Exam 1

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What is the best nursing approach with a client about denial with substance abuse?

Have patient identify the effects of substance abuse on his/her life

The nurse is assessing an older adult and family caregiver. What statement would suspect abuse from the family caregiver?

"I give her Benadryl when she's wondering around."

Which one of these does a Long-Term Care include: happiness, hygiene, holism, hearing, or healing?

-Hygiene -Holism -Healing

How many of the Asian American's living in the U.S. represents this population?

10 million (4% of the population)

When were the Baby Boomer's born? What time period?

1946-1964

Medicare was introduced in what year?

1960

What type of client/patient is most typical of abuse?

A 90-year old female with Parkinson's Disease and very few friends

A charge nurse is conducting a program for senior adults and their families. One of the families says to the charge nurse, "One time my dad had delirium. Is delirium the same thing?"

A person who has dementia can suffer from delirium

What is the initial intervention in preventing poly-pharmacy?

A thorough medication history

What factors increase life expectancy for older adults?

Advancements in disease control and health technology

Who was responsible to promoting the growth of nursing homes?

Burton Hill Act

What is the type of dementia that is rare, and death happens within one year?

Creutzfeldt-Jakob Disease

What are types of elderly abuse?

Giving a loved one sleeping pills and Benadryl when wondering around

Who is Medicaid funded primarily by?

Federal and state

What type of nurses need to increase for taking care of the population of 65 and older?

Gerontological nurses

What does it mean "asset rich and cash poor"?

Homes are paid for but there is not enough money to pay monthly bills

What type of housing offers around the clock nursing?

LTAC's, nursing homes, and SNF's

Which federally funded program primarily covers the hospital and physician services?

Medicare

Older folks cannot learn, cannot have sex, and drain the economy. What would you call this type of aging?

Myths of aging

A home health nurse is visiting a 74-year-old client with Alzheimer's Disease. During the visit, the nurse notes bruising on the client's upper arms and the client is more withdrawn than normal. The client is unable to communicate effectively because the disease progression. The nurse suspects elder abuse. What is the nurse's responsibility in this situation?

Report the suspicion to the local agency on aging within 24 hours of the visit

What type of facility would be good for an elderly person that is lonely and can do all their ADL's?

Retirement community or independent living center

The daughter of an elderly client states to you "my father has always been very independent and just yesterday drove himself to the grocery story. He doesn't know who I am." What would be your best approach in answering her?

This could be delirium; it can be reversible and when we find the cause we will treat it

What type of group of women are considered the higher survival rates of women, that marry older men?

Widowed women marrying men older than themselves

Is reporting elder abuse by the health care professional mandatory?

Yes

If you were asked to select individuals who are 65 years of age or older, which would you choose? (Select all that apply)

a. 60-74 (young old)* b. 85-100 (old old)* c. 50-60 (pre old) d. over 100 (centurions)* e. 75-84 (middle old)*

The charge nurse is explaining to her nurses about staffing regulations. The state board of nursing is responsible for: (Select all that apply)

a. Ensuring that healthcare providers comply with regulations b. Selecting quality standards for accreditation

What are the regulations for a nursing home or long-term care facility?

a. Physical environment b. Nursing services c. Infection control

What are some reasons for elder abuse in the United States?

a. personal problems of abusers b. caregiver stress c. impairment of the dependent elder d. all of the above*


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