Quiz 4 Flashcards
In questioning an older adult, which question is likely to elicit the most accurate information about the individual’s adherence to the medication plan?
a. “Why didn’t you take all of your digoxin (Lanoxin) last month?”
b. “You take digoxin (Lanoxin) at the correct time, don’t you?”
c. “You have never missed a dose of digoxin (Lanoxin), have you?”
d. “How many doses of digoxin (Lanoxin) do you think you missed?”
d. “How many doses of digoxin (Lanoxin) do you think you missed?”
Which of the following is on the list of drugs considered suitable for the older adult?
a. Bupropion (Wellbutrin)
b. Indomethacin (Indocin)
c. Reserpine (Reserpine)
d. Chlorpheniramine (Chlor-Trimeton)
a. Bupropion (Wellbutrin)
Which of the following types of phases are included in the chronic illness trajectory (CIT)? (Select all that apply.)
a. Rehabilitation
b. Plateau
c. Instability
d. Bargaining
e. Deterioration
f. Caring
b. Plateau
c. Instability
e. Deterioration
Which interaction between each prescription and food or nutritional supplement is favorable?
a. Lithium (Eskalith) and low-sodium diet
b. Terazosin (Hytrin) and increased fluids
c. Warfarin (Coumadin) and ginkgo biloba
d. Warfarin (Coumadin) and leafy, green vegetables
b. Terazosin (Hytrin) and increased fluids
Which of the following describes the nurse’s role for an older patient with a chronic illness?
a. Provide caring to help the patient live at the optimal level of health and wellness.
b. Implement an individualized therapeutic regimen that brings about a cure.
c. Encourage the patient to minimize the use of services to control costs.
d. Suggest that the patient accept eventual death to reduce the burdens on the patient’s family.
a. Provide caring to help the patient live at the optimal level of health and wellness.
When completing medication reconciliation for an older woman, the nurse notes that the patient is being discharged home on anticoagulant therapy. The nurse also notes that at admission, the patient reported that she uses herbal supplements at home. Which instruction should the nurse include during discharge teaching?
a. “You may need to supplement with only ginkgo while on anticoagulant therapy.”
b. “Avoid using chamomile supplements while on anticoagulant therapy.”
c. “You may need to increase the use of garlic supplements while on anticoagulant therapy.”
d. “Avoid using Hawthorn supplements while taking an anticoagulant medication.”
b. “Avoid using chamomile supplements while on anticoagulant therapy.”
An older woman has diabetes mellitus. Which patient assessment validates the nurse’s conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?
a. Changes the battery in her glucometer.
b. Lives at home with her husband.
c. Has an amputation of two toes.
d. Frequently self-checks her blood sugar.
c. Has an amputation of two toes.
Which of the following is a true statement about Medicare for older adults?
a. Eighty percent of Medicare’s annual expenditures are for individuals with chronic illnesses.
b. Complementary and alternative medicines (CAM) are not covered by Medicare.
c. Medicare enrollees spend under $1500 annually for out-of-pocket expenses related to chronic illnesses.
d. Medicare covers care for those who have trouble with activities of daily living.
a. Eighty percent of Medicare’s annual expenditures are for individuals with chronic illnesses.
The nurse provides instruction about medication safety to older adults. Which instruction should the nurse provide?
a. Take your daily medications on an empty stomach with water.
b. Ask the health care provider to describe the purpose of therapy.
c. Keep a supply of medications at the bedside for convenience.
d. Nausea and vomiting are common, harmless drug side effects.
b. Ask the health care provider to describe the purpose of therapy.
A geriatric nurse practitioner prescribes an antidepressant for a patient. The patient asks, “How long will I have to be on this medication before I feel like my old self?” The nurse recalls that a therapeutic response to an antidepressant medication most often takes which one of the following?
a. 24 hours
b. 2 months
c. 2 days
d. 2 weeks
b. 2 months
