Ch 33: Health Promotion and Care of the Older Adult
When assessing the skin of an older adult patient who is complaining of pruritus, the nurse advises the patient that to reduce further drying of her skin, she should avoid using:
antibacterial soap.
The postmenopausal woman asks the nurse about the risk of osteoporosis and how to find out if she is at risk. The nurse tells her the best test for this is:
bone density scan.
The nurse recognizes that a term referring to mechanical difficulty of swallowing is (fill in blank)
dysphagia
When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. The nurse recognizes that the patient has achieved the developmental stage identified by Erikson as:
ego integrity.
What should the nurse do to help the dysphagic patient? (Select all that apply.)
*Sit the patient upright. *Reduce distraction during mealtime. *Thicken liquids. *Cue the patient to swallow.
The first major legislation to provide financial security for older adults was the Social Security Act passed in:
1935
Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure ulcers, the nurse alters the care plan to include turning the bedfast patient every:
2 hours.
The nurse reassures the family of a stroke victim that some of the neurological involvement associated with a cerebrovascular accident (CVA) may disappear within:
3 to 6 months.
When discussing aging, the nurse clarifies that the term older adulthood applies to those who are older than:
65
When counseling a group of retirees, the nurse states that what percentage of newly diagnosed type 2 diabetic adult patients are middle-aged or older?
85% to 90%
The nurse reminds the family of a patient that the most common cause of dementia is:
Alzheimer's.
When assessing the older adult, the nurse considers which aspect of the patient's routine as a possible contributor to constipation?
Intake of antacids several times a day
The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?
Kyphosis
When bathing an 80-year-old woman who lives on a farm, the nurse assesses brown macules on the patient's hands and forearms. The nurse recognizes these as (fill in blank)
Lentigo
The nurse prepares the older adult patient with diabetes for which symptom of the disease that distorts tactile sensation?
Peripheral neuropathy
The nurse initiates the application of a drawsheet on every bedfast patient on her unit to facilitate lifting and to prevent forces. (fill in blank)
Shearing
Generalizing about decline of most functional aspects of the older adult, the nurse recognizes that one area that is not physically affected by age is:
cognition.
The older adult patient complains to the nurse about nocturia. The nurse explains that the problem is most likely related to:
decrease in bladder capacity
When the nurse attempts to assist an older adult who is having difficulty swallowing, the nurse suggests a position in which the chin is held:
down
When the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, it is important to stress the benefits of:
exercise
The home health nurse cautions the older adult patient that because of age-related changes in the musculoskeletal system, there is an increased risk for:
falls related to posture changes.
At mealtime, the older adult seems to be eating less food than adequate. The nurse recognizes that the older adult compared to the younger adult requires:
fewer calories.
A change of aging related to the circulatory system includes decreased blood vessel elasticity, which leads the nurse
hypertension.
While speaking to the family of an older adult patient with Parkinson's disease, the nurse states that there are positive aspects of Parkinson's, one of which is that:
intellectual function is not impaired.
The nurse explains that the major difference between rheumatoid arthritis and osteoarthritis is that rheumatoid arthritis:
is inflammatory.
. The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections, making her more at risk for:
pneumonia
The nurse assesses a slowing of the impulse transmission in the nervous system that results in:
longer reaction time.
The older patient informs the nurse that food has no taste and therefore she has no appetite. The nurse recognizes this is most likely caused by:
loss of taste buds
When communicating with an older adult patient who has difficulty hearing, the nurse should:
lower the tone of the voice.
The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. This could be caused by:
orthostatic hypotension.
When an older female patient complains of painful sexual intercourse, the nurse recognizes that the probable cause is:
presbyopia.
The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. This method of breathing is:
pursed-lip breathing
The nurse suggests that to relieve the pain of claudication the patient should:
rest.
The older adult female patient is concerned about incontinence when she sneezes. The nurse explains that this type of incontinence is called:
stress incontinence.
The nurse recognizes that arthritis affects an individual's functional ability. Interventions are aimed at relieving:
stress on affected joints.
To help prevent falls related to muscle weakness, the nurse helps the patient select exercises that must be:
weight-bearing.
When counseling the older adult patient about screening for preventive health, the nurse tells the patient that a complete physical for patients over 75 is recommended every:
year
The patient complains to the nurse about a newly developed intolerance to milk. The nurse suggests filling calcium needs with:
yogurt.