366 Quiz 2
All of the following are examples of Opioid analgesics except: A. Aspirin B. Codeine C. Hydrocodone D. Oxycodone E. Methadone
A. Aspirin
Which of the following are symptoms of depression in older adults: A. Anorexia resulting in weight loss B. Not sleeping well C. No pleasure in life D. Withdrawal from family and friends E. All of the above
All of the above
What clinical manifestations in older adult ICU patients are the most indicative of the onset of delirium? A. Loss of energy and withdrawal B. Disorientation to time and place C. Hallucinations and attempting to strike caregivers D. Aphasia and loss of memory
B. Disorientation to time and place
Anemia, which can be asymptomatic in older adults, may be attributed to all of the following except: A. Impaired erythrocyte productions B. Blood loss C. Decreased erythrocyte destructions D. Dietary problems E. Genetic disorders
C. Decreased erythrocyte destructions
A nurse should evaluate the hydration status of an older adult client by assessing all of the following except: A. Urine color B. Serum blood urea nitrogen (BUN) and creatinine C. Serum white blood cell (WBC) and differential count D. Urine specific gravity E. 24 hour fluid intake and output
C. Serum white blood cell (WBC) and differential count
Which risk factors for development of delirium are most modifiable? A. Those present at the time of ICU admission B. Those not present at the time of ICU admission C. Those related to administration of medications D. Those related to the severity of the patient's current illness
C. Those related to administration of medications
All of the following signs should indicate to the nurse that a patient is experiencing an infection except for: A. Temperature of 100.4 degrees F B. Localized pain and tenderness C. Well-approximated wound edges D. Redness or warmth at the affected site E. Purulent drainage at the incision site
C. Well-approximated wound edges
Barriers to effective pain management in the older adult include: A. Older patients believe that pain is a natural occurrence of aging B. Older adults under-report their pain C. Pain assessment tools that have not been validated in the older adult D All of the above
D All of the above
For an infection to occur there needs to be: A. A reservoir of an infectious disease B. A portal of entry C. A susceptible host D. All of the above
D. All of the above
When interpreting laboratory values and deciding the best course of treatment, which of the following statements are true: A. The older adult should be looked at holistically B. Signs, symptoms and test results should all be examined before a diagnosis is made C. Diagnostic testing takes on a different meaning than testing in younger adults D. All of the above are true
D. All of the above are true
All of the following statements can be used to describe pain except: A. Pain is often referred to as the fifth vital sign B. Even though pain is not part of normal, health aging, it is a common problem among older adults C. There are multiple definitions of pain, many include the mind-body relationship D. Causes of pain in the older adult are always chronic in nature, never acute
D. Causes of pain in the older adult are always chronic in nature, never acute
Which of the following is not a way the nurse can help patients with mental health promotion and prevention? A. Encourage exercise and mental stimulation B. Encourage nutrition, including supplements C. Encourage strong support systems D. Discourage the use of prescribed medications
D. Discourage the use of prescribed medications
Alzheimer's disease can be described by all of the following except: A. It is the most common form of dementia in older persons B. Accounts for 60-80% of individuals participating in research on dementia C. Is a progressive neurodegenerative disease D. Has sex as the single most important risk factor
D. Has sex as the single most important risk factor
All of the following are considered to be significant changes in the aging nervous system except: A. Loss of myelin and decreased conduction in some nerves B. Shrinkage in neuron size and gradual decrease in numbers C. Muscular atrophy D. Increase in electrical conduction E. Atrophy of taste buds
D. Increase in electrical conduction
All of the following statements pertain to Glaucoma except: A. The second leading cause of blindness in the US B. Those most at risk are adults older than age 60 C. Results from a blockage in the drainage of the fluid in the anterior chamber of the eye D. The most common form has many symptoms and usually does not result in blindness
D. The most common form has many symptoms and usually does not result in blindness
Age-related macular degeneration (AMD): A. Is the leading cause of blindness among older adults B. Results in loss of close vision C. Is composed of two types dry macular degeneration and wet macular degeneration D. Risk factors include smoking, low dietary intake of antioxidant vitamins and low sun exposure E. All of the above
E. All of the above
Behavioral cues indicating that an older adult is experiencing difficulty hearing include: A. Difficulty hearing over the phone B. Turning up the volume on the TV or radio C. Complaining about people mumbling D. Trouble following conversations when two or more people are talking E. All of the above
E. All of the above
Goals for pain management include: A. Relief from pain B. Maintenance of mobility and functional status C. Promotion of self-care and maximum independence D. Improved quality of life E. All of the above
E. All of the above
Which of the following are considered risk factors for developing delirium: A. Advanced age B. Electrolyte imbalances C. Infection D. Multiple medications E. All of the above
E. All of the above
Which of the following are normal age related visual changes in structure and function to the eyes and vision of the older adult: A. Eyelids lose tone B. Eyebrows turn grey C. Conjunctiva thins and yellows D. Peripheral vision decreases E. All of the above
E. All of the above
Which of the following conditions are considered to be major mental health problems facing the older adult: A. Depression B. Suicide C. Delirium D. Schizophrenia E. All of the above
E. All of the above
The mind-body connection of pain can be affected by mind-body therapies that are useful in reducing symptoms of pain, especially persistent (chronic) pain, and include all of the following except; A. Meditation, B. Relaxation, C. Guided imagery D. Cognitive behavioral counseling E. Non-steroidal anti-inflammatories
E. Non-steroidal anti-inflammatories
Cataracts are the most common disorder found in the aging adult and are found in virtually all adults older than 80. True False
True
Hearing loss affects approximately 7 to 10 million adults age 65 or older in the U.S. and can lead to social isolation, depression, and loss of self-esteem. True False
True
Older adults are at high risk for infection due to nutritional deficits in that at least one third of individuals older than age 65 have nutritional deficiencies. True False
True
Older adults in particular may have serious problems with electrolyte disturbances and imbalances due to dehydration, infections, and low water intake. True False
True
Older adults may often be asymptomatic when they have a UTI (Urinary Tract Infection). True False
True
Pneumonia and influenza are ranked as the fifth leading cause of death in the elderly. True False
True
The nurse should encourage the patient to describe their pain and rate on a scale, often a 5 or 10 point scale is used. True False
True