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(Exam 1) Chapter 11: Health Care of the Older Adult. Exam Questions with Accurate answers. RATED A+

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A nurse is caring for a client with dementia. A family member of the client asks what the most common cause of dementia is. Which response by the nurse is most appropriate? - Ans-"The most common caus... e of dementia in the elderly is Alzheimer's disease." To encourage adequate nutritional intake for a client with Alzheimer's disease, a nurse should: - Ans-stay with the client and encourage him to eat. Which factor alters urinary elimination patterns in older adults? - Ans-Decreased muscle tone Older adults, who are more subject to falls, may fracture one or more ribs and be more susceptible to which condition after a rib fracture? - Ans-Pneumonia An age-related change associated with the cardiovascular system is... decreased blood pressure. thinner heart valves. increased compliance of heart muscle. decreased cardiac output. - Ans-decreased cardiac output What is the leading cause of death among the elderly? A) Heart disease B) Cancer C) Pneumonia D) Cerebrovascular disease - Ans-Heart disease A nurse is teaching nursing assistants in an extended-care facility measures to protect the skin of elderly clients. Which of the following measures is the nurse likely to recommend? - Ans-Encouraging clients to avoid cigarette smoking A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother's back is turned. The best intervention of the nurse is to - Ans-Ask if the mother could come in for a hearing evaluation A client with moderate Alzheimer's disease has been eating poorly, losing weight, and playing with food at meals. The nurse best intervenes by - Ans-Placing one food at a time in front of the client during meals An elderly client is hospitalized for treatment related to leukemia. Family members want to visit with a toddler who has a cold. It would be best for the nurse to... Inform the family to either wash their hands or use the hand sanitizer. Instruct the family to remove the toddler from the room for the protection of the client. Allow the toddler to remain in the room if a family member wipes the toddler's nose. Ask the family to leave the client's room. - Ans-Instruct the family to remove the toddler from the room for the protection of the client An elderly client reports that he feels like he voids frequently during the day and at night but cannot empty his bladder. The nurse instructs the client to - Ans-Limit ingestion of caffeinated beverages A nurse is reviewing the medications of a client who lives alone and reports having difficulty remembering when to take them. To aid in medication compliance, which of the following measures would the nurse employ? Select all answers that apply. A) Suggest that the client use a multiple-dose medication dispenser. B) Encourage the client to use containers with safety lids. C) Recommend to the client to use one pharmacy for all prescriptions. D) Write down the medication schedule for the client. - Ans-A) Write down the medication schedule for the client. C) Suggest that the client use a multiple-dose medication dispenser. D) Recommend to the client to use one pharmacy for all prescriptions. A clinic nurse is meeting with a group of older adults living in a community that has been experiencing extremely hot summer days. Which of the following measures would the nurse encourage the clients to practice to protect their health during the hot summer days? Select all answers that apply. A) Increase fluid intake. B) Decrease fluid intake C) Circulate air with a fan or air conditioner. D) Wear lightweight shirts and shorts. E) Decrease baths to 3 times per week. F) Take cool showers. - Ans-A) Increase fluid intake. C) Circulate air with a fan or air conditioner. D) Wear lightweight shirts and shorts. F) Take cool showers. After teaching an older adult about measures to relieve constipation, which statement by the client indicates a need for additional teaching? A) "I should consume more foods with fat." B) "I should drink more water." C) "I should use a laxative every other day." D) "I should exercise every other day." - Ans-C) "I should use a laxative every other day." Which is a factor that contributes to urinary incontinence in older female adults? - Ans-Relaxed perineal muscle Which refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away? - Ans-Presbyopia Which older adult is at highest risk for medication-related toxicity? A) A 86-year-old who has had Type-2 diabetes for the past 6 years B) A 40-year-old with severe diarrhea C) A 56-year old with gastric ulcer disease D) A 65-year-old with renal insufficiency - Ans-D) A 65-year-old with renal insufficiency A hospitalized older adult complains of increased coughing and shortness of breath. The nurse assesses the vital signs as temperature 100.2°F oral, respirations 18, pulse 88, and BP 128/80. What action should the nurse do next? - Ans-Assess lung sounds and sputum. A nurse is providing a fall prevention clinic for a group of older adults. What information should the nurse include? Select all that apply. A) Review medications routinely for side effects B) Place grab bars in the shower and tub C) Wear nonslip shoes or socks when walking D) Have routine vision and hearing screenings E) Place throw rugs on any un-carpeted surface - Ans-A) Review medications routinely for side effects B) Place grab bars in the shower and tub C) Wear nonslip shoes or socks when walking D) Have routine vision and hearing screenings The nurse is working in a long-term care facility. When assessing her patients, what body system dysfunction should the nurse look for as the leading cause of morbidity and mortality in