Gero GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUHY

Gero GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUHY _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area). - ANS: Fluent aphasia Fluent aphasia is also known as sensory, posterior, or Wernicke aphasia. The person speaks easily with many long runs of words, but the content does not make sense. He or she has problems finding the correct word and often substitutes an incorrect word. The speech sounds are similar to what is sometimes referred to as jabberwocky, with unrelated words strung together or syllables repeated. TOUHY 4TH ED TESTBANK _______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements. - ANS: Verbal apraxia The muscles of speech are not paralyzed; rather, a disruption occurs in the brains transmission of signals to the muscles. When thinking about what to say, the person may be unable to speak at all or may struggle to say any words. In contrast, the person may be able to say many words or sentences correctly when not thinking about the words. Apraxia frequently occurs with aphasia. TOUHY 4TH ED TESTBANK 1. An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature. Rank the nursing goals of this womans plan of care in order of importance, starting with the most important goal. (Select all that apply.) A. Instruct her to call for help before moving. B. Maintain her blood pressure below 120/80 mm Hg. C. Reinforce occupational therapy for feeding. D. Use range-of-motion exercises to prevent contractures. - ANS: B, A, D, C Using Maslows Hierarchy of Human Needs, the most important goal for this older woman is to control her blood pressure; hypertension and other factors contributed to the development of the thrombus. Thus to prevent further intimal damage to cerebral and other vessels, the nurse maintains the blood pressure at or below the limit as determined by the health care provider. The second priority goal for the nurse is to maintain safety by instructing the older woman to call for help when moving, which will help prevent accidents and injuries. The next goal in importance is the prevention of contractures; joint flexibility is easier to maintain than it is to restore. In addition, joint flexibility is important for adapting to her physical limitations as she learns to perform activities of daily living. The last goal is using joint flexibility and muscle strength to learn self-feeding. The order of these goals is correct; each goal is dependent on the preceding goal for its success. TOUHY 4TH ED TESTBANK 3. Which of the following is(are) assessed in a fall prevention assessment of an older adult? (Select all that apply.) a.Environment b.Physical status c.Financial status d.Functional status e.Medical history f.Occupational history - ANS: A, B, D, E The nurse uses information about lighting, flooring, apparel, and other issues from the environmental assessment of an older adult to plan individualized fall prevention measures. The nurse examines flexibility, muscle strength, vital signs, and other clinical indicators in the physical assessment of an older adult to plan individualized fall prevention measures. The nurse uses information about gait, balance, and ability to perform activities of daily living in the functional status assessment of an older adult to plan individualized fall prevention measures. The nurse examines medications, previous accidents and falls, co-morbid conditions, and other factors in the historical assessment of an older adult to plan individualized fall prevention measures. Financial issues and occupational history are not directly related to a risk for falls. TOUHY 4TH ED TESTBANK 8. An older man with severe knee pain tells the nurse how he lost his job and his home after starting a new business when he was 48 years old. Now he lives alone and relies on Social Security. Using Jungs theory, what in this individuals life is the most pivotal in his personality development? a. Living alone b. Meager income c. Severe knee pain d. Job and home loss - ANS: D Jungs theorizes that the personality forms, in part, after a crisis, as an individual moves from extroversion to introversion in aging. Living alone is a situation that is the result of many factors coalescing in an individuals life. A meager income can be a result of the individuals life work and other individual choices and events. His personality can affect how an individual deals with pain, and the pain can affect an individuals personality. However, whether the pain is old or new is not known; thus a determination cannot be made. TOUHY 4TH ED TESTBANK 9. The nurse plans care for older adults who are in good health but isolated from their families. If the nurses goal is to move the adults toward gerotranscendence, which intervention should the nurse use in the plan of care? a. Give a daily tea party for the group. b. Call each family to encourage visiting. c. Assist them to resume midlife patterns. d. Help each person with individual activities. - ANS: D In Tornstams theory, aging offers the potential for gerotranscendence, a culmination of an individuals life, wisdom, and spiritual growth that allows the older adult to live contentedly with and without social activities. An older adult spends more time on meditation and solitude, and less time on materialism and self-consciousness about body image. Individual activities or self-selected activities are satisfactory. Solitude is satisfactory. Midlife patterns are no longer relevant to contentment. TOUHY 4TH ED TESTBANK A case manager is likely to have how many years of nursing education? a. 1 to 1.5 b. 2 c. 4 to 6 d. 8 or more - ANS: C A case manager typically has a bachelors or masters degree. This amount of training is typical for an LPN, who typically practices at a nursing home or on a home nursing staff.