Maintenance, and Home Health
Considerations
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. The 78-year-old patient asks the nurse when the shingles vaccination should be given.
Which response by the nurse is accurate?
a. 1 dose now
b. 1 dose every year
c. 1 dose now, and another dose in 2 to 6 months
d. 1 dose now, and another dose the year after the 1st dose
ANS: C
The shingles vaccination should be given with one dose now, and the other dose in 2
to 6 months.
PTS: 1 DIF: 3 REF: p 81 OBJ: 1
TOP: Shingles Vaccine KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk NOT:
Remembering
2. The home health nurse suggests the 82-year-old patient wear a Medic Alert bracelet.
Which health condition prompted the nurse to make this suggestion?
a. Artificial leg
b. Heart failure
, c. Pacemaker
d. Eye prosthesis
ANS: C
Such health information as pacemakers, heparin therapy, and drug allergies should be
made available to emergency workers.
PTS: 1 DIF: 5 REF: p. 82 OBJ: 9
TOP: Medic Alert BraceletsKEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk NOT: Applying
3. The home health nurse observes that there is still about half a month’s supply of
Glucophage in the medicine bottle at the end of the month. Which question would be
appropriate for the nurse to ask?
a. “Do you know what inadequately treated diabetes can do?”
b. “Have you told your physician you are not taking your prescription?”
c. “Are you trying to make the medication stretch for 2 months?”
d. “Why are you being so noncompliant?”
ANS: C
Many older adults with limited finances and limited access to a pharmacy will take
less of a prescribed drug to conserve money.
PTS: 1 DIF: 7 REF: p. 86 OBJ: 5
TOP: Limited Access KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease NOT: Applying
4. What does the presence of a caregiver provide for the older adult living at home?
a. Assurance of safety