the older adult population? - Ans-Cardiovascular A nurse is assessing an elderly client with senile dementia. Which neurotransmitter condition is most likely to contribute to this client's cognitive changes? A)Increased norepinephrine level B)Decreased acetylcholine level C)Increased acetylcholine level D)Decreased norepinephrine level - Ans-Decreased acetylcholine level A nurse is caring for an elderly adult client admitted to the hospital from a nursing home because of a change in behavior. The client has a diagnosis of Alzheimer's disease and has started to experience episodes of incontinence. The hospital staff is having difficulty with toileting because the client wanders around the unit all day. To assist with elimination, a nurse should: A) have the client wear two briefs at a time to ensure absorption of incontinent urine. B) ask the physician to order sedation to allow the client to rest. C) incorporate the client's toileting schedule into the pattern of his wandering. D) ask the physician to order restraints to prevent wandering. - Ans-incorporate the client's toileting schedule into the pattern of his wandering. When assessing an older adult, the nurse anticipates an increase in which component of respiratory status? A) Vital capacity B) Gas exchange and diffusing capacity C) Residual lung volume D) Cough efficiency - Ans-Residual lung volume The reason that federal and state governments carefully regulate treatment given in licensed health care facilities, particularly long-term care facilities, is expressed by which statement? A) Clients lack different perspectives. B) Clients are unable to make any health care decision. C) Clients lack capacity because of cognitive impairment. D) Older adult clients are vulnerable. - Ans-Older adult clients are vulnerable. Which is an age-related change in the respiratory system? A) Decreased gas exchange B) Increased blood pressure C) Difficulty swallowing D) Loss of muscle strength and size - Ans-Decreased gas exchange An elderly client exhibits blood pressure of 110/76 while prone, 100/72 sitting, and 92/64 standing. The nurse instructs the client to... A) Minimize the use of stool softeners. B) Take daily hot showers. C) Use whirlpool baths for relaxation. D) Ingest five or six small meals each day. - Ans-D) Ingest five or six small meals each day. A nurse is teaching a nutrition class to a group of elderly clients at a retirement center. The nurse tells the clients that as a result of aging, they will need to decrease... A) Activity level B) Calories C) Proteins D) Complex carbohydrates - Ans-Calories Chapter 11: Health Care of the Older Adult - Page 199 An elderly client is contemplating a move to a continuing care retirement community (CCRC). The nurse assesses that the client requires assistance with food preparation and recommends placement in... A) Acute care facilty B) Assisted-living apartment C) Independent dwelling D) Skilled nursing facility - Ans-Assisted-living apartment A client has recently brought her elderly mother home to live with her family. The client states that her mother has moderate Alzheimer's disease and asks about appropriate activities for her mother. The nurse tells the client to... A) Ensure that the mother does not have access to car keys or drive an automobile. B) Turn off lights at night so that the mother differentiates night and day. C) Encourage the mother to take responsibility for cooking and cleaning the house. D) Allow the mother to smoke cigarettes outside on the porch without supervision. - Ans-Ensure that the mother does not have access to car keys or drive an automobile. A client reports to the nurse that her grandmother with Alzheimer's disease recently moved in with her and her two school-aged children. The client states the grandmother becomes agitated and starts yelling and crying frequently. The woman asks, "What can I do?" The nurse first responds: A) "What precipitates the outbursts?" B) "You need to remain calm during the outbursts." C) "Play quiet music that your grandmother may like." D) "Start rubbing her shoulders and her back." - Ans-"What precipitates the outbursts?" Chapter 11: Health Care of the Older Adult - Page 213 An elderly client reports to the nurse that food does not taste right. During a dietary assessment, the nurse learns that the client uses a lot of sugar and salt. The client states, "It makes the food taste better." The nurse intervenes by... A) Encouraging the client to use lemon, spices, and herbs in the diet B) Increasing the amount of hot foods served to the client C) Bringing 8 ounces of the client's favorite drink to the client D) Instructing the client to eat small, frequent meals - Ans-Encouraging the client to use lemon, spices, and herbs in the diet A nurse is obtaining the health history of a 72-year-old woman who has come to the ambulatory care center for an evaluation. When obtaining information about the woman's sleep patterns, which of the following would the nurse expect to assess? A) Complaints about frequently waking up during the night B) Statements that she rarely takes naps during the day C) Reports that she has trouble waking up from sleeping D) Reports that she falls asleep more quickly - Ans-Complaints about frequently waking up during the night The nurse is describing hospice services to the family of a patient with end-stage heart failure. Which of the following would the nurse be least likely to include as a major focus of care? A) Invasive therapy B) Emotional support C) Pain control D) Symptom management - Ans-Invasive therapy When assessing an older adult's gastrointestinal system, the nurse would identify an increase in which of the following as normal? A) Feeling of fullness [Show More]

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