TTE Week 15: Health Care of the Older Adult Chapter: Chapter 11: Health Care of the Older Adult

A client with moderate Alzheimer's disease has been eating poorly, losing weight, and playing with food at meals. The nurse best intervenes by a) Serving hot foods at a warm temperature b) Placing one food at a time in front of the client during meals c) Cutting the client's food into small pieces d) Converting liquid foods to a gelatin texture

Placing one food at a time in front of the client during meals

Which of the following is a factor that contributes to urinary incontinence in the older female adult? a) Decreased urinary residual b) Increased bladder capacity c) Relaxed perineal muscle d) Detrusor stability

Relaxed perineal muscle

The nurse is attempting to take vital signs of an older adult hospitalized following knee surgery. The patient continuously yells, "It's 1999 and you are going to hurt me." What action should the nurse do first? a) Assess for infection. b) Notify the physician. c) Reorient the patient. d) Take the vital signs.

Reorient the patient.

A nurse is assessing a patient brought to the emergency room by his daughter. Which statement by the daughter would most likely lead the nurse to suspect that the patient may have an infection? a) "All of a sudden he seemed to become confused." b) "He told me that he felt a little more tired today." c) "His temperature was 97.6 degrees F this afternoon." d) "He said he felt dizzy when he stood up from his chair."

All of a sudden he seemed to become confused."

The nurse is preparing an elderly hospitalized client for discharge to home within the hour. The nurse should a) Instruct the client to receive at least 1 hour of sun exposure each day. b) Encourage physical activity of 30 minutes following breakfast daily. c) Administer intravenous morphine for report of postoperative pain. d) Assess the need for pneumococcal and influenza vaccinations.

Assess the need for pneumococcal and influenza vaccinations.

Which of the following older adults is at highest risk for medication-related toxicity? a) A 72-year-old with a body mass index (BMI) of 22.6 b) A 65-year-old with renal insufficiency c) An 86-year-old who has had type 2 diabetes mellitus for 2 years d) An 82-year-old with chronic diarrhea

A 65-year-old with renal insufficiency

A nurse is teaching nursing assistants in an extended-care facility measures to protect the skin of elderly clients. Which of the following measures is the nurse likely to recommend? a) Taking the clients outside for sun exposure daily b) Encouraging clients to avoid cigarette smoking c) Instructing clients to use perfumed skin creams d) Assisting clients to soak in the bathtub several times each week

Encouraging clients to avoid cigarette smoking

Which of the following is an age-related change associated with the cardiovascular system? a) Increased compliance of heart muscle b) Decreased blood pressure c) Thinness of heart valves d) Decreased cardiac output

Decreased cardiac output

Which is an age-related change in the respiratory system? a) Difficulty swallowing b) Decreased gas exchange c) Increased blood pressure d) Loss of muscle strength and size

Decreased gas exchange

To encourage adequate nutritional intake for a client with Alzheimer's disease, a nurse should: a) stay with the client and encourage him to eat. b) help the client fill out his menu. c) fill out the menu for the client. d) give the client privacy during meals.

stay with the client and encourage him to eat.

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 a) Turn off lights at night so that the mother differentiates night and day. b) Encourage the mother to take responsibility for cooking and cleaning the house. c) Allow the mother to smoke cigarettes outside on the porch without supervision. d) Ensure that the mother does not have access to car keys or drive an automobile.

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

Which of the following is the leading cause of death in the elderly? a) Heart disease b) Cancer c) Osteoporosis d) Pneumonia

Heart disease

The plan of care for a patient with advanced Alzheimer's disease includes the nursing diagnosis of risk for injury. The nurse has identified this nursing diagnosis most likely as related to which of the following? a) Personality changes b) Separation from others c) Communication difficulties d) Impaired memory

Impaired memory

An elderly client exhibits blood pressure of 110/76 while prone, 100/72 sitting, and 92/64 standing. The nurse instructs the client to a) Take daily hot showers. b) Use whirlpool baths for relaxation. c) Ingest five or six small meals each day. d) Minimize the use of stool softeners.

Ingest five or six small meals each day

An elderly client reports that he feels like he voids frequently during the day and at night but cannot empty his bladder. The nurse instructs the client to a) Drink no more than his current 2 to 3 ounces of alcohol each day. b) Hold his urine as long as possible before voiding. c) Limit ingestion of caffeinated beverages. d) Decrease fluid intake.

Limit ingestion of caffeinated beverages.

An elderly female client has been taking prednisone for breathing problems for many years. The nurse notes that the client's current height is 64 inches. Two years ago, her height was 66 inches. The nurse assesses this loss in height is most likely the result of a) Degeneration in the efficiency of bone joints b) Decreased muscle mass and joint cartilage c) Loss of bone density d) The client's failure to exercise

Loss of bone density

The reason that federal and state governments carefully regulate the treatment given in licensed health care facilities, particularly long-term care facilities, is expressed by which statement? a) Patient's inability to make any health care decision b) Patient's incapacity due to cognitive impairment c) Patient's lack of different perspectives d) Vulnerability of older adult patients

Vulnerability of older adult patients

A client reports to the nurse that her mother had macular degeneration and is concerned that she, too, may be at risk. The nurse tells the client to a) Reduce the amount of cigarettes smoked daily from 20 to 10. b) Wear sunglasses with ultraviolet (UV) protection when outside. c) Stop worrying, because she is not at increased risk. d) Stop worrying, because this condition is now curable.

Wear sunglasses with ultraviolet (UV) protection when outside.

A client reports to the nurse that her grandmother with Alzheimer's disease recently moved in with her and her two school-aged children. The client states the grandmother becomes agitated and starts yelling and crying frequently. The woman asks, "What can I do?" The nurse first responds: a) "What precipitates the outbursts?" b) "Play quiet music that your grandmother may like." c) "Start rubbing her shoulders and her back." d) "You need to remain calm during the outbursts."

What precipitates the outbursts?"

A nurse is providing a fall prevention clinic for a group of older adults. What information should the nurse include? Select all that apply. a) Review medications routinely for side effects. b) Frequently change the furniture layout in the home. c) Wear nonslip shoes or socks when walking. d) Use scatter rugs on hard wood surfaces. e) Place grab bars in the shower and tub. f) Have routine vision and hearing screenings.

• Place grab bars in the shower and tub. • Have routine vision and hearing screenings. • Wear nonslip shoes or socks when walking. • Review medications routinely for side effects.