Community Health Exam 1
After working in a pediatric unit for the past 5 years, Jan has decided to take a new job where she will be working with older adults. She wants to learn more about aging. Jan begins with looking into the aging process and learns that it reflects ____________.
Chronological age and biological age.
A nurse is working at a specialized clinic for patients with chronic obstructive pulmonary disease (COPD). Each year, the nurse recommends that patients get the influenza vaccine from their primary care provider but notices that there are a lot of older women who do not get the vaccine, despite the recommendations. What should the nurse do first?
Perform a focused community assessment to determine why these women aren’t getting the flu shot.
A home health nurse regularly sees older adults being cared for in their home by family members. As part of her health assessment at each visit, the nurse must also include:
Caregiver stress and burnout.
After working in a pediatric unit for the past 5 years, Jan has decided to take a new job where she will be working with older adults. She wants to learn more about aging. Jan is beginning to have a better understanding of the aging process and supportive caring that she can provide. She also wants to learn more about the aging population to help her distinguish changes that are due to natural aging from those that are due to diseases or other causes. She turns to The Baltimore Longitudinal Study of Aging (BLSA) and finds: (Select all that apply.)
Lifestyle choices can decrease or increase the development of disease.
Some changes in short-term memory are associated with aging in the absence of disease.
After working in a pediatric unit for the past 5 years, Jan has decided to take a new job where she will be working with older adults. She wants to learn more about aging. Jan decides to review theories of aging to better understand it. One theory she finds has to do with the damaging effects of molecules with unpaired electrons. This represents what theory of aging?
Free-radical theory
Two nurses are talking about the number of patients that are admitted to the hospital each week due to falls in the home. They decide to partner up with the local senior center to design a community program aimed at reducing falls in the senior population. Which of the following interventions would likely be most effective?
Train volunteers to go into the homes of seniors at high risk for falls to assess their homes and help improve the home environment.
A nurse is beginning a new position with a home-care agency that provides hospice care. The nurse learns that the primary role of the nurse providing hospice care is to:
Assist the patient and family through the dying process and toward a good death.
A large regional medical center has decided to include screening for past and present at-risk alcohol use as part of all new admissions, including older adults. The decision was based on what facts? (Select all that apply.)
Alcohol use in older adults has a more potent effect due to the physiological changes of aging.
The duration of elevated blood alcohol increases as we age.
There are potential medication interactions with alcohol.
Alcohol use increases the risk of liver damage.
After working in a pediatric unit for the past 5 years, Jan has decided to take a new job where she will be working with older adults. She wants to learn more about aging. Jan has begun her new job and is learning ways to help older patients age well who are living in a long-term care facility. The most important thing in caring for these patients is to:
Keep them socially engaged and active.
An older woman, accompanied by her daughter, arrives in the emergency department complaining of shortness of breath. The triage nurse notices that the woman is covered with scabies and bed bug bites. After admitting her for evaluation, what should the nurse do first?
Screen the patient for possible elder maltreatment using the geriatric assessment instrument.
A nurse is admitting a new patient into the hospice program. A key consideration that establishes rapport and helps develop a patient/family centered plan for end-of-life care and decisions is:
The culture and heritage of the patient.
A nurse educator is having a discussion with students about the aging of the U.S. population. Which of the following are possible reasons for why our life span is increasing? (Select all that apply.)
Better access to quality health care
Increased average income
Improved physical environment
Increased urbanization
A nurse has noticed an increase in the number of older patients in the community coming down with pneumonia from influenza each winter. In addition to increasing access to the influenza vaccine each winter, which intervention would address the biggest risk factor associated with developing pneumonia for this particular age group?
Improving nutrition by increasing access to healthy foods and prepared meals
A naturally occurring retirement community is defined as:
Residential housing with supports, transportation, individual assessment, and coordination of nonprofessional service.
A nurse is counseling a 68-year-old man in good health about his alcohol use. The man asks how many drinks he should limit himself to each week. The nurse replies that he should have no more than ____________________ drinks per week.
7
Rationale: Men and women 65 years of age and older who are also in good health should drink no more than 7 drinks per week.
A nurse is looking to create program with the community that addresses keys to promoting healthy aging. Which of the following should she consider that has a primary prevention focus? (Select all that apply.)
An immunization program
A colorectal screening program
A nurse has set up a workshop in the senior community center to teach the residents who are newly diagnosed with diabetes how to manage their disease and inject insulin. The nurse documents this on the paperwork to the nursing manager as which type of intervention?
Tertiary prevention
A nurse is performing an admissions assessment on a 93-year-old woman with abdominal pain. The woman is unable to remember certain facts about her medical history or current medications. What is the nurse’s first step?
Conduct further screening to determine mental status and memory.
A nurse is examining population data in the community and wants to determine the aged dependency ratio in order to figure out the relationship between community workers who are still in the workforce and those who are not. The total population of the community is 15,703. There are 3,625 children, ages 0 to 14 years old; 7,201 people aged 15 to 64; and 4,877 people aged 65 and over. What is the aged dependency ratio? Round to the nearest whole number. ____________________
68
Rationale: To calculate the aged dependency ratio, divide the number of people aged 65 and over (4,877) by the number of people between the ages of 15 and 64 (7,201) and multiply that by 100. (4,877 ÷ 7,201) ́ 100
What is Kayla's dogs name?
Sadie <3