PN 202

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For what purpose would the nurse use the Mini mental state examination for

It is a good tool to use to evaluate a client with cognitive impairment in dementia

Which patient is most at risk for developing delirium

A 78 old man admitted to the medical unit with a high fever

Is nonreversible type of dementia that progressively develops over many years

Alzheimer's

A nurse is teaching a group of newly CNAs about dementia. Which various disorders are characterized by dementia

Alzheimer's Parkinson's Cerebrovascular accidents(stoke )

The term geriatric refers to what type of adult

Any adult patients 65 or older

The difference between arterial insufficiency and venous insufficiency is

Arterial is an insufficient blood supply to an area and venous is pooling of blood causing increased pressure.

What are some of the leading chronic conditions affecting population aged 65 years and older

Arthritis High blood pressure Heart condition Visual impairments

An older adult diagnosed with Alzheimer's disease wanders the halls of the locked nursing the day . To ensure the client's safety while walking in the halls , what should the nurse do

Asses the clients gait for steadiness

The nurse is caring for a client who has a new diagnosis of cataracts , which of the following manifestation should the nurse expect

Blurred vision

What is restorative care

Care that assist people in maintaining or improving current level of function, avoiding decline and achieving highest quality of life

Which areas are affected only minimally by age

Cognition

What are some of the leading dangers resulting from impaired sense of smell

Cooking accidents Unable to detect gas leak or fire Eating spoiled food

Which therapeutic procedure can be used to decrease the tremors and involuntary movements in clients with Parkinson's disease

Deep Brain stimulation Stereotactic pallidotomy or thalamotomy

The patient with COPD state's " I can't cough up the phlegm in the back of my throat " which intervention is the best to address this problem

Encourage client to drink plenty of fluids

A nurse is caring for an adult male who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease

Genetic predisposition Hypertension Age Diabetes

The patient had minor surgery 8 hour ago. He refuses to walk to the bathroom. " Im old and I just had surgery. You should bring me the urinal. That's what you get paid for . What is the best response?

Getting up and moving helps to prevent constipation,pneumonia and blood clots

A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse

Give the client extra time to perform activities

A nurse suspects her patient may be suffering from dementia. What signs does the nurse observe to support this diagnosis

Gradual onset of forgetfulness reported by family members

A nurse is talking to a newly licensed nurse , who ask why a is the difference between perceived age and identify age. The nurse responds and says that perceived age is

How people estimate a person's age based on appearance

What intervention is essential when caring for a client who is experiencing delirium

Identifying the underlying causative condition or Illness

The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have difficulty in managing his wandering. What should the nurse instruct the family to do

Install motion and sound detectors Have the client wear a medical alert bracelet Install door alarms and high door locks

What is rehabilitative care

Involves therapies developed by physicians and therapists focused on returning individuals to their previous level of function

A 68 year old patient is diagnosed with moderate Alzheimer's. During assessment of the patient, the nurse would expect to find

Loss of recent and long term memory

When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech

Lower the tone of the voice

A nurse is collecting data from an older adult client as part of a physical examination. Which of the following findings should the nurse expects as associated with aging

Nail thickening

The nurse caring for a client diagnosed with Parkinson's disease writes a problem of " impaired nutrition " which nursing intervention would be included in the plan of care

Offer six smaller meals per day with a soft consistency

Which of the following best identifies some of the factors contributing to sexual issues in older age

Older men are slower to erect, mount and ejaculate

A nurse is caring for a client who reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following disease

Open angle glaucoma

What age related vision change caused a decreased in eyes ability to change the shape of the lens to focus on near objects

Presbyopia

A 75 year old female has notice small purplish spots on her arms. She ask the nurse what they are, the nurse respond me and tells her that they are called

Purpura

How can a nurse foster sexuality and intimacy' in the older adult

Recognize that sexual is not lost with age Respect and encourage sexuality in the older adult Improved understanding Help the older adult realize the full potential of sexuality in their later years

The nurse is caring for an older client who has a hearing impairment. What would be an appropriate nursing intervention

Reduce environment noise before speaking with the patient

When educating a patient about close angle glaucoma, what point should the nurse emphasize to the patient about this condition

Seek immediate treatment

The early stage of AD is characterized by

Short term memory loss

The nurse is aware that the characteristics gait of the person with Parkinson's disease is a propulsive gait, which causes the patient to

Shuffle their feet while walking

A nurse is collecting data on a client for manifestations of Parkinson's disease. Which of the following are expected findings

Shuffling Drooling Pill rolling tremor of the fingers Lack of facial expressions

An 80 year old male is brought to the ER by his daughter for diagnostic confirmation and management of probable delirium, which statement by the client's daughter best supports the diagnosis

The changes in his behavior came on so quickly! I wasn't Sure what was happening

The term life expectancy refers to

The length of time that a person can be predicted to live

A nurse is holding a discussion topic about sensory deprivation to a group of senior citizens. A older adult female ask the nurse to explain what macular degeneration is. The nurse replies that macular degeneration is

The loss of central vision

You're caring for a patient with Parkinson's disease that has tremors select the option that is incorrect about tremors experience in this disease

The tremors are most likely to occur with purposeful movements

A patient arrives in the outpatient clinic with a possible increased intraocular pressure (IOP) what diagnostic test would confirm this diagnosis

Tonometry

A lumbar puncture to detect low levels of sBP can be used to help support the diagnosis of Alzheimer's disease

True

The lost of taste and smell are often caused by the same reasons , of one the reasons is taking certain medication

True

Treatment of Parkinson's disease focuses on controlling the symptoms and promoting independence

True

The nurse aide is assigned to assist an older adult who is experiencing pruritus with bathing and hygiene. The nurse would intervene if the nurse aide perform which action

Uses an antibacterial soap to reduce potential for infection

A nurse is reinforcing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching

You need to limit your housekeeping activities

The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community health clinic. While talking with the nurse, the son states" I'm tired of hearing about how things were 30 years ago. Why does dad always talk about the past? What should the nurse tell the son

Your dad lost his short term memory but stil has his long term memory


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