Geri test 3

Which is a true statement about sleeping in older adults? A) older adults tend to fall asleep quickly awakened throughout the night B) sleep disturbances in older adults can be caused by cardiovascular disease, arthritis, or diabetes C) benzodiazepines for the treatment of choice for sleep disorders D) SSRIs can alleviate sleep disturbances due to depression

B

Which is not a disease that can affect an older adult eyesight? A) glaucoma B) presbyopia C) cataract D) macular degeneration

B

Which is not a true statement about elimination in older adults? A)defecation less than once a day is not necessarily constipation B) mineral oil is recommended as a laxative for the older adult C) altered cognitive status, increased agitation, and unexplained falls can be symptoms of constipation D) leaking liquid feces should not be treated as diarrhea

B

Which combination is suitable for the daily diet of others? A) vitamin b12 2.4 mcg and fiber 15 go B) three 8 Oz glasses of fluid and 1600 calories C) vitamin b12 1.1 mcg and 40% of daily calories from fat D) calcium 1200 my and vitamin D 600 to 800 units

D

Which disorder arising from a nutritional deficiency or older adults to practice the Hindu faith at risk to develop? A) scurvy B) pellagra C) bleeding disorder D) iron deficiency anemia

D

What is the difference between rest and sleep? A) rest occurs with sleep B) rest is an extension of sleep C) rest occurs only in brief periods D) rest is restorative and recuperative

D

An older adult who has iron deficiency anemia complains of abdominal pain,fullness, and diarrhea over 24 hours. Which patient data potentially indicates a systemic cause of this individuals constipation ? A)abdominal pain B) feeling of fullness C) loose,watery stool D) iron deficiency anemia

A

An older man has Alzheimer's disease, and his wife says he is up and wandering around the house at night. Which intervention should the nurse implement to increase the duration asleep? A) instruct ways to increase his daily physical activity B) collaborate with the health care provider to administer a hypnotic C) teach the wife how to apply a vest restraint during sleep D) help the wife plan daily periods for napping and activity

A

During the night, an older female adult complains to the nurse that she has not slept more than 2 hours since since admission to the hospital. Which intervention should the nurse implement to increase the duration of this woman's sleep? A) inquire about sleep habits used at home B) suggest that she should avoid napping during the day C) tell her that sleep is fragmented in older people D) offer a book to her or suggest watching movie

A

These laboratory results are goals for reducing a person's risk for diabetes and heart disease except which one? A) triglycerides over a 150 mg / DL B) cholesterol under 200 mg / DL C) high-density lipoprotein over 40 mg / D D) fasting blood glucose reading under 126 mg / DL

A

Which comorbidity commonly associated with type 2 DM enhances the development of the microvascular complications of DM? A) hyperlipidemia B) hypothyroidism C) venous insufficiency D) chronic constipation

A

Which is a true statement about sleep in older adults? A) the time spent in bed increases, but the time spent asleep decreases B) the amount of leg movement during sleep remain steady throughout life C) rapid eye movement sleep becomes more unevenly distributed with age D) the amount of stage III sleep increases steadily throughout life

A

Which of the following is not a common age-related physical changes that may affect digestion and food intake? A) loss of the majority of taste buds B) decreased motility in the esophagus C) increased cholecystokinin secretion D) slower gastric emptying

A

The older male adult dislikes the daily meal he receives from his family because it is always cold. He is underway and has a haemoglobin of 11.2 g/100ml. Which recommendation should the nurse implement? A) assess the man for potential transfer to an assisted living facility B) meet with the man and family to problem solve C) collaborate with the social worker for food stamps D) ask the family to provide hot meals for him

B

Residents of a nursing home taking which medications are at risk for sleep disturbances as an adverse effect of the medication? A) celecoxib ( celebrex) B) diltiazem (cardizem) C) venlafaxine (effexor) D) ipratropium ( atrovent) E) oxycodone ( oxy-contin) F) guaifenesin ( robitussin)

A,b,c,d,e

Which ethnic group in the United States have higher rates of diabetes mellitus than non-hispanic white people A) Pima Indians B) Alaska natives C) Cuban Americans D) native Americans E) African Americans F) Mexican American

A,b,d,e

Which characteristics are associated with acute grief? Select all that apply A) preoccupation with loss of a loved one B) waves of grief or distressing emotion C) prolonged inability to sleep after a loss D) exacerbations of grief on specific dates E) change in attitude toward the future loss F) inability to perform simple self-care task

ABF

Which is a true statement about diabetes mellitus? A) type 2 diabetes results from a failure of the pancreas to produce insulin B) diabetes is diagnosed after two fasting plasma glucose readings over a hundred twenty five mg / DL C) non insulin-dependent diabetes mellitus is another name for type 1 diabetes D) the incidence of diabetes mellitus does not increase with age

