Care of the Older Adult Pre Assessment
Questions And Answers
Engagement with others - Answers-Which element is part of psychosocial well-being for
an older adult?
."Mrs. Bartlett, I'm your nurse Clara Jones." - Answers-How should a nurse greet Estelle
Bartlett, a petite, widowed elder, on the first home visit?
.A library card - Answers-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?
.Taking painting classes at the senior center - Answers-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?
.Ask the drug company for help & Investigate eligibility for the Medicaid program -
Answers-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?
.Find out the elder's ideas - Answers-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?
.Approach in a non-threatening manner - Answers-What is an effective way to
communicate with an older adult living with dementia?
.Raise the toilet seat - Answers-Older women experience bone loss, which makes them
more susceptible to hip fracture.
, How should an environment change after a hip-fracture repair?
.Finding a new relationship - Answers-A vigorous recent widower visited his primary
care team and stated that he was lonely.
Which recommendation should the team make for this patient?
.Glare - Answers-Which lighting feature in most nursing homes compromises elder
adults' ability to function?
.Presence of stairs or other obstacles - Answers-The assessment of which factor in the
home environment is required for a client with mobility problems?
.Help the spouse plan care without using restraints - Answers-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?
.Dementia - Answers-Which is considered to be a permanent, progressive reduction in
mental capacity?
.The patient is at risk for suicide. - Answers-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
."What do you do to reduce stress?" - Answers-Which question included in the
assessment questionnaire will help the nurse to teach appropriate coping skills to the
client with prostate cancer?
."I feel I have not achieved anything noteworthy in my life. What can I do to give my life
more meaning?" - Answers-Which patient statement is indicative of a midlife crisis?
.The patient may understate pain levels because of a belief that the illness is God's
plan. - Answers-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?
.The Katz index - Answers-Which assessment tool can be used to determine activities
of daily living (ADL) independence in older adults?
.Environmental barriers - Answers-Functional incontinence refers to problems from
factors external to the lower urinary tract.
Questions And Answers
Engagement with others - Answers-Which element is part of psychosocial well-being for
an older adult?
."Mrs. Bartlett, I'm your nurse Clara Jones." - Answers-How should a nurse greet Estelle
Bartlett, a petite, widowed elder, on the first home visit?
.A library card - Answers-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?
.Taking painting classes at the senior center - Answers-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?
.Ask the drug company for help & Investigate eligibility for the Medicaid program -
Answers-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?
.Find out the elder's ideas - Answers-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?
.Approach in a non-threatening manner - Answers-What is an effective way to
communicate with an older adult living with dementia?
.Raise the toilet seat - Answers-Older women experience bone loss, which makes them
more susceptible to hip fracture.
, How should an environment change after a hip-fracture repair?
.Finding a new relationship - Answers-A vigorous recent widower visited his primary
care team and stated that he was lonely.
Which recommendation should the team make for this patient?
.Glare - Answers-Which lighting feature in most nursing homes compromises elder
adults' ability to function?
.Presence of stairs or other obstacles - Answers-The assessment of which factor in the
home environment is required for a client with mobility problems?
.Help the spouse plan care without using restraints - Answers-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?
.Dementia - Answers-Which is considered to be a permanent, progressive reduction in
mental capacity?
.The patient is at risk for suicide. - Answers-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
."What do you do to reduce stress?" - Answers-Which question included in the
assessment questionnaire will help the nurse to teach appropriate coping skills to the
client with prostate cancer?
."I feel I have not achieved anything noteworthy in my life. What can I do to give my life
more meaning?" - Answers-Which patient statement is indicative of a midlife crisis?
.The patient may understate pain levels because of a belief that the illness is God's
plan. - Answers-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?
.The Katz index - Answers-Which assessment tool can be used to determine activities
of daily living (ADL) independence in older adults?
.Environmental barriers - Answers-Functional incontinence refers to problems from
factors external to the lower urinary tract.
