•Religion is a significant expression of spirituality, but highly
spiritual individuals may not identify with a specific religion.
Correct Answers true
•Which of the following is the best way to assess spiritual needs
of an older adult during a holistic assessment?` Correct
Answers B. Asking the older adult about specific needs related
to spirituality
Rationale: As part of a holistic assessment, ask questions that
directly address person's spirituality and spiritual needs.
1st action when a person wanting to go to bed C/O pain Correct
Answers identify the cause of pain- undiagnosed medical
conditions can be the source of the problem, but so can
psychological factors, poor positioning, and adverse drug rxns
(comprehensive assessment is crucial)
accomplishments in surviving to old age Correct Answers
•Coping with adversities, adjusting to change, and learning new
skills
•Inner resources to meet life's challenges
•Need to empower the older adult:
•Mobilize older adults' strengths and capabilities
•Promote normalcy, independence, and individuality
•Honor their wisdom, experience, and capabilities
Older individuals have had to be strong and resourceful to
navigate the stormy waters of life... Nurses should not overlook
these strengths when planning care for older adults
,acupressure Correct Answers a traditional Chinese touch
therapy involving finger pressure applied to specific areas of the
body to restore the flow of qi
acupuncture Correct Answers Chinese medical practice of
inserting needles into certain areas of the body
adverse drug reactions and older adults Correct Answers Risk
of adverse drug reactions higher in older adults related to altered
pharmacokinetics and pharmacodynamics
Mental dysfunction is often an early sign of adverse reaction to
many medications
Pharmacodynamics refers to biologic and therapeutic effects of
drugs at the site of action or on the target organ
Nurses should ensure that drug induced cognitive and behavior
problems are not treated with more drugs
S&S of adverse reactions differ in older adults; A prolonged
time may be required for an adverse reaction to become apparent
in older adults; An adverse reactive to a drug may become
apparent even after the drug is discontinued; Adverse reactive
might occur suddenly, even with a drug that has been used for a
period of time without problems
age related changes to sleep Correct Answers •Circadian sleep-
wake cycles
•Phase advance common among older adults
•Sleep stages
•More time in stages I and II, less time in stages III and IV
•Less sound sleep, delay in onset of sleep
, appropriate room temp for older adults Correct Answers should
not be lower than 75 degrees- older the person is, the narrower
range of temps tolerated without adverse effects
aspirin Correct Answers can cause GI bleeding
assessing spiritual needs Correct Answers •Strong spiritual
beliefs facilitate health and healing
•Nursing strategies to address specific needs
•Being available
•Honoring beliefs and practices
•Providing opportunities for solitude
•Promoting hope
•Assisting in discovering meaning in challenging situations
•Facilitating religious practices
•Praying with and for
•Spiritual assessment
•Faith beliefs and practices
•Affiliation with faith community
•Extent to which spiritual needs are satisfied
•Initial and ongoing
•Fosters holistic care
biofeedback Correct Answers process of teaching people to
bring specific body fxns under voluntary control
Coaching for individuals for completing self-care verses having
a family member complete the task Correct Answers facilitates
growth towards wholeness, maximization of quality of life, and
the provision of peace , comfort and dignity during the dying
process