Aging (NCLEX questions) EXAM 1
A nurse is developing a plan of care for an older adult. Which information will the nurse consider? a. Should be standardized because more geriatric patients have the same needs b. needs to be individualized to the patient's unique needs c. focuses on the disabilities that all aging persons face d. must be based on chronological age alone
b.
A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find? a. lives in a nursing home b. lives with a spouse c. lives divorced d. lives alone
b.
A nurse is caring for an older adult. Which goal is priority? a. adjusting to career b. adjusting to divorce c. adjusting to retirement d. adjusting to grandchildren
c.
A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding? a. oily skin b. faster nail growth c. decreased elasticity d. increased facial hair in men
c.
A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use? a. provide several topics of discussion at once to promote independence and making choices b. avoid uncomfortable silences after questions by helping patients complete their statements c. ask patients to recall past experiences that correspond with their interests d. speak in a high pitch to help patients hear better
c.
An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is concerned about the patient's ability to care for self, especially during this convalescence. What should the nurse do? a. stress that older patients usually ask for help when needed b. inform the family that placement in a nursing center is a permanent solution c. tell the family to enroll the patient in a ceramics class to maintain quality of life d. provide information and answer questions as family members make choices among care options
d.
An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information? a. notify the health care provider immediately to rule out cranial nerve damage b. schedule the patient for an appointment at a smell and taste disorders clinic c. perform testing on the vestibulocochlear nerve and a hearing test d. explain to the patient that diminished senses are normal findings
d.
T or F; Most older people are depressed
F; 1/3 people show depression symptoms and can go untreated Can be caused by meds, stress, etc.
T or F: 65-75 y/o are the fastest growing age group in the U.S?
F; 85 yo and up is fastest growing group
T or F: Confusion is a normal part of aging
F; can be caused by Alzheimer's or other things can lead to confusion Most of these that cause confusion can be cured
T or F: older adults are no longer interested in sex
F; can have a normal sex life decrease can be because of health problems erectile dysfunction meds increase and have been a cause of sexually transmitted disease
T or F: Most older people die of cancer
F; heart disease is #1 cancer can be cured if caught early screening
T or F: Motor vehicle accidents are the most common injury in older adults
F; most common = falls
T or F: Alzheimer's disease is an inherited disease
F; not determined at present
T or F: all older adults get cataracts
F; not everyone though many do between the ages of 65-75 yo and continue to increase surgery can fix
T or F: Personality changes as people age
F; one of the few constants of life
T or F: Most older people live in institutions
F; only 5% live in nursing homes and most live with spouses, near children, etc. Most want to stay in home and communities
T or F: once people reach a certain age, they can no longer learn new information or skills
F; people at any age can obtain new skills just many take longer
T or F: The risk of heart disease in the aged relates primarily to men
F; risk of heart disease increased after menopause in women chest pain is not always a heart problem- sometimes GI #1 killer for older aged people
T or F: Older adults sleep less and require less sleep
F; sleep efficiency changes and quality sleep efficiency changes to 70% (not as refreshing) healthy adults take naps (improves alertness)
T or F: Older adults should exercise strenuously
F; strengthen heart, lung, muscle strength Lessen bone osteoporosis and active but not strenuous
T or F: suicide is not a clinical concern in the elderly
F; suicide is most prevalent 65 yo and older especially in white men always ask if they have a plan
T or F: urinary incontinence is a common disease in the elderly
F; symptom not a disease can result from infections, meds, pregnancy, etc.
T or F: older people consume the largest percent of medications
T; combination of conditions that require drugs and may have problems with adverse reactions
T or F: older adults are more at risk for hypothermia and heatsroke
T; deterioration of control mechanism (shiver or vasodilate) decrease metabolism
T or F: Diet and activity can help prevent osteoporosis
T; eat rich in calcium and exercise (weight bearing)
T or F: Weight gain is most common as people age
True; need fewer calories Go out to eat more Balanced diet is important Higher risk for malnutrition
A nurse is caring for an older adult client. The nurse should recognize the client is at risk for which of the following physiological changes? (select all that apply) a. decreased gastric motility b. decreased skin elasticity c. increased pain threshold d. increased metabolic rate e. increased cardiac output
a, b, c
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (select all that apply) a. more difficulty seeing due to a greater sensitivity to glare b. decreased cough reflex c. decreased bladder capacity d. decreased systolic blood pressure e. dehydration of interveterbal discs
a, b, c, e
A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with nurse's suspicions? a. flea bites and lice infestation b. left at a grocery store c. refuses to take a bath d. cuts and bruises
a.
Which information from a co-worker on a gerontological unit will cause the nurse to intervene? a. most older people have dependent functioning b. most older people have strengths we should focus on c. most older people should be involved in care decisions d. most older people should be encouraged to have independence
a.