BSN 425 Sleep Disturbances in the Older Adult Questions
With Complete Solutions
Eating and Feeding Problems in the Older Adult
Question 1 of 3
Which age-related sensory changes in olfaction and taste are
related to decreased intake in the older adult?
Select all that apply.
Decrease in salivary production
Age-related decrease in the sense of smell and taste
Stomach upset due to increased sensitivity to smells
Increase in eating discomfort due to dental problems
Decrease in eating enjoyment due to a diminished sense of taste
and smell - Decrease in salivary production
Age-related decrease in salivary production can affect the smell
and taste of food.
Age-related decrease in the sense of smell and taste
As adults age, the sense of smell and taste decreases.
Decrease in eating enjoyment due to a diminished sense of taste
and smell
Without the satisfaction of smelling and tasting food, the
enjoyment of a meal is decreased.
Pain in the Older Adult
Question 1 of 3
Which factors are associated with underreporting of pain in the
older adult?
Select all that apply.
Untoward side effects
Loss of independence
Cost of pain medication
,Fear over medical testing
Changes in mental status - Loss of independence
Many older adults worry about losing their independence such
as living at home alone or driving privileges.
Fear over medical testing
Older adults may underreport pain due to fears about invasive
medical testing.
Question 1 of 3
An older adult reports left hip pain to the nurse. Which question
should the nurse ask the patient to obtain more information?
Select all that apply.
"Did you fall or bump your hip?"
"What makes your pain worse?"
"What is your current pain rating?"
"Do you have a history of suicide attempts?"
"What were you doing when the pain started?" - "Did you fall or
bump your hip?"
The nurse would ask if the patient sustained an injury to the hip
to determine the cause of the injury.
"What makes your pain worse?"
The nurse would ask the patient about aggravating and
alleviating factors related to the pain.
"What is your current pain rating?"
The nurse should ask the patient what works for pain
management as well as what doesn't work. This can help the
nurse determine the best treatment.
, "What were you doing when the pain started?"
The nurse should inquire about what the patient was doing when
the pain started. This can help the nurse determine a possible
cause of the pain.
Question 1 of 3
Match the sleep characteristic with the stage of NREM sleep.
Slowed pulse
Stage 3
Rapid eye movement
REM sleep
Slow eye movements
Stage 2
Rare body movements
Stage 4 -
Question 1 of 3
The nurse provides care for an older adult client experiencing
frequent nocturnal awakening. Which is the first action the nurse
implements for this patient?
Asking the patient about sleep quality
Recommending the patient start a sleep diary
Scheduling a polysomnography for the patient
Assessing the patient using the Stanford Sleep Scale - Asking
the patient about sleep quality
When providing care to an older adult patient experiencing any
type of sleep disturbance, the first action from the nurse is to
take a sleep history. One question that is included in the sleep
history is asking the patient to describe the sleep quality.
Question 1 of 4
With Complete Solutions
Eating and Feeding Problems in the Older Adult
Question 1 of 3
Which age-related sensory changes in olfaction and taste are
related to decreased intake in the older adult?
Select all that apply.
Decrease in salivary production
Age-related decrease in the sense of smell and taste
Stomach upset due to increased sensitivity to smells
Increase in eating discomfort due to dental problems
Decrease in eating enjoyment due to a diminished sense of taste
and smell - Decrease in salivary production
Age-related decrease in salivary production can affect the smell
and taste of food.
Age-related decrease in the sense of smell and taste
As adults age, the sense of smell and taste decreases.
Decrease in eating enjoyment due to a diminished sense of taste
and smell
Without the satisfaction of smelling and tasting food, the
enjoyment of a meal is decreased.
Pain in the Older Adult
Question 1 of 3
Which factors are associated with underreporting of pain in the
older adult?
Select all that apply.
Untoward side effects
Loss of independence
Cost of pain medication
,Fear over medical testing
Changes in mental status - Loss of independence
Many older adults worry about losing their independence such
as living at home alone or driving privileges.
Fear over medical testing
Older adults may underreport pain due to fears about invasive
medical testing.
Question 1 of 3
An older adult reports left hip pain to the nurse. Which question
should the nurse ask the patient to obtain more information?
Select all that apply.
"Did you fall or bump your hip?"
"What makes your pain worse?"
"What is your current pain rating?"
"Do you have a history of suicide attempts?"
"What were you doing when the pain started?" - "Did you fall or
bump your hip?"
The nurse would ask if the patient sustained an injury to the hip
to determine the cause of the injury.
"What makes your pain worse?"
The nurse would ask the patient about aggravating and
alleviating factors related to the pain.
"What is your current pain rating?"
The nurse should ask the patient what works for pain
management as well as what doesn't work. This can help the
nurse determine the best treatment.
, "What were you doing when the pain started?"
The nurse should inquire about what the patient was doing when
the pain started. This can help the nurse determine a possible
cause of the pain.
Question 1 of 3
Match the sleep characteristic with the stage of NREM sleep.
Slowed pulse
Stage 3
Rapid eye movement
REM sleep
Slow eye movements
Stage 2
Rare body movements
Stage 4 -
Question 1 of 3
The nurse provides care for an older adult client experiencing
frequent nocturnal awakening. Which is the first action the nurse
implements for this patient?
Asking the patient about sleep quality
Recommending the patient start a sleep diary
Scheduling a polysomnography for the patient
Assessing the patient using the Stanford Sleep Scale - Asking
the patient about sleep quality
When providing care to an older adult patient experiencing any
type of sleep disturbance, the first action from the nurse is to
take a sleep history. One question that is included in the sleep
history is asking the patient to describe the sleep quality.
Question 1 of 4
