Gerentology vsims - prequiz: Sherman "Red" Yoder Rated 100 % correct

A nurse is talking with an older adult patient who unexpectedly mentions having trouble sleeping. What tool besides the Pittsburgh Sleep Quality Index (PSQI) can the nurse use to assess for sleep disorders? SPICES: An Overall Assessment Tool for Older Adults Rationale:Approximately half of adults complain of sleep disorders, especially insomnia. Although the SPICES tool is an overall assessment tool, it also provides insight into potential sleep disorders. The other tools assess for depression, abuse, and cognitive decline, respectively. Why are first-generation antihistamines (e.g., diphenhydramine [Benadryl]) considered inappropriate for the older adult? These drugs have anticholinergic effects and should not be administered to the older adult. Rationale:First-generation antihistamines should be avoided in the older adult because they have anticholinergic effects and may cause blurred vision, urinary retention, confusion, hallucinations, dry mouth, constipation, and delirium. Trouble waking, euphoria, and nocturnal wandering have not been documented as side effects of older adult anticholinergic use. The older adult with diabetes mellitus may present manifestations of hypoglycemia that differ from the classic symptoms of tachycardia, restlessness, and anxiety. What symptom might indicate hypoglycemia in the older adult? Confusion Rationale:The older adult patient with diabetes may not present with the classic manifestations of hypoglycemia (i.e., tachycardia, restlessness, perspiration, and anxiety).Instead, the first indication of hypoglycemia in the older adult may be somnolence, convulsions, or mental status changes that include confusion, disorientation, poor sleep patterns, nocturnal headaches, slurred speech, or unconsciousness. Diaphoresis, cardiac disturbances, and ketoacidosis are other classic symptoms of hypoglycemia, but these may be totally absent in the older adult. Assessing the health of the older adult can be challenging due to several factors. What is the most significant factor contributing to the complexity of assessing health and functioning in the older adult? Manifestations of illnesses, even acute, tend to be obscure and less predictable in older adults