Chapter 4 (E1)

Question 1

What is a problem solving process that provides the organizational framework for the provision of the nursing care?

Answer 1

Nursing Process

Question 2

What is the foundation of nursing care?

Answer 2

Nursing process

Question 3

What is the purpose of older adult assessments?

Answer 3

Identify strengths and limitations
Appropriate interventions
Prevent disability and dependence

Question 4

Self reported vague symptoms such as lethargy, incontinence, decreased appetite, and weight loss may be indicators of?

Answer 4

Functional impairment

Question 5

What is the most common atypical presentations of illness in older adults?

Answer 5

Delirium

Question 6

What does delirium predominately affect?

Answer 6

Attention

Question 7

What does Dementia predominately affect?

Answer 7

Memory

Question 8

Sudden onset, caused by conditions such as infection or dehydration, usually reversible

Answer 8

Delirium

Question 9

Feeling, value,or belief about something that determines behavior is called?

Answer 9

Attitude

Question 10

A technique that helps the nurse balance the need to collect the required information with the patients needs to relate what is personally important is called?

Answer 10

Guided reminiscence

Question 11

What is enhanced if the patient feels included in decision making?

Answer 11

Self-esteem

Question 12

What are patient factors affecting history taking?

Answer 12

Visual/hearing deficit
Anxiety
Reduced energy
Pain
Multiple health problems
Tendency to reminisce

Question 13

What is in a nursing health history?

Answer 13

Biological data, family profile, occupation, living environment, leisure, support systems, typical day described, present health, past health, family history, review of systems

Question 14

When should the tetanus and Td booster be given?

Answer 14

10 year intervals for those who have been preciously immunized

Question 15

At what age should adults receive the herpes zoster immunization?

Answer 15

Over the age of 60

Question 16

Older adults who have have had a tubercular lesion at a young age may experience a what?

Answer 16

Reactivation because of age relate immune system changes, chronic illness, and poor nutrition

Question 17

What is the acronym SPICES?

Answer 17

Helps gather information to identify patient problems.
Sleep disorders
Problems with eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown

Question 18

The Katz Index of ADL is most commonly used to determine the results of treatment and prognosis in older patients. What are the 6 functions that are performed?

Answer 18

Bathing
Dressing
Toileting
Transferring
Continence
Feeding

The higher the points the better

Question 19

What is A quick screening tool that test for mild cognitive impairment and Alzheimer’s dementia?

Answer 19

The Montreal cognitive assessment (MoCA)

Question 20

The Mini-Cog test is an instrument that uses what?

Answer 20

A simple type of memory with a clock drawing test