Care of the older Adult OA with all correct answers

.In reporting suspected elder abuse, which of the following is true?Single choice. *nurses are not obligated in any way to report suspicions *all reporting is a matter of public record *guidelines for reporting vary by state Nurses are obligated to report suspected abuse to Adult Protective Services, although guidelines do vary between states. You should be aware of your own state's guidelines. APS would do a further investigation. Which of the following is not considered a core competency for nurses caring for older adults? Analyze the impact of an aging society on the health care system Obtain certification in gerontological nursing Certification is not a core competency, but all other options are competencies. Prevent or reduce common risk factors that contribute to functional decline Recognize one's own attitudes about aging Obtain certification in gerontological nursing 00:01 01:39 Which of the following levels of care would be most appropriate for a healthy 84 year old man who can take care of himself, but wants to live in a place where he can socialize and have help available if needed? Single choice. a group foster home a transitional care unit an independent unit in a senior living complex assisted living in a nursing home Answer: an independent unit in a senior living complex Rationale: A, B & D offer help with ADLs, which this patient does not require. One nursing strategy to use when striving to make persons comfortable in the hospital setting in relation to their dietary habits is: Single choice. assure them that the hospital food is nutritious insist that they eat at least 80% of all meals provide nutritious snacks provide foods that are culturally familiar A key strategy for achieving cultural competence is to learn about the different cultural & religious preferences and use this knowledge for planning & providing care. Correct answers: provide foods that are culturally familiar Which of the following visual changes is not usually associated with normal aging?. Single choice. presbyopia impaired color discrimination night blindness decreased accommodation Correct answers: night blindness All of the following are considered IADLs except: Single choice. toileting balancing the checkbook using the phone shopping Correct answers: toileting Older persons may have difficulty picking up their pills from a medicine cup because of: Single choice macular degeneration decreased touch sensation that comes with old age peripheral neuropathy all of the above A, B & C can all be possible reasons for decreased ability to pick up small items. Correct answers: all of the above Which of the following factors could contribute to an older person's inability to hear instructions given by the nurse? Select all that apply. Multiple choice. cerumen impaction nurse not facing the person when giving directions loss of high frequency pitches macular degeneration Correct answers: cerumen impaction, nurse not facing the person when giving directions, loss of high frequency pitches The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction? Single choice. sit calmly in a chair next to the person and ask questions in a non-threatening manner ask loud, direct questions have the person write down the information on the chart ask the family member instead of the person A is the most therapeutic. sit calmly in a chair next to the person and ask questions in a non-threatening manner Loud questions may startle the patient; asking the patient to write down answers would not be advisable for a patient with dementia; asking the family may be necessary, but a patient with mild dementia can probably contribute to their own history and should be involved in the process. In caring for a person experiencing delirium, which of the following is least effective in enhancing communication? Single choice.. speak in simple sentences offer frequent reassurance use physical restraints to control anxious behavior use large print clocks and calendars Correct answers: use physical restraints to control anxious behavior Use of restraints will likely increase agitation, and possibly cause falls & injury. They would not enhance communication. Options A, B & D are effective interventions for the patient with delirium Which of the following signs would you consider an abnormal finding for a 75 year old female? Single choice. blood pressure of 110/78 Hct (hematocrit) of 41% resting pulse of 80 urinary incontinence urinary incontinence A significant result of changes in the respiratory system with advanced age is ?Single choice lower carbon dioxide levels in the bloodstream less useful oxygen available with each breath more efficient gas exchange at the alveolar level the ability to hold one's breath longer Correct answers: less useful oxygen available with each breath. Options A, C & D are incorrect. Alveolar surface decreases with age, and there is decrease in lung elasticity with reduced inspiratory capacity.