Solutions
Who is at highest risk for suicide?
a. 60-year-old with kidney stones
b. 85-year-old man whose spouse died 1 year ago
c. 18-year-old who has made an appointment with his primary
health care provider
d. 75-year-old woman living with her child and grandchildren
B
A nurse recognizes that depression has functional consequences.
Late-life depression may lead to all of the functional
consequences except...
a. Decreased functioning
b. Increased risk for suicide
c. Dementia
d. Higher level of pain
C
An older adult is admitted to the hospital with weight loss and
cognitive impairment. To assist in the diagnosis of major
depressive disorder, the nurse assesses all of the following
,except...
a. Sleep disturbances
b. Decreased deep tendon reflexes
c. Psychomotor agitation
d. Loss of interest or pleasure
B
A new nursing assistant asks the nurse how best to approach a
hearing-impaired older adult. Which approach should the nurse
recommend?
a. Raise the volume of your voice.
b. Lower the tone of your voice.
c. Leave the radio on to calm the older adult.
d. Use exaggerated lip movements.
B
An 85-year-old woman who lives alone says to the nurse, "There
is nothing I can do about my hearing. I am 85 years old, and I
am not really interested in listening to television programs
anymore." Which would be the nurse's best response?
a. "I know a hearing aid dealer who offers free testing. Have you
thought about trying a hearing aid?"
b. "You are lucky you still live alone at 85, and I understand
why you don't care about the programs on television."
,c. "Did you know that there are closed-caption television sets
that would allow you to enjoy some shows?"
d. "Have you talked with your health care provider about a
hearing evaluation? This would determine the problem and
possible solutions to it."
D
A 76-year-old adult expresses frustration to the nurse regarding
hearing loss despite a lifetime of being conscientious about
avoiding known causes of hearing damage. Which age-related
change may result in hearing loss?
a. Plaque formation and occlusion of the Eustachian tubes
b. Decreased viscosity and quantity of cerumen
c. Hypertrophy of the external ear structures
d. Degeneration of the inner ear structures
D
A nurse who regularly visits an adult daycare center has noted
evidence of a hearing deficit in a man who has no documented
history of hearing loss. The nurse should consider all of the
following factors when attempting to ascertain the etiology of
the man's hearing loss except...
, a. Genetic factors
b. Ototoxic medications
c. Environmental conditions
d. Fluid and electrolyte imbalances
D
What strategy should care providers adopt when communicating
with older adults who have hearing loss?
a. Use less complex concepts when communicating with
hearing-impaired older adults.
b. Make eye contact before and during a conversation with
hearing-impaired adults.
c. Use a high, consistent tone and pitch when speaking to adults
with hearing loss.
d. Speak at a high volume directly into the less affected ear
when talking to an older adult with a hearing deficit.
B
As part of a comprehensive physical assessment of an older
adult client, a nurse is performing an otoscopic examination.
Which assessment finding most clearly warrants further
assessment and possible intervention?
a. The epithelial lining is bright red.