurse is working in the emergency room and brings an elderly woman into triage. The woman’s daughter, with whom she lives, accompanies her. She came to the emergency room for shortness of breath, but on closer inspection, is covered with scabies and bed bug bites. After admitting her for evaluation, what should the nurse do?
a. Arrange for dermatology consult.
b. Review proper skin care and hygiene with the daughter.
c. Suggest an infectious disease specialist for the woman to see after being discharged from the hospital.
d. Report suspected elder neglect to the appropriate authorities.
d. report suspected elder neglect to the appropriate authorities
A woman is consulting with a nurse about the different housing options available for her parents, both in their 70’s and still very active. They wish to move into a situation where they could live for the rest of their lives. They currently rent an apartment and have a significant amount of liquid cash due to the sale of their home 6 months ago. What does the nurse recommend as the best option?
a. skilled nursing facility
b. aging in place
c. naturally occurring retirement community
d. continuing care retirement commuity
d. continuing care retirement community
A nurse is performing an admissions assessment on a 93-year-old woman with abdominal pain. The woman is unable to remember certain facts about her medical history or current medications. How should the nurse proceed?
a. Document her as slightly forgetful, consistent with age.
b. Inform the physician about her declining mental status.
c. Speak with the woman’s family about whether this is normal for her.
d. Speak with the physician about ordering medication for dementia.
c. speak with the woman’s family about whether this is normal for her
A home health nurse is visiting with patients for the day. Most of the patients are elderly people, being cared for in their home by family members. As part of a cultural assessment, the nurse must also discuss:
a. caregiver stress and burnout
b. financial responsibilities
c. mental status changes
d. expected needs over the coming year
a. caregiver stress and burnout
A nurse is beginning a new position with a home-care agency that provides hospice care. The nurse learns that the primary role of the nurse providing hospice care is to
a. Provide for the patient’s medical needs at the end of life.
b. Help the patient stay active until their death.
c. Assist the patient and family through the dying process and toward a good death.
d. Provide hygiene and personal care when the family is unable to.
c. assist the patient and family through the dying process and toward a good death
