Deck 28: Older Adults in the Community

Question 1

From whom do the majority of elderly persons obtain assistance when needed?

A)Assisted-living arrangements
B)Extended-care facilities
C)Family,friends,and neighbors
D)Nursing homes or long-term care centers

Answer 1

Family,friends,and neighbors

Question 2

At the request of a family,a nurse returned for a follow-up visit a month after the patient was discharged from care.He had been doing quite well,but at this visit the home care nurse noticed that the client was extremely confused and disoriented.What should the nurse discuss with the family before contacting the client's physician?

A)Current prescription and over-the-counter drugs the client is taking
B)Family history of Alzheimer disease
C)Financial resources available to the client
D)Results of the laboratory values from the client's last blood test

Answer 2

Current prescription and over-the-counter drugs the client is taking

Question 3

A woman is currently caring for her mother-in-law.She is looking for a place for her mother-in-law to go during the day while she works.The mother-in-law does not have major health problems but is becoming bored,irritable,and depressed.Which choice would be best for both the caregiver and her mother-in-law?

A)A continuous care community
B)A group home
C)A multipurpose senior center with activities
D)Foster care

Answer 3

A multipurpose senior center with activities

Question 4

A 68-year-old woman had an appointment to see the public health department outreach coordinator.Where would this client most likely reside?

A)In a nursing home
B)In an assisted-living complex
C)In one of her children's homes
D)Independently in her own housing

Question 5

A home health nurse is teaching a client and family about how to perform a dressing change.The nurse discussed the dressing change with them,provided written instructions,and left them an agency business card in case they had any questions.What is one reason that the nurse provided such extensive instructions?

A)Elderly people are slow to understand and learn.
B)Legal requirements for teaching must be met through these methods.
C)Role modeling for the procedure is necessary.
D)Senses become less acute with age.

Question 6

A 60-year-old woman complained to the nurse that she just could not keep caring for her 85-year-old mother much longer.What might prevent the woman from using the respite center that the nurse suggested?

A)Cost of respite care
B)Embarrassment
C)Family expectations
D)Fear of how others would care for her mother

Question 7

What is the most frequent reason for an elderly person to be hospitalized?

A)Auto accidents
B)Back pain
C)Falls
D)Heart attack

Question 8

What risks are faced by men who retire because of company downsizing?

A)Boredom
B)Depression,alcoholism,and suicide
C)Household injuries
D)Spousal abuse

Question 9

How do the majority of elderly people rate their own health?

A)Very poor to poor
B)Fair to average
C)Pretty good
D)Good or better

Question 10

What percentage of the total population in the United States is older than 65 years?

A)0% to 5%
B)6% to 10%
C)11% to 15%
D)16% to 20%

Question 11

According to Erikson's developmental theory,what would be a primary concern of a 68-year-old woman?

A)Developmental life events,such as loss of employment position
B)Multiple changes as her children have children
C)The meaning of her life and accepting the inevitability of death
D)The possibility of increased housing costs as property taxes keep going up

Question 12

What risks are faced by women aged 65 or older?

A)Boredom
B)Loss of spouse
C)Major health problems
D)Seriously annoying their husbands

Question 13

Every day a 70-year-old hospitalized woman read the newspaper.She expressed to the nurse that she was saddened after this activity.What is the probable reason that reading the newspaper was upsetting her?

A)She disliked the articles about the bad things happening locally and nationally.
B)She disagrees with the political slant of the newspapers.
C)Obituaries of her friends represent the loss of part of her past.
D)Reading about recent military actions overseas was saddening.

Question 14

Which of the following would be the best choice for the grandmother who felt fine but was feeling depressed from sitting around the house all day while the rest of the family members were at work or school?

A)A group home with shared living arrangements,which would meet friendship needs
B)A senior citizens center,which would provide socialization,recreation,and support
C)Adult daycare with assistance with meals,medications,and transportation
D)Foster care with a family that did not have both adults working all day

Question 15

On whom does most of the burden for family caregiving fall?

A)Middle-aged family members
B)Paid,nonprofessional caregivers
C)Paid,professional individuals
D)Professional caregiving organizations

Question 16

How do most elderly people compare to younger people?

A)More elderly persons are socially isolated with few social contacts.
B)More elderly persons change jobs frequently.
C)More elderly persons are not pleased with their lives.
D)Most elderly persons engage in most normal activities.

