Longterm Care
Which is the fundamental difference between Medicare Parts A and B?
Health care setting
A nurse is caring for an older adult in a nursing home. During medication reconciliation, the nurse notes that the patient is prescribed two medications that are listed on the Beers criteria(higher than the normal risk when given to older patients). What is the best action by the nurse?
Contact the prescriber and inform the prescriber that the medications are on the list.
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?
Instruct the client to use pursed-lip breathing.
According to researchers, which characteristic do most centenarians share?
Female
Which change in the skin is abnormal in an older person?
Red, swollen 3-day-old wound
A nurse caring for an 80-year-old patient would like to use reminiscence as therapy. Which question best encourages reminiscence?
What are some of your favorite childhood memories?
A dermatologist should promptly evaluate which one of the following skin lesions?
Multicolored raised lesion with a fuzzy border
A patient who reported “a problem sleeping” shows an understanding of good sleep hygiene when
limiting the afternoon nap to just 30 minutes.
Which health belief system uses treatments to repair a body part?
Biomedical
A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge?
Medication reconciliation
An older female resident in the residential facility keeps a large collection of personal items and photographs of her late husband on her bedside table, but the nursing assistant and resident frequently argue about this. Why should the nurse intervene between the resident and the nursing assistant?
The resident is attempting to maintain her sense of personal space.
Which disease has become known as the “great imitator?”
.
Acquired immunodeficiency syndrome (AIDS)
Which of the following statements is true about Parkinson’s disease (PD)?
Older adults taking levodopa-carbidopa (Sinemet) must take it on an empty stomach.
Which age-related change contributes to anorexia and weight loss in older adults?
Fewer taste buds
A nurse who needs to assess a patient's ability to perform ADLs will choose which tool for this assessment?
Katz Index
An older patient with type II diabetes mellitus tells a nurse: “I don’t know how I am going to continue with this blood sugar testing. I know it is important, but the strips are so expensive.” The nurse formulates a response based on the knowledge that
diabetic testing supplies are covered by Medicare Part B.
An older person who is cognitively intact and has decision-making capacity makes a decision to stop chemotherapy for breast cancer after being told of the further spread of cancer. The patient’s daughter is upset at her mother’s decision and approaches the nurse, stating: “I don’t agree with my mother’s decision to stop treatments. I am her health care proxy. I want to override her decision.” The best response by the nurse is:
“Health care proxies only come into play when the individual can no longer make her or his own decisions. Your mother is able to make her own decisions. I suggest you talk with her.”
An older client who was recently admitted to the subacute setting after having a knee replacement is very anxious and refuses to get out of bed, stating that it is too painful. Which intervention will the nurse implement?
Offer pain medication, administer the medication and wait 20-30 minutes before getting her out of bed.
A nurse is caring for an older adult who asks the following: “I have heard that it is important to eat a diet that is high in fruits and vegetables to age successfully. Is that correct?” The nurse considers which of the following theories of aging when responding to the older adult’s question?
Free radical theory
The nurse notices that an older adult’s urine is dark brown. Which step should the nurse implement next?
Determine fluid volume status.
Which of the following statements is true about caregiving?
Dementia in an older adult can cause grief in the caregiver, comparable with the grief from the older adult’s death.
What is the maximum dose of Acetaminophen in 24 hours for patients?
3g (3000mg)
Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina?
Macular degeneration
A 79-year-old client resides independently in the community. The visiting home health nurse finds even though it is 90 °F outside, the windows are closed, and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to
age-related neurosensory changes that diminish awareness of temperature changes.
After completing an admission assessment on a patient who recently had a stroke, the nurse should choose which of the following nursing diagnoses as a priority?
Altered cerebral perfusion