B

Which is a true statement about nutrition for older adults? A) the older person should be encouraged to practice strict control on cholesterol intake to ensure protection against heart disease B) transportation can be critical factor in nutritional insuffiency in elders C) soul food is a concern primarily for African American culture D) there are no government programs to promote congregate dining among elders

B

Exercise are prescribed for older adults as therapy to improve each of these qualities except which of the following? A) endurance B) muscle strength C) balance D) body sculpting

D

A nursing home resident who has type 1 diabetes is gradually requiring more and more insulin on a PRN basis to treat hyperglycemia. Which of the following should the nurse assess to plan care for improving the individual's glucose metabolism? A) new onset urinary tract infectioN B) trends overtime in activity level C) sudden increase in caloric intake D) big change in diabetic medication use

B

An older adult with difficulty using the dominant hand has a gastrostomy tube. Which should the nurse provide to prevent complications of the gastrostomy tube? A) use foam swab to brush teeth B) provide oral care every 4 hours C) supply a soft toothbrush and floss D) position at 90 degrees for tube feedings

B

Nursing home staff needs assistance to properly feed the residents who need assistance with feeding. What should the nurse implement to ensure the residents are fed properly? A) instruct the feeding assistants to feed four people at a time B) draw on the availability of family members who are able to follow instructions C) ask some residents to self feed for part of the meal D) assign a small group of nursing assistants to do the feeding

B

The older adult female has mild hyponatremia and constipation. The nurse is unable to use which remedy for constipation for this woman? A) offer fresh fruit daily B) encourage fluids by mouth C) administer a stool softener D) promote frequent ambulation

B

What does not increase blood glucose? A) white bread B) baked bean C)furosemide- lasix D) famotidine-pepcid

D

Which recommendations for daily food intake is correct for older adults according to the food guide pyramid for older adults from Tufts University? A) three eight ounce glasses of water B) two servings of deep colored fruit C) four or more servings of high-quality protein D) one or two servings of brightly colored vegetables E) 3 or more servings of low fat or non dairy product F) 6 or more servings a fortified enriched or whole grain foods

B, E, F

An older female adult maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and in an ability to fall asleep after waking up at night. Which intervention should the nurse implement to improve the quality of the woman sleep? A) recommend preparation for sleep B) suggest trying a cup of warm milk at bedtime C) inquire about her nightly sleep rituals D) propose volunteer work at a thrift shop

C

In older adults with cardiac disease awakens abruptly during the night with coughing, diaphoresis, and palpitations. Which action should the nurse implement to manage the patient signs and symptoms? A) obtain a 12 lead electrocardiogram B) administer an anti anxiety medication C) raise the head of the bed to 30 degrees D) offer a cool cloth and refresh bed linens

C

The nurse expresses concern about a female nursing home resident in the team meeting. Which resident information determines the team's priority in planning her care? A) experiences several interruptions with sleep B) had coronary bypass graft surgery last year C) needs increasing help with personal hygiene D) eat s insufficient calories to maintain her weight

C

The nurse instruct the unlicensed assistive personnel to feed an older adult. If the nurse is unable to observe feeding directly, which action should the nurse use to assess the older adults risk for aspiration immediately following feeding? A) note food volume eaten B) observe skin color C) inspect for pocketing D) monitor for Bradypnea

C

The nurse is trying to improve the nutritional status of residents in the nursing home. Which should the nurse implement? A) develop a seating chart for the main dining room based on unit to facilitate a more organized and efficient meal delivery B) replace the fluorescent lighting with candles at every table to create a cozier restaurant like atmosphere C) provide nutritious food according to the residents expressed food preferences with liberal use of seasoning D) distribute "med pass" nutritional supplements

C

Which is a true statement about dental health in older adults ? A) most people can expect to lose most of their teeth by old age B) excessive saliva production is a common problem among older adults C) dentures should be cleaned once a day by brushing and soaking in cleaning solution D) a little blood on the toothbrush is normal

C

Which of the following is important to include in the initial assessment for elders who are frail and are beginning an exercise program? A) exercise tolerance testing B) financial ability to pay for training sessions C) medical history and physical exam D) pulmonary function test

C

Which statement is true about health care costs for older adults in the United States? A) An older adult becomes eligible for full social security benefits upon reaching age 65. B) Medicare Part A covers physician visits whereas the covers prescription drugs . C) Health maintenance organizations(HMOs) can obtain an exemption from Medicare's per capita spending limit. D) Older adults pay a fixed premium and lower out of pocket costs in a preferred provider organization PPO.

C

Which is used to treat the most common cause of impairment to an older adults hearing ? A) hearing aids B) cochlear implants C) ear canal irrigation D) sign language

C Ear canal irrigation