Normal Findings in Aging
The LVN in charge of a group of patients is teaching about expected cardiovascular age-related findings. She is correct when she inclides which of these ? (SATA)
a. heart valves thicken
b. heart muscle contractility weakens
c. heart pumps more forcefully
d. heart valves thin
e. cardiac output increases
f. cardiac output decreases
a b and f
Putting your hands on a client forcefully could lead to charges of:
a. verbal assault
b. burglary
c. battery
d. negligence
c. battery
A client is interested in an art class but has severe social anxiety. The LVN suggests that instead of joining the art class with 20 other people, she can help gather art supplies and keep her company sitting by a window in the quiet library to paint. Which of these is the nurse using to provide holistic care?
a. degree of choice
b. degree of change
c. gerotranscendance
b. degree of change
She is making the change from the client's wishes to be alone less drastic by not forcing her to join a large class.
This vitamin helps the body absorb calcium, boosts the immune system, and maintains bone health.
a. Vitamin A
b. Vitamin B12
c. Vitamin C
d. Vitamin D
d. Vitamin D
The patient is short of breath after exertion with activities. To assist his cardiac and respiratory systems, he takes up walking daily. This type of exercise will help his:
a. flexibility
b. balance
c. endurance
d. strength
c. endurance
If a leader gives everyone a raise because she wants everyone to be friends and get a long, which type of error is she making?
a. halo effect error
b. leniency error
c. recency error
b. leniency error
An older adult is feeling short of breath. He tells his nurse that he is not ill, but finds it harder to breathe occasionally. He asks what is normal for older adults' respiratory systems as they age. The nurse responds correctly with which of the following? Select all that apply
a. alveoli get larger
b. alveoli shrink
c. alveoli capillary membrane thins
d. alveoli capillary membrane thickens
e. residual volume increases
f. residual volume decreases
a d and e
Not following up and assessing your clients every hour when your facility requires it could lead to charges of _________, especially if your patient's safety is compromised.
a. battery
b. assault
c. negligence
c. negligence
The LVN is preparing the shower for the older adult and begins to wheel them to the shower room. The older adult yells "NOOOOO!!!!! I'm don't want to take a shower!!!!" The LVN's best response is:
a. You are incontinent, sir, and we have to give you a daily bath to prevent skin breakdown.
b. "You'll be alright, this won't take long. "
c. "I will have to call your family and tell them you don't want to shower"
d. "Can you tell me why you don't want a shower?"
d. "Can you tell me why you don't want a shower?"
a. Vitamin D
b. Vitamin C
c. Vitamin A
b. Vitamin C
To help a client who complains of insomnia, the LVN first:
a. calls the physician for an order for a sleep medication
b. helps the client stay awake all day and not take any naps
c. asks the client what activities they do throughout the day and how much caffeine they drink
d. puts aromatherapy and soft music in the client's room at night.
c. asks the client what activities they do throughout the day and how much caffeine they drink
If a leader thinks an employee can do no wrong because they saved a child's life. From then on, the employee gets good evaluations. This is what type of error?
a. halo effect error
b. leniency error
c. recency error
a. halo effect error
What increases with age in the respiratory system?
a. tidal volume
b. diaphragm size
c. residual volume
d. strength of intercostal muscles
c. residual volume
The Patient Care Partnership states that:
a. the hospital will pay your bill
b. patients will be treated depending on how much we agree with their race and culture
c. the doctors will make all of the decisions in your care
d. help to attain health care coverage or insurance
d. help to attain health care coverage or insurance
Mr. Brown is watching Monday night SMACKDOWN when the nurse comes to give him his evening medications. He snaps at her and says "No! I'm busy!" She calmly excuses herself and returns during a commercial 5 minutes later. Mr. Brown easily takes his medication. Which type of holistic care was the nurse practicing?
a. degree of choice
b. degree of change
c. gerotranscendence
a. degree of choice
The nurse is allowing Mr. Brown to have control and make choices of when he will take his medications.
A client recovering from a bleeding peptic ulcer is educated by the nurse to include green leafy vegetables. The nurse is encouraging this food for an increased intake of:
a. Protein to prevent muscle wasting
b. Potassium to help muscle contraction
c. Vitamin K to promote clotting
c. Vitamin K to promote clotting
The nurse is looking for an exercise for her client who needs help with balance, she is correct when she suggests:
a. weightlifting
b. running
c. roller skating
d. tai chi
d. tai chi
Mrs. Mena tells the class. "Get your books out and read." This is an example of what type of leadership?
a. democratic
b. permissive
c. authoritarian
c. authoritarian
True or False: Older adults require more oxygen as they age?
False
There is less cardiac output, less muscle strength, metabolism slows. Less need for ATP and less need for O2
Mrs. Mena went for an interview for a promotion, met with her boss, finished the interview, and received a promotion. She must move cities in order to accept the promotion. Which is considered the stressor of the transitional moment?
a. going for the interview
b. receiving a promotion
c. having to move to another city
d. finishing the interview
c. having to move to another city
Select which of the following older adults are at risk for poor nutrition:
a. a woman who lost her spouse a month ago and is feeling depressed.
b. a gentleman with mobility and balance issues
c. a man who has joined weight watchers with a goal to lose 20 pounds
d. a woman will dentures that are causing her to have mouth sores
e. a man who has lost his social security pay benefits
a, b, d, e
A patient with anemia is told to increase foods high in iron in her diet. The LVN suggests she take which vitamin supplement to help her body absorb iron?
a. Zinc
b. Ginko
c. Vitamin C
c. Vitamin C
The client's leg muscles are weak. Which exercise does the nurse suggest?
a. yoga
b. strength training with weights
c. swimming
b. strength training with weights
Mrs. Mena works at Methodist where they use a clinical ladder for nurses. She knows that this is a good thing, because clinical ladders
a. increase nurse job satisfaction
b. lead to poor patient outcomes
c. make nurses want to quit their jobs more
a. increase nurse job satisfaction
Which of the following are health risks that can occur from decreased peristalsis in older adults?
a. diarrhea
b. constipation
c. aspiration of food and fluids
e. diverticulitis
b. constipation
c. aspiration of food and fluids
The failure of a licensed person to practice in a safe and prudent manner according to their nurse practice act could be considered:
a. negligence
b. omission
c. malpractice
c. malpractice
Holistic care has a goal of :
a. treating the patient's current symptoms and problems and getting them out quickly so the hospital can refill the bed
b. finding out all of the gossip about the patient's family because it is so fascinating
c. helping the client maintain overall health and prevent other illnesses of body, mind, or spiritual
c. helping the client maintain overall health and prevent other illnesses of body, mind, or spiritual
Which 2 are true about nutrition requirements of an older adult?
a. incomplete proteins come from vegetable sources
b. incomplete proteins come from animal sources
c. complete proteins come from vegetable sources
d. complete proteins come from animal sources
a and d
a. incomplete proteins come from vegetable sources
d. complete proteins come from animal sources
What does it mean when an older adult has the ability to function?
a. ability to perform ADLs
b. ability to care for their spouse
c. ability to hold down a job
d. ability to continue performing in the church choir
a. ability to perform ADLs
A student starts yelling at Mrs. Mena about her exam grade in front of the class. Mrs. Mena's next action is to:
a. tell the student to calm down
b. call security
c. take the student somewhere private to discuss the matter
c. take the student somewhere private to discuss the matter