3325 NURSE

An older adult has recently begun to display unprecedented lapses in short term memory. The nurse over hears a colleague reassuring the person by saying "Try not to worry its just part of growing older." This is an example of which phenomenon?

Age attribution

a graduate nurse attempts to determine which issues are more important for the health of older adults clients in the community. Toward which resource should the experience nurse steer the graduate nurse

Health people 2020

a nurse teaches an older adult client how the use of telehealth equipment to monitor CHF. Which statement by the client show understanding.

I need to step on the scale and use this automatic cuff each day.

a nurse is explaining to a new colleague the similarities and differences gerontology and geriatrics. Which situation would be addressed by a geriatrician rather than a geritonologist

Identifying and treating a clients vascular dementia

An older adult reflects, " why should i go to the gym. Im going to get fat anyways" Which response by the nurse is most appropriate.

Most problems affecting older adults are related to risk factors with poor lifestyle choices. So its important to do what you can to maintain a high level of functioning

A nurse is teaching an older about possible involvement in programs of all inclusive care for the elderly (PACE) which statement by the older adult show understanding

PACE programs provide several social and medical services on a management care basis.

a Home health nurse assess the home environment of an older adult client. which environmental condition positively affects the functioning and quality of life for the client?

The clients home has large south facing windows with blinds.

a Nurse in a Medicare and Medicaid funded nursing home performs assessments and develops client based problems, so a plan of ongoing care can be developed. Which of these statements is true of the functional assessments of the nurse is likely to perform?

The nurse will include both core activities of daily and more complex ADL and IADLs

As part of a functional assessment, a nurse is assessing an older adult's activities of daily living (ADLs) and instrumental activities of daily living (IADLs) Which assessment finding in IADL?

The older adult is able to clean and maintain an apartment

The center for medicare and medicaid (CMS) the institute of medicine, and the joint commission have developed standards to address areas of concern for hospitalized older adults. Which statement of particular concern for an older adult with a hospitalization requiring complex care

Transition in care

An older adult client is getting advice from a family member on how to drive safely. What piece of advice should the older adult follow?

You can consider timing your medications to avoid their interfering with driving.

A nurse hears a colleague make the statement " the majority of adults have nothing to worry about financially " Which response is most appropriately"

You have to remember there is a huge economy disparity among older adults

Active care management is often necessary in order to maintain wellness among older adults. Which of these adults is most likely to require care management

a 90 yr who lives alone and has no living family members

A nurses assess a community of older adults. Which person is at highest risk for shortened life expectancy.

a homemaker born in 1957

a nurse uses functional consequences theory to assess older adults. Which situation best demonstrates the effect of physical environment on the older adult.

a resident of a care facility experiences a fall because there are not grab bars outside the bathtub.

A nurse plans care of older adults in a long term care setting. Which intervention incorporates the residents connectiveness to society

arranging regular visits by school age children to the facility

A nurses colleague states "older people who live in the country are a lot healthier than city folk" which statement by the nurse is most appropriate

chronic conditions are more common among rural adults.

a nurse has recently begun to provide care to older adults in a large urban hospital, having lived until recently in a ethnically homogenously region, the nurse recognizes significant differences in priorities and perspective of clients from other cultural groups and has taken action to learn about these groups, Which stage of cultural self- assessment is this nurse demonstrating?

consciously incompetent

An older adult cigarette smoker ask the nurse questions about potential benefits of quitting smoking a subject avoided in past interactions. the nurse ask the client " would you like to quit smoking?" the client replies " i will give it some serous thought." What stage of the stages of change model is the client demonstrating?

contemplation

A nurse reads up on the more common, cultural groups in the local area. How should the nurse interpret the information that is available about culture groups

cultural generalization can be useful and accurate, but they do not replace individualized assessment and care

A nurse plans interventions to promote wellness in older adults, Which intervention is most appropriate to meet this goal?

facilitating early mobilization to prevent muscle wasting and loss of function of a hospitalized older client.

A graduate nurse express an interest healthy aging in the future. Toward which field should experience nurse steer the graduate nurse

gerontological nursing

A clinic nurse assess a client who class limited English ability. The clients child interprets for the child which action by the nurse is most appropriate.

obtain a professional interpreter

a nurse is responsible for assessing an older adult in an acute care setting. Which statement most accurately captures the complexity involved in assessing the older adult?

signs and symptoms of illness are often obscure and less predictable among older adults

A nurse is teaching an older person about the concept of successful aging. Which of the nurses questions address an important contributor to successful aging

you are able to engage in activities of daily living including social activities