DNP701 Advanced Practice Nursing in
the Care of Older Adults
. Adam, 70 years old, is admitted for viable myasthenia gravis (MG). The nurse practitioner
is aware of that MG is generally seen in women between 20 and forty years antique. Adam,
but, is experiencing an ocular form of MG, has dysphonia, and does no longer have any
thymus abnormalities. Adam asks why the nurse is concerned approximately MG because
he is older and that is a "young person's disease." Which of the following are the nice
answers? Select all that observe.
1. We need to assess for whatever, simply in case.
2. Some sicknesses show up in two unique age and gender agencies.
Three. Older human beings frequently enjoy weakness, and we ought to rule out other
situations.
4. Your insurance will cowl this, and we want to rule out as a good deal as viable.
Five. Signs and signs of infection are the same for every ailment regardless of age. -
ANS-Answer: 2, three
Page: 5
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1.
Ordering greater assessments than wished violates the principle of "Do no damage."
2.
MG is bimodal and may be determined in more youthful ladies, as well as in each males and
females.
3.
Knowledge of the bimodality of age onset of certain sickness situations will resource the
nurse practitioner in warding off misdiagnosis or delay in diagnosis because of loss of
reputation.
Four.
There need to be a need for ordering a take a look at and cost attributed to the effects.
5.
The manifestations of contamination and disorder within the elderly can be very one of a
kind, although the underlying pathological process is similar to in more youthful individuals.
. For people over 65 years old, the maximum not unusual morbidities are related to:
1. Heart sickness, arthritis
2. Respiratory problems, cancer
three. Diabetes, stroke
four. All of these are common morbidities - ANS-Answer: four
Page: 5
, Feedback
1.
Heart disease is one of the not unusual morbidities.
2.
Cancer is not unusual inside the wellknown populace; however, specific sorts are extra not
unusual in the older affected person.
Three.
Diabetes is commonplace in patients over 40 years of age.
4.
Heart disease, cancer, and diabetes combined are the most not unusual morbidities in older
patients.
. Janey, 25 years old, can also enjoy arthritis in another way than sixty five-yr-old Mrs.
Johnson because:
1. The body undergoes physiological changes with growing old.
2. A wholesome body does not revel in substantial adjustments as one gets older.
3. Older sufferers do not sense any systemic symptoms, together with malaise and weight
loss.
4. Even even though the equal joints are typically affected, age makes it sense exceptional. -
ANS-Answer: 1
Page: five
Feedback
1.
Knowledge of the bimodality of age onset of positive disease conditions will resource the
superior exercise nurse in averting misdiagnosis or postpone in prognosis because of lack of
popularity.
2.
Symptoms of rheumatoid arthritis may be specific relying on the age of the patient.
3.
Younger sufferers won't revel in constitutional signs and symptoms along with fever, malaise,
weight reduction, and depression.
4.
In late-onset rheumatoid arthritis, the joint involvement is extra frequently within the larger
joints.
. Mrs. Smith is seventy five years antique and has had type 2 diabetes for 30 years. She
sees her nurse practitioner on a ordinary basis. Mrs. Smith asks the nurse practitioner why
her treatment has not been changed, despite the fact that her laboratory values are
seemingly out of normal variety. Which of the following answers are first-class? Select all
that practice.
1. A selection to make changes have to be primarily based on a pattern and not on one set
of laboratory consequences.
2. The everyday range charts are based on patients younger than 75 years.
Three. Currently, it is too high priced to alternate your treatment.
Four. Comparing new results with your earlier effects gives a more correct picture.
the Care of Older Adults
. Adam, 70 years old, is admitted for viable myasthenia gravis (MG). The nurse practitioner
is aware of that MG is generally seen in women between 20 and forty years antique. Adam,
but, is experiencing an ocular form of MG, has dysphonia, and does no longer have any
thymus abnormalities. Adam asks why the nurse is concerned approximately MG because
he is older and that is a "young person's disease." Which of the following are the nice
answers? Select all that observe.
1. We need to assess for whatever, simply in case.
2. Some sicknesses show up in two unique age and gender agencies.
Three. Older human beings frequently enjoy weakness, and we ought to rule out other
situations.
4. Your insurance will cowl this, and we want to rule out as a good deal as viable.
Five. Signs and signs of infection are the same for every ailment regardless of age. -
ANS-Answer: 2, three
Page: 5
Feedback
1.
Ordering greater assessments than wished violates the principle of "Do no damage."
2.
MG is bimodal and may be determined in more youthful ladies, as well as in each males and
females.
3.
Knowledge of the bimodality of age onset of certain sickness situations will resource the
nurse practitioner in warding off misdiagnosis or delay in diagnosis because of loss of
reputation.
Four.
There need to be a need for ordering a take a look at and cost attributed to the effects.
5.
The manifestations of contamination and disorder within the elderly can be very one of a
kind, although the underlying pathological process is similar to in more youthful individuals.
. For people over 65 years old, the maximum not unusual morbidities are related to:
1. Heart sickness, arthritis
2. Respiratory problems, cancer
three. Diabetes, stroke
four. All of these are common morbidities - ANS-Answer: four
Page: 5
, Feedback
1.
Heart disease is one of the not unusual morbidities.
2.
Cancer is not unusual inside the wellknown populace; however, specific sorts are extra not
unusual in the older affected person.
Three.
Diabetes is commonplace in patients over 40 years of age.
4.
Heart disease, cancer, and diabetes combined are the most not unusual morbidities in older
patients.
. Janey, 25 years old, can also enjoy arthritis in another way than sixty five-yr-old Mrs.
Johnson because:
1. The body undergoes physiological changes with growing old.
2. A wholesome body does not revel in substantial adjustments as one gets older.
3. Older sufferers do not sense any systemic symptoms, together with malaise and weight
loss.
4. Even even though the equal joints are typically affected, age makes it sense exceptional. -
ANS-Answer: 1
Page: five
Feedback
1.
Knowledge of the bimodality of age onset of positive disease conditions will resource the
superior exercise nurse in averting misdiagnosis or postpone in prognosis because of lack of
popularity.
2.
Symptoms of rheumatoid arthritis may be specific relying on the age of the patient.
3.
Younger sufferers won't revel in constitutional signs and symptoms along with fever, malaise,
weight reduction, and depression.
4.
In late-onset rheumatoid arthritis, the joint involvement is extra frequently within the larger
joints.
. Mrs. Smith is seventy five years antique and has had type 2 diabetes for 30 years. She
sees her nurse practitioner on a ordinary basis. Mrs. Smith asks the nurse practitioner why
her treatment has not been changed, despite the fact that her laboratory values are
seemingly out of normal variety. Which of the following answers are first-class? Select all
that practice.
1. A selection to make changes have to be primarily based on a pattern and not on one set
of laboratory consequences.
2. The everyday range charts are based on patients younger than 75 years.
Three. Currently, it is too high priced to alternate your treatment.
Four. Comparing new results with your earlier effects gives a more correct picture.
