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Older Adults

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Question 1
Free
Multiple Choice

A student nurse visiting a senior center tells the instructor, "It's so depressing to see all these old people. They are so weak and frail. They are probably all confused." The student is expressing:

Choose correct answer/s
A

reality.

B

ageism.

C

empathy.

D

advocacy.

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Question 2
Free
Multiple Choice

A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. A topic of high priority should be:

Choose correct answer/s
A

identifying depression in older adults.

B

providing cost-effective foot care for older adults.

C

identifying nutritional deficiencies in older adults.

D

psychosocial stimulation for those who live alone.

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Question 3
Free
Multiple Choice

Which is the best comment for a nurse to use when beginning an interview with an older adult patient?

Choose correct answer/s
A

"Hello, [call patient by first name]. I am going to ask you some questions to get to know you better."

B

"Hello. My name is [nurse's name]. I am a nurse. Please tell me how you would like to be addressed by the staff."

C

"I am going to ask you some questions about yourself. I would like to call you by your first name if you don't mind."

D

"You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?"

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Question 4
Free
Multiple Choice

A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, the nurse should:

Choose correct answer/s
A

initiate a neurologic assessment.

B

ask if the patient can hear clearly as the nurse speaks.

C

suggest that the patient lie down in a darkened room for a few minutes.

D

administer medication to relieve the patient's pain before performing the assessment.

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Question 5
Free
Multiple Choice

Which statement about aging provides the best rationale for focused assessment of older adult patients?

Choose correct answer/s
A

Older adults are often socially isolated and lonely.

B

As people age, they become more rigid in their thinking.

C

The majority of older adults sleep more than 12 hours per day.

D

The senses of vision, hearing, touch, taste, and smell decline with age.

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Question 6
Multiple Choice

A nurse asks the following questions while assessing an older adult. The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers "yes" to which question?

Choose correct answer/s
A
"Would you say your mood is often sad?"
B
"Are you having any trouble with your memory?"
C
"Have you noticed an increase in your alcohol use?"
D
"Do you often experience moderate-to-severe pain?"
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Question 7
Multiple Choice

A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me." In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident:

Choose correct answer/s
A
may be experiencing side effects associated with medications.
B
may be developing Alzheimer disease associated with advanced age.
C
had a transient ischemic attack and developed sensory perceptual alterations.
D
has previously unidentified alcohol abuse and is beginning alcohol withdrawal delirium.
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Question 8
Multiple Choice

A health care provider writes these new prescriptions for a resident in a skilled care facility: "2 g sodium diet; restraint as needed; limit fluids to 2000 ml daily; 1 dose milk of magnesia 30 ml orally if no bowel movement occurs for 3 days." Which prescription should the nurse question?

Choose correct answer/s
A
Restraint
B
Fluid restriction
C
Milk of magnesia
D
Sodium restriction
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Question 9
Multiple Choice

If an older adult patient must be physically restrained, who is responsible for the patient's safety?

Choose correct answer/s
A
Nurse assigned to care for the patient
B
Nursing assistant who applies the restraint
C
Health care provider who ordered the application of the restraint
D
Family member who agrees to the application of the restraint
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Question 10
Multiple Choice

An older adult patient brings a bag of medication to the clinic. The nurse finds one bottle labeled "Ativan" and one labeled "lorazepam," and both are labeled "Take two times daily." Bottles of hydrochlorothiazide, Inderal, and rofecoxib, each labeled "Take one daily," are also included. Which conclusion is accurate?

Choose correct answer/s
A
Rofecoxib should not be taken with Ativan.
B
The patient's blood pressure is likely to be very high.
C
This patient should not self-administer any medication.
D
Lorazepam and Ativan are the same drug; consequently, the dose is excessive.
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Question 11
Multiple Choice

An advance directive gives valid direction to health care providers when a patient is:

Choose correct answer/s
A
aggressive.
B
dehydrated.
C
unable to verbally communicate.
D
unable to make health care decisions.
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Question 12
Multiple Choice

A patient asks the nurse, "I already have a living will. Why should I have a durable power of attorney for health care also?" The nurse should reply, "A durable power of attorney for health care:

Choose correct answer/s
A
gives your agent the authority to make decisions about your care if you are unable to during any illness."
B
can be given only to a relative, usually the next of kin, who has your best interests at heart."
C
authorizes your physician to make decisions about your care that are in your best interest."
D
can be used only if you have a terminal illness and become incapacitated."
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Question 13
Multiple Choice

Recognizing the risk for acquired immunodeficiency syndrome (AIDS) among older adults, nurses should provide health teaching aimed at:

Choose correct answer/s
A
discouraging sexual expression.
B
using birth control measures.
C
avoiding blood transfusions.
D
encouraging condom use.
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Question 14
Multiple Choice

A 79-year-old white man tells a visiting nurse, "I've been feeling sad lately. My family and friends are all dead. My money is running out, and my health is failing." The nurse should analyze this comment as:

Choose correct answer/s
A
normal negativity of older adults.
B
evidence of suicide risk.
C
a cry for sympathy.
D
normal grieving.
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Question 15
Multiple Choice

A patient tells the nurse of the recent deaths of a spouse of 50 years as well as an adult child in an automobile accident. The patient has no other family and only a few friends in the community. What is the priority nursing diagnosis?

Choose correct answer/s
A
Spiritual distress, related to being angry with God for taking the family
B
Risk for suicide, related to recent deaths of significant others
C
Anxiety, related to sudden and abrupt lifestyle changes
D
Social isolation, related to loss of existing family
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Question 16
Multiple Choice

When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?

Choose correct answer/s
A
The patient with dementia is persistently angry and hostile.
B
Early morning agitation and hyperactivity occur in dementia.
C
Confusion seems to worsen at night when dementia is present.
D
A patient who is depressed is preoccupied with somatic symptoms.
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Question 17
Multiple Choice

An 80-year-old patient has difficulty walking because of arthritis and says, "It's awful to be old. Every day is a struggle. No one cares about old people." Which is the nurse's most therapeutic response?

Choose correct answer/s
A
"Everyone here cares about old people. That's why we work here."
B
"It sounds like you're having a difficult time. Tell me about it."
C
"Let's not focus on the negative. Tell me something good."
D
"You are still able to get around, and your mind is alert."
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Question 18
Multiple Choice

A 74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization?

Choose correct answer/s
A
Medication
B
Re-motivation
C
Group psychotherapy
D
Individual psychotherapy
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Question 19
Multiple Choice

A clinic nurse interviews four patients between 70 and 80 years of age. Which patient should have further assessment regarding the risk of alcohol addiction? The patient:

Choose correct answer/s
A
with a history of intermittent problems of alcohol misuse early in life and who now consumes one glass of wine nightly with dinner.
B
with no history of alcohol-related problems until age 65 years, when the patient began to drink alcohol daily "to keep my mind off my arthritis."
C
who drank socially throughout adult life and continues this pattern, saying, "I've earned the right to do as I please."
D
who abused alcohol between the ages of 25 and 40 years but now abstains and occasionally attends Alcoholics Anonymous.
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Question 20
Multiple Choice

A tricyclic antidepressant is prescribed for an older adult patient diagnosed with major depressive disorder. Nursing assessment should include careful collection of information regarding:

Choose correct answer/s
A
use of other prescribed medications and over-the-counter products.
B
evidence of pseudoparkinsonism or tardive dyskinesia.
C
history of psoriasis and any other skin disorders.
D
current immunization status.
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