Care of the Older Adult PreAssessment Exam With Complete Solutions.

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Engagement with others Which element is part of psychosocial well-being for an older adult? "Mrs. Bartlett, I'm your nurse Clara Jones." How should a nurse greet Estelle Bartlett, a petite, w... idowed elder, on the first home visit? A library card 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 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 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 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 What is an effective way to communicate with an older adult living with dementia? Raise the toilet seat 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 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 Which lighting feature in most nursing homes compromises elder adults' ability to function? Presence of stairs or other obstacles 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 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 Which is considered to be a permanent, progressive reduction in mental capacity? The patient is at risk for suicide. 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?" 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?" 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. 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 Which assessment tool can be used to determine activities of daily living (ADL) independence in older adults? Environmental barriers Functional incontinence refers to problems from factors external to the lower urinary tract. Which is the least likely item to contribute to incontinence? Every 10 years How often is tetanus vaccination recommended for older adults? Adequate consumption of whole grains, fruits, and vegetables Which nonpharmacologic interventions should nurses counsel patients on when they complain of occasional heartburn, constipation, and low energy? Comprehensive assessment Which factor best describes the cornerstone of an individualized plan of care for an older adult? Risk reduction assessments What is the most important discussion of the interdisciplinary team at regularly scheduled meetings? Falls risk When calculating BMI, the nurse notes an older adult's score is 30. What does this score indicate? They bring better quality services for clients. Which statement is true regarding the use of interdisciplinary teams? So the health provider can reduce potential polypharmacy in the older adult. What is the primary reason for having the older adult bring all medications with every office visit, including prescription and nonprescription medicines, vitamins, and herbal supplements? Benzodiazepines Which medications should the nurse cautiously review from the Beer's List of medications when documenting the patient's drug profile? Cognitive impairment What should be the nurse's primary consideration while allowing for patient autonomy and reducing risk when dealing with end of life care? Risk of falls exists when restraints are used. Which statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use? Counsel about home safety assessments Harriett is a 92-year-old who lives in assisted living; she recently fell and broke her hip. Harriet and her family would like to keep Harriet safe and at the highest level of independence on her return to her accommodations from the hospital. Which action should the nurse take to help Harriet and her family? Measure and record fluid intake and output & Ask Ruth to weigh each day at the same time Ruth is a 75-year-old residing in an assisted living facility and is at risk for fluid volume deficit. Which nursing actions would ensure the most accurate monitoring of Ruth's fluid status in a co-created plan of care? Admit and stabilize the patient Agnes is a 77-year-old who lost her husband last year and has congestive heart failure. She has moved in with her son Alex. She has been brought to the ER by Alex who says she is short of breath. He does not know how long she has been in the state, nor does he know the medication she should be on. What is the nursing priority? Swelling of ankles A 66-year-old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly. Which barrier to physical activity is least common for the elderly? Influenza Research indicates more than 90% of the deaths occur in older adults 65 and older due to lack of appropriate immunizations. On which annual vaccination should the nurse counsel the patient? Physical inactivity & Tobacco use What are common risk factors that contribute to functional decline in the older adult population? Maintaining social relationships Which activity would be helpful for older adults to engage in to prevent or interrupt the course of frailty? Proceed with low intensity and moderate impact What should the nurse first instruct the older adult to do when the older adult is beginning an exercise program? Start with low intensity and moderate impact. What should the nurse first instruct the older adult to do when the older adult is starting an aerobics program? Continue activities of daily living (ADLs) What principle is least related to promoting health and preventing certain disabilities in older adults? Invite, follow through, maximize communication, arrange environment, and maximize understanding When focusing on the psycho-social needs of older adults, author Virginia Satir recommends that healthcare providers get back to the basics of communication. What are the five basic principles Satir describes? Behind the ear (BTE) hearing aid Rick, a 91-year-old male, has a history of chronic otitis media and is experiencing mild hearing loss in his right ear. What type of assistive technology would Rick use to improve communicative function? An augmentative and alternative communication (AAC) device An elderly patient has suffered a stroke and is currently in the process of transitioning out of the hospital and into an assisted living facility. The patient's primary difficulty after the stroke is dealing with dysarthria, which has limited the patient's ability to speak. What communication technology would appropriately promote an optimal transition of care for the patient? They may enable independent performance and reduce risk of injury & They may limit complications of an illness or disability What must the nurse inform the patient and family or caregivers about assistive devices? By trying to spread the view that aging is natural and need not include illness and disease & helping people overcome views of denial and foreboding as old age approaches A goal of the national health initiative Healthy People 2010 is to increase the quality and extend the years of healthy life. What are two ways that this initiative can achieve its goal? The teams can be lead by a nurse practitioner. The Independence at Home Demonstration was created by the Affordable Care Act. Which statement is true regarding primary care teams participating in this initiative? Medicare covers certain disabled Americans who have not reached age eligibility & Medicare recipients range from those simply needing wellness services to those who are profoundly frail. Which important facts about Medicare should nurses know? Daycare services for seniors A senior is being cared for by her daughter. The daughter works a full-time job and is only able to care for her mother before she goes to work, on her lunch break, and after she gets off work. The senior expresses to a nurse that she gets lonely during the day and sometimes cannot perform tasks by herself. Which community resource should the nurse recommend looking into? There is a growing demand for transitional care because nearly 50% of Americans are dealing with at least one chronic illness & Medicare beneficiaries with five or more chronic illnesses account for 75% of Medicare spending. What are important areas of knowledge to apply as a nurse practicing in a transitional care role? [Show More]

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