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NursingFundamentals NursingFundamentals of NursingPractice Set 9
NursingFundamentals NursingFundamentals of NursingPractice Set 9Older Adult
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Question 1
Free
Multiple Choice
A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?
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Lives in a nursing home
Lives with a spouse
Lives divorced
Lives alone
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Question 2
Free
Multiple Choice
A nurse is developing a plan of care for an older adult. Which information will the nurse consider?
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Should be standardized because most geriatric patients have the same needs
Needs to be individualized to the patient's unique needs
Focuses on the disabilities that all aging persons face
Must be based on chronological age alone
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Question 3
Free
Multiple Choice
Which information from a co-worker on a gerontological unit will cause the nurse to intervene?
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Most older people have dependent functioning.
Most older people have strengths we should focus on.
Most older people should be involved in care decision.
Most older people should be encouraged to have independence.
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Question 4
Free
Multiple Choice
A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?
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Flea bites and lice infestation
Left at a grocery store
Refuses to take a bath
Cuts and bruises
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Question 5
Free
Multiple Choice
A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?
Choose correct answer/s
Provide several topics of discussion at once to promote independence and making choices.
Avoid uncomfortable silences after questions by helping patients complete their statements.
Ask patients to recall past experiences that correspond with their interests.
Speak in a high pitch to help patients hear better.
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Question 6
Multiple Choice
An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is concerned about the patient's ability to care for self, especially during this convalescence. What should the nurse do?
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Stress that older patients usually ask for help when needed.
Inform the family that placement in a nursing center is a permanent solution.
Tell the family to enroll the patient in a ceramics class to maintain quality of life.
Provide information and answer questions as family members make choices among care options.
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Question 7
Multiple Choice
What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?
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Have the family members evaluate nursing home staff according to their ability to get tasks done efficiently and safely.
Make sure that nursing home staff members get patients out of bed and dressed according to staff's preferences.
Explain that it is important for the family to visit the center and inspect it personally.
Suggest a nursing center that has standards as close to hospital standards as possible.
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Question 8
Multiple Choice
A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. The nurse is discussing health care services and possible long-term living arrangements with the patient's only son. What will the nurse suggest?
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An apartment setting with neighbors close by
Having the patient utilize weekly home health visits
A nursing center because home care is no longer safe
That placement is irrelevant because the patient is retreating to a place of inactivity
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Question 9
Multiple Choice
A nurse is caring for an older adult. Which goal is priority?
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Adjusting to career
Adjusting to divorce
Adjusting to retirement
Adjusting to grandchildren
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Question 10
Multiple Choice
A nurse is observing for the universal loss in an older-adult patient. What is the nurse assessing?
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Loss of finances through changes in income
Loss of relationships through death
Loss of career through retirement
Loss of home through relocation
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Question 11
Multiple Choice
A nurse is discussing sexuality with an older adult. Which action will the nurse take?
Choose correct answer/s
Ask closed-ended questions about specific symptoms the patient may experience.
Provide information about the prevention of sexually transmitted infections.
Discuss the issues of sexuality in a group in a private room.
Explain that sexuality is not necessary as one ages.
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Question 12
Multiple Choice
A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?
Choose correct answer/s
Oily skin
Faster nail growth
Decreased elasticity
Increased facial hair in men
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Question 13
Multiple Choice
An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?
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Notify the health care provider immediately to rule out cranial nerve damage.
Schedule the patient for an appointment at a smell and taste disorders clinic.
Perform testing on the vestibulocochlear nerve and a hearing test.
Explain to the patient that diminished senses are normal findings.
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Question 14
Multiple Choice
A nurse is assessing an older adult for cognitive changes. Which symptom will the nurse report as normal?
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Disorientation
Poor judgment
Slower reaction time
Loss of language skills
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Question 15
Multiple Choice
An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care?
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Keep a routine.
Continue to reorient.
Allow several choices.
Socially isolate patient.
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Question 16
Multiple Choice
A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will be assisting the patient with which activity?
Choose correct answer/s
Taking a bath
Getting dressed
Making a phone call
Going to the bathroom
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Question 17
Multiple Choice
A male older-adult patient expresses concern and anxiety about decreased penile firmness during an erection. What is the nurse's best response?
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Tell the patient that libido will always decrease, as well as the sexual desires.
Tell the patient that touching should be avoided unless intercourse is planned.
Tell the patient that heterosexuality will help maintain stronger libido.
Tell the patient that this change is expected in aging adults.
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Question 18
Multiple Choice
A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?
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This is multiple side effects experienced when taking medications.
This is many adverse drug effects reported to the pharmacy.
This is the multiple risks of medication effects due to aging.
This is concurrent use of many medications.
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Question 19
Multiple Choice
An outcome for an older-adult patient living alone is to be free from falls. Which statement indicates the patient correctly understands the teaching on safety concerns?
Choose correct answer/s
"I'll take my time getting up from the bed or chair."
"I should dim the lighting outside to decrease the glare in my eyes."
"I'll leave my throw rugs in place so that my feet won't touch the cold tile."
"I should wear my favorite smooth bottom socks to protect my feet when walking around."
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Question 20
Multiple Choice
A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?
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Review the patient's list of medications at each visit.
Teach that polypharmacy is to be avoided at all cost.
Avoid information about adverse effects.
Focus only on prescribed medications.
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