NUR 245 Exam 1 – Questions With Accurate
Solutions
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Terms in this set (250)
What observations are included in the Apparent age, consciousness level, skin color, facial
general survey of an older adult? features, distress, stature, nutrition, posture, position,
behavior, speech, dress, and mobility.
What physical changes in posture and A wider stance, a slower gait, and decreased height.
gait are commonly expected in older
adults?
How should sensory impairments in Hearing or vision impairments should never be
older adults be interpreted regarding automatically interpreted as confusion or lack of
cognitive ability? intelligence.
What modification to interview pace is Slow the pace of the interview and allow additional
recommended for older adult time for the patient to respond.
patients?
,How can environmental Face the patient directly, reduce background noise,
communication barriers be reduced and utilize hearing assistive devices.
for an older adult with hearing loss?
How should an assessment be Break the assessment into smaller segments rather
adjusted if an older adult exhibits than conducting one long interview.
physical fatigue or limitations?
What needs must the nurse prioritize Immediate patient comfort and safety needs must be
before starting a formal health met first.
assessment interview?
What is the preferred primary source The older adult patient is the preferred firsthand
of health history for an older adult with source whenever feasible.
cognitive impairment?
What assumption should nurses avoid Never assume the patient cannot respond simply
when assessing a patient with because cognitive impairment is present.
cognitive impairment?
Which question type can help reduce Closed-ended yes/no questions.
frustration in an older adult with
expressive speech difficulty?
How should collateral information Collect caregiver collateral information away from the
from a caregiver be collected to client rather than in front of them.
respect patient dignity?
What are the priority actions for an Retrieve the walker, request hearing aids, ask about
older adult with an unsteady gait, bathroom needs, assess fatigue, and ensure comfort.
missing hearing aids, and fatigue?
Why are full mental status exams and Immediate safety, communication, and comfort take
documentation NOT the immediate priority over documentation when the patient
priority for a fatigued older adult? responds appropriately.
, Define ADLs (Activities of Daily Living) Basic self-care tasks required for daily function,
in functional assessment. including bathing, dressing, feeding, and toileting.
What key question evaluates a patient's "Can the patient take care of basic personal needs?"
ADL independence?
Define IADLs (Instrumental Activities of Complex activities necessary for independent living,
Daily Living). such as meal preparation, grocery shopping, and
managing checkbooks or finances.
What key question evaluates a patient's "Can the patient manage their life independently?"
IADL capacity?
Define AADLs (Advanced Activities of High-level activities involving participation in family,
Daily Living). community, occupational, and recreational pursuits.
What role do family and friends Assisting with IADLs and ADLs, including grocery
frequently play in older adult shopping, bathing, feeding, and paying bills.
functional support?
How is caregiver well-being Caregiver health directly affects patient care;
connected to patient well-being? excessive caregiver burden degrades patient care
quality.
What are key signs and symptoms of High stress, anxiety, social isolation, depression, sleep
caregiver burden? disturbance, weight loss, and somatic complaints.
What environmental safety hazards Inadequate lighting, throw rugs, cluttered hallways,
should be evaluated in an older adult's exposed electrical cords, unsafe toilet seats, and
living space? neighborhood hazards.
What is the NCLEX priority when Address immediate safety, fall risks, and comfort
assessing an older adult exhibiting needs before routine teaching or documentation.
immediate safety risks?
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (250)
What observations are included in the Apparent age, consciousness level, skin color, facial
general survey of an older adult? features, distress, stature, nutrition, posture, position,
behavior, speech, dress, and mobility.
What physical changes in posture and A wider stance, a slower gait, and decreased height.
gait are commonly expected in older
adults?
How should sensory impairments in Hearing or vision impairments should never be
older adults be interpreted regarding automatically interpreted as confusion or lack of
cognitive ability? intelligence.
What modification to interview pace is Slow the pace of the interview and allow additional
recommended for older adult time for the patient to respond.
patients?
,How can environmental Face the patient directly, reduce background noise,
communication barriers be reduced and utilize hearing assistive devices.
for an older adult with hearing loss?
How should an assessment be Break the assessment into smaller segments rather
adjusted if an older adult exhibits than conducting one long interview.
physical fatigue or limitations?
What needs must the nurse prioritize Immediate patient comfort and safety needs must be
before starting a formal health met first.
assessment interview?
What is the preferred primary source The older adult patient is the preferred firsthand
of health history for an older adult with source whenever feasible.
cognitive impairment?
What assumption should nurses avoid Never assume the patient cannot respond simply
when assessing a patient with because cognitive impairment is present.
cognitive impairment?
Which question type can help reduce Closed-ended yes/no questions.
frustration in an older adult with
expressive speech difficulty?
How should collateral information Collect caregiver collateral information away from the
from a caregiver be collected to client rather than in front of them.
respect patient dignity?
What are the priority actions for an Retrieve the walker, request hearing aids, ask about
older adult with an unsteady gait, bathroom needs, assess fatigue, and ensure comfort.
missing hearing aids, and fatigue?
Why are full mental status exams and Immediate safety, communication, and comfort take
documentation NOT the immediate priority over documentation when the patient
priority for a fatigued older adult? responds appropriately.
, Define ADLs (Activities of Daily Living) Basic self-care tasks required for daily function,
in functional assessment. including bathing, dressing, feeding, and toileting.
What key question evaluates a patient's "Can the patient take care of basic personal needs?"
ADL independence?
Define IADLs (Instrumental Activities of Complex activities necessary for independent living,
Daily Living). such as meal preparation, grocery shopping, and
managing checkbooks or finances.
What key question evaluates a patient's "Can the patient manage their life independently?"
IADL capacity?
Define AADLs (Advanced Activities of High-level activities involving participation in family,
Daily Living). community, occupational, and recreational pursuits.
What role do family and friends Assisting with IADLs and ADLs, including grocery
frequently play in older adult shopping, bathing, feeding, and paying bills.
functional support?
How is caregiver well-being Caregiver health directly affects patient care;
connected to patient well-being? excessive caregiver burden degrades patient care
quality.
What are key signs and symptoms of High stress, anxiety, social isolation, depression, sleep
caregiver burden? disturbance, weight loss, and somatic complaints.
What environmental safety hazards Inadequate lighting, throw rugs, cluttered hallways,
should be evaluated in an older adult's exposed electrical cords, unsafe toilet seats, and
living space? neighborhood hazards.
What is the NCLEX priority when Address immediate safety, fall risks, and comfort
assessing an older adult exhibiting needs before routine teaching or documentation.
immediate safety risks?
