Which are normal age-related changes? (Select all that apply.)
ch. 3 - ANSWER 1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
Your older female patient is complaining because she is having frequent UTIs. Which normal
age-related change is most likely to be a contributing factor?
ch. 3 - ANSWER Decreased bladder muscle tone
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all
that apply.)
ch. 3 - ANSWER 1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
would the nurse expect to be ordered?
ch.3 - ANSWER Antibiotics
What should the nurse explain when discussing expected changes in the female reproduc-
tive system to an older adult?
ch. 3 - ANSWER Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and
needs to be reported?
1
,ch. 3 - ANSWER A dark, elevated patch that bleeds when touched
The nurse encourages the patient to maintain a steady weight in the recommended range to
decrease risk of which common endocrine disease observed in older adults?
ch. 3 - ANSWER Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 - ANSWER One 30-minute walk, 3 to 5 times a week
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
ch. 4 - ANSWER Influenza vaccine
An older adult does not follow through with health recommendations from the primary
health care provider. The older adult does not take prescribed medications or keep medical
appointments. Which patient problem should the LPN/LVN anticipate seeing on the care
plan?
ch. 4 - ANSWER Nonadherence with the treatment plan
When attempting to help an older adult improve his or her health maintenance practices,
the nurse will need to assess which factors? (Select all that apply.)
ch.4 - ANSWER Cultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases because
of her Hispanic American heritage. Based on what you have learned, which disorder(s) might
she be at greater risk for? (Select all that apply.)
ch.4 - ANSWER Obesity
2
, Stomach cancer
Diabetes mellitus
Cervical cancer
The nurse recognizes that regular dental visits are:
ch.4 - ANSWER Recommended on a yearly basis for all older adults, even those with den-
tures.
Which interventions would be appropriate when teaching a patient with presbycusis? (Select
all that apply.)
ch. 5 - ANSWER Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse are
most likely to enhance communication with the patient? (Select all that apply.)
ch. 5 - ANSWER Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
A nurse is caring for an older adult who is upset about having to move into a skilled nursing
facility. Which communication technique used by the nurse is most effective at establishing
an empathetic climate?
ch. 5 - ANSWER Open-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip re-
placement. The nurse providing discharge teaching knows that older adults are most respon-
sive to what type of information?
3
ch. 3 - ANSWER 1 Decreased visual acuity
4 Increased gastric pH
8 Decreased serum albumin
10 Decreased rate of peristalsis
Your older female patient is complaining because she is having frequent UTIs. Which normal
age-related change is most likely to be a contributing factor?
ch. 3 - ANSWER Decreased bladder muscle tone
What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all
that apply.)
ch. 3 - ANSWER 1 Rigidity and tremors when at rest
3 Dementia
An older adult is coming to your clinic for treatment for a gastric ulcer. Which treatment
would the nurse expect to be ordered?
ch.3 - ANSWER Antibiotics
What should the nurse explain when discussing expected changes in the female reproduc-
tive system to an older adult?
ch. 3 - ANSWER Production of vaginal secretions decreases
The nurse performs a skin assessment of an older adult. Which finding is abnormal and
needs to be reported?
1
,ch. 3 - ANSWER A dark, elevated patch that bleeds when touched
The nurse encourages the patient to maintain a steady weight in the recommended range to
decrease risk of which common endocrine disease observed in older adults?
ch. 3 - ANSWER Diabetes mellitus
What is the activity that best promotes health maintenance for the typical older adult?
ch. 4 - ANSWER One 30-minute walk, 3 to 5 times a week
Which immunizations should older adults receive on a yearly basis? (Select all that apply.)
ch. 4 - ANSWER Influenza vaccine
An older adult does not follow through with health recommendations from the primary
health care provider. The older adult does not take prescribed medications or keep medical
appointments. Which patient problem should the LPN/LVN anticipate seeing on the care
plan?
ch. 4 - ANSWER Nonadherence with the treatment plan
When attempting to help an older adult improve his or her health maintenance practices,
the nurse will need to assess which factors? (Select all that apply.)
ch.4 - ANSWER Cultural beliefs
Socioeconomic status
Religious beliefs
Educational level
Your patient tells you she understands that she is at greater risk of certain diseases because
of her Hispanic American heritage. Based on what you have learned, which disorder(s) might
she be at greater risk for? (Select all that apply.)
ch.4 - ANSWER Obesity
2
, Stomach cancer
Diabetes mellitus
Cervical cancer
The nurse recognizes that regular dental visits are:
ch.4 - ANSWER Recommended on a yearly basis for all older adults, even those with den-
tures.
Which interventions would be appropriate when teaching a patient with presbycusis? (Select
all that apply.)
ch. 5 - ANSWER Use visual cues or written materials.
Repeat information.
Face the patient when talking.
Speak without food or drink in your mouth.
The nurse is caring for an older adult in a rehabilitation unit. Which actions by the nurse are
most likely to enhance communication with the patient? (Select all that apply.)
ch. 5 - ANSWER Identify yourself; remind the person who you are.
Use pictures and gestures in addition to words.
Be patient, and avoid interrupting.
A nurse is caring for an older adult who is upset about having to move into a skilled nursing
facility. Which communication technique used by the nurse is most effective at establishing
an empathetic climate?
ch. 5 - ANSWER Open-ended responses
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip re-
placement. The nurse providing discharge teaching knows that older adults are most respon-
sive to what type of information?
3
