C HAPTER 20: T HE O LDER A DULT
MULTIPLE CHOICE
1. The nurse is assessing the forms of support an older patient has before she
is discharged. Which of these examples is an informal source of support?
a. Local senior center
b. Patients Medicare check
c. Meals on Wheels meal delivery service
d. Patients neighbor, who visits with her daily
ANS: D
Informal support includes famil y and close, long -time friends and is
usuall y provided free of charge. Formal supports include programs
such as social welfare and other social service and health care delivery
agencies such as home health care.
DIF: Cognitive Level: Appl ying (Application) REF: p. 838 MSC:
Client Needs: Psychosocial Integrit y
2. An 85-year-old man has been hospitalized after a fall at h ome, and his 86 -
year-old wife is at his bedside. She tells the nurse that she is his primary
caregiver. The nurse should assess the caregiver for signs of possible
caregiver burnout, such as:
a. Depression.
b. Weight gain.
c. Hypertension.
, d. Social phobias.
ANS: A
Caregiver burden is the perceived strain by the person w ho cares for an
older adult or for a person who is chronicall y ill or disabled. Caregiver
burnout is linked to the caregivers abilit y to cope and handle stress.
Signs of possible caregiver burnout include multiple somatic
complaints, increased stress and a nxiet y, social isolation, depression,
and weight loss. Screening caregivers for depression may also be
appropriate.
DIF: Cognitive Level: Appl ying (Application) REF: p. 838 MSC:
Client Needs: Psychosocial Integrit y
3. During a morning assessment, the nurse no tices that an older patient is
less attentive and is unable to recall yesterdays events. Which test is
appropriate for assessing the patients mental status?
a. Geriatric Depression Scale, short form
b. Rapid Disabilit y Rating Scale -2
c. Mini-Cog
d. Get Up and Go Test
ANS: C
For nurses in various settings, cognitive assessments provide
continuing comparisons to the individuals baseline to detect any acute
changes in mental status. The Mini -Cog is a mental status test that tests
immediate and delayed recall and visuospatial abilities. The Geriatric
Depression Scale, short form, assesses for depression and changes in
MULTIPLE CHOICE
1. The nurse is assessing the forms of support an older patient has before she
is discharged. Which of these examples is an informal source of support?
a. Local senior center
b. Patients Medicare check
c. Meals on Wheels meal delivery service
d. Patients neighbor, who visits with her daily
ANS: D
Informal support includes famil y and close, long -time friends and is
usuall y provided free of charge. Formal supports include programs
such as social welfare and other social service and health care delivery
agencies such as home health care.
DIF: Cognitive Level: Appl ying (Application) REF: p. 838 MSC:
Client Needs: Psychosocial Integrit y
2. An 85-year-old man has been hospitalized after a fall at h ome, and his 86 -
year-old wife is at his bedside. She tells the nurse that she is his primary
caregiver. The nurse should assess the caregiver for signs of possible
caregiver burnout, such as:
a. Depression.
b. Weight gain.
c. Hypertension.
, d. Social phobias.
ANS: A
Caregiver burden is the perceived strain by the person w ho cares for an
older adult or for a person who is chronicall y ill or disabled. Caregiver
burnout is linked to the caregivers abilit y to cope and handle stress.
Signs of possible caregiver burnout include multiple somatic
complaints, increased stress and a nxiet y, social isolation, depression,
and weight loss. Screening caregivers for depression may also be
appropriate.
DIF: Cognitive Level: Appl ying (Application) REF: p. 838 MSC:
Client Needs: Psychosocial Integrit y
3. During a morning assessment, the nurse no tices that an older patient is
less attentive and is unable to recall yesterdays events. Which test is
appropriate for assessing the patients mental status?
a. Geriatric Depression Scale, short form
b. Rapid Disabilit y Rating Scale -2
c. Mini-Cog
d. Get Up and Go Test
ANS: C
For nurses in various settings, cognitive assessments provide
continuing comparisons to the individuals baseline to detect any acute
changes in mental status. The Mini -Cog is a mental status test that tests
immediate and delayed recall and visuospatial abilities. The Geriatric
Depression Scale, short form, assesses for depression and changes in
