mod 5 ch 14 older adult

Question 1

1. A patient’s family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.)

Answer 1

2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
4. Staff encourage family involvement in care planning and assisting with physical care.

Question 2

2. A nurse conducted an assessment of a new patient who came to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the assessment. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:

Answer 2

depression

Question 3

3. A nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer’s disease 1 194year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing:

Answer 3

delirium

Question 4

4. Older adults frequently experience a change in sexual activity. Which best explains this change?

Answer 4

4. Frequency and opportunities for sexual activity may decline.

Question 5

5. A nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently started to notice a glare in the lights at home. Her vision is blurred, and she is unable to play cards with her friends, read, or do her needlework. Which of the following nursing interventions are appropriate? (Select all that apply.)

Answer 5

1. Refer her to an ophthalmologist.
2. Suggest large-print books and playing cards.
3. Assess her home environment for safety.

Question 6

6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and belongs to numerous church committees. What are the major concerns for this patient? (Select all that apply.)

Answer 6

1. The loss of his work role

4. How the wife expects household tasks to be divided in the home in retirement

Question 7

A nurse is assessing an older adult brought to the emergency department following a fall and wrist fracture. The patient is very thin and unkempt, has a stage 3 pressure injury on her coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She defers all of the questions to her caregiver son, who accompanied her to the hospital. What is the nurse’s next step?

Answer 7

2. Ask the son to step out of the room so that she can complete her assessment.

Question 8

8. A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse asks about his ability to complete activities of daily living (ADLs). ADLs include independence with: (Select all that apply.)

Answer 8

2. Toileting.
3. Bathing.
4. Eating.

Question 9

9. During a home health visit a nurse talks with a patient and his family caregiver about the patient’s medications. The patient has hypertension and renal disease. Which of the following findings place him at risk for an adverse drug event? (Select all that apply.)

Answer 9

2. Taking a total of eight different medications during the day
3. Patient’s health history of renal disease

Question 10

10. A 71-year-old patient enters the emergency department after falling down stairs at church. The nurse is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His blood pressure is stable at 130/70. The patient does not exercise regularly and states that he experiences weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly. What are the fall risk factors for this patient? (Select all that apply.)

Answer 10

1. Impaired vision
2. Leg weakness
3. Exercise history