NU170 exam 2 with correct answers |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ageism - correct answer✔✔discrimination on the basis of a person's increasing age
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
stereotypes against older adults - correct answer✔✔ill, disabled, poor, unattractive |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. A patient's family member is considering having her mother placed in a nursing center. The
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse has talked with the family before and knows that this is a difficult decision. Which of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
following criteria does the nurse recommend in choosing a nursing center? (Select all that
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
apply.)
1. The center needs to be clean, and rooms should look like a hospital room.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Adequate staffing is available on all shifts.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Social activities are available for all residents.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. The center provides three meals daily with a set menu and serving schedule.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. Staff encourage family involvement in care planning and assisting with physical care. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔2. Adequate staffing is available on all shifts.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Social activities are available for all residents.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. Staff encourage family involvement in care planning and assisting with physical care.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. A nurse conducted an assessment of a new patient who came to the medical clinic. The
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
years. He is alert but becomes easily distracted during the assessment. He recently moved to a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Dementia. |||\\\
2. Depression. |||\\\
3. Delirium. |||\\\
4. Anxiety. - correct answer✔✔depression
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,3. A nurse is completing a health history with the daughter of a newly admitted patient who is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
disease 1year ago but became extremely confused last evening and was hallucinating. She was
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
unable to calm her, and her mother thought she was a stranger. On the basis of this history, the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse suspects that the patient is experiencing:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Normal aging.
|||\\\ |||\\\
2. Delirium.
|||\\\
3. Depression.
|||\\\
4. Worsening dementia. - correct answer✔✔delirium
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Older adults frequently experience a change in sexual activity. Which best explains this
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
change?
1. The need to touch and be touched is decreased.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. The sexual preferences of older adults are not as diverse.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Medication side effects often impact sexual functioning.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Frequency and opportunities for sexual activity may decline. - correct answer✔✔Frequency
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and opportunities for sexual activity may decline.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. A nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
started to notice a glare in the lights at home. Her vision is blurred, and she is unable to play
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cards with her friends, read, or do her needlework. Which of the following nursing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
interventions are appropriate? (Select all that apply.) |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Refer her to an ophthalmologist.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Suggest large-print books and playing cards.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Reassure her that this is part of normal aging.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Suggest lower-wattage light bulbs to decrease glare.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. Assess her home environment for safety. - correct answer✔✔Refer her to an
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ophthalmologist
Suggest large-print books and playing cards |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Assess her home environment for safety |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
management role for the past 20 years. He has been with the same company for 42 years and |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
her grandchildren as needed, and belongs to numerous church committees. What are the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
major concerns for this patient? (Select all that apply.)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. The loss of his work role
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. The risk of social isolation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. A determination on whether the wife will need to start working
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. How the wife expects household tasks to be divided in the home in retirement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. The age the patient chose to retire - correct answer✔✔The loss of his work role
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How the wife expects household tasks to be divided in the home in retirement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
7. A nurse is assessing an older adult brought to the emergency department following a fall and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
wrist fracture. The patient is very thin and unkempt, has a stage 3 pressure injury on her
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
defers all of the questions to her caregiver son, who accompanied her to the hospital. What is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the nurse's next step?
|||\\\ |||\\\ |||\\\
1. Call social services to begin nursing home placement.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Ask the son to step out of the room so that she can complete her assessment.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Call adult protective services because you suspect elder mistreatment.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Assess the patient's cognitive status. - correct answer✔✔Ask the son to step out of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
room so that she can complete her assessment.|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
8. A nurse is participating in a health and wellness event at the local community center. A
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
woman approaches and relates that she is worried that her widowed father is becoming more
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
functionally impaired and may need to move in with her. The nurse asks about his ability to |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
complete activities of daily living (ADLs). ADLs include independence with: (Select all that |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
apply.)
ageism - correct answer✔✔discrimination on the basis of a person's increasing age
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
stereotypes against older adults - correct answer✔✔ill, disabled, poor, unattractive |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. A patient's family member is considering having her mother placed in a nursing center. The
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse has talked with the family before and knows that this is a difficult decision. Which of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
following criteria does the nurse recommend in choosing a nursing center? (Select all that
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
apply.)
1. The center needs to be clean, and rooms should look like a hospital room.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Adequate staffing is available on all shifts.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Social activities are available for all residents.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. The center provides three meals daily with a set menu and serving schedule.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. Staff encourage family involvement in care planning and assisting with physical care. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔2. Adequate staffing is available on all shifts.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Social activities are available for all residents.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. Staff encourage family involvement in care planning and assisting with physical care.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. A nurse conducted an assessment of a new patient who came to the medical clinic. The
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
years. He is alert but becomes easily distracted during the assessment. He recently moved to a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Dementia. |||\\\
2. Depression. |||\\\
3. Delirium. |||\\\
4. Anxiety. - correct answer✔✔depression
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,3. A nurse is completing a health history with the daughter of a newly admitted patient who is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
disease 1year ago but became extremely confused last evening and was hallucinating. She was
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
unable to calm her, and her mother thought she was a stranger. On the basis of this history, the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse suspects that the patient is experiencing:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Normal aging.
|||\\\ |||\\\
2. Delirium.
|||\\\
3. Depression.
|||\\\
4. Worsening dementia. - correct answer✔✔delirium
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Older adults frequently experience a change in sexual activity. Which best explains this
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
change?
1. The need to touch and be touched is decreased.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. The sexual preferences of older adults are not as diverse.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Medication side effects often impact sexual functioning.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Frequency and opportunities for sexual activity may decline. - correct answer✔✔Frequency
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and opportunities for sexual activity may decline.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. A nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
started to notice a glare in the lights at home. Her vision is blurred, and she is unable to play
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cards with her friends, read, or do her needlework. Which of the following nursing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
interventions are appropriate? (Select all that apply.) |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Refer her to an ophthalmologist.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Suggest large-print books and playing cards.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Reassure her that this is part of normal aging.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Suggest lower-wattage light bulbs to decrease glare.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. Assess her home environment for safety. - correct answer✔✔Refer her to an
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ophthalmologist
Suggest large-print books and playing cards |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Assess her home environment for safety |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
management role for the past 20 years. He has been with the same company for 42 years and |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
her grandchildren as needed, and belongs to numerous church committees. What are the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
major concerns for this patient? (Select all that apply.)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. The loss of his work role
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. The risk of social isolation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. A determination on whether the wife will need to start working
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. How the wife expects household tasks to be divided in the home in retirement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
5. The age the patient chose to retire - correct answer✔✔The loss of his work role
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How the wife expects household tasks to be divided in the home in retirement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
7. A nurse is assessing an older adult brought to the emergency department following a fall and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
wrist fracture. The patient is very thin and unkempt, has a stage 3 pressure injury on her
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
defers all of the questions to her caregiver son, who accompanied her to the hospital. What is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the nurse's next step?
|||\\\ |||\\\ |||\\\
1. Call social services to begin nursing home placement.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
2. Ask the son to step out of the room so that she can complete her assessment.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Call adult protective services because you suspect elder mistreatment.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Assess the patient's cognitive status. - correct answer✔✔Ask the son to step out of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
room so that she can complete her assessment.|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
8. A nurse is participating in a health and wellness event at the local community center. A
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
woman approaches and relates that she is worried that her widowed father is becoming more
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
functionally impaired and may need to move in with her. The nurse asks about his ability to |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
complete activities of daily living (ADLs). ADLs include independence with: (Select all that |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
apply.)
