A&E 3 TEST BANK EXAM 1 \ NEWEST VERSION \LATEST
VERSION WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS \ASSURED PASS ALREADY GRADED
A+
The nurse performs a Answer: d. "Are you able to prepare your own meals?"
comprehensive
assessment of an older Rationale: The patient's functional abilities, rather than the
presence of an acute or
patient who is
chronic illness, are more useful in determining how well
considering admission
the patient might adapt to an assisted living situation.
to an assisted
The other questions will also provide helpful information
living facility. Which
but are not as useful in providing a basis for
question is the most
determining patient needs or for developing
important for the nurse
interventions for the older patient.
to ask?
a. "Have you had any recent
infections?"
b. "How frequently do you see
a doctor?"
c. "Do you have a history of
heart disease?"
"Are you able to
d.
prepare your own
meals?"
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An alert older patient who Answer: a. Risk for injury
takes multiple medications
for chronic cardiac and Rationale: The patient's age and multiple medications
pulmonary diseases lives indicate a risk for injury caused by interactions
with a daughter who works between the multiple drugs being taken and a
during the day. During a decreased drug
clinic metabolism rate. Problems with social isolation,
visit, the patient tells the caregiver strain, or difficulty coping are not physiologic
nurse that she has a priorities. Drug-drug interactions could cause the most
strained relationship with harm to the patient and are therefore the priority.
her daughter and does not
enjoy being alone all day.
In planning care for this
patient, which
problem should the nurse
consider as the priority?
a. Risk for injury
b. Social isolation
c. Caregiver strain
d. Difficulty coping
Which method should the Answer: b. Use a geriatric assessment instrument to evaluate the
nurse use to patient.
obtain a complete
assessment of an older Rationale: The most complete information about the patient will
be obtained by
patient?
using an assessment instrument specific to the geriatric
population, which includes information about both
a. Review the patient's
medical diagnoses and treatments and about
health record for
functional
previous assessments.
health patterns and abilities. A review of the medical
b. Use a geriatric assessment
record, interviews with the patient and caregiver, and
instrument to evaluate the
written information by the patient are all included in a
patient.
comprehensive geriatric assessment.
c. Ask the patient to write
down medical problems
and medications.
d. Interview both the
patient and the primary
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caregiver for the
patient.
Which intervention should the Answer: c. Consider the preadmission functional abilities.
nurse
implement to provide Rationale: The plan of care for older adults should be
optimal care for an older individualized and based on the patient's current
patient who is functional abilities. A standardized geriatric care plan
hospitalized with will not address individual patient needs and
pneumonia?
strengths. A patient's need for discharge to a long-
term care facility is variable. Activity level should
a. Use a standardized geriatric
care plan. be designed to allow the patient to retain functional
b. Plan for transfer to a abilities while hospitalized and also to allow any
long-term care facility. additional rest needed for recovery from the acute process.
c. Consider the
preadmission functional
abilities.
d. Minimize physical activity
during
hospitalization.
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The nurse cares for an older Answer: c. Ensure transportation to appointments with the health
adult patient care provider.
who lives in a rural area.
Which Rationale: Transportation can be a barrier to accessing health
intervention should the nurse services in rural areas.
plan to The patient living in a rural area may lose the benefits of a familiar
implement to meet this situation and
patient's needs? social support by moving to an urban area. There are no
chronic diseases unique to rural areas. Because
a. Suggest that the patient
medications may change, the nurse should help the
move closer to health care
patient plan for obtaining medications through alternate
providers.
means such as the mail or delivery
b. Obtain extra medications services, not by buying large quantities of the medications.
for the patient to last for 4
to 6 months. c. Ensure
transportation to
appointments with the
health care provider.
d. Assess the patient for
chronic diseases
that are unique to rural areas.
Which nursing action will be Answer: c. Ask the patient to bring all medications,
most helpful in supplements, and herbs to each appointment.
decreasing the risk for
drug-drug interactions in Rationale: The most information about drug use and
an older adult? possible interactions is obtained when the patient
brings all prescribed medications, OTC medications,
a. Teach the patient to have all
and
prescriptions filled at the
supplements to every health care appointment. The
same pharmacy.
b. Make a schedule for the
patient should discuss the use of any OTC medications
patient as a with the health care provider and obtain all
reminder of when to take each prescribed
medication.
medications from the same pharmacy. Use of
c. Ask the patient to bring all
supplements and herbal medications need to be
medications,
considered in order to prevent drug-drug
supplements, and herbs
interactions. Use of a
to each
medication schedule will help the patient take
appointment.
d. Instruct the patient to
medications as scheduled but will not prevent drug-
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