Question 1

An age-related change of the skin of an older patient may cause it to be extremely dry, flakey, and wrinkled. The nursing assistant should&#10;A) change patient's position every six hours.&#10;B) apply lotion to the skin.&#10;C) avoid frequent back care.&#10;D) all of the above

Accepted Answer

Applying lotion to dry, flakey, and wrinkled skin can help to moisturize it and prevent further damage. Changing the patient's position and providing regular back care are important for preventing pressure ulcers, but these actions do not specifically address the skin's dryness and flakiness.

Question 2

Reality orientation includes all of the following EXCEPT:&#10;A) where the patient works&#10;B) name of the caregiver&#10;C) time of day&#10;D) date

Accepted Answer

Reality orientation focuses on orienting the patient to their current reality, which includes the time of day, date, and people around them, such as the name of the caregiver. Where the patient works is not necessarily relevant to their current reality and may not be helpful in orienting them.

Question 3

To keep the older adult patient safe, the nursing assistant must observe all of the following EXCEPT:&#10;A) before getting the patient out of bed, help them come to a full sitting position before standing up&#10;B) only feed the patients cold foods&#10;C) keep frequently used articles within reach of the patient.&#10;D) all of the above are correct

Accepted Answer

Only feeding the patient cold foods is not necessary for safety and may not be preferred by the patient. All other options are correct for maintaining safety for an older adult patient.

Question 4

To meet the psychosocial needs of the older adult patient, you should do all of the following EXCEPT:&#10;A) discount things that have happened in the past&#10;B) be a good listener&#10;C) provide opportunities for the patient to make decisions and feel independent&#10;D) encourage the patient to do as much as he/she is able.

Accepted Answer

Discounting things that have happened in the past is not helpful in meeting the psychosocial needs of an older adult patient. It is important to acknowledge and validate their experiences and feelings, even if they occurred in the past. Being a good listener, providing opportunities for the patient to make decisions and feel independent, and encouraging the patient to do as much as they are able are all important strategies for meeting the psychosocial needs of an older adult patient.

Question 5

Social changes for the older adult may be caused by physical problems, life crises, or the pressure of society. These may include all of the following EXCEPT:&#10;A) fear of illness and increasing dependence on others&#10;B) new friends&#10;C) retirement and a change in income&#10;D) death of a spouse or significant other

Accepted Answer

The statement says "may include all of the following EXCEPT" and since option B is the only one that is not an actual change or problem that an older adult may face, it is the correct answer. The other options are all examples of social changes an older adult may experience.

Question 6

Softening of the bones is known as&#10;A) arthritis.&#10;B) osteoporosis.&#10;C) osteogenic sarcoma.&#10;D) none of the above

Accepted Answer

Softening of the bones is a characteristic of osteoporosis, which is a condition where there is a decrease in bone mineral density leading to an increased risk of fractures. Arthritis, on the other hand, is a general term for inflammation of the joints, and osteogenic sarcoma is a rare type of bone cancer. Therefore, the correct answer is B) osteoporosis.

Question 7

As a person grows older, physical changes may&#10;A) make functioning independently easier.&#10;B) make muscle tone increase.&#10;C) create problems in detecting heat, pain, and cold.&#10;D) all of the above

Accepted Answer

As a person grows older, physical changes can create problems in detecting heat, pain, and cold due to a decrease in sensory receptors in the skin and changes in nerve function. While muscle tone can increase with exercise and a healthy diet, age-related changes such as decreased mobility and bone density can make functioning independently more difficult.

Question 8

Assisting the older adult with nutrition includes all of the following EXCEPT:&#10;A) assisting the patient as needed&#10;B) adding between-meal snacks without checking with your supervisor&#10;C) removing wrappers and lids and cutting the meat&#10;D) all of the above are acceptable

Accepted Answer

Adding between-meal snacks without checking with a supervisor can be problematic as the patient may have dietary restrictions or allergies. It is important to always check with a supervisor before making any changes to a patient's diet. A, C, and D are all acceptable actions for assisting an older adult with nutrition.

Question 9

Which of the following is a cause of delirium?&#10;A) sudden withdrawal of medications&#10;B) tumors&#10;C) infection&#10;D) all of the above

Accepted Answer

All of the options listed can cause delirium. Sudden withdrawal of medications can cause a rebound effect leading to delirium, tumors can directly affect brain function, and infections can cause systemic inflammation leading to delirium.

Question 10

Which of the following is important for a disoriented patient?&#10;A) being frequently reminded of person, place, and time.&#10;B) a calm environment and routine care&#10;C) an easily readable clock and calendar&#10;D) all of the above

Accepted Answer

All of the above options are important for a disoriented patient. Reminding them of person, place, and time can help ground them in reality and reduce confusion. A calm environment and routine care can help reduce anxiety and stress. An easily readable clock and calendar can help them keep track of time and maintain a sense of structure.

Question 11

Restorative care includes returning the patient to the level of functioning they had before they became ill.

Accepted Answer

The answer of Restorative care includes returning the patient to...

Question 12

The disoriented older adult should be discouraged from doing much for themselves, since the nursing assistant is there to provide care.

Accepted Answer

The answer of The disoriented older adult should be discouraged...

Question 13

Old adult patients do NOT need to feel needed since they have already accomplished all they can in life.

Accepted Answer

The answer of Old adult patients do NOT need to...

Deck 31: The Older Adult Patient and Long Term Care