NCM114 Care of Older Adults QUESTIONS

NCM114

CareofOlderAdults

QUESTIONS

YPARRAGUIRRE,JRP

Anurseiscaringforanolderadultclient.Thenurseshould recognizetheclientisatriskforwhichofthefollowing physiologicalchanges?(selectallthatapply) a.decreasedgastricmotility b.decreasedskinelasticity c.increasedpainthreshold d.increasedmetabolicrate e.increasedcardiacoutput Anurseisteachingaclassofolderadultsabouttheexpected physiologicchangesofaging.Whichofthefollowingchanges shouldthenurseincludeinthediscussion?(selectallthat apply) a.moredifficultyseeingduetoagreatersensitivitytoglare b.decreasedcoughreflex c.decreasedbladdercapacity d.decreasedsystolicbloodpressure e.dehydrationofinterveterbaldiscs Anurseisobtainingahistoryonanolderadult.Whichfinding willthenursemosttypicallyfind?a.livesinanursinghome b.liveswithaspouse c.livesdivorced d.livesalone Anurseisdevelopingaplanofcareforanolderadult.Which informationwillthenurseconsider?a.Shouldbestandardizedbecausemoregeriatricpatients havethesameneeds b.needstobeindividualizedtothepatient'suniqueneeds c.focusesonthedisabilitiesthatallagingpersonsface d.mustbebasedonchronologicalagealone Whichinformationfromaco-workeronagerontologicalunit willcausethenursetointervene?a.mostolderpeoplehavedependentfunctioning b.mostolderpeoplehavestrengthsweshouldfocuson c.mostolderpeopleshouldbeinvolvedincaredecisions d.mostolderpeopleshouldbeencouragedtohave independence Anursesuspectsanolder-adultpatientisexperiencing caregiverneglect.Whichassessmentfindingsareconsistent withnurse'ssuspicions?a.fleabitesandliceinfestation b.leftatagrocerystore c.refusestotakeabath d.cutsandbruises Anurseisteachingagroupofolder-adultpatients.Which teachingstrategyisbestforthenursetouse?a.provideseveraltopicsofdiscussionatoncetopromote independenceandmakingchoices b.avoiduncomfortablesilencesafterquestionsbyhelping patientscompletetheirstatements c.askpatientstorecallpastexperiencesthatcorrespond withtheirinterests d.speakinahighpitchtohelppatientshearbetter Anolderpatienthasfallenandsufferedahipfracture.Asa consequence,thepatient'sfamilyisconcernedaboutthe patient'sabilitytocareforself,especiallyduringthis convalescence.Whatshouldthenursedo?a.stressthatolderpatientsusuallyaskforhelpwhenneeded b.informthefamilythatplacementinanursingcenterisa permanentsolution c.tellthefamilytoenrollthepatientinaceramicsclassto maintainqualityoflife d.provideinformationandanswerquestionsasfamily membersmakechoicesamongcareoptions Anurseiscaringforanolderadult.Whichgoalispriority?a.adjustingtocareer b.adjustingtodivorce c.adjustingtoretirement d.adjustingtograndchildren Anurseisobservingskinintegrityofanolderadult.Which findingwillthenursedocumentasanormalfinding?a.oilyskin b.fasternailgrowth c.decreasedelasticity d.increasedfacialhairinmen Whenplanningcareforamaleclientwithburnsontheupper torso,whichnursingdiagnosisshouldtakethehighest priority?A.Ineffectiveairwayclearancerelatedtoedemaofthe respiratorypassages B.Impairedphysicalmobilityrelatedtothediseaseprocess C.Disturbedsleeppatternrelatedtofacilityenvironment D.Riskforinfectionrelatedtobreaksintheskin Inafemaleclientwithburnsonthelegs,whichnursing interventionhelpspreventcontractures?A.Applyingkneesplints.B.Elevatingthefootofthebed.C.Hyperextendingtheclient’spalms.D.Performingshoulderrange-of-motionexercises.Amaleclientcomestothephysician’sofficefortreatmentof severesunburn.Thenursetakesthisopportunitytodiscuss theimportanceofprotectingtheskinfromthesun’s damagingrays.Whichinstructionwouldbestpreventskin damage?B.“Usesunscreenwithasunprotectionfactorof6or higher.” C.“Applysunscreenevenonovercastdays.” D.“Whenatthebeach,sitintheshadetopreventsunburn.” Afemaleclientisbroughttotheemergencydepartmentwith second-andthird-degreeburnsontheleftarm,leftanterior This study source was downloaded by 100000869267694 from CourseHero.com on 08-13-2023 01:59:34 GMT -05:00

https://www.coursehero.com/file/120827835/NCM-114-questionspdf/

NCM114

CareofOlderAdults

QUESTIONS

YPARRAGUIRRE,JRP

leg,andanteriortrunk.UsingtheRuleofNines,whatisthe totalbodysurfaceareathathasbeenburned?A.18% B.27% C.30% D.36% Whichnursinginterventioncanhelpaclientmaintainhealthy skin?A.Keeptheclientwellhydrated.B.Avoidbathingtheclientwithmildsoap.C.Removeadhesivetapequicklyfromtheskin.D.Recommendwearingtight-fittingclothesinhotweather.

