Deck 19: Older Adult Health

Question 1

Case 2 Albert,79 years old,lives alone in his own home.He has diabetes,glaucoma,and nocturia from an enlarged prostate.A nurse is completing a fall risk assessment screening tool with Albert.
(Refer to Case 2 above. )What health promotion strategy can the nurse suggest to Albert that will decrease his risk for a fall?

A) Join a senior's fitness program
B) Add contrasting colour strips to first and last steps to identify change of level
C) Hire a neighbourhood kid to clear snow and ice from walkways
D) Get a panic button service installed in the home

Answer 1

Join a senior's fitness program

Question 2

What are some issues that represent challenges and opportunities for improvement with aged care?

Answer 2

- ineffective use of professional skills
- high client-to-staff ratios
- inadequate servicing of rural communities
- poorly integrated services with limited access
- limited research-based literature that supports the development and implementation of best practice initiatives

Question 3

Describe the features of an age-friendly community and provide an example for each feature.

Answer 3

- outdoor spaces and buildings (e.g. ,doors are easy to open by someone using a walker or in a wheelchair)
- transportation (e.g. ,drop-off and pick-up areas are available,clearly marked,and conveniently located)
- housing (e.g. ,affordable supports available to enable seniors to remain at home)
- respect and social inclusion (e.g. ,older people are visible in the media and are depicted positively without stereotyping)
- social participation (e.g. ,a range of events and activities for seniors of all ages is available,such as courses,crafts,sporting events,and gatherings with food)
- communication and information (e.g. ,printed information uses large lettering)
- civic participation and employment (e.g. ,seniors are well represented on councils,boards,and committees;opportunities for volunteering are flexible and allow for intergenerational involvement)
- community support and health services (e.g. ,medical equipment is available through a loan program or at no cost to seniors;health care facilities include a cluster of services and provide "one stop" health or wellness services)

Question 4

Case 1 Jake Chrisoff,70 years old,has Alzheimer's and his wife,Barbara,is his main caregiver.A nurse is doing a home visit to assess the situation.
(Refer to Case 1 above. )What comment by the nurse demonstrates preservation of Jake's personhood?

A) "Barbara,Jake doesn't know it's his birthday so a celebration isn't necessary."
B) "I recommend isolating Jake to de-escalate his agitation or restlessness."
C) "Jake,tell me about your life on the cattle ranch."
D) "I wouldn't recommend maintaining Jake's tradition of reading the paper with his morning coffee because he can't follow the story lines anymore."

Question 5

Case 1 Jake Chrisoff,70 years old,has Alzheimer's and his wife,Barbara,is his main caregiver.A nurse is doing a home visit to assess the situation.
(Refer to Case 1 above. )The nurse explains to Barbara the importance of maximization of remaining strengths.What example illustrates this tenet?

A) Dress Jake because he can't manage buttons
B) Take Jake for daily walks
C) Cut Jake's food for him and feed him
D) Put Jake in an adult diaper rather than use a toileting routine

Question 6

Case 1 Jake Chrisoff,70 years old,has Alzheimer's and his wife,Barbara,is his main caregiver.A nurse is doing a home visit to assess the situation.
(Refer to Case 1 above. )Barbara shares with the nurse that she is feeling housebound because she doesn't drive.What would be an appropriate strategy for the nurse to suggest that is consistent with an age-friendly community?

A) "Perhaps a neighbour could watch Jake while you go out."
B) "Call a taxi and arrange for a friend to stay with Jake."
C) "Ask your daughter to drive you to appointments."
D) "This is the contact number for a volunteer and an informal network of drivers."

Question 7

What statement accurately reflects the societal trends for older adults?

A) Older adults are being cared for by their children more now than a generation ago.
B) The older adult is becoming a burden on the health care system.
C) The overall average income of married older couples rose by 18%.
D) There is an increased number of frail older adults in Canada.

Question 8

Case 2 Albert,79 years old,lives alone in his own home.He has diabetes,glaucoma,and nocturia from an enlarged prostate.A nurse is completing a fall risk assessment screening tool with Albert.
(Refer to Case 2 above. )The nurse wants to help Albert fall proof his home.Which suggestion would be most beneficial to Albert?

A) The bathroom and bedroom have automatic night lights.
B) Cupboards are arranged with commonly used items within easy reach.
C) Stairs are free of obstacles and clutter.
D) The phone is easy to reach from the bed.

Question 9

Case 2 Albert,79 years old,lives alone in his own home.He has diabetes,glaucoma,and nocturia from an enlarged prostate.A nurse is completing a fall risk assessment screening tool with Albert.
(Refer to Case 2 above. )What percentage of hospitalizations from unintentional injuries is a result of falls?

A) 87
B) 59
C) 72
D) 32

Question 10

A nurse is planning the home care requirements for Mrs.Johal,who had a cerebral vascular accident (CVA)and has lost the use of her left arm.Mr.Johal,69 years old,still runs his family business with other relatives.What level of support would be appropriate for Mrs.Johal?

A) Speech-language pathology
B) Personal care
C) Community adult day care
D) Homemaking

Question 11

What factor is known to lead to early institutionalization of older adults?

A) Lack of an intimate relationship
B) Taking medications inaccurately
C) Undernourishment
D) Feelings of loneliness

Question 12

How many older adults will make up the world's population in 2050?

A) 6 million
B) 2 billion
C) 1.5 billion
D) 10 million

Question 13

What percentage of the world's population will be composed of older people by 2050?

A) 34
B) 16
C) 10
D) 20

Question 14

A nurse is doing a home visit with an older female client.What behaviour would alert the nurse to the possibility of a mental health issue?

A) Low socioeconomic status
B) Dishevelled appearance
C) Recent death of a close friend
D) Being very chatty

Question 15

By 2056,what proportion of the Canadian population will be age 65 and older?

A) 1 in 4
B) 1 in 13
C) 1 in 10
D) 1 in 6

Question 16

Case 2 Albert,79 years old,lives alone in his own home.He has diabetes,glaucoma,and nocturia from an enlarged prostate.A nurse is completing a fall risk assessment screening tool with Albert.
(Refer to Case 2 above. )The nurse knows that older people living in the community experience one or more falls each year.What percentage of older people will fall?

A) 17
B) 30
C) 5
D) 24

Question 17

What factor influences older adults' participation in exercise?

A) The number of chronic illnesses
B) Past experiences with exercise
C) Fear of falling during physical activity
D) Ease of transportation to and from the exercise program