Deck 13: The Older Adult

Question 1

Reasons for lack of identification and treatment of depression in the elderly include:

A) atypical symptoms and stigma among older adults.
B) lack of screening tools and inaccurate screening tools.
C) indifference among caregivers and health-care providers.
D) self-neglect and poor quality of life.

Answer 1

atypical symptoms and stigma among older adults.

Question 2

Health-promotion planning for nutrition of an elderly person is based on the understanding that:

A) most older persons believe that nutrition is important, but few act on that belief.
B) nutrition requirements decline with age, due to decreased activity levels.
C) poverty forces older people to rely more on fresh produce than canned or frozen foods.
D) older persons rarely skip meals, preferring to keep an organized eating schedule.

Answer 2

most older persons believe that nutrition is important, but few act on that belief.

Question 3

Projections of life expectancy 1999 to 2100 indicate which of the following trends?

A) Men will have a decreasingly shorter life span.
B) Men's life expectancy will equal that of women.
C) Women will have a decreasingly shorter life span.
D) Women will continue to have a longer life span than men.

Answer 3

Women will continue to have a longer life span than men.

Question 4

An 85-year-old male who lives with his daughter and her family has become withdrawn, with a decreasing appetite and lack of interest in his usual hobbies. For health-promotion planning, the nurse should recognize that focus should be placed on moving him toward the positive aspect of which one of Erikson's developmental stages?

A) Autonomy versus doubt
B) Body transcendence versus body preoccupation
C) Ego integrity versus despair
D) Generativity versus stagnation

Question 5

There is evidence that exercise may reverse the syndrome of physical frailty in the elderly.

Question 6

The incidence of elder abuse from domestic violence can only be estimated, because the authorities believe that they receive reports on only one in:

A) 4 cases
B) 8 cases
C) 1 in 14 cases
D) 1 in 28 cases

Question 7

Eustress refers to negative stress that is created from learned helplessness in the elderly.

Question 8

Which of the following is an accurate estimation of the incidence of depression in the elderly?

A) 7%
B) 17%
C) 27%
D) 47%

Question 9

Which of the following is a health-promotion driving tip for older adults?

A) Avoid driving for a few days after the start of a new medication.
B) Keep the radio on for increased stimulation.
C) Refrain from using the rear-view mirror and turn the head instead.
D) Wait to drive in the evening and night to avoid daytime traffic.

Question 10

Which of the following is an appropriate health-promotion recommendation for an older adult male who has moderate activity and is in generally good health with a good metabolism?

A) Avoid foods fortified with vitamin B₁₂ and vitamin D.
B) Consume less than 30% of total calories from fat.
C) Include five to six servings of red meat, poultry, eggs, and dairy products per day.
D) Intake of 1600 calories per day.

Question 11

Which of the following would be in the highest risk group for hip fractures in postmenopausal females?

A) African American and over 5 ft. 8 in. tall
B) Asian and under 5 ft. 2in. tall
C) Hispanic and under 5 ft. 2 in tall
D) White and over 5 ft. 8 in. tall

Question 12

Increased risk factors of adverse outcome for hip replacement surgery include advanced age, male gender, black race, existing health problems, and a low income.

Question 13

Statistics have shown that elderly people living in central cities have a higher than average poverty rate than those living in more rural areas.

Question 14

In addition to an annual flu immunization, health promotion of elderly persons would be to assess for or recommend the following immunizations:

A) hepatitis B, pneumonia, and tetanus-diphtheria.
B) mumps-measles-rubella, hepatitis B, and tetanus-diphtheria.
C) Pneumonia, polio, and varicella zoster.
D) varicella zoster, pneumonia, and tetanus-diphtheria.

Question 15

Complaints of sleep disturbances are rare among problems reported by the elderly.

Question 16

Although types of services vary, which of the following would be an expected function of an assisted living facility (ALF)?

A) Caring for bedridden residents
B) Managing specialized long-term care
C) Monitoring medications and dietary intake
D) Providing 24-hour professional nursing care

Question 17

Which of the following is an appropriate exercise recommendation for an older person in good health?

A) Add weight lifting of no more than 15 pounds to daily exercise.
B) Bicycle in a safe location for 1 hour three times per week.
C) Use a treadmill at a moderate pace in the home for 20 to 30 minutes daily.
D) Walk or swim for 30 minutes at least three to five times per week.

Question 18

Which of the following accurately reflects the presence of HIV/AIDS in the elderly?

A) There is a low incidence of occurrence in the elderly population.
B) The signs and symptoms mimic those of normal aging.
C) There are more elderly women than men affected by this disease.
D) Less than 5% of all new cases are in people over the age of 50.

Question 19

An elderly person taking five medications has what percent chance of a drug interaction to occur?

A) 20%
B) 30%
C) 40%
D) 50%

Question 20

Twenty-five percent of those with hip fractures make a full recovery, while about the same percent in those over 50 will die within 12 months due to complications.

Question 21

There are strict regulations for assisted living facilities that ensure resident safety.

Question 22

Asian ginseng and Ginkgo biloba are two herbal supplements used as alternative treatments for erectile dysfunction.

Question 24

Drinking milk or chamomile tea and eating a light snack prior to bedtime may promote healthier sleep in older adults.

Question 28

A safety tip for caregivers of elderly persons living at home would be to keep the kitchen floor polished and waxed, avoid rugs, and clean spills immediately.