question

Which statement is true regarding falls in the elderly? A. Most falls occur in the garage B. Hip fractures resulting from falls are a leading cause of placement in long-term care facilities C. Fall risk decreases with addition of medications D. Sedatives reduce the risk of falls

answer

B. Hip fractures resulting from falls are a leading cause of placement in long-term care facilities

question

Appropriate nursing care for a patient with urinary incontinence is to: A. Insert an indwelling Foley catheter B. Order oxybutyin chloride (Ditropan) C. Encourage fluids to decrease the urine concentration so it is less irritating D. Recommend herbal approaches to reduce incontinence

answer

C. Encourage fluids to decrease the urine concentration so it is less irritating

question

A nursing intervention for a patient with constipation is to: A. Avoid the urge to defecate B. Limit fluid intake C. Give prune juice with a no carbonated drink D. Encourage bran cereal or whole grain breads

answer

D. Encourage bran cereal or whole grain breads

question

A patient with dysphagia is: A. Fed only for pleasure B. At low risk for nutritional deficits C. At higher risk for pneumonia D. Able to drink thin liquids

answer

C. At higher risk for pneumonia

question

Age-related eye changes may include: A. Increased visual accommodation B. Macular Degeneration C. Non-preventable blindness as a result of glaucoma D. Decrease ability of pupil to respond to light changes

answer

B. Macular Degeneration

question

Nurses' knowledge of sexuality in the older adult population should include: A. Chronic Illness may affect the ability to participate in sexual activity B. Sexual response time is unchanged C. Ability to achieve orgasm declines D. Dryness of vaginal walls is associated with pelvic inflammatory disease

answer

A. Chronic Illness may affect the ability to participate in sexual activity

question

What is the initial nursing intervention in preventing polypharmacy? A. Obtain a thorough medication history. B. Discontinue all herbal preparations C. Refer the patient to a geriatric practitioner D. Consult a pharmacist to review all medications

answer

A. Obtain a thorough medication history.

question

What should the nurse include in the teaching plan for self-medication practices of older adults? A. Eliminate unnecessary medications B. Substitute herbal preparations for certain prescribed medications C. Develop a drug reminder system and schedule D. Pharmacy shop for the cheapest medications

answer

C. Develop a drug reminder system and schedule

question

Which age-related changes predispose the elderly patient to drug toxicity and extended duration of action of drugs? (Select all that apply.) A. Decreased body water B. Increased ratio of muscle of fat C. Low serum albumin D. Reduce blood flow to liver

answer

C. Low serum albumin D. Reduce blood flow to liver

question

__________ is the use of multiple medications, often inappropriately and excessively, at the same time.

answer

Polypharmacy

question

The nurse takes into consideration that of all the physical changes that the elderly experience, the most common cause of most problems is that of: A. Visual disturbance B. Hearing deficit C. Loss of muscle mass D. Impaired mobility

answer

D. Impaired mobility

question

While discussing ways to increase exercise with an elderly patient with no musculoskeletal disorders, the nurse should encourage the patient to consider walking at a frequency of: A. 10-20 mins once or twice a week B. 10-20 mins 4x a week C. 20-30 mins once or twice a week D. 20-30 mins 3x a week

answer

D. 20-30 mins 3x a week

question

The home health nurse assesses all of the following relative to a resident in her own home: glasses with a missing eye piece, soft-soled floppy house shoes, walker with a wheels, a floor devoid a rugs. The item that is most likely to cause a fall would be the: A. Broken glasses B. Floppy house shoes C. Rolling walker D. No rug on floor

answer

B. Floppy house shoes

question

An elderly patient is too weak to walk independently after surgery. Based on the services available on the rehabilitation unit, the nurse should work collaboratively with an: A. Exercise physiologist B. Nutritionist C. Physical Therapist D. Occupational Therapist

answer

C. Physical Therapist

question

The nurse adds to the nursing care plan for a resident with presbycusis. To better communicate with the patient, the staff should use: A. Written notes B. A slower speed of speech C. A lower, deeper voice D. Hand signals

answer

C. A lower, deeper voice

question

The nurse strategy that may be most helpful in preventing falls in elderly patients on a skilled nursing unit would be to: A. Answer call bells promptly B. Use vest restraints as needed C. Keep lights dim for eye protection D. Always keep bed rails up

answer

A. Answer call bells promptly

question

The home health nurse assesses a hazard for a patient in the home setting. Which of the following assessments is considered a safety hazard? A. Throw rugs present in all rooms B. Stairways with handrails C. Grab bars in the bathroom D. Non-skid tape in the bathtub

answer

A. Throw rugs present in all rooms

question

A nurse is assisting an elderly neighbor to rearrange her kitchen to reduce fall risk. The nurse should encourage her to avoid unnecessary reaching by placing all objects that are needed below the level of the: A. Knees B. Waist C. Head D. Chest