Chronologicalageisyouragebasedon:

a)howwellyoufeel b)thepassageoftime c)ifyouflossyourteeth d)howfabulousyoulook Anexperiencednursetellsayoungernursewhoisworkingin aretirementhomethatolderadultshave"outlivedtheir usefulness."Whatisthetermforthistypeofprejudice?a)racism b)agism c)harassment d)whistleblowing Anursinginstructorteachingclassesingerontologyto nursingstudentsdiscussesmythsrelatedtotheagingof adults.WhichstatementisaMYTHaboutolderadults?a)mostolderadultsliveintheirownhomes b)healthyolderadultsenjoysexualactivity c)oldagemeansmentaldeterioration d)olderadultswanttobeattractivetoothers Whydoweseparatetheyoung-oldfromtheold-old?a)todeterminesocialsecuritycosts b)needsandresourceusediffers c)theyoung-oldaremoreheterogenous d)welovestatisticsandgraphs Anursinginterventiondirectedtowardprimarypreventionin

theolderadultfocuseson:

a)diseasemanagement b)routinehealthscreenings c)controllingsymptomsofillness d)teachingpositivehealthbehaviors Whichofthefollowingarecharacteristicsofachronicillness (selectallthatapply) a)hasreversiblepathologicchanges b)hasaconsistent,predictableclinicalcourse c)resultsinpermanentdeviationfromnormal d)isassociatedwithstableandunstablephases e)alwaysstartswithanacuteillnessandthenprogresses slowly Animportantnursingactiontohelpachronicallyillolder

adultisto:

a)avoiddiscussingfuturelifestylechanges b)assurethepatientthattheconditionisstable c)treatthepatientasacompetentmanagerofthedisease d)encouragethepatientto"fight"thediseaseaslongas possible Thenurseteachesastudentnurseabouthealthcare disparitiesandolderadultwomen.Whichstatement,ifmade bythestudentnurse,wouldindicateanunderstandingofthe teaching?a)"Womentendtohaveashorterlifeexpectancythanmen." b)"Womentendtohavefewerfinancialresourcesthan men." c)"Womenarelesslikelytobeacaregivertotheirspouses." d)"Womenaremorelikelytohaveage-relatedcognitive impairments." Whydosomeolderadultsnotseekhealthcarefortheir complaints?a)prefertobeleftalone b)poorhealthliteracy c)thinkit'sanormalpartofaging d)hateclinicappointments Whatisonereasonpolypharmacyexistsamongolderadults?a)counteractsideeffects b)olderadultsareverygoodattakingmedication c)olderadultsliketakingmedication d)healthcareprovidersdon'tcoordinatethemedication regimes Thenurseissettingupaneducationsessionwithan85-year- oldpatientwhowillbegoinghomeonanticoagulanttherapy.Whichstrategywouldreflectconsiderationofagingchanges thatmayexistwiththispatient?A.Showacolorfulvideoaboutanticoagulationtherapy.B.Presentalltheinformationinonesessionjustbefore discharge.C.Givethepatientpamphletsaboutthemedicationstoread athome.D.Developlarge-printhandoutsthatreflecttheverbal informationpresented.Whendevelopingtheplanofcareforanolderadultwhois hospitalizedforanacuteillness,thenurseshould A.useastandardizedgeriatricnursingcareplan.B.planforlikelylong-term-caretransfertoallowadditional timeforrecovery.C.considerthepreadmissionfunctionalabilitieswhen settingpatientgoals.D.minimizeactivitylevelduringhospitalization. This study source was downloaded by 100000869267694 from CourseHero.com on 08-13-2023 01:59:34 GMT -05:00

https://www.coursehero.com/file/120827835/NCM-114-questionspdf/

NCM114

CareofOlderAdults

QUESTIONS

YPARRAGUIRRE,JRP

Whichinformationobtainedbythehomehealthnursewhen makingavisittoan88-year-oldwithmildforgetfulnessisof themostconcern?A.Thepatient'ssonusesamarkedpillboxtosetupthe patient'smedicationsweekly.B.Thepatienthaslost10pounds(4.5kg)duringthelast month.C.Thepatientiscaredforbyadaughterduringthedayand stayswithasonatnight.D.Thepatienttellsthenursethataclosefriendrecentlydied.A70-year-oldclientasksthenursetoexplaintoherabout hypertension.Anappropriateresponsebythenurseasto

whyolderclientsoftenhavehypertensionisdueto:

