Older Adult Nclex questions
Terms in this set (45)
The nurse is setting up an D. Develop large-print handouts that reflect the verbal information presented.
education session with an 85-
year-old patient who will be Rationale: Option D addresses altered perception in two ways.
going home on anticoagulant First, by using visual aids to reinforce verbal instructions, one
therapy. addresses the possibility of decreased ability to hear high-
Which strategy would reflect frequency sounds. By developing the handouts in large print,
consideration of aging changes one addresses the possibility of decreased visual acuity.
that may exist with this patient? Option A does not allow discussion of the information;
furthermore, the text and print may be small and difficult to read
A. Show a colorful video and understand.
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.
When developing the plan of C. consider the preadmission functional abilities when setting patient goals.
care for an older adult who is
hospitalized for an acute illness, Rationale: The plan of care for older adults should be
the nurse should individualized and based on the patients current functional
abilities. A standardized geriatric nursing care plan is unlikely to
A. use a standardized geriatric address individual patient needs and strengths. A patients need for
nursing care plan. discharge to a long-term-care facility is variable. Activity level
B. plan for likely long-term- should be designed to allow the patient to retain functional abilities
care transfer to allow additional while hospitalized and also to allow any additional rest needed
time for recovery. for recovery from the acute process.
C. consider the preadmission
functional abilities when
setting patient goals.
D. minimize activity level during
hospitalization.
,
, Which information obtained by B. The patient has lost 10 pounds (4.5 kg) during the last month.
the home health nurse when
making a visit to an 88- year-old Rationale: A 10-pound weight loss may be an indication of elder
with mild forgetfulness is of neglect or depression and requires further assessment by the
the most concern? nurse.
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.
A 70-year-old client asks the D. Accumulation of plaque on arterial walls
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
In reviewing changes in the older C. Reversible systemic disorders are often implicated as a cause of delirium.
adult, the nurse recognizes that
which of the following Rationale: Delirium is a potentially reversible cognitive impairment
statements related to cognitive that is often due to a physiological cause such as an electrolyte
functioning in the older client is imbalance, cerebral anoxia, hypoglycemia, medications, tumors,
true? cerebrovascular infection, or hemorrhage.
A. Delirium is usually easily
distinguished from irreversible
dementia.
B. Therapeutic drug
intoxication is a common
cause of senile dementia.
C. Reversible systemic disorders
Terms in this set (45)
The nurse is setting up an D. Develop large-print handouts that reflect the verbal information presented.
education session with an 85-
year-old patient who will be Rationale: Option D addresses altered perception in two ways.
going home on anticoagulant First, by using visual aids to reinforce verbal instructions, one
therapy. addresses the possibility of decreased ability to hear high-
Which strategy would reflect frequency sounds. By developing the handouts in large print,
consideration of aging changes one addresses the possibility of decreased visual acuity.
that may exist with this patient? Option A does not allow discussion of the information;
furthermore, the text and print may be small and difficult to read
A. Show a colorful video and understand.
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.
When developing the plan of C. consider the preadmission functional abilities when setting patient goals.
care for an older adult who is
hospitalized for an acute illness, Rationale: The plan of care for older adults should be
the nurse should individualized and based on the patients current functional
abilities. A standardized geriatric nursing care plan is unlikely to
A. use a standardized geriatric address individual patient needs and strengths. A patients need for
nursing care plan. discharge to a long-term-care facility is variable. Activity level
B. plan for likely long-term- should be designed to allow the patient to retain functional abilities
care transfer to allow additional while hospitalized and also to allow any additional rest needed
time for recovery. for recovery from the acute process.
C. consider the preadmission
functional abilities when
setting patient goals.
D. minimize activity level during
hospitalization.
,
, Which information obtained by B. The patient has lost 10 pounds (4.5 kg) during the last month.
the home health nurse when
making a visit to an 88- year-old Rationale: A 10-pound weight loss may be an indication of elder
with mild forgetfulness is of neglect or depression and requires further assessment by the
the most concern? nurse.
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.
A 70-year-old client asks the D. Accumulation of plaque on arterial walls
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
In reviewing changes in the older C. Reversible systemic disorders are often implicated as a cause of delirium.
adult, the nurse recognizes that
which of the following Rationale: Delirium is a potentially reversible cognitive impairment
statements related to cognitive that is often due to a physiological cause such as an electrolyte
functioning in the older client is imbalance, cerebral anoxia, hypoglycemia, medications, tumors,
true? cerebrovascular infection, or hemorrhage.
A. Delirium is usually easily
distinguished from irreversible
dementia.
B. Therapeutic drug
intoxication is a common
cause of senile dementia.
C. Reversible systemic disorders
