Gero: Life Changes
Older adults may have difficulty picking up their pills from a medicine cup because of: A. macular degeneration B. decreased touch sensation that comes with age C. peripheral neuropathy D. all of the above
D.
The nurse is providing instructions to a nursing assistant regarding care of an older client with hearing loss. The nurse tells the assistant that clients with hearing loss: A. are often distracted B. have middle ear changes C. develop moist cerumen production D. respond to low pitched sounds
D.
The nurse is providing medication instructions to an older client who is taking digoxin (Lanoxin) daily. The nurse notes that which age-related body changes could place the client at risk for digoxin toxicity? A. decreased muscle strength and loss of bone density B. decreased cough efficiency and decreased vital capacity C. decreased salivation and decreased gastrointestinal motility D. decreased lean body mass and decreased glomerular filtration rate
D.
Which of the following aging changes is most significant to renal efficiency? A. loss of up to half of functioning nephrons B. decreased cardiac output C. nocturia D. A & B
D.
Which of the following statements is true related to the older adults' role of being a grandparent? A. Stay-at-home grandmas are the norm B. There are many similar styles to grandparenting C. Grandparents are often not involved in the caregiving role D. Grandparenthood is a learned role
D.
Select all that apply: The nurse is to administer subcutaneous heparin to an older adult. What facts should the nurse keep in mind when administering this dose? A. It should be administered in the anterior area of the iliac crest B. The onset is immediate C. use a 27G, 5/8" needle D. cephalosporin potentiates the effects of heparin E. double check the dose with another nurse
A, C, D, E
All of the following are intrinsic changes in the integumentary system EXCEPT: A. increased skin temperature B. sagging and wrinkling C. age spots D. increased risk of bruising
A.
One of the most significant changes in the reproductive system for older females that are sexually active is: A. decreased vaginal lubrication B. atrophy of uterus C. decreased libido D. lack of male partners
A.
The home care nurse is visiting an older female client whose husband died 6 months ago. Which behavior by the client indicates ineffective coping? A. looking at old snapshots of her family B. neglecting her personal grooming C. participating in senior citizens' program D. visiting her husband's grave once a month
A.
Which of the following is a normal age-related change of the nervous system? A. decline in the weight of the brain B. increase in cerebral blood flow C. stages I and II sleep are interupted D. high nerve conduction velocity
A. There is a decline in weight of brain & blood flow to the brain. Stages III & IV sleep less prominent. Nerve conduction velocity is lower, causing slower reflexes & delayed response to multiple stimuli
Select all that apply: Normal age-related physiological changes A. increased heart rate B. decline in visual acuity C. decreased respiratory rate D. decline in long-term memory E. increased susceptibility to urinary tract infections F. increased incidence of awakening after sleep onset
B, E, F
A significant result of changes in the respiratory system with advanced age is: A. lower carbon dioxide levels in the bloodstream B. less useful oxygen available with each breath C. more efficient gas exchange at the alveolar level D. the ability to hold one's breath longer
B.
Changes in which of the following body systems are generally most noticeable to the naked eye? A. respiratory B. integumentary C. gastrointestinal D. neurological
B.
Which of the following signs would you consider an abnormality in an older adult? A. blood pressure of 138/88 B. resting pulse of 80 C. urinary incontinence D. decreased height
B.
Which of the following statements is true related to the shrinking social world of the older adult? A. there is a decreased risk of loneliness B. hearing deficits can foster loneliness C. children do not avoid older adult parents D. functional limitations have minimal impact
B.
Which of the normal age-related changes in the respiratory system can increase the risk of infection in the older adult population? A. increased strength of the thoracic musculature B. increase in residual volume and reduction in vital capacity C. decreased calcification of costal cartilage
B.
The nurse is performing an assessment on an older adult client. Which assessment data would indicate a potential complication associated with the skin of this client? A. thinning and loss of elasticity of the skin B. wrinkling C. crusting D. deepening of expression lines
C.
Which of the following changes in the skeletal system is least characteristic of normal aging? A. decreased range of motion B. loss of height up to 10 cm C. chronic inflammation of joints D. loss of some muscle mass
C.
Which of the following interventions by the nurse facilitate empowerment of the older adult? A. allowing care providers to make decisions B. limiting options for the living arrangements C. including older adults in care planning D. providing care in a long-term care facility
C.
Which of the following is true about normal aging changes in the GI system? A. absorption of nutrients does not change with age B. absorption of certain vitamins does not change with age C. small intestine transit rate is relatively unchanged with age D. all of the above
C.
Which of the following would be an abnormal finding in the assessment of an 80 y/o male? A. decreased cardiac output B. decreased stage IV sleep C. loss of hearing of low frequency tones D. age spots on the hands and face
C.
You are helping care for you 89 y/o grandmother who is sick with "the flu". Her temperature is 101.2. What other information would be most useful to better assess your grandmother's condition? A. what her temperature was yesterday B. how long she has felt sick C. what her usual temperature is D. how much she ate today
C.
True or False: Ageism is a concept described by Robert Butler several decades ago that is defined as "the prejudices and stereotypes that are applied to older people sheerly on the basis of their age...."
True
True or False: Atrophy of the small and large intestine, with fewer cells present on the absorbing surface of the intestinal wall, causes certain vitamins and minerals to have a decrease rate of absorption.
True (Vit. B, B12, D, calcium and iron)
