Question 1

The nurse plans to use the SPICES tool during an assessment. Which of the following are assessed with this tool? Select all that apply.&#10;A) Confusion&#10;B) Compliance&#10;C) Poor nutrition&#10;D) Sleep disorders&#10;E) Skin breakdown&#10;

Accepted Answer

The SPICES tool is used to assess common health problems of elderly patients. SPICES is an acronym for six common geriatric syndromes: Sleep disorders, Problems with eating or feeding, Incontinence, Confusion, Evidence of falls, and Skin breakdown. Therefore, confusion (A), poor nutrition (C), sleep disorders (D), and skin breakdown (E) are all assessed with this tool. Compliance (B) is not a common geriatric syndrome and is not specifically assessed with the SPICES tool.

Question 2

An older client seeks medical attention after being injured during a home invasion. Which of the following should the nurse consider as reasons for this client's physical abuse? Select all that apply.&#10;A) Frailty&#10;B) Disability&#10;C) Confusion&#10;D) Low income&#10;E) Lack of social support&#10;

Accepted Answer

Frailty&#10;Disability&#10;Low income&#10;Lack of social support

Question 3

A frail older client does not have children. What should the nurse consider when planning this client's care?&#10;A) Depend on formal services for assistance&#10;B) Rely on friends and extended family for care&#10;C) Consider admission to a long-term care facility&#10;D) Identify an agency that provides care 24/7 in the home&#10;

Accepted Answer

A frail client without children may not have informal caregivers to rely on, so formal services will be necessary to provide assistance with daily care needs. These services may include home health aides, transportation services, and meal delivery programs. Admission to a long-term care facility may also be a consideration, but it should be evaluated based on the individual's needs, preferences, and resources. Relying on friends or extended family may not be a reliable option, as they may not be available or have the necessary skills and knowledge to provide appropriate care. Identifying an agency that provides care 24/7 in the home may also be helpful, but it may not be necessary or feasible for every client.

Question 4

Changes result in stress. Which type of change is found to be the most stressful for an older adult?&#10;A) Normative&#10;B) Nonnormative&#10;C) Normative and nonnormative&#10;D) Neither normative nor nonnormative&#10;

Accepted Answer

Nonnormative changes are unexpected and uncontrollable, such as the death of a loved one or serious illness. These types of changes are found to be the most stressful for older adults. Normative changes, such as retirement, are expected and are less stressful.

Question 5

The nurse notes that a large number of older clients are living longer. What could be the reason for this?&#10;A) Decreased birth rates&#10;B) Increased family care of older adults by family members&#10;C) Improved social and community support systems&#10;D) Overhospitalization and prescription drug use&#10;

Accepted Answer

The answer of The nurse notes that a large number...

Question 6

The nurse learns that a grandparent will be the guardian of a grandchild. Which relationship is the strongest predictor of the grandparent-grandchild relationship?&#10;A) Father and child&#10;B) Mother and father&#10;C) Father and grandparent&#10;D) Mother and grandparent&#10;

Accepted Answer

The mother and grandparent relationship is the strongest predictor of the grandparent-grandchild relationship. This is because the maternal side of the family often plays a crucial role in the upbringing and care of children, influencing the bond between grandparents and grandchildren.

Question 7

Why is it important for acute care nurses to have gerontological nursing experience? Select all that apply.&#10;A) Older clients are less likely to have health insurance.&#10;B) Older clients make up 25% of trauma cases.&#10;C) Older clients are at risk for geriatric syndromes.&#10;D) Older clients experience typical symptoms for diseases.&#10;E) Older clients make up a high percentage of acute and critical care cases.&#10;

Accepted Answer

B) Older clients make up a significant percentage of trauma cases and therefore require specialized care from nurses with gerontological nursing experience.
C) Older clients are at higher risk for developing geriatric syndromes, which require specialized assessment and management.
E) Older clients make up a high percentage of acute and critical care cases and require nurses with specialized knowledge and skills in gerontological nursing. A and D are not relevant to the importance of gerontological nursing experience.

Question 8

The family is discussing a continuing care retirement community for an aging family member. Which of the following topics should be explained to the client about this type of community? Select all that apply.

A) Home care
B) Assisted living
C) Independent living
D) Private duty nurses
E) Skilled nursing care

Accepted Answer

Continuing care retirement communities typically offer a range of living options, from independent living to assisted living and skilled nursing care. Home care and private duty nurses may or may not be available, depending on the specific community.

Question 9

What age group should the nurse identify as the fastest growing group of older adults in the United States?&#10;A) 55 to 65 years&#10;B) 65 to 75 years&#10;C) 75 to 85 years&#10;D) Older than 85 years&#10;

Accepted Answer

The fastest growing group of older adults in the United States are those who are older than 85 years. This group is often referred to as the "oldest old" and is projected to increase from 6.3 million in 2015 to 19 million by 2050. This is due to advances in medical technology and improved healthcare, resulting in increased life expectancy.

Question 10

The nurse suspects that a family is experiencing ambivalence. To what does this term refer in the family?&#10;A) The ability to avoid stress over time&#10;B) Conflicting emotions regarding relationships with older adults&#10;C) The level of harmony with extended family members over time&#10;D) Maintaining a stable level of balance in the midst of changes&#10;

Accepted Answer

Ambivalence refers to having conflicting emotions or attitudes about a particular issue or relationship. In a family context, this could refer to conflicting feelings about caring for an aging parent, for example. Option A, C, and D do not relate to ambivalence in the family.

Question 11

The nurse completes an instrumental activities of daily living (IADL) with an older client. Which activity will this assessment include?&#10;A) Bathing&#10;B) Hygiene&#10;C) Shopping&#10;D) Toileting&#10;

Accepted Answer

The answer of The nurse completes an instrumental activities of...

Question 12

The nurse prepares to use the FAMILY tool to assess a client and family. Which of the following will the nurse assess with this tool? Select all that apply.&#10;A) Years of age&#10;B) Members' needs&#10;C) Assistance needed&#10;D) Family involvement&#10;E) Integration into care plan&#10;

Accepted Answer

The answer of The nurse prepares to use the FAMILY...

Deck 15: Family Health in Mid- and Later Life