Developmentally Appropriate Care of the Adult Patient

Medication dosages for older adults should follow the:

"Start low, go slow" rule

Healthcare providers must provide appropriate care based on a patient's:

All of the above

The development of age-specific competencies is associated with which outcome(s)?

All of the above

Which statement best defines the healthcare facility's role with regard to age-specific competencies?

All of the above

Age-specific competencies are assessed for accreditation by The Joint Commission. Each employee must be able to:

All of these abilities must be demonstrated.

You are evaluating an institution's compliance with The Joint Commission's Quality of Care Measures. The institution has initiated a program to increase flu and pneumococcus vaccination among older adults. They also have methods in place to document how many older patients are vaccinated. To be fully compliant, they also need to:

Develop protocols to identify and manage influenza and pneumococcus outbreaks.

Physical changes that are often associated with the middle adult patient include:

Diminished senses and decreased bone density

Rita is an 80-year-old woman with a history of high blood pressure, stroke, coronary artery disease, and arthritis. As a healthcare provider administering medications to Rita, which of the following would be appropriate considerations?

Drug action, absorption, and metabolism can be altered due to age-related physical changes.

The primary psychosocial challenge for the older adult is:

Ego integrity vs. despair

Jill Smith is a 27-year-old accountant. She recently married. She is considering starting a family, but also enjoys her work. She wonders how a new baby would affect her marriage. She is also concerned about her friendships with non-mothers. You should:

Encourage her to think realistically about the commitments and challenges related to relationships, family, and career.

The sandwich phenomenon and empty nest syndrome are most common among:

Middle adults

Amy Peters is a 24-year-old college graduate looking for a job. She dates casually, but has never been in a serious relationship. She has no children. Jane Joseph is a 52-year-old stay-at-home mother of three. Her youngest child recently started college. Which of the following statements reflect best practices for BOTH patients?

Monitor Jane for risk factors related to conditions such as cancer, heart disease, and diabetes. Monitor Amy for sexually transmitted diseases.

An important factor to consider when caring for the older adult is:

Older adults may remain active learners and thinkers

Each healthcare facility is responsible for defining and describing the exact competencies to be achieved by its employees. All of the following statements are true EXCEPT:

Once a facility has defined and documented its competency expectations, it has no further responsibilities with regard to the age-specific competencies of its employees.

Which of the following is a primary psychological challenge for middle adult patients?

Productivity vs. stagnation

Which assessment method gathers information about patient perceptions about the quality of age-specific care?

Surveys

The term "competency" refers to a set of knowledge, skills, and abilities that allow a person to perform a specific task.

True

Which developmental phase is associated with a peak in reasoning, creativity, and verbal skills?

Young adult

Which developmental phase is most often associated with the psychological challenge of intimacy vs. isolation?

Young adult