N3325 Holistic Care of Older Adults UT Arlington Module 2 Questions And Answers (Latest)

N3325 Holistic Care of Older Adults UT Arlington Module 2 Quiz 1. Placing an older, frail patient on bedrest generally results in: Improved functional status Decreased cardiac output Prevention of falls Decreased functional status 2. The decreased muscle mass of older adults predisposes them to: Incontinence Delirium Dehydration Depression 3. Falls are the leading cause of injury in older adults. For those over age 75 who suffer a hip fracture from falling, what percent will die within one year? 10% 25% 50% 75% 4. Which of the following are examples of how older adults are different from young adults? Diminished reserves (cardiovascular and pulmonary) Functional improvement Decreased ability to respond to ambulation Decreased ability to learn 5. Gauze or wet to dry dressings may not be the best dressings for the following reasons (select all that apply) The dressings must be changed very frequently They do not provide a moist environment for the wound Removal of dried gauze from a wound bed can be very painful Gauze does not provide a barrier to moisture or infection ALL answers are correct. 6. Postural hypotension in an older adult can result from: Improving baroreceptor response as a normal part of aging Blood pressure medications that are well managed Dehydration Antibiotics 7. Which one is NOT a contributing factor to healthcare providers having problems making accurate diagnoses in the older adult? Older adults only suffer from a few common diseases Lab values in older adults may be different from younger persons Older adults often have atypical symptoms This study source was downloaded by from CourseH on :49:06 GMT -06:00 Older adults do not always demonstrate a fever response to infection 8. Using prompted voiding consistently in people who have dementia: Tends to generate poor results because they do not understand the prompts Improves continence in 60% of incontinent residents in long-term care facilities Helps them anticipate that someone is coming to take them to the bathroom Improves daytime continence in 40% of cognitively impaired home-bound older adults 9. In implementing care for an elderly bedridden client, which nursing intervention reflects appropriate action to compensate for normal changes of aging? Turning her every 2 hours to maintain intact skin integrity Administering prophylactic antibiotics Inserting multiple intravenous lines in case fluid resuscitation becomes necessary rapidly Drawing daily laboratory values for complete blood count with differential to analyze for “shift to the left” 10. In older adults, a sign of worsening heart failure is: Decreased appetite Elevated temperature orthostatic hypotension chest discomfort 11. A potential early sign of pneumonia in an older adult that is different from those typically seen in younger patients is: Fever Confusion Productive Cough Hemoptysis 12. The Katz ADLs (Activities of Daily Living) includes all but which of the following: Bathing Doing Laundry Feeding Toileting 13. As a normal effect of aging, what percent decrease in renal function would we expect to see in the older adults? 10% 80% 20% 50% 14. The first cause you would think of if there is a change in mental status in an older adult, particularly confusion is: Stress The Aging Process Drug Toxicity Visual Changes 15. Interventions to prevent falls include: (Select all that apply) Decreasing restraint use Medication review of antiepilepctics or benzodiazepines Confine patient by raising all four bedrails and elevate the bed Treating hypotension Three out of the four answers are correct This study source was downloaded by from CourseH on :49:06 GMT -06:00 16. What is the one most important reason for the RN to be able to identify the frail individual who is hospitalized? Frail elders are more likely to develop the “Geriatric Cascade” of problems with resulting negative outcomes if they do not receive immediate clinical intervention Frail elders are more likely to develop contractures if hospitalized Frail elders are more likely to develop a UTI if hospitalized Frail elders have an increased risk for drug toxicity 17. The timed “Get Up and Go” test measures the patient’s: Ability to use stairs Continence status Ability to rise from a chair and walk 10 feet, turn, and return to the chair Ability to transfer independently from bed to chair or toilet 18. Geriatric syndromes are not specific to older adults but become a problem because older adults have less physiological reserve. Which of the following conditions is NOT generally considered a geriatric syndrome? Polypharmacy Falls Incontinence Hearing Loss 19. You are the nurse performing the initial assessment on a new patient in the geriatric outpatient practice. What approach would be most effective in eliciting an accurate medication assessment? Asking the patient to make a list of all her prescription medications Asking the patient’s daughter to make a list of all of her mother’s prescription medications Asking the patient to bring in all of the medications that she is taking, including prescription drugs, over the counter drugs (OTC), and herbal and dietary supplements Obtaining a list of the patient’s medications from her previous primary care provider 20. Which of the following is NOT necessarily a risk or potential negative outcome of frailty? Institutionalization CVA Falls Dependency This study source was downloaded by from CourseH on :49:06 GMT -06:00 Powered by TCPDF ()