Module 4 Older Adult PrepU Quiz

The nurse is caring for an 85-year-old client who has been hospitalized for a fractured radius. The client's daughter has accompanied the client to the hospital and asks the nurse what her father can do for his very dry skin, which has become susceptible to cracking and shearing. What is the nurse's best response? "He should likely take showers rather than baths, if possible." "Make sure that he applies sunscreen each morning." "Dry skin is an age-related change that is largely inevitable." "Try to help your father increase his intake of protein."

"He should likely take showers rather than baths, if possible."

After teaching an older adult about measures to relieve constipation, which statement by the client indicates a need for additional teaching? "I should use a laxative every other day." "I'll make sure that I drink plenty of fluids each day." "I'm going to start walking every day for exercise." "I need to avoid foods that are high in fat."

"I should use a laxative every other day."

The nurse is describing hospice services to the family of a patient with end-stage heart failure. Which of the following would the nurse be least likely to include as a major focus of care? Symptom management Pain control Emotional support Invasive therapy

Invasive therapy

A nurse is planning discharge teaching for an older adult client with mild short-term memory loss. The discharge teaching will include how to perform basic wound care for the venous ulcer on the client's lower leg. When planning the necessary health education for this client, the nurse should: set long-term goals with the client. provide a list of useful websites to supplement learning. keep visual cues to a minimum to enhance the client's focus. keep teaching periods short.

keep teaching periods short.

An elderly client who lives in a retirement community has been having a mild depressive episode over the past few weeks. What should the nurse recommend for the client? participating in a social activity watching television during the day sleeping after lunch asking the health care prescriber for antidepressant medication

participating in a social activity

The case manager is working with an 84-year-old client newly admitted to a rehabilitation facility. When developing a care plan for this older adult, which factors should the nurse identify as positive attributes that enhance coping in this age group? Select all that apply. Decreased risk taking Effective adaptation skills Avoiding participation in untested roles Increased life experience Resiliency during change

Effective adaptation skills Increased life experience Resiliency during change

A nurse is educating teenagers on ageism. Which statement by the nurse is appropriate? "Ageism is the bias against older people based solely on chronological age." "Ageism is the fear of being in the same room as older adults." "Ageism is the fear of memory loss." "Ageism is the fear of growing old."

"Ageism is the bias against older people based solely on chronological age."

A nurse is caring for an older adult client who has become increasingly frail and unsteady on her feet. During the assessment, the client indicates that she has fallen three times in the month, though she has not yet suffered an injury. The nurse should take action in the knowledge that this client is at a high risk for what health problem? A hip fracture A femoral fracture Pelvic dysplasia Tearing of a meniscus or bursa

A hip fracture

An elderly client reports to the nurse that food does not taste right. During a dietary assessment, the nurse learns that the client uses a lot of sugar and salt. The client states, "It makes the food taste better." The nurse intervenes by Encouraging the client to use lemon, spices, and herbs in the diet Increasing the amount of hot foods served to the client Instructing the client to eat small, frequent meals Bringing 8 ounces of the client's favorite drink to the client

Encouraging the client to use lemon, spices, and herbs in the diet

The nurse is caring for a 65-year-old client who has previously been diagnosed with hypertension. What blood pressure reading represents the threshold between high-normal blood pressure and hypertension? 140/90 mm Hg 145/95 mm Hg 150/100 mm Hg 160/100 mm Hg

140/90 mm Hg

A home health nurse makes a home visit to a 90-year-old client who has cardiovascular disease. During the visit the nurse observes that the client has begun exhibiting subtle and unprecedented signs of confusion and agitation. What should the home health nurse do? Increase the frequency of the client's home care. Have a family member check in on the client in the evening. Arrange for the client to see his primary care provider. Refer the client to an adult day program.

Arrange for the client to see his primary care provider.

A client reports to the nurse that over the past few months the elderly mother has become increasingly angry, responds inappropriately to conversations, and does not respond to calls if her back is turned away. What is the nurse's best response? Ask if the mother could come in for a hearing evaluation. Tell the client it appears the mother has a hearing loss. Inform the client to ignore the behavior and the mother will stop. Teach the client techniques for coping with the mother's anger.

Ask if the mother could come in for a hearing evaluation.

A hospitalized older adult complains of increased coughing and shortness of breath. The nurse assesses the vital signs as temperature 100.2°F oral, respirations 18, pulse 88, and BP 128/80. What action should the nurse do next? Assess lung sounds and sputum. Notify the physician. Administer cough medicine as needed (PRN). Instruct patient to use incentive spirometer.