answer

C. Head

question

An elderly patient in a skilled nursing facility tells the nurse that he has controlled his incontinence with the herbal remedies of: A. Black cohosh B. Pumpkin seeds C. Feverfew D. St. John's wort

answer

B. Pumpkin seeds

question

The nurse uses the behavioral technique of habit voiding with a confused elderly patient to reduce the frequency of urinary incontinence. This means the: A. Patient is assisted to the bathroom to use the toilet at regular intervals B. Patient is being taught to request assistance from nursing staff C. Staff are trying to lengthen the time between voiding for the patient D. Fluid intake of the patient is being reduce so that voiding so are less frequent

answer

A. Patient is assisted to the bathroom to use the toilet at regular intervals

question

The nurse reminds the staff that the most effective method in preventing skin breakdown from urinary incontinence is: A. Reducing fluid intake B. Turning frequently C. Ambulating frequently D. Using protective pads

answer

D. Using protective pads

question

An elderly patient on bed rest has been eating poorly. The patient is exhibiting abdominal distention and cramping and is passing small amounts of liquid stool. The nurse assesses these signs as an indication of: A. Constipation B. Fecal Impaction C. Diarrhea D. GI Tract infection

answer

B. Fecal Impaction

question

When performing a digital rectal examination to determine the presence of fecal impaction, the nurse must be alert for: A. Increasing blood pressure B. Increasing respiratory rate C. Reflex incontinence D. Decreasing heart rate

answer

D. Decreasing heart rate

question

The nurse, in reviewing with an elderly patient the nutritional changes that would be most beneficial would suggest: A. Reducing sugar intake B. Increasing fat intake C. Increasing intake of oils D. Decreasing intake of roughage

answer

A. Reducing sugar intake

question

The nurse stresses taking vitamins and minerals to elderly postmenopausal patients. To reduce the risk of osteoporosis, women should increase their intake of: A. Iron B. Magnesium C. Calcium D. Selenium

answer

C. Calcium

question

The nurse recognizes that of all the interventions to assist a dysphagic patient to eat safely, the most significant preventing aspiration is to: A. Sit the patient upright and remind the patient to tuck in the chin when swallowing B. Feed small bites of 1/2 inch square C. Thicken liquids D. Offer frequent sips of fluid

answer

A. Sit the patient upright and remind the patient to tuck in the chin when swallowing

question

The nurse is aware that the newly admitted resident has age-relate macular degeneration (AMD). The nurse will modify the care plan to accommodate the patient's: A. Loss of central vision B. Lack of ability to focus on near objects C. Inability to adjust from light to dark environments D. Increasing pressure in the eye with progressive blindness

answer

A. Loss of central vision

question

For a patient with visual impairment who wishes to continue to eat independently, the nurse's most helpful intervention would be to: A. Describe positions of foods on the plate by clock position B. Tell the patient to eat all foods that are firmest first C. Raise the over the bed table so that all food is within 3 inches of the eyes D. Have the patient use a spoon instead of a fork

answer

A. Describe positions of foods on the plate by clock position

question

A nurse who is assisting a blind patient to ambulated should: A. Hold the patient's arm fairly to gently push him in the proper direction B. Hold the patient by a strap around the patient's waist to prevent his falling C. Offer the patient an arm for guidance D. Acquire a cane for the patient

answer

C. Offer the patient an arm for guidance

question

An elderly patient with arthritis is having difficulty using a weekly pillbox as reminder to take daily medications. The nurse would suggest as the best alternative: A. A paper and pencil check off system B. A colorful calendar C. A homemade egg carton container D. Symbol- and color- coded medication bottles

answer

C. A homemade egg carton container

question

A nurse is caring for an 86 year old patient who still takes pride in the fact that he drives. The nurse suggests that his driving be limited to: A. Back roads B. Large shopping centers C. Going to church and the grocery store D. Daytime driving

answer

D. Daytime driving

question

An elderly Hispanic patient is brought to a clinic. She brings a bag full of medication with her. When the nurse is talking to the patient, a significant question to ask to get a full picture of the patient would be: A. "Do you live with your family?" B. "Tell me about your diet." C. "How many doctors prescribe drugs for you?" D. "Are you drinking herbal supplements?"

