Exam (elaborations)

NURSE-UN 311 AE CRITICAL THINKING TEST BANK EXAM QUESTIONS AND ANSWERS BEST GRADED A+ LATEST UPDATE 2022

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NURSE-UN 311

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NURSE-UN 311

Week 1 Care of Older Adults: Culture, Spirituality, Communication, Sexuality, Infection Control Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE • The nurse cares for an alert, homeless older adult patient who was admitted to the hospi...

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nurse un 311 ae critical thinking test bank exam q

Institution NURSE-UN 311
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NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022

Week 1
Care of Older Adults: Culture, Spirituality, Communication,Sexuality, Infection
Control
Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical
Nursing,10th Edition
MULTIPLE CHOICE
• The nurse cares for an alert, homeless older adult patient who was admitted to

the hospital with a chronic foot infection. Which intervention is the most
appropriate for the nurse to include in the discharge plan for this patient?

a) Teach the patient how to assess and care for the foot infection.

b) Refer the patient to social services for assessment of resources.

c) Schedule the patient to return to outpatient services for foot care.

d) Give the patient written information about shelters and meal sites.
ANS: B
An interprofessional approach, including social services, is needed when caring
for homeless older adults. Even with appropriate teaching, a homeless individual
may not be able to maintain adequate foot care because of a lack of supplies or a
suitable place to accomplish care. Older homeless individuals are less likely to use
shelters or meal sites. A homeless person may fail to keep appointments for
outpatient services because of factors such as fear of institutionalization or lack of
transportation.

• The home health nurse cares for an older adult patient who lives alone and
NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022

,NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022
takes several different prescribed medications for chronic health problems.
Which intervention, if implemented by the nurse, would best encourage
medication compliance?

a) Use a marked pillbox to set up the patient’s medications.

b) Discuss the option of moving to an assisted living facility.

c) Remind the patient about the importance of taking medications.

d) Visit the patient daily to administer the prescribed medications.
ANS: A
Because forgetting to take medications is a common cause of medication errors in
older adults, the use of medication reminder devices is helpful when older adults
have multiple medications to take. There is no indication that the patient needs to
move to assisted living or that the patient does not understand the importance of
medication compliance. Home health care is not designed for the patient who
needs ongoing assistance with activities of daily living or instrumental ADLs.

NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022

,NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022

• The home health nurse visits an older patient with mild forgetfulness. Which
new information is of most concern to the nurse?

a) The patient tells the nurse that a close friend recently died.

b) The patient has lost 10 lb (4.5 kg) during the past month.

c) The patient is cared for by a daughter during the day and stays with a son at
night.

d) The patient’s son uses a marked pillbox to set up the patient’s medications
weekly.

ANS: B
A 10-pound weight loss may be an indication of elder neglect or depression and
requires further assessment by the nurse. The use of a marked pillbox and
planning by the family for 24-hour care are appropriate for this patient. It is not
unusual that an 86-yr-old would have friends who have died.
• Which statement, if made by an older adult patient, would be of most concern to
the nurse? a.
“I prefer to manage my life without much help from other people.”

a) “I prefer to manage my life without much help from other people.”

b) “I take three different medications for my heart and joint problems.”

c) “I don’t go on daily walks anymore since I had pneumonia 3 months ago.”

NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022

, NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022
d) “I set up my medications in a marked pillbox so I don’t forget to take them.”
ANS: C
Inactivity and immobility lead rapidly to loss of function in older adults. The
nurse should develop a plan to prevent further deconditioning and restore function
for the patient. Self- management is appropriate for independently living older
adults. On average, an older adult takes seven different medications so the use of
three medications is not unusual for this patient. The use of memory devices to
assist with safe medication administration is recommended for older adults.

• The nurse assesses an older patient who takes diuretics and has a possible
urinary tract infection (UTI). Which action should the nurse take first?

a) Palpate over the suprapubic area.

b) Inspect for abdominal distention.

c) Question the patient about hematuria.

d) Request the patient empty the bladder.
ANS: D
Before beginning the assessment of an older patient with a UTI and on diuretics,
the nurse should have the patient empty the bladder because bladder fullness or
discomfort will distract from the patient’s ability to provide accurate information.
The patient may seem disoriented if distracted by pain or urgency. The physical
assessment data are obtained after the patient is as comfortable as possible.

NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE 2022

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