A.Myocardialmuscledamage B.Reductioninphysicalactivity C.Ingestionoffoodshighinsodium D.Accumulationofplaqueonarterialwalls Inreviewingchangesintheolderadult,thenurserecognizes thatwhichofthefollowingstatementsrelatedtocognitive functioningintheolderclientistrue?A.Deliriumisusuallyeasilydistinguishedfromirreversible dementia.B.Therapeuticdrugintoxicationisacommoncauseofsenile dementia.C.Reversiblesystemicdisordersareoftenimplicatedasa causeofdelirium.D.Cognitivedeteriorationisaninevitableoutcomeofthe humanagingprocess.Whichofthefollowinginterventionsshouldbetakentohelp anolderclienttopreventosteoporosis?A.Decreasedietarycalciumintake.B.Increasesedentarylifestyles C.Increasedietaryproteinintake.D.Encourageregularexercise.Whichofthefollowingstatementsaccuratelyreflectsdata thatthenurseshoulduseinplanningcaretomeettheneeds oftheolderadult?A.50%ofolderadultshavetwochronichealthproblems.B.Canceristhemostcommoncauseofdeathamongolder adults.C.Nutritionalneedsforbothyoungerandolderadultsare essentiallythesame.D.Adultsolderthan65yearsofagearethegreatestusers ofprescriptionmedications.

Thenurseisawarethatthemajorityofolderadults:

A.Livealone B.Liveininstitutionalsettings C.Areunabletocareforthemselves D.Areactivelyinvolvedintheircommunity Thenurseworkswithelderlyclientsinawellnessscreening cliniconaweeklybasis.Whichofthefollowingstatements madebythenurseisthemosttherapeuticregardingtheir mobility?A."Yourshoulderpainisnormalforyourage." B."Continuetoexerciseyourjointsregularlytoyour tolerancelevel." C."Whydon'tyoubeginwalking3to4milesaday,andwe'll evaluatehowyoufeelnextweek." D."Don'tworryabouttakingthatcombinationof medicationssinceyourdoctorhasprescribedthem." Along-termcarefacilitysponsorsadiscussiongrouponthe administrationofmedications.Theparticipantshavea numberofquestionsconcerningtheirmedications.Thenurse

respondsmostappropriatelybysaying:

A."Don'tworryaboutthemedication'snameifyoucan identifyitbyitscolorandshape." B."Unlessyouhaveseveresideaffects,don'tworryabout theminorchangesinthewayyoufeel." C."Feelfreetoaskyourphysicianwhyyouarereceivingthe medicationsthatareprescribedforyou." D."Rememberthatthehepaticsystemisprimarily responsibleforthepharmacotherapeuticsofyour medications." Whichstatementistrueregardingfallsintheelderly?A.Mostfallsoccurinthegarage.B.Hipfracturesresultingfromfallsarealeadingcauseof placementinlong-termcarefacilities.C.Fallriskdecreaseswithadditionofmedications.D.Sedativesreducetheriskoffalls.Appropriatenursingcareforapatientwithurinary

incontinenceisto:

A.insertanindwellingFoleycatheter.B.orderoxybutyninchloride(Ditropan).C.encouragefluidstodecreasetheurineconcentrationsoit islessirritating.D.recommendherbalapproachestoreduceincontinence.

Anursinginterventionforapatientwithconstipationisto:

A.avoidtheurgetodefecate.B.limitfluidintake.C.giveprunejuicewithanoncarbonateddrink.D.encouragebrancerealorwhole-grainbreads.

Apatientwithdysphagiais:

A.fedonlyforpleasure.B.atlowriskfornutritionaldeficits.C.athigherriskforpneumonia.D.abletodrinkthinliquids.

