Exam (elaborations)
EXAM #3: CH. 30 CARE OF THE OLDER ADULT QUIZ QUESTIONS WITH CORRECT ANSWERS
- Course
- Institution
EXAM #3: CH. 30 CARE OF THE OLDER ADULT QUIZ QUESTIONS WITH CORRECT ANSWERS
[Show more]
Content preview
EXAM #3: CH. 30 CARE OF THE OLDERADULT QUIZ QUESTIONS WITH
CORRECT ANSWERS
The intervention strategy least useful when addressing suicidal ideation in an elderly
client is
A. psychoanalytic psychotherapy.
B. empathetic understanding.
C. crisis intervention techniques.
D. explaining alternative solutions. - Answer-A
Psychotherapeutic approaches need to be simplified and modified for older clients. Of
particular usefulness are applying crisis intervention techniques, providing empathetic
understanding, encouraging ventilation of feelings, re-establishing emotional
equilibrium, explaining alternative solutions, and assisting in the use of problem-solving
approaches.REF: 578-579
A nurse doing a survey about the adequacy of pain management in the elderly will be
most likely to find that the elderly
A. receive less analgesia than younger adults, which makes pain relief inadequate.
B. need smaller doses of pain medication to achieve adequate pain relief.
C. excrete analgesics more rapidly and therefore need more frequent doses.
D. respond better to meperidine than to morphine sulfate when opiates are necessary. -
Answer-A
It is estimated that half of elderly clients with postoperative pain will be undermedicated
and that 80% of elderly clients with cancer will not receive sufficient analgesia.REF:
572; Box 30-3
Ageism is best explained as
A. prominent personality disorganization after the age of 65.
B. learned helplessness among elderly clients.
, C. discrimination against the elderly on the basis of age.
D. behaviors of elderly persons that serve as barriers to health. - Answer-C
Ageism is a destructive phenomenon, based on negative attitudes toward the elderly,
that results in age-related discrimination.REF: 572-573
A usually quiet resident in a long-term care facility has become confused and has
shouted out a number of times during the night. The residents in nearby rooms are
upset by the noise and the interruption to their sleep. The nurse in charge should
A. obtain an order for an as-needed dose of Ativan for the client.
B. give the other residents ear plugs and close their room doors.
C. investigate the reason for the client's behavioral change.
D. place the client in a geriatric chair near the nurse's station. - Answer-C
New-onset confusion and behavior change should not be treated with sedation, but
rather should be investigated for the cause. Finding the cause and addressing it is more
appropriate than using chemical restraint.REF: 568-569
A client with osteoarthritis says she is unable to sleep because of aching in her hips and
shoulders. An appropriate intervention the nurse could expect is administration of a
bedtime dose of
A. aspirin.
B. meperidine.
C. acetaminophen.
D. a sedative-hypnotic. - Answer-C
Acetaminophen is an effective analgesic in the elderly. It does not produce the
gastrointestinal bleeding seen with aspirin and nonsteroidal anti-inflammatory drugs.
Meperidine, an opiate with metabolites that stimulate the central nervous system, may
produce confusion. A sedative-hypnotic may produce daytime sedation or
confusion.REF: 572; Box 30-3
What is the nurse's responsibility, under the Patient Self-Determination Act of 1990,
when a client is admitted to a long-term care facility?
A. Explain advance directives and the agency expectation that the client will formulate
such directives within 24 hours after admission.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