Question 17

A family is considering nursing home placement for their elderly parent.Which of the following interventions would be most appropriate for a nurse?

A)Suggesting the purchase of a nursing home insurance policy
B)Suggesting the use of a specific checklist to collect data about potential facilities
C)Suggesting having a family service worker to help with placement
D)Suggesting consideration of using more in-home services

Question 18

Which characteristics would a nurse anticipate when working with a family who is providing care for an aging parent?

A)An increase in closeness within family relationships
B)Having to work more hours to pay for the aged person's needs
C)Help at home because the aged person can complete many simple household tasks
D)Increased stress coupled with loss of private time for recreation

Question 19

A college student asked the nurse what the different areas of nursing were because he thought he might want to be a nurse.However,he added,he did not want to work with old people.How might you accurately respond?

A)"There are many possibilities as a nurse,so just choose a clinical specialty such as pediatrics."
B)"Becoming a school nurse will provide the most opportunities so that you will be working with young people."
C)"Regardless of clinical setting,most nurses care for older adults in their careers."
D)"The population is aging rapidly,so it is likely you will find a job working with elderly persons."

Question 20

A home care nurse was working with a 73-year-old woman who lives alone.What would be the most therapeutic intervention by the nurse?

A)Complimenting the client on her cooking and superb housekeeping skills
B)Conveying to the client the importance of planning and prepaying her funeral
C)Encouraging her in her hobbies of scrapbooking and writing her autobiography
D)Suggesting that the client consider buying long-term care insurance for future need

Question 21

Which of the following is an appropriate primary nursing intervention to help meet the health care needs of elderly people?

A)Advocacy by lobbying for appropriate community resources
B)Case management with the client and family in setting goals
C)Teaching the family how to care for the elderly person in the family
D)Screening applications for nursing home placement

Question 22

What is the source of income for the majority of elderly persons?

A)Investments and personal savings
B)Support from family members
C)Private pensions
D)Social Security

Question 23

What is the most frequent reason for placement in a nursing home?

A)Dementia,primarily from Alzheimer disease
B)Inability of the family to care for the family member any longer
C)Hip fracture that necessitates long-term convalescence
D)Social interaction with other residents

Question 24

A 79-year-old man stops at a local pharmacy to fill his prescription for an antihypertensive medication.How would he pay for this prescription?

A)Medicare Part B
B)Medicare Part A
C)Medicare Part D
D)Medicare Part C

Question 25

What is one of the most common forms of elder abuse?

A)Criminal victimization (crime)
B)Neglecting to provide basic hygienic care
C)Refusal to feed the elderly person
D)Self-neglect by the elderly person

Question 26

A nurse was very frustrated: It had taken a great deal of time and effort to get an elderly gentleman a hearing aid,and now he was not wearing it.Why would the client not wear a hearing aid after obtaining it?

A)The client decided he could hear fairly well without the hearing aid.
B)Background noise was so loud that he could not understand conversations.
C)He does not know how to use the hearing aid and does not want to ask for assistance.
D)Senses become more acute with age,so he no longer needed it.

Question 27

What has been the general effect of the legislative changes affecting payment for health care since the 1980s? (Select all that apply.)

A)The needs of elderly clients were better met.
B)The changes created concern over the quality of care.
C)Funding was increased to meet increased need.
D)State flexibility in determining eligibility and services increased.
E)The cost of health care to government was reduced.
F)The length of stay in hospitals or in nursing homes was reduced.

Question 28

Which is the largest and most well-known interest group for elderly persons?

A)The National Council of Senior Citizens
B)The American Association of Aged (AAA)
C)The American Association of Retired Persons (AARP)
D)Gray Panthers

Question 29

Which of the following issues would the nurse want to assess at the initial visit for a 70-year-old client who lives at home alone and is being seen for a follow-up visit after an outpatient surgical procedure? (Select all that apply.)

A)Ability to ambulate for about 30 minutes a day
B)Problems with constipation or need for laxatives
C)Appetite and appeal of food both visually and in taste
D)Use of prescription drugs and over-the-counter medications
E)Financial resources
F)Family involvement in care

Question 30

An elderly woman was debating all possible futures she might confront.She asked the nurse the typical cost of 1 year in a nursing home.How should the nurse respond?

A)"About $30,000 a year."
B)"Don't worry about it.Medicare will pay it."
C)"Don't worry about it.Medicaid will pay it."
D)"About $75,000 a year."