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PHYS 2024 CARE OF OLDER ADULT Exam Questions and Answers Latest 2023/2024 Rated A+ Guaranteed Success

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PHYS 2024 CARE OF OLDER ADULT Exam Questions and Answers Latest 2023/2024 Rated A+ Guaranteed Success The nurse is setting up an education session with an 85-year-old patient who will be going home on anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this patient? A. Show a colorful video about anticoagulation therapy. B. Present all the information in one session just before discharge. C. Give the patient pamphlets about the medications to read at home. D. Develop large-print handouts that reflect the verbal information presented. D. Develop large-print handouts that reflect the verbal information presented. Rationale: Option D addresses altered perception in two ways. First, by using visual aids to reinforce verbal instructions, one addresses the possibility of decreased ability to hear high-frequency sounds. By developing the handouts in large print, one addresses the possibility of decreased visual acuity. Option A does not allow discussion of the information; furthermore, the text and print may be small and difficult to read and understand. When developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse should. A. use a standardized geriatric nursing care plan. B. plan for likely long-term-care transfer to allow additional time for recovery. C. consider the preadmission functional abilities when setting patient goals. D. minimize activity level during hospitalization. C. consider the preadmission functional abilities when setting patient goals. Rationale: The plan of care for older adults should be individualized and based on the patients current functional abilities. A standardized geriatric nursing care plan is unlikely to address individual patient needs and strengths. A patients need for discharge to a long-term-care facility is variable. Activity level should be designed to allow the patient to retain functional abilities while hospitalized and also to allow any additional rest needed for recovery from the acute process. Which information obtained by the home health nurse when making a visit to an 88-year-old with mild forgetfulness is of the most concern? A. The patient's son uses a marked pillbox to set up the patient's medications weekly. B. The patient has lost 10 pounds (4.5 kg) during the last month. C. The patient is cared for by a daughter during the day and stays with a son at night. D. The patient tells the nurse that a close friend recently died. B. The patient has lost 10 pounds (4.5 kg) during the last month. Rationale: A 10-pound weight loss may be an indication of elder neglect or depression and requires further assessment by the nurse. A 70-year-old client asks the nurse to explain to her about hypertension. An appropriate response by the nurse as to why older clients often have hypertension is due to: A. Myocardial muscle damage B. Reduction in physical activity C. Ingestion of foods high in sodium D. Accumulation of plaque on arterial walls D. Accumulation of plaque on arterial walls In reviewing changes in the older adult, the nurse recognizes that which of the following statements related to cognitive functioning in the older client is true? A. Delirium is usually easily distinguished from irreversible dementia. B. Therapeutic drug intoxication is a common cause of senile dementia. C. Reversible systemic disorders are often implicated as a cause of delirium. D. Cognitive deterioration is an inevitable outcome of the human aging process. C. Reversible systemic disorders are often implicated as a cause of delirium. Rationale: Delirium is a potentially reversible cognitive impairment that is often due to a physiological cause such as an electrolyte imbalance, cerebral anoxia, hypoglycemia, medications, tumors, cerebrovascular infection, or hemorrhage. Which of the following interventions should be taken to help an older client to prevent osteoporosis? A. Decrease dietary calcium intake. B. Increase sedentary lifestyles C. Increase dietary protein intake. D. Encourage regular exercise. D. Encourage regular exercise. Rationale: Key word in question is prevent Weight-bearing exercises helps to fight off degeneration of bone in osteoporosis Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult?

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PHYS 2024 CARE OF OLDER ADULT Exam Questions and Answers Latest 2023/2024 Rated A+ Guaranteed Success




PHYS 2024 CARE OF OLDER ADULT Exam Questions and
Answers Latest 2023/2024 Rated A+ Guaranteed Success

The nurse is setting up an education session with an 85-year-old patient who will
be going home on anticoagulant therapy. Which strategy would reflect
consideration of aging changes that may exist with this patient?


A. Show a colorful video about anticoagulation therapy.

B. Present all the information in one session just before discharge.
C. Give the patient pamphlets about the medications to read at home.

D. Develop large-print handouts that reflect the verbal information presented.


D. Develop large-print handouts that reflect the verbal information presented.


Rationale: Option D addresses altered perception in two ways. First, by using
visual aids to reinforce verbal instructions, one addresses the possibility of
decreased ability to hear high-frequency sounds. By developing the handouts in
large print, one addresses the possibility of decreased visual acuity. Option A does
not allow discussion of the information; furthermore, the text and print may be
small and difficult to read and understand.


When developing the plan of care for an older adult who is hospitalized for an
acute illness, the nurse should.

,PHYS 2024 CARE OF OLDER ADULT Exam Questions and Answers Latest 2023/2024 Rated A+ Guaranteed Success



A. use a standardized geriatric nursing care plan.

B. plan for likely long-term-care transfer to allow additional time for recovery.
C. consider the preadmission functional abilities when setting patient goals.
D. minimize activity level during hospitalization.



C. consider the preadmission functional abilities when setting patient goals.


Rationale: The plan of care for older adults should be individualized and based on
the patients current functional abilities. A standardized geriatric nursing care plan
is unlikely to address individual patient needs and strengths. A patients need for
discharge to a long-term-care facility is variable. Activity level should be designed
to allow the patient to retain functional abilities while hospitalized and also to
allow any additional rest needed for recovery from the acute process.


Which information obtained by the home health nurse when making a visit to an
88-year-old with mild forgetfulness is of the most concern?


A. The patient's son uses a marked pillbox to set up the patient's medications

weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.

C. The patient is cared for by a daughter during the day and stays with a son at

night.
D. The patient tells the nurse that a close friend recently died.

,PHYS 2024 CARE OF OLDER ADULT Exam Questions and Answers Latest 2023/2024 Rated A+ Guaranteed Success



B. The patient has lost 10 pounds (4.5 kg) during the last month.


Rationale: A 10-pound weight loss may be an indication of elder neglect or
depression and requires further assessment by the nurse.


A 70-year-old client asks the nurse to explain to her about hypertension. An
appropriate response by the nurse as to why older clients often have
hypertension is due to:


A. Myocardial muscle damage

B. Reduction in physical activity

C. Ingestion of foods high in sodium

D. Accumulation of plaque on arterial walls



D. Accumulation of plaque on arterial walls


In reviewing changes in the older adult, the nurse recognizes that which of the
following statements related to cognitive functioning in the older client is true?


A. Delirium is usually easily distinguished from irreversible dementia.
B. Therapeutic drug intoxication is a common cause of senile dementia.

C. Reversible systemic disorders are often implicated as a cause of delirium.

D. Cognitive deterioration is an inevitable outcome of the human aging process.


C. Reversible systemic disorders are often implicated as a cause of delirium.


Rationale: Delirium is a potentially reversible cognitive impairment that is often

, PHYS 2024 CARE OF OLDER ADULT Exam Questions and Answers Latest 2023/2024 Rated A+ Guaranteed Success


due to a physiological cause such as an electrolyte imbalance, cerebral anoxia,
hypoglycemia, medications, tumors, cerebrovascular infection, or hemorrhage.


Which of the following interventions should be taken to help an older client to
prevent osteoporosis?


A. Decrease dietary calcium intake.

B. Increase sedentary lifestyles

C. Increase dietary protein intake.

D. Encourage regular exercise.



D. Encourage regular exercise.


Rationale: Key word in question is prevent
Weight-bearing exercises helps to fight off degeneration of bone in osteoporosis


Which of the following statements accurately reflects data that the nurse should
use in planning care to meet the needs of the older adult?

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