C475: PA:Care of the Older Adult Questions well elaborated 2023/2024

Which element is part of psychosocial well-being for an older adult? - ANSWERS Engagement with others How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home visit? - ANSWERS "Mrs. Bartlett, I'm your nurse Clara Jones." What might be an important aspect of an individualized care plan for a low income, depressed community-dwelling elder who is treated with an antidepressant and has favorite pastimes of reading, cooking, and spending time with grandchildren? - ANSWERS A library card A talented, accomplished, and very active elder wanted to take up painting after retirement. A recent stroke compromised the elder's short-term memory severely. Which community-based program should the nurse suggest to the elder and family first? - ANSWERS Taking painting classes at the senior center An elder patient missed an arthritis clinic appointment because the patient could not afford the pain medication. After first meeting the patient's immediate medication needs, which two steps should the nurse take in order to prevent a recurrence? Choose 2 answers - ANSWERS Ask the drug company for help Investigate eligibility for the Medicaid program An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg. Which action should the home-care nurse recommend regarding the dog? - ANSWERS Find out the elder's ideas What is an effective way to communicate with an older adult living with dementia? - ANSWERS Approach in a non-threatening manner Older women experience bone loss, which makes them more susceptible to hip fracture. How should an environment change after a hip-fracture repair? - ANSWERS Raise the toilet seat A vigorous recent widower visited his primary care team and stated that he was lonely. Which recommendation should the team make for this patient? - ANSWERS Finding a new relationship Which lighting feature in most nursing homes compromises elder adults' ability to function? - ANSWERS Glare The assessment of which factor in the home environment is required for a client with mobility problems? - ANSWERS Presence of stairs or other obstacles A home-care nurse visits an elder living with dementia whose spouse is providing care. The nurse notices a restraint sitting in the chair. What is the most important thing the nurse should do? - ANSWERS Help the spouse plan care without using restraints Which is considered to be a permanent, progressive reduction in mental capacity? - ANSWERS Dementia When evaluating an older patient, a nurse finds the patient to be highly depressed and suffering from low self-esteem. What psychosocial problem can the nurse deduce from these symptoms? - ANSWERS The patient is at risk for suicide. Which question included in the assessment questionnaire will help the nurse to teach appropriate coping skills to the client with prostate cancer? - ANSWERS "What do you do to reduce stress?" Which patient statement is indicative of a midlife crisis? - ANSWERS "I feel I have not achieved anything noteworthy in my life. What can I do to give my life more meaning?" A spiritual African American elder has terminal HIV. Based on knowledge of spiritual beliefs common in African American communities, why might this patient require careful assessment and monitoring for pain? - ANSWERS The patient may understate pain levels because of a belief that the illness is God's plan. Which assessment tool can be used to determine activities of daily living (ADL) independence in older adults? - ANSWERS The Katz index Functional incontinence refers to problems from factors external to the lower urinary tract. Which is the least likely item to contribute to incontinence? - ANSWERS Environmental barriers How often is tetanus vaccination recommended for older adults? - ANSWERS Every 10 years Which nonpharmacologic interventions should nurses counsel patients on when they complain of occasional heartburn, constipation, and low energy? - ANSWERS Adequate consumption of whole grains, fruits, and vegetables Which factor best describes the cornerstone of an individualized plan of care for an older adult? - ANSWERS Comprehensive assessment What is the most important discussion of the interdisciplinary team at regularly scheduled meetings? - ANSWERS Risk reduction assessments When calculating BMI, the nurse notes an older adult's score is 30. What does this score indicate? - ANSWERS Falls risk Which statement is true regarding the use of interdisciplinary teams? - ANSWERS They bring better quality services for clients What is the primary reason for having the older adult bring all medications with every office visit, including prescription and nonprescription medicines, vitamins, and herbal supplements? - ANSWERS So the health provider can reduce potential polypharmacy in the older adult. Which medications should the nurse cautiously review from the Beer's List of medications when documenting the patient's drug profile? - ANSWERS Benzodiazepines What should be the nurse's primary consideration while allowing for patient autonomy and reducing risk when dealing with end of life care? - ANSWERS Cognitive impairment Which statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use? - ANSWERS Risk of falls exists when restraints are used. Harriett is a 92-year-old who lives in assisted living; she recently fell and broke her hip. Harriet and her family would like to keep Harriet safe and at the highest level of independence on her return to her accommodations from the hospital. Which action should the nurse take to help Harriet and her family? - ANSWERS Counsel about home safety assessments Ruth is a 75-year-old residing in an assisted living facility and is at risk for fluid volume deficit. Which nursing actions would ensure the most accurate monitoring of Ruth's fluid status in a co-created plan of care? Choose 2 answers - ANSWERS Measure and record fluid intake and output. Ask Ruth to weigh each day at the same time. An 81-year-old patient is a new resident in Hill Side Nursing Home. Upon admission the patient had a Braden score of 17. Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers? - ANSWERS The primary risk factor is polypharmacy. Agnes is a 77-year-old who lost her husband last year and has congestive heart failure. She has moved in with her son Alex. She has been brought to the ER by Alex who says she is short of breath. He does not know how long she has been in the state, nor does he know the medication she should be on. What is the nursing priority? - ANSWERS Admit and stabilize the patient A 66-year-old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly. Which barrier to physical activity is least common for the elderly? - ANSWERS Swelling of ankles Research indicates more than 90% of the deaths occur in older adults 65 and older due to lack of appropriate immunizations. On which annual vaccination should the nurse counsel the patient? - ANSWERS Influenza What are common risk factors that contribute to functional decline in the older adult population?