Iggy lesson questions

Which question would the nurse ask when performing a CAGE assessment for alcohol misuse?

"Have people annoyed you by criticizing your drinking?"

Which instruction will a nurse provide an older adult patient to support health-enhancing behavior?

"Increase your calcium intake to 1000-1500 mg daily."

Which advice would a nurse offer an older adult with dentition problems?

"Try eating fruits and cooked vegetables."

Which factor is a cause of secondary depression?

-cardiac disease -Arthritis -death of a family member

Which symptom is an indicator of possible elder neglect?

-contracture's -dehydration and malnutrition

Which strategy would a nurse use to support safe medication usage and compliance by an older adult?

-supply a pill box -request easy open bottles from the pharmacy -explain medication doses and side effects -evaluate the patient's sensory deficits

Match each characteristic of delirium with its symptom. 1. acute change in mental status from the patient's baseline 2. Difficulty focusing 3. Incoherent conversation 4. Lethargy

1. Fluctuating course 2. Inattention 3. Disorganized thinking 4. Altered level of consciousness

Match the aspect of the 4Ms Framework with the corresponding fall risk factor. 1. male gender 2. systematic depression 3. decreased ability to rise from chair 4. dizziness

1. What matters 2. Mentation 3. Mobility 4. Medication

Which patient finding indicates physical abuse of an elder?

Burns on the buttocks

At which minimum frequency would the nurse assess an older adult for delirium?

Twice a day

Which element of the 4Ms of an Age-Friendly Health System focuses on the older adult's and caregiver's preferences?

What matters

Which relationship does mobility have to other elements of the 4Ms framework?

mobility supports patient safety so they can meet the needs identified as What Matters

Which medication approach would the nurse suggest based on the 4Ms Framework?

Fewest medications

Which strategy is best practice for preventing falls in the older adult?

Identify the root causes of past falls.

Which physiologic change occurs because of normal aging?

Impaired short-term memory

Which adverse outcome is associated with bladder function changes in aging?

Incontinence

Which marker condition is associated with longer, more expensive hospital stays and possible death in the older adult?

Incontinence

Which age-related change affects medication distribution in older adults?

Increased adipose tissue

Which provision is included in the Caregiver Advise, Record, and Enable (CARE) Act?

Provide discharge education to caregivers.

Which type of medication would be used as first-line drug therapy for the primary treatment of depression in the older adult?

Selective serotonin reuptake inhibitors (SSRIs)

Which adverse effect is associated with a decreased glomerular filtration rate secondary to aging?

Slowed medication excretion

Which medication administration approach reduces the risk of adverse drug events (ADEs)?

Starting with small doses and increasing gradually

Which patient finding indicates potentially inappropriate medication use in an older adult?

A hearing deficit

Which medication class is particularly harmful for older adults according to the Beers Criteria?

Anticoagulants

Which exercise would a nurse recommend to a homebound, mobility-limited patient?

Chair exercises

Which strategy would a nurse use to decrease relocation stress in an older adult moving into a long-term care facility?

Encourage social activity.