Chapter 14: The Older Adult Flashcards Preview

Foundations Exam 4 > Chapter 14: The Older Adult > Flashcards

Flashcards in Chapter 14: The Older Adult Deck (26):
1

A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?

Lives with a spouse

2

A nurse is developing a plan of care for an older adult. Which information will the nurse consider?

Needs to be individualized to the patient’s unique needs

3

Which information from a co-worker on a gerontological unit will cause the nurse to intervene?

Most older people have dependent functioning.

4

A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse’s suspicions?

Flea bites and lice infestation

5

A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?

Ask patients to recall past experiences that correspond with their interests.

6

An older patient has fallen and suffered a hip fracture. As a consequence, the patient’s family is concerned about the patient’s ability to care for self, especially during this convalescence. What should the nurse do?

Provide information and answer questions as family members make choices among care options.

7

What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

Explain that it is important for the family to visit the center and inspect it personally.

8

A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. The nurse is discussing health care services and possible long-term living arrangements with the patient’s only son. What will the nurse suggest?

A nursing center because home care is no longer safe

9

A nurse is caring for an older adult. Which goal is priority?

Adjusting to retirement

10

A nurse is observing for the universal loss in an older-adult patient. What is the nurse assessing?

Loss of relationships through death

11

A nurse is discussing sexuality with an older adult. Which action will the nurse take?

Provide information about the prevention of sexually transmitted infections.

12

A nurse is teaching a health promotion class for older adults. In which order will the nurse list the most common to least common conditions that can lead to death in older adults?

1. Chronic obstructive lung disease
2. Cerebrovascular accidents
3. Heart disease
4. Cancer

3, 4, 1, 2

13

A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?

Decreased elasticity

14

An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse’s bestresponse to this information?

Explain to the patient that diminished senses are normal findings.

15

A nurse is assessing an older adult for cognitive changes. Which symptom will the nurse report as normal?

Slower reaction time

16

An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care?

Keep a routine.

17

A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will be assisting the patient with which activity?

Making a phone call

18

A male older-adult patient expresses concern and anxiety about decreased penile firmness during
an erection. What is the nurse’s best response?

Tell the patient that this change is expected in aging adults.

19

A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?

This is concurrent use of many medications.

20

An outcome for an older-adult patient living alone is to be free from falls. Which statement indicates the patient correctly understands the teaching on safety concerns?

“I’ll take my time getting up from the bed or chair.”

21

A nurse’s goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?

Review the patient’s list of medications at each visit.

22

An older-adult patient has developed acute confusion. The patient has been on tranquilizers for the past week. The patient’s vital signs are normal. What should the nurse do?

Take into account age-related changes in body systems that affect pharmacokinetic activity.

23

Which assessment finding of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?

Confusion

24

Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?

“I still keep my dentist appointments even though I have partials now.”

25

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as
a priority?

Social isolation

26

A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.)

a. Electrolyte imbalance
b. Sensory deprivation
c. Hypoglycemia
d. Drug effects
e. Dementia

A, B, C, D