Care of the Older Adult Pre-Assessment
Questions with Correct Answers. Graded
A+.
1. Which element is part of psychosocial well-being for an older adult? -
ANSEngagement with others
2. How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home
visit? - ANS"Mrs. Bartlett, I'm your nurse Clara Jones."
3. What might be an important aspect of an individualized care plan for an older adult
with a low income and who is depressed, lives in a community, is treated with an
antidepressant, and has favorite pastimes of reading, cooking, and spending time with
grandchildren? - ANSA library card
6. 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? - ANSFind
out the elder's ideas
7. What is an effective way to communicate with an older adult living with dementia? -
ANSApproach in a nonthreatening manner
8. Older women experience bone loss, which makes them more susceptible to hip
fracture.
How should an environment change for an older woman after a hip-fracture repair? -
ANSHave the older woman's toilet seat raised
11. The assessment of which factor in the home environment is required for a client with
mobility problems? - ANSPresence of stairs or other obstacles
15. Which question included in the assessment questionnaire will help the nurse to
teach appropriate coping skills to the client with prostate cancer? - ANS"What do you do
to reduce stress?"
16. Which statement of the client helps the nurse to reach the conclusion that a client is
experiencing a midlife crisis? - ANS"I feel I have not achieved anything great in my life.
What can I do to make my life meaningful?"
17. A spiritual African American older patient has terminal HIV.
, Why might this patient require careful assessment and monitoring for pain, based on
knowledge of spiritual beliefs common in African American communities? - ANSThe
patient may understate pain levels because of a belief that the illness is God's plan.
18. Which assessment tool can be used to determine activities of daily living (ADL)
independence in older adults? - ANSThe Katz index
19. Functional incontinence refers to problems from factors external to the lower urinary
tract.
Which is the least likely item to contribute to incontinence? - ANSEnvironmental barriers
20. How often is tetanus vaccination recommended for older adults? - ANSEvery 10
years
22. Which factor best describes the cornerstone of an individualized plan of care for an
older adult? - ANSComprehensive assessment
23. What is the most important discussion of the interdisciplinary team at regularly
scheduled meetings? - ANSRisk reduction assessments
26. What is the primary reason for having an older adult bring all medications to every
office visit, including prescription and nonprescription medicines, vitamins, and herbal
supplements? - ANSSo the health provider can reduce potential polypharmacy in the
older adult
27. Which medications should the nurse cautiously review from the Beer's List of
medications when documenting the patient's drug profile? - ANSBenzodiazepines
29. Which statement from a nurse would indicate good judgment when considering
common myths regarding physical restraint use? - ANSRisk of falls exists when
restraints are used.
31. A 75-year-old resident in an assisted living facility is at risk for fluid volume deficit.
Which nursing actions would ensure the most accurate monitoring of the resident's fluid
status in a co-created plan of care?
Select all that apply - ANSMeasure and record fluid intake and output.
Ask the resident to weigh each day at the same time.
33. Agnes is a 77-year-old woman who lost her spouse last year and has congestive
heart failure. She has moved in with her son. Her son brought her to the ER saying 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.
Questions with Correct Answers. Graded
A+.
1. Which element is part of psychosocial well-being for an older adult? -
ANSEngagement with others
2. How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home
visit? - ANS"Mrs. Bartlett, I'm your nurse Clara Jones."
3. What might be an important aspect of an individualized care plan for an older adult
with a low income and who is depressed, lives in a community, is treated with an
antidepressant, and has favorite pastimes of reading, cooking, and spending time with
grandchildren? - ANSA library card
6. 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? - ANSFind
out the elder's ideas
7. What is an effective way to communicate with an older adult living with dementia? -
ANSApproach in a nonthreatening manner
8. Older women experience bone loss, which makes them more susceptible to hip
fracture.
How should an environment change for an older woman after a hip-fracture repair? -
ANSHave the older woman's toilet seat raised
11. The assessment of which factor in the home environment is required for a client with
mobility problems? - ANSPresence of stairs or other obstacles
15. Which question included in the assessment questionnaire will help the nurse to
teach appropriate coping skills to the client with prostate cancer? - ANS"What do you do
to reduce stress?"
16. Which statement of the client helps the nurse to reach the conclusion that a client is
experiencing a midlife crisis? - ANS"I feel I have not achieved anything great in my life.
What can I do to make my life meaningful?"
17. A spiritual African American older patient has terminal HIV.
, Why might this patient require careful assessment and monitoring for pain, based on
knowledge of spiritual beliefs common in African American communities? - ANSThe
patient may understate pain levels because of a belief that the illness is God's plan.
18. Which assessment tool can be used to determine activities of daily living (ADL)
independence in older adults? - ANSThe Katz index
19. Functional incontinence refers to problems from factors external to the lower urinary
tract.
Which is the least likely item to contribute to incontinence? - ANSEnvironmental barriers
20. How often is tetanus vaccination recommended for older adults? - ANSEvery 10
years
22. Which factor best describes the cornerstone of an individualized plan of care for an
older adult? - ANSComprehensive assessment
23. What is the most important discussion of the interdisciplinary team at regularly
scheduled meetings? - ANSRisk reduction assessments
26. What is the primary reason for having an older adult bring all medications to every
office visit, including prescription and nonprescription medicines, vitamins, and herbal
supplements? - ANSSo the health provider can reduce potential polypharmacy in the
older adult
27. Which medications should the nurse cautiously review from the Beer's List of
medications when documenting the patient's drug profile? - ANSBenzodiazepines
29. Which statement from a nurse would indicate good judgment when considering
common myths regarding physical restraint use? - ANSRisk of falls exists when
restraints are used.
31. A 75-year-old resident in an assisted living facility is at risk for fluid volume deficit.
Which nursing actions would ensure the most accurate monitoring of the resident's fluid
status in a co-created plan of care?
Select all that apply - ANSMeasure and record fluid intake and output.
Ask the resident to weigh each day at the same time.
33. Agnes is a 77-year-old woman who lost her spouse last year and has congestive
heart failure. She has moved in with her son. Her son brought her to the ER saying 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.
