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WGU C475 Care of the Older Adult Final Exam Study Guide

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C475

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Western Governers University

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WGU C475 Care of the Older Adult Final Exam
Study Guide

Which element is part of psychosocial well-being for an older adult? << correct answer
>> Engagement with others

How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home
visit? << correct answer >> "Mrs. Bartlett, I'm your nurse Clara Jones."

What might be an important aspect of an individualized care plan for a low income,
depressed community-dwelling elder who is treated with an antidepressant and has
favorite pastimes of reading, cooking, and spending time with grandchildren? << correct
answer >> A library card

A talented, accomplished, and very active elder wanted to take up painting after
retirement. A recent stroke compromised the elder's short-term memory severely.

Which community-based program should the nurse suggest to the elder and family first?
<< correct answer >> Taking painting classes at the senior center

An elder patient missed an arthritis clinic appointment because the patient could not
afford the pain medication.

After first meeting the patient's immediate medication needs, which two steps should the
nurse take in order to prevent a recurrence?

Choose 2 answers << correct answer >> Ask the drug company for help
Investigate eligibility for the Medicaid program

An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg.

Which action should the home-care nurse recommend regarding the dog? << correct
answer >> Find out the elder's ideas

What is an effective way to communicate with an older adult living with dementia? <<
correct answer >> Approach in a non-threatening manner

Older women experience bone loss, which makes them more susceptible to hip
fracture.

How should an environment change after a hip-fracture repair? << correct answer >>
Raise the toilet seat

, A vigorous recent widower visited his primary care team and stated that he was lonely.

Which recommendation should the team make for this patient? << correct answer >>
Finding a new relationship

Which lighting feature in most nursing homes compromises elder adults' ability to
function? << correct answer >> Glare

The assessment of which factor in the home environment is required for a client with
mobility problems? << correct answer >> Presence of stairs or other obstacles

A home-care nurse visits an elder living with dementia whose spouse is providing care.
The nurse notices a restraint sitting in the chair.

What is the most important thing the nurse should do? << correct answer >> Help the
spouse plan care without using restraints

Which is considered to be a permanent, progressive reduction in mental capacity? <<
correct answer >> Dementia

When evaluating an older patient, a nurse finds the patient to be highly depressed and
suffering from low self-esteem.

What psychosocial problem can the nurse deduce from these symptoms? << correct
answer >> The patient is at risk for suicide.

Which question included in the assessment questionnaire will help the nurse to teach
appropriate coping skills to the client with prostate cancer? << correct answer >> "What
do you do to reduce stress?"

Which patient statement is indicative of a midlife crisis? << correct answer >> "I feel I
have not achieved anything noteworthy in my life. What can I do to give my life more
meaning?"

A spiritual African American elder has terminal HIV.

Based on knowledge of spiritual beliefs common in African American communities, why
might this patient require careful assessment and monitoring for pain? << correct
answer >> The patient may understate pain levels because of a belief that the illness is
God's plan.

Which assessment tool can be used to determine activities of daily living (ADL)
independence in older adults? << correct answer >> The Katz index

Functional incontinence refers to problems from factors external to the lower urinary
tract.

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