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"Which teaching strategy is best to utilize with older adult patients?
a. Provide several topics of discussion at once to promote independence
and making choices.
b. Avoid uncomfortable silences after questions by helping patients
complete their statements.
c. Ask patients to recall past experiences that correspond with their
interests.
d. Speak in a high pitch to help patients hear better. - CORRECT
ANSWER=> ANS: C
Teaching strategies include the use of past experiences to connect new
learning with previous knowledge, focusing on a single topic to help the
patient concentrate, giving the patient enough time in which to respond
because older adults reaction times are longer than those of younger
persons, and keeping the tone of voice low; older adults are able to hear
low sounds better than high-frequency sounds."
"An older adult patient has developed acute confusion. The patient has
been on tranquilizers for the past week. The patients vital signs are
normal. What should the nurse do?
a. Take into account age-related changes in body systems that affect
pharmacokinetic activity.
b. Increase the dose of tranquilizer if the cause of the confusion is an
infection.
c. Note when the confusion occurs and medicate before that time.
d. Restrict telephone usage to prevent further confusion. - CORRECT
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,ANSWER=> ANS: A
Sedatives and tranquilizers sometimes prescribed for acutely confused
older adults sometimes cause or exacerbate confusion. Carefully
administer drugs used to manage confused behaviors, taking into
account age-related changes in body systems that affect pharmacokinetic
activity. When confusion has a physiological cause (such as an
infection), specifically treat that cause, rather than the confused
behavior. When confusion varies by time of day or is related to
environmental factors, nonpharmacological measures such as making
the environment more meaningful, providing adequate light, etc., should
be used. Making telephone calls to friends or family members allows
older adults to hear reassuring voices, which may be beneficial."
"What is the best suggestion a nurse could make to a family requesting
help in selecting a local nursing center?
a. Suggest choosing a nursing center that is as sanitary as possible.
The closer the center is to hospital standards, the better.
b. Have family members evaluate nursing home staff according to
their ability to get tasks done efficiently.
c. Make sure that nursing home staff members get patients out of bed
every day for the entire day.
d. Explain that it is probably best for the family to visit the center and
inspect it personally. - CORRECT ANSWER=> ANS: D
An important step in the process of selecting a nursing home is to visit
the nursing home. The nursing home should not feel like a hospital. It is
a home, a place where people live. Members of the nursing home staff
should focus on the person, not the task. Residents should be out of bed
and dressed according to their preferences, not staff preferences."
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, "An outcome for an older adult patient living alone is to be free from
falls. Which of these statements by a patient indicates that teaching on
safety concerns has been effective?
a. Ill leave my throw rugs in place so that my feet wont touch the cold
tile.
b. Ill take my time getting up from the bed or chair.
c. I should wear my favorite smooth bottom socks to protect my feet
when walking around.
d. I will have my son dim the lighting outside to decrease the glare in my
eyes. - CORRECT ANSWER=> ANS: B
Older adults taking medications with adverse effects such as postural
hypotension, dizziness, or sedation need to be aware of these potential
effects and to take precautions such as changing position slowly or
ambulating with assistance if unsteady. Household items that are easy to
trip over, such as throw rugs, are a risk factor for falls. Other risk factors
include wearing shoes in poor repair or slippery soles. Impaired vision
and poor lighting are other risk factors."
"A 70-year-old patient who suffers from worsening dementia is no
longer able to live alone. When discussing health care services and
possible long-term living arrangements with the patients only son, what
should the nurse suggest?
a. An apartment setting with neighbors close by
b. Having the patient utilize weekly home health visits
c. A nursing center because home care is no longer safe
d. That placement is irrelevant because the patient is retreating to a place
of inactivity - CORRECT ANSWER=> ANS: C
Some family caregivers consider nursing center placement when inhome
care becomes increasingly difficult, or when convalescence from
hospitalization requires more assistance than the family is able to
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