Week 8 BSN 425 Assessment of the Older Adult Questions
With Complete Solutions
Approach to Diagnostic Studies in the Older Adult
Question 1 of 7
Why are diagnostic studies for preventative health care decisions
more complex as the older adult ages?
Recommendations for screening with diagnostic testing are
unclear.
There are no decision-making models to aid assessment of the
older adult.
Functional status and presence of comorbidities influence
decision-making.
Primary health care providers have few indicators on who will
benefit from diagnostic testing. Correct Answer Functional
status and presence of comorbidities influence decision-making.
The degree of functional status and presence of comorbidities
influence decision making in the benefit of diagnostic testing in
the older adult.
Physiologic and Functional Assessment of the Older Adult
Question 1 of 3
The nurse is preparing to interview an older adult patient to
obtain a history and physical. What should the nurse do prior to
the interview in order to facilitate communication?
Select all that apply.
Turn the phone and radio off.
Limit the initial interview to 15 minutes.
Speak in a clear and possibly louder voice.
Provide an environment with adequate lighting.
,Arrange the appointment for later in the afternoon. Correct
Answer Turn the phone and radio off.
The nurse should provide an environment that has minimal
distractions and allows for optimal hearing.
Speak in a clear and possibly louder voice.
The nurse should speak clearly and possibly in a louder voice
for older adults who may have hearing impairments.
Provide an environment with adequate lighting.
The nurse should turn on the lights to compensate for decreased
visual acuity and to promote safety during ambulation.
Question 1 of 3
For which level of care would a colonoscopy be considered in
an older adult?
Frail
Robust
End of life
Moderately demented Correct Answer Robust
A colonoscopy would be considered beneficial for someone who
is robust and can receive treatment and preventative care.
Question 1 of 3
When assessing the social support of the older adult, which
concept is most important to consider?
Loss of job
Financial resources
Presence of a strong social network
Information regarding activities of daily living Correct Answer
Presence of a strong social network
, It is important to assess for the presence of a strong social
network that is providing support to the older adult. The mere
presence of a social network does not necessarily mean that
there is actual support.
Question 1 of 4
The nurse is discussing the diagnostic testing of mammography
for the breast in women 55 and older. Which statement does the
nurse include in the discussion?
Do not continue yearly screening.
Mammograms are indicated every two years.
Screening should cease if a woman is in good health.
Screening should continue if a woman is expected to die within
10 years. Correct Answer Mammograms are indicated every
two years.
Mammograms are indicated every two years in women over 55.
Question 1 of 5
The nurse educator is providing a presentation to a group of staff
nurses regarding weight loss in the elderly patient. Which
contributing factors would the nurse educator include?
Select all that apply.
Muscle wasting
Decreased metabolic rate
Shortening of the vertebrae
Decrease in total body water
Shift of subcutaneous fat deposits Correct Answer Muscle
wasting
Body weight may decrease in patients over 80 years of age due
to muscle wasting.
With Complete Solutions
Approach to Diagnostic Studies in the Older Adult
Question 1 of 7
Why are diagnostic studies for preventative health care decisions
more complex as the older adult ages?
Recommendations for screening with diagnostic testing are
unclear.
There are no decision-making models to aid assessment of the
older adult.
Functional status and presence of comorbidities influence
decision-making.
Primary health care providers have few indicators on who will
benefit from diagnostic testing. Correct Answer Functional
status and presence of comorbidities influence decision-making.
The degree of functional status and presence of comorbidities
influence decision making in the benefit of diagnostic testing in
the older adult.
Physiologic and Functional Assessment of the Older Adult
Question 1 of 3
The nurse is preparing to interview an older adult patient to
obtain a history and physical. What should the nurse do prior to
the interview in order to facilitate communication?
Select all that apply.
Turn the phone and radio off.
Limit the initial interview to 15 minutes.
Speak in a clear and possibly louder voice.
Provide an environment with adequate lighting.
,Arrange the appointment for later in the afternoon. Correct
Answer Turn the phone and radio off.
The nurse should provide an environment that has minimal
distractions and allows for optimal hearing.
Speak in a clear and possibly louder voice.
The nurse should speak clearly and possibly in a louder voice
for older adults who may have hearing impairments.
Provide an environment with adequate lighting.
The nurse should turn on the lights to compensate for decreased
visual acuity and to promote safety during ambulation.
Question 1 of 3
For which level of care would a colonoscopy be considered in
an older adult?
Frail
Robust
End of life
Moderately demented Correct Answer Robust
A colonoscopy would be considered beneficial for someone who
is robust and can receive treatment and preventative care.
Question 1 of 3
When assessing the social support of the older adult, which
concept is most important to consider?
Loss of job
Financial resources
Presence of a strong social network
Information regarding activities of daily living Correct Answer
Presence of a strong social network
, It is important to assess for the presence of a strong social
network that is providing support to the older adult. The mere
presence of a social network does not necessarily mean that
there is actual support.
Question 1 of 4
The nurse is discussing the diagnostic testing of mammography
for the breast in women 55 and older. Which statement does the
nurse include in the discussion?
Do not continue yearly screening.
Mammograms are indicated every two years.
Screening should cease if a woman is in good health.
Screening should continue if a woman is expected to die within
10 years. Correct Answer Mammograms are indicated every
two years.
Mammograms are indicated every two years in women over 55.
Question 1 of 5
The nurse educator is providing a presentation to a group of staff
nurses regarding weight loss in the elderly patient. Which
contributing factors would the nurse educator include?
Select all that apply.
Muscle wasting
Decreased metabolic rate
Shortening of the vertebrae
Decrease in total body water
Shift of subcutaneous fat deposits Correct Answer Muscle
wasting
Body weight may decrease in patients over 80 years of age due
to muscle wasting.
