Older Adult 2024 Exam Marking Scheme 100% Verified

OLDER ADULT 2024 EXAM MARKING SCHEME 100% VERIFIED A home care nurse evaluated the plan care for the older woman with urge incontinence. Which of the following statements by the client indicates the need for further teaching? A) "I drink enough water, but do it early in the day." B) "I make certain I don't get constipated." C) "I purchased a fancy commode for my bedroom." D) "I still have to get up two times each night to urinate." - Answer -D) "I still have to get up two times each night to urinate." It is normal for older adults to urinate once or twice during the night. Water should be consumed hours before bedtime, a commode can reduce the time from sensation to void, and constipation can increase incontinence. A nurse determines that a client does not remember current events and has difficulty using technology. The nurse should consider that the client may have difficulty with which of the following? A) Participating in reminiscence group B) Digitally recording blood glucose monitor C) Remembering to weigh daily D) Understanding when to notify health care provider - Answer -B) Digitally recording blood glucose monitor Contextual theories and everyday problem solving emphasize that older adults are able to remember affective and personally relevant information. The client may need to record the blood glucose on paper. A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a colleague. Which of the nurse's statements reflects an accurate view of the relationship between aging and wellness? A) "It's important that the individual knows this is an expected part of growing older." B) "We need to teach the older adult how he can keep living a fruitful life in spite of his diagnosis." C) "We need to make sure our teaching is not too detailed for someone of his age." D) "We need to ensure his expectations of continuing to live alone are realistic." - Answer -B) "We need to teach the older adult how he can keep living a fruitful life in spite of his diagnosis." Answer B reflects a desire to foster a fulfilling and productive life for the older adult despite his diagnosis, and reflects an understanding of wellness and aging. Option A implies that illness is an inevitability of aging. Option C suggests that older adults have a limited capacity to learn by virtue of their age, and option D implies pessimism about the health and functioning of the older adult. A nurse is teaching an older person about the concept of successful aging. Which of the nurse's questions addresses an important contributor to successful aging? A) "Are you largely free of acute or chronic illnesses?" B) "Do you feel financially secure?" C) "Do you feel like you actively engage with life?" D) "Do you have a reliable support network?" - Answer -C) "Do you feel like you actively engage with life?" Research has indicated that an active engagement with life is central to successful and healthy aging. Absence of illness, financial security, and the nature of a person's support network are not identified components of successful aging. An older adult has recently begun to display unprecedented lapses in short-term memory. The nurse overhears a colleague reassuring the person by saying, "Try not to worry; it's just a part of growing older." The nurse recognizes that this is an example of what phenomenon? A) Multiple jeopardy B) Gerontophobia C) Age attribution D) Implicit ageism - Answer -C) Age attribution Age attribution is the act of attributing a problem to age rather than to a pathology, as in the colleague's statement. Multiple jeopardy is the compounding of discrimination based on factors such as race and gender, while gerontophobia is the fear or hatred of older people. Implicit ageism is the unrecognized, negative perception of older people. A nurse hears a colleague make the statement, "Most older adults have nothing to worry about financially." Which of the following responses is most appropriate? A) "You have to remember that there's a huge economic disparity among older adults." B) "Actually, the number of older people living below the poverty line has been increasing, not decreasing." C) "This isn't really true now, but it is true that the gaps that disadvantaged groups live with are expected to shrink." D) "This is true for some groups, but not for minorities who are less likely to be living with their relatives." - Answer -A) "You have to remember that there's a huge economic disparity among older adults." An important consideration with regard to economic conditions of older adults is the tremendous range in financial status, which varies significantly according to race, gender, and living arrangements. The number of adults living below the poverty line, however, has decreased in recent years. The disparities that separate disadvantaged groups from more economically secure older adults are predicted to persist. Minorities are more likely, not less likely, to be living with their relatives. A nurse is conducting a study on the needs and living situations of older adults in the community. Which of the following statements should the nurse take into account? A) A majority of older Americans will live in a nursing home at some point. B) More older men live alone than older women. C) Assisted living arrangements have become increasingly common. D) Most older Americans reside in some form of institutional arrangement. - Answer -C) Assisted living arrangements have become increasingly common. Assisted living arrangements have become an increasingly common alternative to nursing homes. The number of Americans living in nursing homes has recently decreased, not increased, and more older women live alone than do older men. Ninety percent of older Americans live in an apartment or house, rather than in an institutional arrangement. A nurse who provides care to many older adults recognizes the importance of implementing a wellness approach to care. What principle underlies this approach to the health care of older adults? A) Older adults have decreasing expectations for wellness as they move through the aging process. B) Health problems are a Western cultural construct that has no objective, physiologic basis. C) Older adults must come to accept a decline in wellness as they age. D) A holistic approach to caring for older adults can foster their well-being at every stage of life. - Answer -D) A holistic approach to caring for older adults can foster their well-being at every stage of life.