Class Twenty Six Chapter 11 Prep U

Which factor alters urinary elimination patterns in older adults? - Active lifestyle - Decreased residual volume - Decreased muscle tone - Increased bladder capacity

Decreased muscle tone

A family of a patient with Alzheimer's disease asks the nurse what causes this condition? Which response by the nurse would be most appropriate? - "Evidence shows that there are changes in nerve cells and brain chemicals." - "The numerous drugs that he was taking contributed to his current confusion." - "A specific gene is involved in the development of this disorder." - "This condition is most likely due to a stroke that the patient didn't realize he had."

"Evidence shows that there are changes in nerve cells and brain chemicals."

An older adult female client tells the nurse, "I have lost an inch [2.5 cm] of height and have a hump on my back. What can I do about this?" What is the best response by the nurse? - "In order to prevent further bone loss, eat a diet high in calcium and low in phosphorus." - "Supplement your diet with a multivitamin." - "In order to prevent further bone loss, eat a diet high in magnesium and high in phosphorus." - "You can reverse the shape of your spine with surgical intervention."

"In order to prevent further bone loss, eat a diet high in calcium and low in phosphorus."

A nurse is preparing a presentation for a local senior center about the health status of older adults. What trends in health promotion and disease prevention activities would the nurse explain as contributing to declining death rates in the older adult population? Select all that apply. - decreased exercise - early detection of elevated cholesterol levels - decreased smoking - improved nutrition - screening for hypertension - decreased community-based services

- decreased smoking - improved nutrition - screening for hypertension - early detection of elevated cholesterol levels

Which action by the nurse demonstrates ageism? - Allowing adequate time for the older adult to complete tasks - Encouraging the older adult to develop routines not associated with work - Directing all health decisions to the older adult's child - Providing the same high quality of care to all clients

Directing all health decisions to the older adult's child

A client has recently brought her elderly mother home to live with her family. The client states that her mother has moderate Alzheimer's disease and asks about appropriate activities for her mother. The nurse tells the client to - Ensure that the mother does not have access to car keys or drive an automobile. - Turn off lights at night so that the mother differentiates night and day. - Encourage the mother to take responsibility for cooking and cleaning the house. - Allow the mother to smoke cigarettes outside on the porch without supervision.

Ensure that the mother does not have access to car keys or drive an automobile.

An elderly client is hospitalized for treatment related to leukemia. Family members want to visit with a toddler who has a cold. It would be best for the nurse to - Ask the family to leave the client's room. - Instruct the family to remove the toddler from the room for the protection of the client. - Allow the toddler to remain in the room if a family member wipes the toddler's nose. - Inform the family to either wash their hands or use the hand sanitizer.

Instruct the family to remove the toddler from the room for the protection of the client.

The nurse is describing hospice services to the family of a patient with end-stage heart failure. Which of the following would the nurse be least likely to include as a major focus of care? - Pain control - Invasive therapy - Emotional support - Symptom management

Invasive therapy

An age-related change associated with the cardiovascular system is - increased compliance of heart muscle. - thinner heart valves. - decreased blood pressure. - decreased cardiac output.

decreased cardiac output.

An elderly client who lives in a retirement community has been having a mild depressive episode over the past few weeks. What should the nurse recommend for the client? - asking the health care prescriber for antidepressant medication - sleeping after lunch - watching television during the day - participating in a social activity

participating in a social activity