N3325 Holistic Care of Older Adults UT Arlington Module 2 Final Exam Questions/Answers (Download)

Course 2192-NURS-3325-504-RN-BSN-HOLISTIC-CARE-OLDER-ADU--2019-Spring Test Module 2: Review/Quiz Started 3/7/19 10:53 PM Submitted 3/7/19 11:11 PM Due Date 3/9/19 11:59 PM Status Completed Attempt Score 95 out of 100 points Time Elapsed 18 minutes out of 30 minutes Results Displayed All Answers, Submitted Answers, Correct Answers, Feedback, Incorrectly Answered Questions  Question 1 5 out of 5 points Which of the following is NOT necessarily a risk or potential negative outcome of frailty? Selected Answer: CVA Answers: Institutionalization CVA Falls dependency  Question 2 5 out of 5 points Placing an older, frail patient on bedrest generally results in: Selected Answer: decreased functional status Answers: improved functional status decreased cardiac output prevention of falls decreased functional status  Question 3 5 out of 5 points The decreased muscle mass of older adults predisposes them to: Selected Answer: dehydration. Answers: incontinence. delirium. dehydration. depression.  Question 4 5 out of 5 points Using prompted voiding consistently in people who have dementia: Selected Answer: helps them anticipate that someone is coming to take them to the bathroom. Answers: tends to generate poor results because they do not understand the prompts. improves continence in 60% of incontinent residents in long-term care facilities. helps them anticipate that someone is coming to take them to the bathroom. improves daytime continence in 40% of cognitively impaired home-bound older adults.  Question 5 5 out of 5 points The first cause you would think of if there is a change in mental status in an older adult, particularly confusion, is: Selected Answer: drug toxicity. Answers: stress. the aging process. drug toxicity. visual changes.  Question 6 5 out of 5 points The Katz ADLs (Activities of Daily Living) includes all but which of the following: Selected Answer: Doing laundry Answers: Bathing Doing laundry Feeding Toileting  Question 7 5 out of 5 points Gauze or wet to dry dressings may not be the best dressings for the following reasons (select all that apply) Selected Answers: 1. Removal of dried gauze from a wound bed can be very painful 2. They do not provide a moist environment for the wound 3. The dressings must be changed very frequently 4. Gauze does not provide a barrier to moisture or infection Answers: 1. Removal of dried gauze from a wound bed can be very painful 2. They do not provide a moist environment for the wound 3. The dressings must be changed very frequently 4. Gauze does not provide a barrier to moisture or infection Response Feedback: All answers are correct.  Question 8 0 out of 5 points Which of the following are examples of how older adults are different from younger adults? Selected Answers: diminished reserves (cardiovascular and pulmonary) decreased ability to respond to ambulation Answers: diminished reserves (cardiovascular and pulmonary) functional improvement decreased ability to respond to ambulation decreased ability to learn Response Feedback: Diminished reserves is the way in which older adults differ from younger adults due to physiological changes which are a normal part of aging  Question 9 5 out of 5 points A potential early sign of pneumonia in an older adult that is different from those typically seen in younger patients is: Selected Answer: confusion Answers: fever confusion productive cough hemoptysis  Question 10 5 out of 5 points Postural hypotension in an older adult can result from Selected Answer: dehydration Answers: improving baroreceptor response as a normal part of aging blood pressure medications that are well managed dehydration antibiotics  Question 11 5 out of 5 points In implementing care for an elderly bedridden client, which nursing intervention reflects appropriate action to compensate for normal changes of aging? Selected Answer: Turning her every 2 hours to maintain intact skin integrity Answers: Turning her every 2 hours to maintain intact skin integrity Administering prophylactic antibiotics Inserting multiple intravenous lines in case fluid resuscitation becomes necessary rapidly Drawing daily laboratory values for complete blood count with differential to analyze for “shift to the left”  Question 12 5 out of 5 points The timed “Get Up and Go” test measures the patient’s: Selected Answer: ability to rise from a chair and walk 10 feet, turn, and return to the chair. Answers: ability to use stairs. continence status. ability to rise from a chair and walk 10 feet, turn, and return to the chair. ability to transfer independently from bed to chair or toilet.  Question 13 5 out of 5 points In older adults, a sign of worsening heart failure is: Selected Answer: decreased appetite. Answers: decreased appetite. elevated temperature. orthostatic hypotension. chest discomfort.  Question 14 5 out of 5 points What is the one most important reason for the RN to be able to identify the frail individual who is hospitalized? Selected Answer: Frail elders are more likely to develop the “Geriatric Cascade” of problems with resulting negative outcomes if they do not receive immediate clinical intervention Answers: Frail elders are more likely to develop the “Geriatric Cascade” of problems with resulting negative outcomes if they do not receive immediate clinical intervention Frail elders are more likely to develop contractures if hospitalized. Frail elders are more likely to develop a UTI if hospitalized. Frail elders have an increased risk for drug toxicity.  Question 15 5 out of 5 points As a normal effect of aging, what percent decrease in renal function would we expect to see in the older adults. Selected Answer: 50% Answers: 10% 80% 20% 50%  Question 16 5 out of 5 points Geriatric syndromes are not specific to older adults but become a problem because older adults have less physiological reserve. Which of the following conditions is not generally considered a geriatric syndrome? Selected Answer: hearing loss Answers: polypharmacy falls incontinence hearing loss Answer Feedback: Hearing loss is not considered to be a Geriatric Syndrome even though many older adults suffer hearing loss.  Question 17 5 out of 5 points Interventions to prevent falls include: (Select all that apply.) Selected Answers: decreasing restraint use. medication review for antiepileptics or benzodiazepines. treating postural hypotension. Answers: decreasing restraint use. medication review for antiepileptics or benzodiazepines. confine patient by raising all four bedrails and elevate the bed. treating postural hypotension.  Question 18 5 out of 5 points Which one is NOT a contributing factor to healthcare providers having problems making accurate diagnoses in the older adult? Selected Answer: Older adults only suffer from a few common diseases. Answers: Older adults only suffer from a few common diseases. Lab values in order adults may be different from younger persons. Older adults often have atypical symptoms. Older adults do not always demonstrate a fever response to infection.  Question 19 5 out of 5 points Falls are the leading cause of injury in older adults. For those over age 75 who suffer a hip fracture from falling, what percent will die within one year? Selected Answer: 50% Answers: 10% 25% 50% 75%  Question 20 5 out of 5 points You are the nurse performing the initial assessment on a new patient in the geriatric outpatient practice. What approach would be most effective in eliciting an accurate medication assessment? Selected Answer: Asking the patient to bring in all of the medications that she is taking, including prescription drugs, over-the-counter drugs (OTC), and herbal and dietary supplements Answers: Asking the patient to make a list of all her prescription medications Asking the patient’s daughter to make a list of her mother’s prescription medications Asking the patient to bring in all of the medications that she is taking, including prescription drugs, over-the-counter drugs (OTC), and herbal and dietary supplements Obtaining a list of the patient’s medications from her previous primary care provider Thursday, March 7, 2019 11:11:46 PM CST