The family of a patient with dementia has asked you to tell them more about this
condition. You would tell them all of the following except:
Dementia is the leading reason for institutionalization of older adults.
Some persons diagnosed with dementia have reversible pseudodementia.
Irreversible dementia has a gradual onset and a progressive downward course.
50% of the older adult population suffer from some form of dementia.
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50% of the older adult population suffer from some form of dementia.
This statement is not true. It is estimated that between 10 and 20% of the
older adult population suffer from some form of dementia. There are 1.2
million cases in the United States in people over the age of 65.
An older adult client has developed a urinary tract infection and has antibiotics
prescribed. Which instruction is most crucial to reinforce to prevent recurrence of the
,infection?
a. You may take half of the prescribed dose once the symptoms resolve.
b. Once symptoms resolve, it is not necessary to continue taking the medication.
c. Gradually reduce the drug amount taken to prevent antibiotic resistance.
d. Continue taking the antibiotics until the entire prescription is completed.
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d. Continue taking the antibiotics until the entire prescription is completed.
In order to prevent recurrence of the infection, it is important to take all
prescribed doses. Reducing the amount of drug taken could actually
increase the risk of recurrence.
Which of the following is NOT a potential complication when managing persistent
pain in an older adult patient?
A) Older patients often take several daily medications to manage a chronic condition.
B) Older adults are a higher risk of drug interactions than younger patients.
C) Older adults tend to have a higher sensitivity to analgesics than do younger
patients.
D) Older adults often exaggerate pain.
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D
Correct Answer Older adults often exaggerate pain Older patients may
actually underreport pain. Pain management can be complicated by a
patient taking multiple medications. Increased sensitivity to analgesics and
increased risk for drug interactions may also complicate pain management
in older patients.
,The practical nurse (PN) is caring for an older client diagnosed with Alzheimer
dementia. Which behavior by the client should the PN be the most concerned about?
a. Climbing out of bed
b. Refusing to change clothes
c. Wandering into other clients' rooms
d. Eating food off of other clients' trays
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a. Climbing out of bed
The client who is confused is at high risk for falling; thus, climbing out of
bed increases the risk of injury from a fall.
When treating a client with allergic rhinitis what education information should the GNP
include?
A) Remain inside during allergy season.
B) Avoid working in the garden or yard.
C) Use a surgical-type mask when going outdoors.
D) Monitor air quality and the allergy index.
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D
Correct answer:
Monitor air quality and the allergy index.
In patients with allergic rhinitis, they should be aware of the air quality and
allergy index in their area. Remaining indoors is unrealistic and if they
monitor what is in their garden, patients can enjoy a summer garden. A
surgical mask will not filter out small allergens.
, An older adult client has bruises resembling handprints encircling both arms, but
claims this injury was sustained when she slipped in water. The nurse also notes the
client becomes very withdrawn when the son visits, and that the client is emaciated.
Which action is most appropriate?
a. Contact the local law enforcement agency.
b. Ask the son if he was the one who injured his mother.
c. Ask the client why she is attempting to cover for her son.
d. Ask the older adult if she is willing to press charges against the son.
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a. Contact the local law enforcement agency.
These findings correlate with elder abuse and neglect. The nurse is legally
obliged to report all cases of suspected elder abuse to the appropriate
law enforcement agency. It is not appropriate for the nurse to confront the
son. Older adults may "cover for" their abuser due to fear of abandonment
or reprisal. In many areas, the older adult does not have to press charges
against the abuser, charges are filed against the abuser by the state.
The GNP has knowledge that effective communication includes all of the following
except:
A) All communication is privileged and confidential
B) Recording information and sharing information is not part of the communication
process.
C) Good communication is a necessity when providers are interviewing and teaching
patients.
D) Written documentation is subject to specific standards.
Give this one a try later!
condition. You would tell them all of the following except:
Dementia is the leading reason for institutionalization of older adults.
Some persons diagnosed with dementia have reversible pseudodementia.
Irreversible dementia has a gradual onset and a progressive downward course.
50% of the older adult population suffer from some form of dementia.
Give this one a try later!
50% of the older adult population suffer from some form of dementia.
This statement is not true. It is estimated that between 10 and 20% of the
older adult population suffer from some form of dementia. There are 1.2
million cases in the United States in people over the age of 65.
An older adult client has developed a urinary tract infection and has antibiotics
prescribed. Which instruction is most crucial to reinforce to prevent recurrence of the
,infection?
a. You may take half of the prescribed dose once the symptoms resolve.
b. Once symptoms resolve, it is not necessary to continue taking the medication.
c. Gradually reduce the drug amount taken to prevent antibiotic resistance.
d. Continue taking the antibiotics until the entire prescription is completed.
Give this one a try later!
d. Continue taking the antibiotics until the entire prescription is completed.
In order to prevent recurrence of the infection, it is important to take all
prescribed doses. Reducing the amount of drug taken could actually
increase the risk of recurrence.
Which of the following is NOT a potential complication when managing persistent
pain in an older adult patient?
A) Older patients often take several daily medications to manage a chronic condition.
B) Older adults are a higher risk of drug interactions than younger patients.
C) Older adults tend to have a higher sensitivity to analgesics than do younger
patients.
D) Older adults often exaggerate pain.
Give this one a try later!
D
Correct Answer Older adults often exaggerate pain Older patients may
actually underreport pain. Pain management can be complicated by a
patient taking multiple medications. Increased sensitivity to analgesics and
increased risk for drug interactions may also complicate pain management
in older patients.
,The practical nurse (PN) is caring for an older client diagnosed with Alzheimer
dementia. Which behavior by the client should the PN be the most concerned about?
a. Climbing out of bed
b. Refusing to change clothes
c. Wandering into other clients' rooms
d. Eating food off of other clients' trays
Give this one a try later!
a. Climbing out of bed
The client who is confused is at high risk for falling; thus, climbing out of
bed increases the risk of injury from a fall.
When treating a client with allergic rhinitis what education information should the GNP
include?
A) Remain inside during allergy season.
B) Avoid working in the garden or yard.
C) Use a surgical-type mask when going outdoors.
D) Monitor air quality and the allergy index.
Give this one a try later!
D
Correct answer:
Monitor air quality and the allergy index.
In patients with allergic rhinitis, they should be aware of the air quality and
allergy index in their area. Remaining indoors is unrealistic and if they
monitor what is in their garden, patients can enjoy a summer garden. A
surgical mask will not filter out small allergens.
, An older adult client has bruises resembling handprints encircling both arms, but
claims this injury was sustained when she slipped in water. The nurse also notes the
client becomes very withdrawn when the son visits, and that the client is emaciated.
Which action is most appropriate?
a. Contact the local law enforcement agency.
b. Ask the son if he was the one who injured his mother.
c. Ask the client why she is attempting to cover for her son.
d. Ask the older adult if she is willing to press charges against the son.
Give this one a try later!
a. Contact the local law enforcement agency.
These findings correlate with elder abuse and neglect. The nurse is legally
obliged to report all cases of suspected elder abuse to the appropriate
law enforcement agency. It is not appropriate for the nurse to confront the
son. Older adults may "cover for" their abuser due to fear of abandonment
or reprisal. In many areas, the older adult does not have to press charges
against the abuser, charges are filed against the abuser by the state.
The GNP has knowledge that effective communication includes all of the following
except:
A) All communication is privileged and confidential
B) Recording information and sharing information is not part of the communication
process.
C) Good communication is a necessity when providers are interviewing and teaching
patients.
D) Written documentation is subject to specific standards.
Give this one a try later!
