Adult Health Older Adult Quiz

Which factor alters urinary elimination patterns in older adults? a- Decreased muscle tone b- Active lifestyle c- Increased bladder capacity d- Decreased residual volume

a- Decreased muscle tone

Students are preparing a class presentation on elder abuse. Which of the following would they include as the most common type of elder abuse? a- Neglect b- Emotional c- Financial d- Sexual

a- Neglect

An older adult develops sudden onset of confusion and is hospitalized. The family expresses concern that their loved one is developing Alzheimer disease. What response by the nurse is most appropriate? a- "What concerns you most about Alzheimer disease?" b- "Alzheimer disease can be a great burden on the family. What community resources do you know about?" c- "Once the underlying cause of the confusion is found and treated, your loved one will be better than ever." d- "Several possible underlying factors could be causing the confusion. Alzheimer's usually does not present with sudden confusion."

d- "Several possible underlying factors could be causing the confusion. Alzheimer's usually does not present with sudden confusion."

A nurse is presenting a safety program to a group of older adults at a continuing care retirement community. The nurse emphasizes measures to reduce the risk of falls based on the understanding that which type of fracture is the most common? a- ankle b- Femur c- Forearm d- Hip

d- Hip

Based on a client's vague explanations for recurring injuries, the nurse suspects that a community-dwelling older adult may be the victim of abuse. What is the nurse's primary responsibility? a- gather evidence to corroborate the abuse. b- Confront the suspected perpetrator. c- Work with the family to promote healthy conflict resolution. d- Report the findings to adult protective services.

d- Report the findings to adult protective services.

An 84-year-old client has returned from the post-anesthetic care unit (PACU) following hip arthroplasty. The client is oriented to name only. The client's family is very upset because, before having surgery, the client had no cognitive deficits. The client is subsequently diagnosed with postoperative delirium. What should the nurse explain to the client's family? a- Delirium involves a progressive decline in memory loss and overall cognitive function. b- Delirium of this type is treatable and her cognition will return to previous levels. c- This problem is self-limiting and there is nothing to worry about. d- This problem can be resolved by administering antidotes to the anesthetic that was used in surgery.

b- Delirium of this type is treatable and her cognition will return to previous levels.

An age-related change associated with the cardiovascular system is a- decreased blood pressure. b- decreased cardiac output. c- increased compliance of heart muscle. d- thinner heart valves.

b- decreased cardiac output.

An elderly client who lives in a retirement community has been having a mild depressive episode over the past few weeks. What should the nurse recommend for the client? a- sleeping after lunch b- participating in a social activity c- asking the health care prescriber for antidepressant medication d- watching television during the day

b- participating in a social activity

A client with Alzheimer's disease is admitted for hip surgery after falling and fracturing the right hip. The client's spouse tells the nurse about feeling guilty for letting the accident happen and reports not sleeping well lately because the spouse has been getting up at night and doing odd things. Which nursing diagnosis is most appropriate for the client's spouse? a- Relocation stress syndrome related to hospitalization b- Defensive coping related to diagnosis of Alzheimer's disease c- Risk for caregiver role strain related to increased client care needs d- Decisional conflict related to lack of relevant treatment information

c- Risk for caregiver role strain related to increased client care needs

Which is an accurate rationale for why older adults are more susceptible to serious infections? a- They are less aware of how to control infections. b- They do not have easy access to antibiotics. c- They have less efficient defense mechanisms. d- They have increased social contact.

c- They have less efficient defense mechanisms.