NYU Adult and Elder 1 Midterm exam with \| \| \| \| \| \| \| \|
answers
A student nurse is caring for a 78-year-old patient with multiple sclerosis. The
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patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the
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patient's temperature was 37.1° C (98.8° F). The student reports her recent
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assessment to the registered nurse (RN): the patient's temperature is 37.2° C
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(99° F); the Foley catheter is still in place, draining dark urine; and the patient
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is uncertain what time of day it is. From what the RN knows about
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presentation of symptoms in older adults, what should he recommend? \| \| \| \| \| \| \| \| \|
A. Tell the student that temporary confusion is normal and simply requires
\| \| \| \| \| \| \| \| \| \| \| \|
reorientation
B. Tell the student to increase the patient's fluid intake since the urine is
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concentrated
C. Tell the student that her assessment findings are normal for an older adult
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D. Tell the student that he will notify the physician of the findings -
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CORRECT ANSWERS ✔✔D \| \|
The patient may have subtle symptoms of a urinary tract infection, as
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evidenced by a slight increase in body temperature, development of
\| \| \| \| \| \| \| \| \| \|
confusion, and the dark-colored urine. Temporary confusion is not a normal
\| \| \| \| \| \| \| \| \| \| \|
condition in older adults. Increasing the fluid intake is acceptable but not a
\| \| \| \| \| \| \| \| \| \| \| \| \|
recommendation for the set of symptoms the patient presents. The presenting \| \| \| \| \| \| \| \| \| \| \|
set of symptoms is not normal.
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,A patient's family member is considering having her mother placed in a
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nursing center. You have talked with the family before and know that this is a
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difficult decision. Which of the following criteria would you recommend in
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choosing a nursing center? (Select all that apply.)\| \| \| \| \| \| \|
A. The center should be clean, and rooms should look like a hospital room.
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B. There should be adequate staffing on all shifts.
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C. Social activities should be available for all residents.
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D. Three meals should be served daily with a set menu and serving schedule.
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E. Family involvement in care planning and assisting with physical care is
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necessary. - CORRECT ANSWERS ✔✔B, C, E \| \| \| \| \| \|
Adequate staffing, provision of social activities, and active family involvement
\| \| \| \| \| \| \| \| \| \|
are essential. Meals should be high quality with options for what to eat and
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
when it is served. A nursing center should be clean, but it should look like a
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
person's home. \|
A nurse has conducted an assessment of a new patient who has come to the
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medical clinic. The patient is 82 years old and has had osteoarthritis for 10
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years and diabetes mellitus for 20 years. He is alert but becomes easily
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distracted during the nursing history. He recently moved to a new apartment,
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and his pet beagle died just 2 months ago. He is most likely experiencing:
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A. Dementia.
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B. Depression.
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C. Delirium.
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,D. Disengagement. - CORRECT ANSWERS ✔✔B
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Factors that often lead to depression include presence of a chronic disease or a
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recent change or life event (such as loss). Patients are alert but easily
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distracted in conversation. \| \|
A major life event such as the death of a loved one, a move to a nursing home,
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
or a cancer diagnosis could precipitate:
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A. Dementia.
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B. Delirium.
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C. Depression.
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D. Stroke. - CORRECT ANSWERS ✔✔C
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The onset of depression could be abrupt or gradual, but the usual cause is a
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major life-altering event in the life of the person experiencing the depression.
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Sexuality is maintained throughout our lives. Which answer below best
\| \| \| \| \| \| \| \| \| \|
explains sexuality in an older adult? \| \| \| \| \|
A. When the sexual partner passes away, the survivor no longer feels sexual.
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B. A decrease in an older adult's libido occurs.
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C. Any outward expression of sexuality suggests that the older adult is having
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a developmental problem.
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, D. All older adults, whether healthy or frail, need to express sexual feelings. -
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CORRECT ANSWERS ✔✔D \| \| \|
Sexuality is normal throughout the life span, and older adults need to be able
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
to express their sexual feelings.
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Older adults experience a change in sexual activity. Which best explains this
\| \| \| \| \| \| \| \| \| \| \| \|
change?
A. The need to touch and be touched is decreased.
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B. The sexual preferences of older adults are not as diverse.
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C. Physical changes usually do not affect sexual functioning.
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D. Frequency and opportunities for sexual activity may decline. - CORRECT
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ANSWERS ✔✔D \|
As a result of loss of a loved one or a chronic illness in themselves or their
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
partner, opportunities for sexual activity may decline.
\| \| \| \| \| \|
You see a 76-year-old woman in the outpatient clinic. Her chief complaint is
\| \| \| \| \| \| \| \| \| \| \| \| \|
vision. She states she has really noticed glare in the lights at home. Her vision
