Deck 16: Problems of Late Adulthood

Question 1

__________% of older adults are living at poverty level.

A)12
B)18
C)26
D)23

Answer 1

12

Question 2

The nurse is caring for a 79-year-old client with dementia.The client worked as an obstetrics nurse before retiring.Despite her dementia,she still remembers terms and procedures and basic nursing care interventions from her past career.This is an example of:

A)Working memory
B)Reasoning
C)Information processing
D)Crystallized intelligence

Answer 2

Crystallized intelligence

Question 3

One of the ways that nursing care of the elderly is ensured is by the enactment and monitoring of:

A)DSM-IV-TR standards
B)State boards of health
C)Standards of geriatric nursing practice
D)State nurse practice acts

Answer 3

Standards of geriatric nursing practice

Question 4

The nurse is implementing validation therapy with an elderly male client to assist him in resolving old conflicts and making peace with himself.Which is one of the techniques used?

A)Sympathy
B)Empathy
C)Helping the client write a paragraph about his life
D)Contacting old acquaintances for their interpretation of the client's life

Question 5

Which emotional signs and symptoms of depression in the elderly must the nurse be aware of and monitor for? (Select all that apply. )

A)Increased anxiety or dependence
B)Fatigue
C)Feels he or she has no purpose
D)Withdraws from people

Question 6

The visiting nurse is at the home of an 88-year-old woman whose physician is concerned that she is losing weight.While performing an assessment,the nurse discovers that the client's dentures are ill-fitting and this makes eating painful.The client claimed she informed her daughter of this,but the daughter is too busy to take her to the dentist.The nurse is concerned that this is a possible sign of:

A)Abuse
B)Neglect
C)Domestic violence
D)Depression

Question 7

A 78-year-old woman is admitted to the hospital with a diagnosis of pneumonia.She appears to be confused and combative at times.Her daughter is concerned because her mother was alert and oriented prior to being diagnosed with pneumonia.Her altered mental status is related to:

A)The onset of Alzheimer's disease
B)Alteration in oxygenation
C)Family neglect
D)Dysfunctional coping

Question 8

Which conditions most commonly place older adults at risk for overdose from medications and severe reactions? (Select all that apply. )

A)Depression
B)Higher rate of metabolism
C)Interaction with other medications
D)Problems with sight and memory

Question 9

An elderly man has serious vision problems and is no longer allowed to obtain a driver's license.He has been very independent until this time.Which nursing diagnosis is most appropriate for this situation?

A)Confusion,chronic
B)Coping,ineffective
C)Self-esteem,risk for situational low
D)Grieving,dysfunctional

Question 10

The home health nurse is caring for a 79-year-old man with the diagnosis of hypertension who is on a fixed income.He was discharged from the hospital a few weeks ago with his newly prescribed medication to keep his BP under control.His BP measurements have been gradually increasing over the last few visits,with no other changes in status assessed.Which nurse statement would be most appropriate?

A)"Have you been taking your medication as often as you are supposed to?"
B)"I don't understand why your BP is up."
C)"Maybe I should check your BP at another time."
D)"I hope you are taking your medication.Otherwise,I am wasting my time."

Question 11

It is important for the nurse to be aware that __________% of individuals over 45 years old take prescription medications,over-the-counter medications,or a combination of these medications.

A)35
B)55
C)75
D)95

Question 12

Physical signs of aging usually begin in the late 30s.Physical signs of aging begin to slow after one reaches the age of approximately:

A)35
B)45
C)65
D)85

Question 13

The nurse is completing an admission interview with an older adult on a busy medical unit.What action is most appropriate for the nurse to take?

A)Complete the admission interview with the client's son
B)Shout at the client so he or she can hear
C)Provide pen and paper and let the client write his answers
D)Allow the client time to respond to the questions regarding health history

Question 14

The nurse must be aware of physical signs and symptoms of depression because these are often the first,sometimes overlooked,signs of the disorder.Physical signs and symptoms of depression include:

A)Decreased or slowed memory
B)Fatigue
C)Changes in appetite
D)Abdominal pain

Question 15

It is projected that by 2050,the population of those aged 65 and over will be _______ million.

A)83.7
B)61.3
C)43.8
D)56.5

Question 16

A 55-year-old man is extremely fearful of the effects of growing old.He is experiencing:

A)Ageism
B)Gerontophobia
C)An age phobia
D)Elder phobia

Question 17

A 2015 survey estimates the average number of elderly who are abused is _______.

A)2,150,000
B)3,250,000
C)1,850,000
D)1,500,000

Question 18

Which intervention will be most effective when one is teaching a client about his or her medications and their administration?

A)Pointing out the colors of the medications for easier identification
B)Referring to medications by name and providing written instructions
C)Quizzing the client on each medication's purpose,side effects,and drug interactions
D)Encouraging the client to hold all questions until the end of the discussion so the nurse will not have to repeat information

Question 19

A 70-year-old woman who was recently widowed expresses a desire to go back to school and finish the degree she started before her children were born.What response is most appropriate?

A)"Why would you want to stress yourself at your age?"
B)"That may not be possible.As you age,your ability to learn decreases."
C)"Going back to school will keep you engaged and active."
D)"Let's do a cognitive function test to see if you are eligible."

Question 20

An elderly client states that she paid $10,000 to a "nice repairman" for fixing her broken window and fence.This is an example of elder abuse known as:

A)Violation of rights
B)Exploitation
C)Psychological abuse
D)Neglect

Question 21

Although __________ is often a desire of older adults,it can bring loss of income and loss of opportunities for socialization.

Question 22

To respectfully and effectively provide health teaching to the older adult,which of the following actions should be employed? (Select all that apply. )

A)Speak very loudly and in high-pitched tones.
B)Ask clients to repeat your message.
C)Break complex tasks into small,pertinent steps.
D)Refer to medications by color.

Question 23

__________ refers to a state of wholeness or quality of one's character.