Iggy Ch. 3 Older Adult Flashcards
Which statements about the health of older adults in the US are true? (select all that apply)
a. The fastest growing group is between 85 and 95 years of age
b. Only 5% of older adults are in nursing homes
c. Older adults are at risk for poor nutrition
d. Older adults 85-95 years old are often wrongly referred to as the “frail elderly”
e. Men live longer than women
a, b, c, d
The nurse is caring for an older adult patient. What are the best interventions to help reduce relocation stress in this patient? (select all that apply)
a. Explain all procedures to the patient before they occur
b. Reorient the patient frequently to location
c. Allow for the patient to have adequate time for rest, and encourage family and friends to keep their visits to a minimum
d. provide ample opportunity and time for the patient to participate in decision making
e. Arrange for familiar keepsakes to be at the patient’s bedside
a, b, d, e
Which statements would be included in an educational program on wellness behaviors for the older adult? (select all that apply)
a. Allow at least 10-15 minutes of sun exposure 2-3 times weekly
b. Take one aspirin twice a day
c. Obtain a yearly influenza vaccination
d. Create a hazard-free environment to prevent falls
e. Increased dietary needs include calcium and vitamins A, D, and C
f. Reduce dietary intake of complex carbohydrates and fiber
g. Drink 6-8 glasses of water per day to prevent dehydration
a, c, d, e, f
Which statement about how nutrition is affected in older adults is true?
a. Changes in smell and taste can result in decreased use of sugar
b. Older adults need increased calorie intake to maintain ideal body weight
c. loneliness and boredom may impact the older adult’s incentive to eat
d. Obesity is the most common nutritional problem in nursing homes
c
What are the direct benefits of exercise? (select all that apply)
a. Decreases depression symptoms
b. Reduces muscle strength
c. Improves sleep apnea
d. Increases mobility
e. Decreases risk of heart disease
f. Reduces or maintains body weight
a, d, e, f
Which assessment findings in the older adult indicate an increased risk for falls? (select all that apply)
a. Increased Mobility
b. Macular degeneration
c. Balance instability
d. Full joint range of motion
e. Peripheral neuropathy
b, c, e
The nurse is caring for the confused older patient who is at risk for falls. Which interventions should the nurse implement to ensure patient safety? (select all that apply)
a. Remind the patient to use ambulatory devices as needed
b. Instruct the patient to limit activity as much as possible
c. Provide appropriate lighting in the patient’s environment
d. Make sure the patient’s eyeglasses are functional, and routine eye examinations have been performed
e. Implement facility-specific fall protocols
a, c, d, e
The patient requires physical restraints. Which interventions must the nurse perform for this patient? (select all that apply)
a. Check the patient every 30-60 minutes
b. Release the restraints at least every 4 hours
c. Turn on the television to provide distraction
d. Place the patient in an area for careful observation
e. Decrease communication with the patient
a & d
Which type of psychoactive drug requires the most careful monitoring by the nurse because of the drug’s potential for causing confusion and incontinence?
a. Tricyclic antidepressants
b. Antipsychotics
c. Antianxiety agents
d. Sedative-hypnotics
a
Which factors must the nurse acknowledge and include in discharge education for the older adult about medication administration? (select all that apply)
a. Suggest a simple type of reminder to take daily medications
b. Ensure that medication labels have large print to assist patients with identification
c. Request easy-open caps for medication bottles and ensure that they remain out of reach for visiting children.
d. Provide a complete list of the patient’s regularly taken over the counter medications to health care providers
e. Alert health care providers if medication side effects are affecting the patient’s ability to take his or her medications
all of them bitches
Which physiologic changes must the nurse teach the older adult who is taking medication to be aware of? (select all that apply)
a. Oral drugs will be ineffective because of an age related increase in GI mobility
b. There may be an alteration in the ratio of adipose tissue to lean body mass which may affect the distribution of a drug
c. Decreased function of the liver may alter the metabolism of certain drugs
d. Altered kidney function may affect excretion of drugs causing increased plasma concentrations of drugs.
e. Most older adults will not have any significant physiologic alterations
b, c, d
Which interventions are effective in helping to reorient the older adult who is suffering from delirium? (select all that apply)
a. Talk to the patient using a calm voice
b. Restrict visitors during periods of agitation
c. Remove personal items and store them safely
d. Apply wrist restraints to keep the patient from endangering himself or herself
e. Provide calming music
a & e
Which symptoms of depression in older adults should be carefully evaluated by the health care provider? (select all that apply)
a. Early morning insomnia
b. Reluctance to participate in social activities
c. Reminiscing about the past
d. Normalization of appetite and intake
e. Excessive daytime sleeping
a, b, e
In planning care for the older adult with dementia, the nurse identifies which intervention as the first priority goal of care?
a. Prevent cognitive decline
b. Reorient on a regular basis
c. Prevent injury
d. Assist with ambulation
c
Which statements regarding elder abuse are true? (select all that apply)
a. The abuser is often a close family member or caregiver
b. Only physically dependent older adults are vulnerable to elder abuse
c. Elder neglect is categorized as a type of elder abuse
d. 700,000 to 1.2 million older adults suffer from elder abuse each year
e. There is a need for mandatory reporting laws for suspected elder abuse
a, c, d