Assess lung sounds and sputum.

Family members report to the nurse that their elderly grandmother has had a sudden onset of confusion and that they are having difficulty providing care for her. What is the nurse's best response? Assess the grandmother for adventitious lung sounds Inform the family that this is a result of aging Administer donepezil every day Recommends placement of the grandmother in a nursing home

Assess the grandmother for adventitious lung sounds

The nurse is teaching about preventing pneumonia and influenza to a group of clients in a senior citizens' wellness class. The nurse includes which of the following topics in the class? Select all options that apply. Avoiding environmental smoke Participating in regular exercise Ensuring appropriate fluid intake Avoiding all sun exposure Following a high-calcium diet

Avoiding environmental smoke Participating in regular exercise Ensuring appropriate fluid intake

The nurse is assessing the genitourinary status of an older adult female patient who is experiencing stress incontinence. What finding is a common gerontologic finding for this population? Bladder capacity decreases with advanced age. All patients develop urinary tract infections. Renal filtration rate increases. Urine is more dilute in the older population.

Bladder capacity decreases with advanced age.

Which factor alters urinary elimination patterns in older adults? Decreased residual volume Increased bladder capacity Decreased muscle tone Active lifestyle

Decreased muscle tone

A nurse is obtaining the health history of a 72-year-old woman who has come to the ambulatory care center for an evaluation. When obtaining information about the woman's sleep patterns, which of the following would the nurse expect to assess? Reports that she falls asleep more quickly Complaints about frequently waking up during the night Reports that she has trouble waking up from sleeping Statements that she rarely takes naps during the day

Complaints about frequently waking up during the night

A nurse is preparing a presentation for a local senior citizen group about nutrition in the older adult. Which of the following recommendations would the nurse include? Select all that apply. Fat consumption accounting for 40% or more of daily caloric intake Daily calcium intake of 1200 mg Carbohydrate intake accounting for 55% of total calories consumed Decreased protein to reduce the risk of nitrogen imbalance Vitamin D intake of 600 IU per day

Daily calcium intake of 1200 mg Carbohydrate intake accounting for 55% of total calories consumed Vitamin D intake of 600 IU per day

When performing a respiratory assessment on an older adult patient, what changes associated with aging does the nurse expect to find? (Select all that apply.) Increased residual volume Decreased residual volume Loss of elastic tissue surrounding the alveoli Reduced vital capacity Decreased pulmonary resistance

Increased residual volume Loss of elastic tissue surrounding the alveoli Reduced vital capacity

Students are preparing a class presentation on elder abuse. Which of the following would they include as the most common type of elder abuse? Neglect Emotional Financial Sexual

Neglect

Why are IV solutions usually given at a slower rate to older adults? Older adults may have poor skin turgor. Veins of older adults tend to be rigid. Older adults often find infusions painful. Older adults may have cardiac or renal disorders.

Older adults may have cardiac or renal disorders.

Based on a client's vague explanations for recurring injuries, the nurse suspects that a community-dwelling older adult may be the victim of abuse. What is the nurse's primary responsibility? Report the findings to adult protective services. Confront the suspected perpetrator. Gather evidence to corroborate the abuse. Work with the family to promote healthy conflict resolution.

Report the findings to adult protective services.

A nurse is completing the history and physical examination of an older adult patient. When assessing the patient's eyes, which of the following would the nurse document as a normal finding? Reports of being sensitive to glare Brisk pupillary dilation when tested Holds reading material close to face Inability to distinguish several colors

Reports of being sensitive to glare

After teaching students about age-related changes in the sense of taste in older adults, the instructor determines that teaching was successful when the students identify which taste as being most affected? Sweet Sour Salty Bitter

Sweet

After teaching a group of nursing students about living arrangements for older adults, the instructor determines that the teaching was successful when the group identifies which housing option as used by most older adults? The client's own home Continuing care retirement communities Assisted living facilities Long-term care facilities

The client's own home

A nurse is working with the family of a patient with Alzheimer's disease to develop an appropriate plan of care. Which of the following would the nurse suggest to foster socialization? Promoting frequent lengthy visits from friends Encouraging participation in multiple-stepped activities Limiting visitors to one or two at a time Promoting hobbies involving fine motor skills

Limiting visitors to one or two at a time

An elderly client is hospitalized. To maintain the client's mobility, the best nursing intervention is Sit the client in a chair for meals. Encourage the client to perform active range-of-motion exercises. Assist the client with passive range-of-motion exercises. Turn the client every 2 hours.

Sit the client in a chair for meals.