answer

D. "Are you drinking herbal supplements?"

question

The nurse takes into consideration that the resident in a nursing home has a hearing deficit related to a continuous ringing in his ears, which is a condition called _________________

answer

Tinnitus

question

The nurse documents the report of painful intercourse as ____________

answer

Dyspnea

question

The nurse lists the most common causes of polypharmacy as: (select all that apply): A. Use of mail order sources B. Being prescribe to by several physicians C. Sharing drugs with others D. Many drugs being prescribed under different names E. Availability of OTC medications

answer

A. Use of mail order sources B. Being prescribe to by several physicians D. Many drugs being prescribed under different names E. Availability of OTC medications

question

The elderly, especially women, are at high risk of decreased mobility. Which nutrients are critical for women to take to decrease this risk? (Select all that apply): A. Protein B. Fat C. Carbohydrates D. Calcium E. Vitamin D

answer

D. Calcium E. Vitamin D

question

A nurse reviewing the medication list for an elderly patient notices several drugs that would increase the risk of falls because of Orthostatic hypotension, which are: ( select all that apply) A. Anticoagulants B. Diuretics C. Stool softeners D. Anti hypertensive E. Antihistamine

answer

B. Diuretics D. Anti hypertensive E. Antihistamine

question

Regarding HIV, sexuality, and the older adult: A. Rates of HIV infection are decreasing in the older population B. Older women are less vulnerable than older men to acquiring a new HIV infection C. Health care providers are less likely to ask the older patients about their sex practices D. People living with HIV/AIDS typically do not live into their older adult years

answer

C. Health care providers are less likely to ask the older patients about their sex practices

question

Your neighbor asks your advice on nutrition for her aging parents. You consider your response based on the fact that: A. Older adults requires more protein for wound healing B. Decreasing fluid can reduce one's risk of urinary incontinence C. Increased amounts of high-fiber foods can lead to constipation D. In general, older adults require fewer calories

answer

D. In general, older adults require fewer calories

question

One of the most common reasons that elder adults are place in long term care facilities is: A. Behavioral problem B. Incontinence C. Cancer D. Delirium

answer

B. Incontinence

question

Which of the following is true regarding sensory deficits in the older adult? A. Cleaning excess cerulean can improve hearing B. Age-related macular degeneration can always be prevented C. Blindness is the leading cause of institutionalizations D. Low-frequency hearing loss occurs to some degree in all older adults

answer

A. Cleaning excess cerulean can improve hearing

question

Dietary recommit ions for the elderly include: A. Between 46 and 56 g/day of protein B. 2400to 2900 calories per day C. 40% of dietary calories as fast D. 75% of calories from complex carbohydrates

answer

A. Between 46 and 56 g/day of protein

question

The elder with a sensory impairment as a result of the aging process may: A. Experience an abrupt awareness of the sensory loss B. Be subject to safety problems C. Increase socialization patterns D. Easily adapt to new environments

answer

B. Be subject to safety problems

question

Measures to try to prevent age-related macular degeneration include: A. Sunglasses and a diet of antioxidant foods B. Sunglasses and a diet low in calcium oxidase C. Artificial tears and a low roughage diet D. Eye exercise and diet high in vitamin A

answer

A. Sunglasses and a diet of antioxidant foods

question

Drug toxicity occurs more easily in the elderly because of: (Select all that apply) A. Decreased kidney function B. Slower liver metabolism C. Others overdosing them D. Diet interaction with drugs

answer

A. Decreased kidney function B. Slower liver metabolism

question

Drug use assessment to identify concerns related to polypharmacy should include: A. Names of the pharmacies used B. Types of insurance coverage C. Usual diet consumes D. Type of drug reminder system used.

answer

A. Names of the pharmacies used

question

The condition most likely to cause a vision loss in the elderly

answer

Age-related macular degeneration

question

A 69-year-old male has fractured his left ankle and sustained a deep abrasion on the lower leg. As his home health nurse, you visit to change the dressing. During the visit, you perform other assessments. As the patient is mostly immobile because he needs to keep the right leg elevated and because he is taking pain medication, it is especially important to assess what? A. Mental Status B. Urinary Status C. Bowel Status D. Heart Status

answer

C. Bowel Status

question

When you asked the patient with a stasis ulcer if she is taking her antibiotics for the infection in her leg, the patient replies, "Yes, but I have so many pills, I'm not sure I'm taking them at the right times." What would be a good method to assist her take her pills correctly? A. Have a neighbor come in and give her the pills at different times during the day B. Set up a 7-day medicine planner for her that you can refill during your nursing visits. C. Have her daughter call and remind her when to take her pills D. Write out a list of the medications and the times that each is to be taken

answer

B. Set up a 7-day medicine planner for her that you can refill during your nursing visits.

question

When listing the patient's medications, you find that she has two very similar blood pressure medications prescribed by different doctors. To remedy the problem of polypharmacy, you would recommend that she does what? A. Give each doctor she sees a list of her medications B. Make certain that she knows exactly what each prescription is supposed to treat. C. Obtain her prescription medications from one pharmacy D. Ask her daughter to monitor her prescriptions for her

answer

C. Obtain her prescription medications from one pharmacy

question

A patient indicates she is not eating much because it is difficult for her to cook. Nursing interventions that might be appropriate in this care are what? (Select all that apply) A. Ask her best friend to prepare meals for her B. Ask her daughter to bring her several microwave meals C. Suggest using supplements such as Ensure to maintain her nutrition D. Ask the social worker to set up Meals on Wheels service for her

answer

B. Ask her daughter to bring her several microwave meals C. Suggest using supplements such as Ensure to maintain her nutrition D. Ask the social worker to set up Meals on Wheels service for her

question

Your patient has hypertension, asthma, hypothyroidism, and osteoarthritis, which are chronic conditions. As her osteoarthritis worsens, it may affect her ________________.

