The snurse sis ssetting sup san seducation ssession swith san s85-year-old spatient swho swill sbe sgoing
shome son santicoagulant stherapy. sWhich sstrategy swould sreflect sconsideration sof saging schanges
sthat smay sexist swith sthis spatient? s
A. sShow sa scolorful svideo sabout santicoagulation stherapy. s
B. sPresent sall sthe sinformation sin sone ssession sjust sbefore sdischarge. s
sC. sGive sthe spatient spamphlets sabout sthe smedications sto sread sat shome. s
D. sDevelop slarge-print shandouts sthat sreflect sthe sverbal sinformation spresented. s- sCorrect s sAnswer
s- sD. sDevelop slarge-print shandouts sthat sreflect sthe sverbal sinformation spresented. s
Rationale: sOption sD saddresses saltered sperception sin stwo sways. sFirst, sby susing svisual saids sto
sreinforce sverbal sinstructions, sone saddresses sthe spossibility sof sdecreased sability sto shear shigh-
frequency ssounds. sBy sdeveloping sthe shandouts sin slarge sprint, sone saddresses sthe spossibility sof
sdecreased svisual sacuity. sOption sA sdoes snot sallow sdiscussion sof sthe sinformation; sfurthermore, sthe
stext sand sprint smay sbe ssmall sand sdifficult sto sread sand sunderstand.
When sdeveloping sthe splan sof scare sfor san solder sadult swho sis shospitalized sfor san sacute sillness, sthe
snurse sshould s
A. suse sa sstandardized sgeriatric snursing scare splan. s
B. splan sfor slikely slong-term-care stransfer sto sallow sadditional stime sfor srecovery. s
sC. sconsider sthe spreadmission sfunctional sabilities swhen ssetting spatient sgoals. s
D. sminimize sactivity slevel sduring shospitalization. s- sCorrect s sAnswer s- sC. sconsider sthe spreadmission
sfunctional sabilities swhen ssetting spatient sgoals. s
,Rationale: sThe splan sof scare sfor solder sadults sshould sbe sindividualized sand sbased son sthe spatients
scurrent sfunctional sabilities. sA sstandardized sgeriatric snursing scare splan sis sunlikely sto saddress
sindividual spatient sneeds sand sstrengths. sA spatients sneed sfor sdischarge sto sa slong-term-care sfacility
sis svariable. sActivity slevel sshould sbe sdesigned sto sallow sthe spatient sto sretain sfunctional sabilities
swhile shospitalized sand salso sto sallow sany sadditional srest sneeded sfor srecovery sfrom sthe sacute
sprocess.
Which sinformation sobtained sby sthe shome shealth snurse swhen smaking sa svisit sto san s88-year-old
swith smild sforgetfulness sis sof sthe smost sconcern? s
A. sThe spatient's sson suses sa smarked spillbox sto sset sup sthe spatient's smedications sweekly. s
B. sThe spatient shas slost s10 spounds s(4.5 skg) sduring sthe slast smonth. s
C. sThe spatient sis scared sfor sby sa sdaughter sduring sthe sday sand sstays swith sa sson sat snight. s
sD. sThe spatient stells sthe snurse sthat sa sclose sfriend srecently sdied. s- sCorrect s sAnswer s- sB. sThe
spatient shas slost s10 spounds s(4.5 skg) sduring sthe slast smonth. s
Rationale: sA s10-pound sweight sloss smay sbe san sindication sof selder sneglect sor sdepression sand
srequires sfurther sassessment sby sthe snurse.
A s70-year-old sclient sasks sthe snurse sto sexplain sto sher sabout shypertension. sAn sappropriate
sresponse sby sthe snurse sas sto swhy solder sclients soften shave shypertension sis sdue sto: s
A. sMyocardial smuscle sdamage s
B. sReduction sin sphysical sactivity s
C. sIngestion sof sfoods shigh sin ssodium s
sD. sAccumulation sof splaque son sarterial swalls s- sCorrect s sAnswer s- sD. sAccumulation sof splaque son
sarterial swalls
In sreviewing schanges sin sthe solder sadult, sthe snurse srecognizes sthat swhich sof sthe sfollowing
sstatements srelated sto scognitive sfunctioning sin sthe solder sclient sis strue? s
A. sDelirium sis susually seasily sdistinguished sfrom sirreversible sdementia. s
B. sTherapeutic sdrug sintoxication sis sa scommon scause sof ssenile sdementia. s
, C. sReversible ssystemic sdisorders sare soften simplicated sas sa scause sof sdelirium. s
sD. sCognitive sdeterioration sis san sinevitable soutcome sof sthe shuman saging sprocess. s- sCorrect s
sAnswer s- sC. sReversible ssystemic sdisorders sare soften simplicated sas sa scause sof sdelirium. s
Rationale: sDelirium sis sa spotentially sreversible scognitive simpairment sthat sis soften sdue sto sa
sphysiological scause ssuch sas san selectrolyte simbalance, scerebral sanoxia, shypoglycemia, smedications,
stumors, scerebrovascular sinfection, sor shemorrhage.
Which sof sthe sfollowing sinterventions sshould sbe staken sto shelp san solder sclient sto sprevent
sosteoporosis? s
A. sDecrease sdietary scalcium sintake. s
B. sIncrease ssedentary slifestyles s
C. sIncrease sdietary sprotein sintake. s
sD. sEncourage sregular sexercise. s- sCorrect s sAnswer s- sD. sEncourage sregular sexercise. s
Rationale: sKey sword sin squestion sis sprevent
Weight-bearing sexercises shelps sto sfight soff sdegeneration sof sbone sin sosteoporosis
Which sof sthe sfollowing sstatements saccurately sreflects sdata sthat sthe snurse sshould suse sin splanning
scare sto smeet sthe sneeds sof sthe solder sadult? s
A. s50% sof solder sadults shave stwo schronic shealth sproblems. s
B. sCancer sis sthe smost scommon scause sof sdeath samong solder sadults. s
C. sNutritional sneeds sfor sboth syounger sand solder sadults sare sessentially sthe ssame. s
sD. sAdults solder sthan s65 syears sof sage sare sthe sgreatest susers sof sprescription smedications. s-
sCorrect s sAnswer s- sD. sAdults solder sthan s65 syears sof sage sare sthe sgreatest susers sof sprescription
smedications. s
Rationale: sApproximately stwo sthirds sof solder sadults suse sprescription sand snonprescription sdrugs
swith sone sthird sof sall sprescriptions sbeing swritten sfor solder sadults