NUR 1009 Exam 4 Guide With
Complete Solution
When should placement be considered for an older adult?
When in home care becomes increasingly difficult OR when recovery from a
discharge requires more assistance than the family can provide
What features does a quality nursing home/center have?
Quality food, mealtime choices, MCR/MCD certified, feels home-like,
adequate and quality staffing, cleanliness, quality and attentive care
A nurse is caring for a patient with dementia and is using a communication
technique to reorient the patient to the time and place they are residing.
Which of the following is the nurse utilizing?
A. Reality Orientation
B. Validation Therapy
C. Reminiscence
A. Reality Orientation
A nurse is caring for a patient with dementia and is using a communication
technique that emphasizes on the patient's emotions rather than their
statements. Even though the patient is incorrect about their orientation the
nurse redirects the conversation based on emotion. Which of the following is
the nurse utilizing?
A. Reality Orientation
,B. Validation Therapy
C. Reminiscence
B. Validation Therapy
A nurse is caring for an older adult patient. The performance of what is a
sensitive indicator to the patient's health status?
ADLs
What is an important physiological change regarding the immune system in
aging for older adults?
T cell function decreases and core body temp decreases
What must a nurse take into consideration regarding the physiological
changes associated in older adults for their urinary function?
Males: Enlargement of the prostate
Females: Reduced sphincter tone
What are the major psychosocial changes an older adult faces?
Retirement, Fixed Income, Role Changes, Social Isolation, Death, Sexuality,
and the Ability to Live Independently
A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse notices bruising on
the patient's arms, what form of elder abuse is the nurse most likely to
suspect?
A. Physical abuse
,B. Psychosocial abuse
C. Financial exploitation
D. Sexual abuse
E. Caregiver neglect
F. Abandonment
G. Self neglect
A. Physical abuse
A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse is informed by the
patient that their daughter often threatens the patient and isolates the
patient from seeing their other children. What form of abuse is the nurse
most likely to suspect?
A. Physical abuse
B. Psychosocial abuse
C. Financial exploitation
D. Sexual abuse
E. Caregiver neglect
F. Abandonment
G. Self neglect
B. Psychosocial abuse
, A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse discovers that the
patient's caregiver signs the patient's name on a blank check from the
patient's belongings. What form of abuse is the nurse most likely to suspect?
A. Physical abuse
B. Psychosocial abuse
C. Financial exploitation
D. Sexual abuse
E. Caregiver neglect
F. Abandonment
G. Self neglect
C. Financial exploitation
A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse discovers that the
patient is behind on several bills and the patient does not have access to
their social security payments. When the nurse asks the patient who manages
their payments the patient informs the nurse that their caregiver is
responsible for managing their finances. What form of abuse is the nurse
most likely to suspect?
A. Physical abuse
Complete Solution
When should placement be considered for an older adult?
When in home care becomes increasingly difficult OR when recovery from a
discharge requires more assistance than the family can provide
What features does a quality nursing home/center have?
Quality food, mealtime choices, MCR/MCD certified, feels home-like,
adequate and quality staffing, cleanliness, quality and attentive care
A nurse is caring for a patient with dementia and is using a communication
technique to reorient the patient to the time and place they are residing.
Which of the following is the nurse utilizing?
A. Reality Orientation
B. Validation Therapy
C. Reminiscence
A. Reality Orientation
A nurse is caring for a patient with dementia and is using a communication
technique that emphasizes on the patient's emotions rather than their
statements. Even though the patient is incorrect about their orientation the
nurse redirects the conversation based on emotion. Which of the following is
the nurse utilizing?
A. Reality Orientation
,B. Validation Therapy
C. Reminiscence
B. Validation Therapy
A nurse is caring for an older adult patient. The performance of what is a
sensitive indicator to the patient's health status?
ADLs
What is an important physiological change regarding the immune system in
aging for older adults?
T cell function decreases and core body temp decreases
What must a nurse take into consideration regarding the physiological
changes associated in older adults for their urinary function?
Males: Enlargement of the prostate
Females: Reduced sphincter tone
What are the major psychosocial changes an older adult faces?
Retirement, Fixed Income, Role Changes, Social Isolation, Death, Sexuality,
and the Ability to Live Independently
A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse notices bruising on
the patient's arms, what form of elder abuse is the nurse most likely to
suspect?
A. Physical abuse
,B. Psychosocial abuse
C. Financial exploitation
D. Sexual abuse
E. Caregiver neglect
F. Abandonment
G. Self neglect
A. Physical abuse
A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse is informed by the
patient that their daughter often threatens the patient and isolates the
patient from seeing their other children. What form of abuse is the nurse
most likely to suspect?
A. Physical abuse
B. Psychosocial abuse
C. Financial exploitation
D. Sexual abuse
E. Caregiver neglect
F. Abandonment
G. Self neglect
B. Psychosocial abuse
, A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse discovers that the
patient's caregiver signs the patient's name on a blank check from the
patient's belongings. What form of abuse is the nurse most likely to suspect?
A. Physical abuse
B. Psychosocial abuse
C. Financial exploitation
D. Sexual abuse
E. Caregiver neglect
F. Abandonment
G. Self neglect
C. Financial exploitation
A nurse is caring for an older patient and suspects the patient is a victim of
elder mistreatment. When assessing the patient the nurse discovers that the
patient is behind on several bills and the patient does not have access to
their social security payments. When the nurse asks the patient who manages
their payments the patient informs the nurse that their caregiver is
responsible for managing their finances. What form of abuse is the nurse
most likely to suspect?
A. Physical abuse
