Question 1

An elderly patient tells the nurse that her daughter bought her a system that will call for help if she falls. The nurse realizes this patient is describing which technology?

Accepted Answer

D

Question 2

A hospitalized 72-year-old patient wants to know where her digoxin pill is because she always takes it for her heart. How should the nurse respond?

Accepted Answer

The nurse should explain to the patient that the health care provider may have ordered a different heart medication while she is hospitalized. This does not mean that digoxin is a bad medication, ineffective, or no longer manufactured. It is important for the patient to follow the orders of the health care provider while in the hospital to ensure proper treatment and management of her condition.

Question 3

A patient reports difficulty hearing when talking to family members on the telephone. Which technologies should the nurse consider when replying to this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A,B,C,E

Question 4

An older patient says that she cannot go home until she can walk independently because she might get "kicked out" of the apartment. The nurse realizes this patient is describing which type of living facility?

Accepted Answer

Assisted living facilities provide residents with assistance in daily activities like bathing, dressing, and walking. The patient's concern about needing to walk independently to avoid being "kicked out" suggests she lives in an assisted living facility, where a certain level of independence is required to remain in the facility.

Question 5

A patient tells the nurse that she does not bother to bathe anymore and has no appetite, so she eats only a few times a week. The nurse would evaluate this statement as possibly indicating which type of mistreatment?

Accepted Answer

The patient's statement suggests self-neglect, as she is not taking care of her hygiene or eating adequately. Abandonment refers to a caregiver leaving a dependent individual without adequate care, physical abuse involves intentional harm or injury, and emotional abuse refers to psychological harm through actions or words. None of these types of mistreatment are suggested by the patient's statement.

Question 6

An elderly female patient tells the nurse that she is having trouble "holding her water" and doesn't want to drink fluids anymore. How should the nurse interpret this statement?

Accepted Answer

The statement "having trouble holding her water" typically indicates incontinence, which is the involuntary loss of urine. The patient's reluctance to drink fluids may be due to embarrassment, fear of leakage, or the belief that reducing fluid intake will reduce the frequency of incontinence. It is important for the nurse to assess the cause of the incontinence and provide appropriate interventions, such as pelvic muscle exercises, timed voiding, or medication.

Question 7

A 70-year-old patient has been taking over-the-counter cimetidine for a number of years to treat reflux disease. The nurse would closely assess this patient for which adverse responses? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A 70-year-old patient has been taking over-the-counter...

Question 8

Which situations would the nurse identify as supporting the activity theory of aging? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Which situations would the nurse identify as...

Question 9

An elderly patient leaves the home for several hours most days of the week and attends a facility where care is provided specific to the needs of the elderly. The patient is attending which type of community-based nursing care program?

Accepted Answer

The patient is attending an adult day care program, which provides care specific to the needs of the elderly and allows the patient to leave home for several hours most days of the week. Health care clinics, residential care facilities, and outpatient centers do not necessarily provide care specific to the needs of the elderly or allow for extended periods of attendance like adult day care programs.

Question 10

The nurse is planning care for a 70-year-old patient. Which screening should the nurse include in this patient's care plan?

Accepted Answer

The answer of The nurse is planning care for a...

Question 11

An 85-year-old male patient is aware of the need for a colonoscopy; however, he has a history of severe electrolyte imbalances associated with bowel preps for diagnostic tests. Which intervention should the nurse plan?

Accepted Answer

The answer of An 85-year-old male patient is aware of...

Question 12

Upon discharge from the hospital, a patient is going home and will need medication injected weekly, assistance with meal preparation, and minor assistance with activities of daily living. The nurse would identify which community-based care service as appropriate for this patient?

Accepted Answer

Home care services provide assistance with medication administration, meal preparation, and activities of daily living in the patient's home setting. Hospice care is focused on end-of-life care and is not appropriate for this patient. Ambulatory surgical care is a short-term, outpatient service and is not appropriate for ongoing care needs. Long-term care is typically for patients who require significant assistance with activities of daily living on a daily basis and may not be necessary for this patient's needs.

Question 13

An elderly patient tells the nurse that her son cashes her Social Security checks but tells her he does not have enough money to buy her medications. The nurse should investigate this statement because it could reflect which situation?

Accepted Answer

The son may be exploiting the patient by taking her Social Security checks and not using the funds for her medications. This is a form of financial exploitation, which is a type of elder abuse. The nurse should investigate further to confirm if this is happening and report it if necessary.

Question 14

The nurse is aware that cardiovascular changes are part of the normal aging process. This nurse would consider the position of a patient's point of maximal impulse PMI) normal if it was found at the midclavicular line MCL) in which intercostal spaces ICS)? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is aware that cardiovascular changes...

Question 15

An elderly female patient has a sudden onset of delirium during the first night of hospitalization. What does this episode suggest to the nurse?

Accepted Answer

Delirium in an elderly patient during hospitalization can be a sign of another underlying health problem that needs to be immediately identified and treated. It could be an infection, drug toxicity, electrolyte imbalance, or other issues. Ignoring this episode might result in irreversible cognitive decline. Therefore, the cause of delirium must always be determined and treated promptly.

Question 16

A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.

Accepted Answer

The answer of A nurse researcher is preparing to study...

Question 17

A 66-year-old patient tells the nurse, "It is time for my annual tetanus vaccine." The nurse would respond that it is recommended that a person this age receive the tetanus vaccine every ______ years.

Accepted Answer

The answer of A 66-year-old patient tells the nurse, "It...

Question 18

A 78-year-old patient's respiratory vital capacity measurement is decreased. How would the nurse evaluate this information?

Accepted Answer

Decreased respiratory vital capacity measurement can be a normal finding in older patients due to decreased elasticity of the lungs and chest wall. The other options are not necessarily related to this finding.

Question 19

A 68-year-old female patient has had a complete hysterectomy, including the removal of the cervix. Which information would the nurse provide regarding long-term screening?

Accepted Answer

Since the patient has had a complete hysterectomy, including the removal of cervix, there is no risk of cervical cancer. Therefore, there is no need for Pap smears. It is important to note that if the hysterectomy was done due to cervical cancer, the patient may still require close monitoring and screening.

Question 20

A 75-year-old female has been brought to the emergency department. She tells the nurse that her son, who has taken care of her, said he would "be right back," but she has not seen him for weeks. The nurse is concerned that the patient is describing which possible situation?

Accepted Answer

The patient's description of her son leaving and not returning for weeks indicates that she may be experiencing abandonment, which is a form of elder abuse. Neglect and self-neglect can involve a lack of care, but not necessarily abandonment. Physical abuse involves the use of force, which is not described in this scenario.

Quiz 10: The Aging Process