ch 23 and 24
The greatest risk for injury for a client with progressed Parkinson’s disease is:
falls.
The nurse knows that which individual is most likely to have COPD?
white with asthma
Compared with acute pain, persistent pain requires the nurse to:
educate the client to the benefit of specific lifestyle changes.
What data is be considered a primary risk factor for the delirium?
History of dementia
Which intervention addresses a right guaranteed a long-term care facility resident?
Family members are welcome at any time.
An older adult with suspected Parkinson’s disease has a “challenge test” performed in order to confirm the diagnosis. The nurse understands that a “challenge test” will demonstrate which of the following?
Dramatic improvement of symptoms of Parkinson’s disease after administration of levodopa
Asthma is often underdiagnosed in older adults because:
symptoms of asthma are often attributed to normal age-related changes.
The initial step to effect the safe management of mild to moderate acute pain that has not been controlled with over-the-counter medications is to:
supplement with nonpharmacological interventions.
A nurse is caring for a patient with a diagnosis of delirium. Which of the following is an expected assessment finding for this patient?
Fluctuation in symptoms
An older married couple is considering selling their home and moving into a continuing care retirement community (CCRC). The major benefit of a CCRC is:
they have all levels of care in one location, allowing community members to easily transition between levels.
What is the most likely reason that type 2 diabetes mellitus is often difficult to diagnose in older adults?
The classic symptoms may not be present in older adults.
When is an antibiotic given to a patient who has chronic bronchitis
When pneumonia is also suspected.
When assessing an older client for indications of depression, the nurse bases the intervention on the knowledge that:
the older client’s symptoms may be atypical for the disorder.
When the client seems confused over what a DPOA-HC’s responsibilities are, the nurse responds that:
“A DPOA-HC is a person you name to make health care decisions for you when you can’t make them for yourself.”
An older adult is considering residential care/assisted living (RC/AL). Does Medicare pay for the cost of living?
NO
Hyperglycemia is harder to detect in older adults due to which of the following?
There is a higher tolerance for elevated levels of circulating glucose in older adults.
A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the following should the nurse include in the teaching?
Avoid foods high in purine.
In order to focus on the older population with the greatest risk for suicide, the nurse would conduct a depression screening that targets:
white men.
An older woman tearfully tells a nurse, “I must buy my neighbor all of his groceries, or he will not drive me to the store or the doctor.” This is an example of which type of elder mistreatment?
Financial exploitation
When working with a bereaved individual, the goal of nursing interventions is to:
foster the griever’s movement from disequilibrium and instability to a new steady state.
A nurse works in an outpatient diabetes clinic. The nurse knows that the minimum standard of care for a patient with diabetes includes assessment of the following at each visit:
Which of the following manifestations would a nurse expect in a 70-year-old patient who has advanced osteoarthritis?
Heberden’s nodes on the distal phalanges
An older adult says to the nurse, “I don’t know why I can’t handle booze like I used to when I was younger.” The nurse’s response is based on the knowledge that:
older adults develop higher blood alcohol levels due to age-related changes that alter absorption and distribution of alcohol.
A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation?
Complete a confidential report with the adult protective services in the area.
A “good coper” is more likely to have which characteristic?
Optimistic outlook