PN 202
For what purpose would the nurse use the Mini mental state examination for
It is a good tool to use to evaluate a client with cognitive impairment in dementia
Which patient is most at risk for developing delirium
A 78 old man admitted to the medical unit with a high fever
Is nonreversible type of dementia that progressively develops over many years
Alzheimer's
A nurse is teaching a group of newly CNAs about dementia. Which various disorders are characterized by dementia
Alzheimer's Parkinson's Cerebrovascular accidents(stoke )
The term geriatric refers to what type of adult
Any adult patients 65 or older
The difference between arterial insufficiency and venous insufficiency is
Arterial is an insufficient blood supply to an area and venous is pooling of blood causing increased pressure.
What are some of the leading chronic conditions affecting population aged 65 years and older
Arthritis High blood pressure Heart condition Visual impairments
An older adult diagnosed with Alzheimer's disease wanders the halls of the locked nursing the day . To ensure the client's safety while walking in the halls , what should the nurse do
Asses the clients gait for steadiness
The nurse is caring for a client who has a new diagnosis of cataracts , which of the following manifestation should the nurse expect
Blurred vision
What is restorative care
Care that assist people in maintaining or improving current level of function, avoiding decline and achieving highest quality of life
Which areas are affected only minimally by age
Cognition
What are some of the leading dangers resulting from impaired sense of smell
Cooking accidents Unable to detect gas leak or fire Eating spoiled food
Which therapeutic procedure can be used to decrease the tremors and involuntary movements in clients with Parkinson's disease
Deep Brain stimulation Stereotactic pallidotomy or thalamotomy
The patient with COPD state's " I can't cough up the phlegm in the back of my throat " which intervention is the best to address this problem
Encourage client to drink plenty of fluids
A nurse is caring for an adult male who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease
Genetic predisposition Hypertension Age Diabetes
The patient had minor surgery 8 hour ago. He refuses to walk to the bathroom. " Im old and I just had surgery. You should bring me the urinal. That's what you get paid for . What is the best response?
Getting up and moving helps to prevent constipation,pneumonia and blood clots
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse
Give the client extra time to perform activities
A nurse suspects her patient may be suffering from dementia. What signs does the nurse observe to support this diagnosis
Gradual onset of forgetfulness reported by family members
A nurse is talking to a newly licensed nurse , who ask why a is the difference between perceived age and identify age. The nurse responds and says that perceived age is
How people estimate a person's age based on appearance
What intervention is essential when caring for a client who is experiencing delirium
Identifying the underlying causative condition or Illness
The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have difficulty in managing his wandering. What should the nurse instruct the family to do
Install motion and sound detectors Have the client wear a medical alert bracelet Install door alarms and high door locks
What is rehabilitative care
Involves therapies developed by physicians and therapists focused on returning individuals to their previous level of function
A 68 year old patient is diagnosed with moderate Alzheimer's. During assessment of the patient, the nurse would expect to find
Loss of recent and long term memory
When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech
Lower the tone of the voice
A nurse is collecting data from an older adult client as part of a physical examination. Which of the following findings should the nurse expects as associated with aging
Nail thickening
The nurse caring for a client diagnosed with Parkinson's disease writes a problem of " impaired nutrition " which nursing intervention would be included in the plan of care
Offer six smaller meals per day with a soft consistency
Which of the following best identifies some of the factors contributing to sexual issues in older age
Older men are slower to erect, mount and ejaculate
A nurse is caring for a client who reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following disease
Open angle glaucoma
What age related vision change caused a decreased in eyes ability to change the shape of the lens to focus on near objects
Presbyopia
A 75 year old female has notice small purplish spots on her arms. She ask the nurse what they are, the nurse respond me and tells her that they are called
Purpura
How can a nurse foster sexuality and intimacy' in the older adult
Recognize that sexual is not lost with age Respect and encourage sexuality in the older adult Improved understanding Help the older adult realize the full potential of sexuality in their later years
The nurse is caring for an older client who has a hearing impairment. What would be an appropriate nursing intervention
Reduce environment noise before speaking with the patient
When educating a patient about close angle glaucoma, what point should the nurse emphasize to the patient about this condition
Seek immediate treatment
The early stage of AD is characterized by
Short term memory loss
The nurse is aware that the characteristics gait of the person with Parkinson's disease is a propulsive gait, which causes the patient to
Shuffle their feet while walking
A nurse is collecting data on a client for manifestations of Parkinson's disease. Which of the following are expected findings
Shuffling Drooling Pill rolling tremor of the fingers Lack of facial expressions
An 80 year old male is brought to the ER by his daughter for diagnostic confirmation and management of probable delirium, which statement by the client's daughter best supports the diagnosis
The changes in his behavior came on so quickly! I wasn't Sure what was happening
The term life expectancy refers to
The length of time that a person can be predicted to live
A nurse is holding a discussion topic about sensory deprivation to a group of senior citizens. A older adult female ask the nurse to explain what macular degeneration is. The nurse replies that macular degeneration is
The loss of central vision
You're caring for a patient with Parkinson's disease that has tremors select the option that is incorrect about tremors experience in this disease
The tremors are most likely to occur with purposeful movements
A patient arrives in the outpatient clinic with a possible increased intraocular pressure (IOP) what diagnostic test would confirm this diagnosis
Tonometry
A lumbar puncture to detect low levels of sBP can be used to help support the diagnosis of Alzheimer's disease
True
The lost of taste and smell are often caused by the same reasons , of one the reasons is taking certain medication
True
Treatment of Parkinson's disease focuses on controlling the symptoms and promoting independence
True
The nurse aide is assigned to assist an older adult who is experiencing pruritus with bathing and hygiene. The nurse would intervene if the nurse aide perform which action
Uses an antibacterial soap to reduce potential for infection
A nurse is reinforcing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching
You need to limit your housekeeping activities
The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community health clinic. While talking with the nurse, the son states" I'm tired of hearing about how things were 30 years ago. Why does dad always talk about the past? What should the nurse tell the son
Your dad lost his short term memory but stil has his long term memory
