Question 1

An older female adult with alterations in her cognitive status has an increased temperature, poor appetite, and almost fell beside her bed. What should the nurse consider when caring for this older adult?

Accepted Answer

B

Question 2

Bowel function in the older adult can be a source of concern, and potentially serious problems may develop. What mechanical factors may contribute to constipation in the older adult?

Accepted Answer

B

Question 3

Which of the following recommendations for daily food intake is correct for older adults according to Eating Well with Canada's Food Guide?

Accepted Answer

Eating Well with Canada's Food Guide recommends that older adults should have at least 7 servings of fruits and vegetables per day. This will provide them with the necessary vitamins, minerals, and fiber needed for their daily requirements. While the other options may also be part of a healthy diet, they do not align with the specific recommendations for older adults.

Question 4

The nurse instructs the health care aide to feed an older adult. If the nurse is unable to observe feeding directly, which action should the nurse use to assess the older adult's risk for aspiration immediately following feeding?

Accepted Answer

Inspecting for pocketing (when food remains in the oral cavity after swallow) is the best way to assess the risk for aspiration immediately following feeding. This is because pocketing can lead to aspiration during subsequent attempts to swallow. Monitoring food volume and skin colour, as well as respiratory rate and rhythm, can provide additional information about the older adult's overall health status, but may not specifically indicate the risk for aspiration.

Question 5

The nurse is trying to improve the nutritional status of older adults in a nursing home. Which one of the following recommendations should the nurse implement?

Accepted Answer

Providing nutritious food according to the older adults' expressed food preferences, with liberal use of seasonings, would enhance the appeal of meals and encourage residents to consume more nutrients. This strategy would provide the residents with a sense of control and independence, and may also improve their social interactions during mealtimes. Option A addresses efficiency, option B is not relevant to nutritional status, and option D may not be suitable for all residents, as some may prefer to eat regular meals.

Question 6

When providing health teaching to an older adult, which of the following nutrition information should be recommended for the older adult's daily diet?

Accepted Answer

The answer of When providing health teaching to an older...

Question 7

The following nursing interventions represent the four steps of a nutritional assessment. Which one would be the final step in the nutritional assessment?

Accepted Answer

Obtaining blood for biochemical serum examination would be the final step in the nutritional assessment as it provides information on the individual's nutrient status and any deficiencies or abnormalities in the blood. The other options listed are important steps in the nutritional assessment process but do not provide definitive information on nutritional status.

Question 8

An older adult who has difficulty using the dominant hand also has a gastrostomy tube. What should the nurse provide to prevent complications of the gastrostomy tube?

Accepted Answer

The answer of An older adult who has difficulty using...

Question 9

The health care aides working at a long-term care facility need help to properly feed residents who require assistance with feeding. Which of the following plans should the nurse implement to ensure that the residents are fed properly?

Accepted Answer

Involving family members who can follow instructions ensures that residents receive personalized and attentive care, improving the quality of feeding assistance.

Question 10

Which one of the following is a potential mechanical risk factor that may potentiate malnutrition in older adults?

Accepted Answer

Decreased or diminished vision or blindness can make it difficult for older adults to prepare and eat nutritious meals, leading to malnutrition. This is a mechanical risk factor as it impacts the physical ability to perform necessary tasks. Memory loss (A) and loneliness/isolation/living alone (D) are psychosocial risk factors that may contribute to malnutrition. Removal from usual cultural patterns (B) may have an impact on food preferences but is not typically considered a mechanical risk factor.

Question 11

An older adult who has iron deficiency anemia complains of abdominal pain, fullness, and diarrhea over a period of 24 hours. Which patient data potentially indicate a systemic cause of this individual's constipation?

Accepted Answer

The answer of An older adult who has iron deficiency...

Question 12

Which of the following is a true statement about dental health in older adults?

Accepted Answer

Functional and cognitive limitations, such as arthritis or dementia, can make it more difficult for older adults to properly care for their teeth and gums, leading to poor oral hygiene and potential dental problems.

Answer: D 
 A little bit of blood on the toothbrush can indicate gingivitis or gum disease and should be addressed with proper dental care. However, it is not necessarily a normal occurrence and should not be ignored.

Therefore, the best choice is C and D.

Question 13

Which of the following is a true statement about nutrition for older adults?

Accepted Answer

Transportation can be a critical factor in nutritional insufficiency in older adults. This is because older adults who cannot drive or have limited access to transportation may have difficulty accessing grocery stores or community meal programs, making it harder for them to maintain a balanced and nutritious diet. The other choices are not true statements about nutrition for older adults.

Quiz 8: Nutritional Needs