L2-Health Promotion and Assessment Flashcards
Which intervention most closely aligns with the practices of health promotion?
Select one:
a.
Providing presurgical teaching to an older adult prior to hip replacement
b.
Administering medication to an older adult with osteoarthritis
c.
Teaching an older adult how to administer her inhaled medications independently
d.
Leading a flexibility and mobility class among older adults
D-Leading a flexibility and mobility class among older adults
A hospital nurse is discussing with an older adult the possibility of transfer to a nursing home for skilled care after pneumonia. Which statement by the client indicates an understanding of this possible transfer?
Select one:
a.
I don’t qualify for skilled care; I only had pneumonia.
b.
They will take my home if I go to the nursing home.
c.
Old people who go to the nursing home don’t get out.
d.
My pneumonia enables me to qualify for skilled care in a nursing home.
D-My pneumonia enables me to qualify for skilled care in a nursing home.
A nurse is teaching a family of an older adult about the role of adult day centers. Which of the statements by the family member indicates a need for further teaching?
Select one:
a.
“The day center can be a useful alternative to medical care.”
b.
“The day center can improve our quality of life.”
c.
“The day center can give me respite.”
d.
“The day center can contribute to an actual improvement in dementia symptoms.”
A-“The day center can be a useful alternative to medical care.”
An 84-year-old client has been living in an assisted living facility for several years but is now faced with the prospect of relocating to a nursing home. Which of the following characteristics of the client’s current situation is most likely to prompt this move?
Select one:
a.
A decrease in the client’s level of function and activities of daily living (ADLs)
b.
Exacerbation of a chronic health problem that may require medical treatment
c.
A change in the level of the client’s social support
d.
The development of a severe, acute health problem
A-A decrease in the client’s level of function and activities of daily living (ADLs)
Active care management is often necessary in order to maintain wellness among older adults. Which older adult is most likely to require care management?
Select one:
a.
90-year-old man who has recently been transferred from an assisted living facility to an acute care setting
b.
77-year-old woman who enjoyed good health until she suffered a severe stroke 3 days earlier
c.
90-year-old man who lives alone and has no living family members
d.
81-year-old resident of a nursing home whose Alzheimer disease is progressing rapidly
C-90-year-old man who lives alone and has no living family members
A gerontological nurse is aware that out-of-pocket expenses for care can be onerous for many older adults. Which action can the nurse take to potentially minimize these expenses for clients?
Select one:
a.
Teach older adults to be astute with their spending and saving patterns.
b.
Encourage older adults to make care providers aware of each chronic condition they live with.
c.
Provide care that is primarily focused on acute, rather than chronic, health problems.
d.
Become familiar with the various funding sources and their eligibility requirements.
d.Become familiar with the various funding sources and their eligibility requirements.
Admission to long-term care is typically a culmination in a long series of health problems and functional limitations. Which problem is most likely to precipitate admission to long-term care?
Select one:
a.
Dementia
b.
Traumatic Injury
c.
Terminal cancer diagnosis
d.
Chronic kidney disease
a.Dementia
A nursing administrator of the long-term care facility starts a quality of life improvement program for older adults. Which activity should be included in the program?
Select one:
a.
Assess personal choices.
b.
Decrease the use of pain medications.
c.
Divide the residents according cognitive ability.
d.
Emphasize safety and medical care.
a. Assess personal choices.
Older adults with complex medical problems are vulnerable to experiencing problems as they transition between care settings. All of these factors compromise client safety except one.
Select one:
a.
Client characteristics
b.
Ineffective medication reconciliation procedures
c.
Client age
d.
Poor coordination of services
e.
Communication gaps
c. Client age
A nurse is responsible for assessing an older adult in an acute care setting. Which statement most accurately captures the complexity involved in assessing the older adult?
Select one:
a.
Signs and symptoms of illness are often obscure and less predictable among older adults.
b.
Care must be taken to avoid assessing normal, age-related changes.
c.
Older adults manifest fewer symptoms of illness than do younger clients.
d.
Older adults experience fewer acute health problems but more chronic illnesses than do younger clients.
a.Signs and symptoms of illness are often obscure and less predictable among older adults.
Positive function consequence:
those that facilitate highest level of functioning, least dependency and best quality of life
Age related changes:
Inherent physiological processes that increase vulnerability of older adult
Negative functional consequences:
those that interfere with older adults functioning or quality of life
Functional consequences:
Observable effects of actions, risk factors and age related changes that influence quality of life of day to day activities of older adults
Age related changes:
inevitable progressive and irreversible changes that happen to everyone
-physically degenerative
