Exam (elaborations)
Fundamentals Chapter 14 older Adults Practice Questions and answers.
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- Older Adult
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- Older Adult
Fundamentals Chapter 14 older Adults Practice Questions and answers.
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Fundamentals Chapter 14: Older Adults Practice Questionsand answers
1. A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?
a. Lives in a nursing home
b. Lives with a spouse
c. Lives divorced
d. Lives alone - Correct Answer - ANS: B
In 2012, 57% of older adults in non-institutional settings lived with a spouse (45% of older women, 71%
of older men); 28% lived alone (35% of older women, 19% of older men); and only 3.5% of all older
adults resided in institutions such as nursing homes or centers. Most older adults have lost a spouse due
to death rather than divorce.
2. A nurse is developing a plan of care for an older adult. Which information will the nurse consider?
a. Should be standardized because most geriatric patients have the same needs
b. Needs to be individualized to the patient's unique needs
c. Focuses on the disabilities that all aging persons face
d.Must be based on chronological age alone - Correct Answer - ANS: B
Every older adult is unique, and the nurse needs to approach each one as a unique individual. The
nursing care of older adults poses special challenges because of great variation in their physiological,
cognitive, and psychosocial health. Aging does not automatically lead to disability and dependence.
Chronological age often has little relation to the reality of aging for an older adult.
3. Which information from a co-worker on a gerontological unit will cause the nurse to intervene?
a. Most older people have dependent functioning.
b. Most older people have strengths we should focus on.
,c. Most older people should be involved in care decision.
d. Most older people should be encouraged to have independence. - Correct Answer - ANS: A
Most older people remain functionally independent despite the increasing prevalence of chronic
disease; therefore, this misconception should be addressed. It is critical for you to respect older adults
and actively involve them in care decisions and activities. You also need to identify an older adult's
strengths and abilities during the assessment and encourage independence as an integral part of your
plan of care.
4. A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings
are consistent with the nurse's suspicions?
a. Flea bites and lice infestation
b. Left at a grocery store
c. Refuses to take a bath
d. Cuts and bruises - Correct Answer - ANS: A
Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and animal or insect
infestation. Abandonment includes desertion at a hospital, nursing facility, or public location such as a
shopping center. Self-neglect includes refusal or failure to provide oneself with basic necessities such as
food, water, clothing, shelter, personal hygiene, medication, and safety. Physical abuse includes hitting,
beating, pushing, slapping, kicking, physical restraint, inappropriate use of drugs, fractures, lacerations,
rope burns, and untreated injuries.
5. A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to
use?
a. Provide several topics of discussion at once to promote independence and making choices.
b. Avoid uncomfortable silences after questions by helping patients complete their statements.
c. Ask patients to recall past experiences that correspond with their interests.
d. Speak in a high pitch to help patients hear better. - Correct Answer - ANS: C
Teaching strategies include the use of past experiences to connect new learning with previous
knowledge, focusing on a single topic to help the patient concentrate, giving the patient enough time in
which to respond because older adults' reaction times are longer than those of younger persons, and
, keeping the tone of voice low; older adults are able to hear low sounds better than high-frequency
sounds.
6. An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is
concerned about the patient's ability to care for self, especially during this convalescence. What should
the nurse do?
a. Stress that older patients usually ask for help when needed.
b. Inform the family that placement in a nursing center is a permanent solution.
c. Tell the family to enroll the patient in a ceramics class to maintain quality of life.
d. Provide information and answer questions as family members make choices among care options. -
Correct Answer - ANS: D
Nurses help older adults and their families by providing information and answering questions as they
make choices among care options. Some older adults deny functional declines and refuse to ask for
assistance with tasks that place their safety at great risk. The decision to enter a nursing center is never
final, and a nursing center resident sometimes is discharged to home or to another less-acute residence.
What defines quality of life varies and is unique for each person.
7. What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing
center?
a. Have the family members evaluate nursing home staff according to their ability to get tasks done
efficiently and safely.
b. Make sure that nursing home staff members get patients out of bed and dressed according to staff's
preferences.
c. Explain that it is important for the family to visit the center and inspect it personally.
d. Suggest a nursing center that has standards as close to hospital standards as possible. - Correct
Answer - ANS: C
An important step in the process of selecting a nursing home is to visit the nursing home. The nursing
home should not feel like a hospital. It is a home, a place where people live. Members of the nursing
home staff should focus on the person, not the task. Residents should be out of bed and dressed
according to their preferences, not staff preferences.
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