Question 1

The federal act that establishes the standards of care for older adults residing in long-term facilities is known as the Omnibus Budget ______________ Act.

Accepted Answer

Reconciliation

Question 2

_______________, the study of older adults, is a specialty area within nursing.

Accepted Answer

Gerontology

Question 3

How should you address Carl Jones, the newly admitted elderly patient, to your mental health unit?

Accepted Answer

Addressing an elderly patient by their last name with a respectful title, such as "Mr.," is considered professional and respectful, acknowledging their dignity and status.

Question 4

Which health-care team member is responsible for the initial assessment of elderly individuals?

Accepted Answer

The RN (Registered Nurse) is typically responsible for the initial assessment of elderly individuals in a healthcare setting. This includes evaluating their physical condition, medical history, and any specific needs they may have. RNs have the education and training to conduct comprehensive assessments and develop care plans.

Question 5

Which interventions should the nurse contribute to the plan of care for an elderly patient (select all that apply)?

Accepted Answer

Allowing time for the elderly patient to complete tasks, praising their successes, and focusing on their strengths are all important interventions that the nurse should contribute to the plan of care.

Question 6

Which elderly patient is most prone to suicide?

Accepted Answer

Older males have a higher risk of suicide compared to females, and the risk increases with age, making the 87-year-old male the most prone to suicide among the options provided.

Question 7

A phenomenon called ______________ is discrimination against people based on how old they are.

Accepted Answer

The answer of A phenomenon called ______________ is discrimination against...

Question 8

The Omnibus Budget Reconciliation Act (OBRA) provides standards of care for which of the following?

Accepted Answer

The Omnibus Budget Reconciliation Act (OBRA) primarily focuses on improving the quality of care for older adults, especially those in nursing homes, by setting federal standards for nursing home care and ensuring residents' rights are protected.

Question 9

An 85-year-old patient is admitted to the hospital with the diagnosis of cerebrovascular accident and depression. The symptom that is unrelated to depression would be?

Accepted Answer

Having positive self-esteem is unrelated to depression. Depression typically involves negative self-perception and low self-esteem, whereas positive self-esteem indicates a healthier psychological state.

Question 10

In the elderly, administering medication is a great concern for the nurse because these patients are more prone to side effects. The primary cause of this is:

Accepted Answer

Elderly patients often have altered circulatory and renal function, which can affect the metabolism and excretion of medications, making them more prone to side effects.

Question 11

When assessing the elderly for depression, the nurse may find that a depressed person over 70 years of age without a medical diagnosis may have the following symptoms of depression (select all that apply):

Accepted Answer

Depression in the elderly often presents differently than in younger populations. Aches, pains, and constipation can be somatic or physical manifestations of depression in older adults. Confusion can also be a symptom of depression in the elderly, often mistaken for dementia or a cognitive disorder. One-sided weakness is more indicative of neurological conditions such as stroke, rather than depression.

Question 12

You are caring for Tom, an older adult, who has paranoid thinking. Which action should you take?

Accepted Answer

Providing aids for hearing and vision loss can help reduce paranoia by improving sensory input, which may alleviate some of the confusion or misinterpretations that contribute to paranoid thinking.

Question 13

You are caring for Eliza. She has dementia and is recovering from knee surgery. You are working with a nursing assistant and physical therapy to achieve optimal functioning for her. Which type of nursing care are you providing?

Accepted Answer

Restorative care focuses on helping individuals regain maximal functional status and enhance quality of life through promotion of independence and self-care. Since Eliza is recovering from knee surgery and has dementia, the goal is to help her achieve optimal functioning, which aligns with the objectives of restorative care.

Question 14

An elderly patient has aphasia from a cerebrovascular accident (CVA). Which need is priority?

Accepted Answer

Communication is a priority for a patient with aphasia due to a cerebrovascular accident (CVA) because it directly affects the patient's ability to express needs, pain, or discomfort, and it is essential for effective care and safety.

Quiz 21: Aging Population