Aspects of Aging
When getting report for a new patient, the reporting RN states that "the patient is 64 years old, but is unable to bath or cook for himself due to worsening symptoms of Parkinson's." This statement is an example of which type of age?
A. Perceived Age
B. Functional Age
C. Chronological Age
D. Age Identity
B. Functional Age
True or False: Using the French scale, the larger the catheter size, the smaller the diameter of the catheter (i.e. An 18 Fr catheter is smaller in diameter than a 16 Fr catheter)
False
Which of these are part of the major responsibilities of a gerontological nurse?
A. Implementing evidence-based practice.
B. Collaboration with different specialities also caring for patients
C. Delegating tasks and and overseeing work of non-licensed medical personnel (LPNs, care attendants, etc.)
D. All of the above.
D. All of the above.
A. Loss of the work role
B. Loss of health
C. Loss of independence
D. Loss of time
E. Loss of physical beauty
A, B, C, E
One of the major physical adverse affects of urinary incontinence is:
A. Skin irritation and breakdown
B. Embarrassment that leads to isolation
C. Decreased blood flow to bladder
D. Increased stress of family, friends, and caregivers
A. Skin irritation and breakdown
As nurses caring for the older adult population, it is important for us to examine the stereotypes/biases we have about aging. We are conscious of these prejudice feelings to avoid ________.
Ageism
A clinical instructor is listening to her student explain the proper removal technique of an indwelling catheter. Which of the following statements by the student would require further instruction from the instructor?
A. I will make sure to lay a blue chuck underneath the patient prior to removing the catheter.
B. I will inform the patient they may feel a burning sensation as the catheter is removed.
C. I will pay close attention to the patient following catheter removal to ensure that they void within 8 hours.
D. I will deflate 5 mL of sterile water out of the balloon prior to pulling out the catheter.
D. I will deflate 5 mL of sterile water out of the balloon prior to pulling out the catheter.
You are obtaining a health history of Mrs. Kint upon her admission to the long-term care facility. During the interview, you notice Mrs. Kint is very quiet and nods her head to most questions. All of the following are appropriate actions to take except...
A. Asking Mrs. Kint if she is in the mood for conversation
B. Asking family members to leave the room
C. Speaking louder to ensure Mrs. Kint can hear you
D. Take extra pauses between questions to ensure adequate time to respond
C. Speaking louder to ensure Mrs. Kint can hear you
All of the following are effective coping mechanisms except:
A. Denial or "making do"
B. Somatic preoccupation
C. Reminiscing about the past
D. Journaling
B. Somatic preoccupation
You are a home nurse caring for an elderly client. Upon arrival, you find your patient on the floor beside their bed. What is your priority action?
A. Getting the patient up off the floor
B. Calling 911
C. Assessing patient's mental status
D. Determining how/why patient fell
C. Assessing patient's mental status
A. Depression
B. Ego Integrity
C. Unsatisfactory
D. Despair
Which of the following patients would be a candidate for a long-term urinary catheter?
A. A 63 year old female who is on bedrest following kidney surgery.
B. An 18 year old male who is in a medically induced coma following a motor vehicle accident.
C. A 65 year old female with a stage IV pressure ulcer over the coccyx area.
D. An 84 year old male who has just began taking Lasix and is on bed rest.
C. A 65 year old female with a stage IV pressure ulcer over the coccyx area.
A nurse has an upcoming meeting with a physical therapist regarding a new patient being admitted to the facility. Which of the following information is most important to communicate to the physical therapist?
A. Patient's likes and dislikes
B. Patient's cognitive capabilities
C. Risks associated with patient movement
D. Adverse reactions to medications
C. Risks associated with patient movement
What does the acronym TLC stand for?
T- Training- care, medications, recognition of abnormalities
L- Leaving- respite care, "taking turns"
C- Care- adequate sleep, rest, exercise, nutrition, socialization, health management
The term used to describe the phenomenon that occurs when a new medication is prescribed for an adverse effect of a currently prescribed medication because it is assumed that the adverse effect is a sign/symptom of a new medical condition.
Prescribing cascade
You are performing an admitting assessment on Mr. Tenorman at a long-term care facility. During the assessment, you find that he is disoriented to time and place. You identify that this finding is indicative of:
A. Normal aging
B. Early-onset dementia
C. A disease process
D. Need more information to determine
It is only acceptable to take a urine specimen from the collection bag if:
A. The sample is being used for a UCS.
B. The catheter has just been inserted.
C. The catheter is not being used for irrigation.
D. It is never acceptable to take a sample from the collection bag.
B. The catheter has just been inserted.
Which of the following is an appropriate way to assess adherence during a medication use assessment?
A. You have been taking all your medications, right?
B. Tell me about your typical medication regimen.
C. Do you ever forget to take your medications?
D. Do you have any difficulty paying for your medications?
B. Tell me about your typical medication regimen.
Which of the following is a risk factor for elder abuse?
A. Elderly caregivers providing care
B. Caregiver also caring for young children
C. Poor relationships with family
D. Declining cognitive ability of elder
A. Elderly caregivers providing care
Which of the following are criteria included in the Confusion Assessment Method (CAM)? (Select all that apply)
A. Acute onset or fluctuating course
B. Inattention
C. Dementia diagnosis
D. Altered level of consciousness
E. Ability to respond to questions spontaneously
A, B, D
Nonstochastic theories on aging pose the idea that how we age is dependent upon:
A. Random assaults from the internal and external environment over time
B. A complex, predetermined process with little to no effect from other forces
C. Interactions with personal, cultural, physical, political, and socioeconomic environments
D. Psychological factors that affect health, longevity, and quality of life.
B. A complex, predetermined process with little to no effect from other forces
Calculate the I&O for this patient:
0700-1500
Intake:
0700- 0.9% NSS at 75 mL/hr started
0800- 8 oz coffee, 4 oz juice, 75% of solid breakfast
1000- 1000 mL bladder irrigation
1100- 8 oz water, 4 oz Jello
1200- 8 oz soda, 4 oz water
1400- 1000 mL bladder irrigation
Output:
1000- 1450 mL urine
1100- 1 stool
1400- 1700 mL urine
Total Intake: 1680 mL
Total Output: 1150 mL
Fluid Balance: +530 mL
The physician is considering discharging your patient from the long-term care facility. In order to determine the patient's capabilities in caring for themselves at home, you are interviewing her using the Katz Index of Independence in Activities of Daily Living. Which score would indicate the patient may need more time in the facility?
A. 6
B. 1
C. 3
D. 7
B. 1
Nursing interventions to combat depression include (Select all that apply):
A. Life review/reminiscence
B. Utilizing support systems
C. Constant monitoring of patient
D. Allowing patient to maintain choices about his/her care
E. Making client participate in activities even if they do not "up to it"
A, B, D
A nurse is providing education to her patient about drugs that can cause transient incontinence. All of the following are true statements except:
A. Polyuria is a side effect of diuretics.
B. Narcotics can cause fecal impaction.
C. Sedation and delirium can be side effects of alcohol intake.
D. Caffeine can cause urinary retention.
D. Caffeine can cause urinary retention.