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
is blurred; and she is unable to play cards with her friends, read, or do her
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
needlework. You suspect that she may have: \| \| \| \| \| \|
A. Presbyopia.
\|
B. Disengagement.
\|
answers
A student nurse is caring for a 78-year-old patient with multiple sclerosis. The
\| \| \| \| \| \| \| \| \| \| \| \| \|
patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
patient's temperature was 37.1° C (98.8° F). The student reports her recent
\| \| \| \| \| \| \| \| \| \| \| \|
assessment to the registered nurse (RN): the patient's temperature is 37.2° C
\| \| \| \| \| \| \| \| \| \| \| \|
(99° F); the Foley catheter is still in place, draining dark urine; and the patient
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
is uncertain what time of day it is. From what the RN knows about
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
presentation of symptoms in older adults, what should he recommend? \| \| \| \| \| \| \| \| \|
A. Tell the student that temporary confusion is normal and simply requires
\| \| \| \| \| \| \| \| \| \| \| \|
reorientation
B. Tell the student to increase the patient's fluid intake since the urine is
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
concentrated
C. Tell the student that her assessment findings are normal for an older adult
\| \| \| \| \| \| \| \| \| \| \| \| \|
D. Tell the student that he will notify the physician of the findings -
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔D \| \|
The patient may have subtle symptoms of a urinary tract infection, as
\| \| \| \| \| \| \| \| \| \| \| \|
evidenced by a slight increase in body temperature, development of
\| \| \| \| \| \| \| \| \| \|
confusion, and the dark-colored urine. Temporary confusion is not a normal
\| \| \| \| \| \| \| \| \| \| \|
condition in older adults. Increasing the fluid intake is acceptable but not a
\| \| \| \| \| \| \| \| \| \| \| \| \|
recommendation for the set of symptoms the patient presents. The presenting \| \| \| \| \| \| \| \| \| \| \|
set of symptoms is not normal.
\| \| \| \| \|
,A patient's family member is considering having her mother placed in a
\| \| \| \| \| \| \| \| \| \| \| \|
nursing center. You have talked with the family before and know that this is a
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
difficult decision. Which of the following criteria would you recommend in
\| \| \| \| \| \| \| \| \| \| \|
choosing a nursing center? (Select all that apply.)\| \| \| \| \| \| \|
A. The center should be clean, and rooms should look like a hospital room.
\| \| \| \| \| \| \| \| \| \| \| \| \|
B. There should be adequate staffing on all shifts.
\| \| \| \| \| \| \| \|
C. Social activities should be available for all residents.
\| \| \| \| \| \| \| \|
D. Three meals should be served daily with a set menu and serving schedule.
\| \| \| \| \| \| \| \| \| \| \| \| \|
E. Family involvement in care planning and assisting with physical care is
\| \| \| \| \| \| \| \| \| \| \| \|
necessary. - CORRECT ANSWERS ✔✔B, C, E \| \| \| \| \| \|
Adequate staffing, provision of social activities, and active family involvement
\| \| \| \| \| \| \| \| \| \|
are essential. Meals should be high quality with options for what to eat and
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
when it is served. A nursing center should be clean, but it should look like a
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
person's home. \|
A nurse has conducted an assessment of a new patient who has come to the
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
medical clinic. The patient is 82 years old and has had osteoarthritis for 10
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
years and diabetes mellitus for 20 years. He is alert but becomes easily
\| \| \| \| \| \| \| \| \| \| \| \| \|
distracted during the nursing history. He recently moved to a new apartment,
\| \| \| \| \| \| \| \| \| \| \| \|
and his pet beagle died just 2 months ago. He is most likely experiencing:
\| \| \| \| \| \| \| \| \| \| \| \| \|
\|
A. Dementia.
\|
B. Depression.
\| \|
C. Delirium.
\|
,D. Disengagement. - CORRECT ANSWERS ✔✔B
\| \| \| \| \|
Factors that often lead to depression include presence of a chronic disease or a
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
recent change or life event (such as loss). Patients are alert but easily
\| \| \| \| \| \| \| \| \| \| \| \| \|
distracted in conversation. \| \|
A major life event such as the death of a loved one, a move to a nursing home,
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
or a cancer diagnosis could precipitate:
\| \| \| \| \|
A. Dementia.
\|
B. Delirium.
\|
C. Depression.
\|
D. Stroke. - CORRECT ANSWERS ✔✔C
\| \| \| \| \| \|
The onset of depression could be abrupt or gradual, but the usual cause is a
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
major life-altering event in the life of the person experiencing the depression.
\| \| \| \| \| \| \| \| \| \| \|
Sexuality is maintained throughout our lives. Which answer below best
\| \| \| \| \| \| \| \| \| \|
explains sexuality in an older adult? \| \| \| \| \|
A. When the sexual partner passes away, the survivor no longer feels sexual.
\| \| \| \| \| \| \| \| \| \| \| \|
B. A decrease in an older adult's libido occurs.
\| \| \| \| \| \| \| \|
C. Any outward expression of sexuality suggests that the older adult is having
\| \| \| \| \| \| \| \| \| \| \| \| \|
a developmental problem.
\| \|
, D. All older adults, whether healthy or frail, need to express sexual feelings. -
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔D \| \| \|
Sexuality is normal throughout the life span, and older adults need to be able
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
to express their sexual feelings.
\| \| \| \|
Older adults experience a change in sexual activity. Which best explains this
\| \| \| \| \| \| \| \| \| \| \| \|
change?
A. The need to touch and be touched is decreased.
\| \| \| \| \| \| \| \| \|
B. The sexual preferences of older adults are not as diverse.
\| \| \| \| \| \| \| \| \| \|
C. Physical changes usually do not affect sexual functioning.
\| \| \| \| \| \| \| \|
D. Frequency and opportunities for sexual activity may decline. - CORRECT
\| \| \| \| \| \| \| \| \| \| \|
ANSWERS ✔✔D \|
As a result of loss of a loved one or a chronic illness in themselves or their
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
partner, opportunities for sexual activity may decline.
\| \| \| \| \| \|
You see a 76-year-old woman in the outpatient clinic. Her chief complaint is
\| \| \| \| \| \| \| \| \| \| \| \| \|
vision. She states she has really noticed glare in the lights at home. Her vision
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
is blurred; and she is unable to play cards with her friends, read, or do her
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
needlework. You suspect that she may have: \| \| \| \| \| \|
A. Presbyopia.
\|
B. Disengagement.
\|