answer

Mobility

question

An alert, well-groomed, 82-year-old resident of a long-term care facility has been experiencing bladder incontinence since she had pneumonia. She seems quite depressed and you suspect that this development has seriously affected her what? A. Self- Esteem B. Attitude toward others C. Personality D. Mental acuity

answer

A. Self- Esteem

question

The first thing that should be done when beginning a bladder retraining program for a patient is what? A. Planning scheduled toileting time B. Decreasing her fluid intake C. Tracking when incontinence occurs D. Placing her in incontinence briefs

answer

C. Tracking when incontinence occurs

question

When considering a teaching session for a patient about the bladder retraining program, you would plan to do what? (Select all that apply) A. Eliminate outside noise and distractions B. Use printed materials along with explaining the process C. Quickly present the material to avoid causing fatigue D. Speak distinctly in a very loud voice

answer

A. Eliminate outside noise and distractions B. Use printed materials along with explaining the process

question

A patient has been having some difficulty with constipation from decreased appetite and antibiotic therapy. To assist her with this problem, you would encourage her to do what? (Select all that apply) A. Increase roughage with fresh fruits and vegetables B. Take a laxative each night at bedtime C. Attempt to evacuate the bowels at the same time each day D. Choose more breads and pastas at meals

answer

A. Increase roughage with fresh fruits and vegetables C. Attempt to evacuate the bowels at the same time each day

question

A patient has moderate macular degeneration. To decrease the possibility of falls at night, you would do what? A. Keep a very bright light burning in her room B. Ask her to call for assistance to the bathroom C. Keep her cane within reach of the bed D. Have an attendant stay with her at night

answer

B. Ask her to call for assistance to the bathroom

question

Your patient has been instructed by her physician to start taking Miacalcin nasal spray. Which statement by the nurse would be most helpful in assisting the patient to understand her new medication? A. This medication will help decrease the swelling in your nasal passages B. This medication will make you need to urinate frequently for the next few hrs C. This medication will help to strengthen your bones D. This medication may help to decrease the pressure in your eyes due to glaucoma

answer

C. This medication will help to strengthen your bones

question

A leading cause of hospitalization and placement in long-term care is? A. Cardiac Disease B. Diabetes C. Hip Fracture D. Pneumonia

answer

C. Hip Fracture

question

You patient is at risk for falls for a variety of reasons. Which of the following medications would cause you the most concern for this patient's fall risk? A. Furosemide B. Miacalcin C. Flonase D. Ampicillin

answer

A. Furosemide

question

Many common physical problems affect older adults. A common physical care problem in older people that has been reported to cost billions of dollars for nursing home care is ________________.

answer

Urinary Incontinence

question

Your patient is asking your advice on choosing an activity to promote better balance. Which of the following could be best answer you could provide to him? A. Tai Chi B. Meditation C. Gardening D. Swimming

answer

A. Tai Chi

question

A measure that is usually ordered before removing a fecal impaction is to administer what? A. Greatly increased fluids B. An oil retention enema C. A narcotic analgesic D. A diuretic

answer

B. An oil retention enema

question

Macular degeneration is a common eye disorder that is characterized by what? A. A clouding of the lens B. Inability to focus on near objects C. An accumulation of excess fluid inside the eye D. A gradual loss of central, acute, and color vision

answer

D. A gradual loss of central, acute, and color vision

question

Antioxidants that may help protect against macular degeneration include what? A. Calcium and Vitamin C B. Calcium and Vitamin D C. Vitamin C and Vitamin B D. Vitamin C and Vitamin E

answer

D. Vitamin C and Vitamin E

question

Presbycusis is characterized by the inability to hear what A. Low-Frequency sounds B. High-Frequency sounds C. Consonant sounds D. Vowel sounds

answer

B. High-Frequency sounds

question

Strategies to increase compliance in self-medication administration include what? (Select all that apply) A. Use of color-coded medication bottles B. Periodically counting the remaining pills C. An alarm clock D. Cueing with daily events

answer

A. Use of color-coded medication bottles C. An alarm clock D. Cueing with daily events

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