Age-relatedeyechangesmayinclude:

A.increasedvisualaccommodation.B.maculardegeneration.C.non-preventableblindnessasaresultofglaucoma.D.decreasedabilityofpupiltorespondtolightchanges.Nurses'knowledgeofsexualityintheolderadultpopulation shouldinclude: This study source was downloaded by 100000869267694 from CourseHero.com on 08-13-2023 01:59:34 GMT -05:00

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NCM114

CareofOlderAdults

QUESTIONS

YPARRAGUIRRE,JRP

A.Chronicillnessmayaffecttheabilitytoparticipatein sexualactivity.B.Sexualresponsetimeisunchanged.C.Abilitytoachieveorgasmdeclines.D.Drynessofthevaginalwallsisassociatedwithpelvic inflammatorydisease.Whatistheinitialnursinginterventioninpreventing polypharmacy?A.Obtainathoroughmedicationhistory.B.Discontinueallherbalpreparations.C.Referthepatienttoageriatricpractitioner.D.Consultapharmacisttoreviewallmedications.Whatshouldthenurseincludeintheteachingplanforself- medicationpracticesofolderadults?A.Eliminateunnecessarymedications.B.Substituteherbalpreparationsforcertainprescribed medications.C.Developadrugremindersystemandschedule.D.Pharmacyshopforthecheapestmedications.Whichage-relatedchangespredisposetheelderlypatientto drugtoxicityandextendeddurationofactionofdrugs?(Selectallthatapply.) A.Decreasedbodywater B.Increasedratioofmuscletofat C.Lowserumalbumin D.Reducedbloodflowtoliver polypharmacy ________istheuseofmultiplemedications,often inappropriatelyandexcessively,atthesametime.A70-year-oldclienthasbeendiagnosedwithosteoporosis afterundergoingabonemineraldensitytest.When reviewingtheresultsofthetest,thenurseexplainstothe clientthattheTscoreiswhichofthefollowing?a)Thelevelofcalciumfoundinaparticularboneinthe body b)Theamountofbonedensitycomparedtothatofa healthy30-year-old c)Theamountofradiationusedwiththetest d)ThetestresultsoftheDEXAscan,expressedinmg/mL Aclientwithosteoporosisasksthenursewhyitisimportant totakevitaminD.Whichresponsebythenurseiscorrect?A.VitaminDimprovestheabsorptionofcalcium B.VitaminDreducesexcretionofcalciuminthekidneys C.VitaminDhelpspreventconstipationfromincreased calciumintake D.VitaminDminimizestheriskofkidneystones Aclientisbeingseenforfollow-upcareaftersurgeryfora fractureinwhichanexternalfixationdevicewasplaced.Whatisthemostimportantpartoftheassessment?A.Monitorthepinsitesforsignsofinfection B.Assurethatthetractionweightshangfreely C.Ensurethatnothingtouchestheoutsideofthefixation device D.Cleanandthoroughlydrytheskinunderthetraction Anurseiscaringforaclientwhohassufferedafractureto thehumerusafterfallingontheiroutstretchedarm.Theends oftheboneweredrivenintoeachotherduringthefall.This typeoffractureisbestdescribedaswhichofthefollowing?A.Impactedfracture B.Greenstickfracture C.Comminutedfracture D.Obliquefracture Aclientwasinamotorvehicleaccidentinwhichhesuffered atraumaticfractureinhislowerleg.Thenurseknowsthat theclientisatriskforafatembolism.Whataresignsand symptomsforthenursetolookforthatindicatefat embolismsyndrome(FES)?Selectallthatapply.A.Respiratorydistress B.Tachycardia C.Renaldysfunction D.Lowbodytemperature E.Upperbodypetechiae A68-year-oldclientsuffersfromrheumatoidarthritisinthe jointsofherarms,legs,andhands.Thedoctorhasprescribed oralcorticosteroidtreatmentfortheclient’scondition.Which informationshouldthenurseincludeabouthowthis medicationworkstotreatarthritis?A.Corticosteroidsdecreaseprostaglandinlevelsthataffect inflammation.B.Corticosteroidsstimulateopioidreceptorstoincreasepain control C.Corticosteroidspreventthebodyfromreleasingthestress hormonecortisol D.Corticosteroidscounteractmanyneurotransmitters secretedbythebrain Anurseiseducatingaclientaboutosteoarthritisandhow besttomanagetheconditionathome.Whichofthe followingstatementsmadebytheclientindicatesthatmore teachingisnecessary?A.Icansitatmycomputerandperformmydataentryjob likeIusuallydo B.Iamgoingtoquitsmokingbecauseitwillhelpwithmy disease C.Iplayfootball,butIamgoingtoswitchtowalkinginstead D.I'mgoingtoworkonlosingweight Thenurseiscaringforaclientwithanewleftlegcast.The clientreportsincreasedpaintotheaffectedleg.Whichofthe followingareappropriatenursinginterventionsforthenurse toimplementwhilecaringforthisclient?Selectallthatapply.A.AdministerMorphine2mgevery4hoursPRN B.Elevatetheclient’sleftlegontwopillows C.Performneurovascularchecksevery4hours D.Encouragetheclienttoincreaseambulation E.Applyicetotheclient’sleftlegforonehour This study source was downloaded by 100000869267694 from CourseHero.com on 08-13-2023 01:59:34 GMT -05:00

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