Chapter 14: Older Adultsra ra ra
MULTIPLE CHOICE ra
1. A nursing attendant is obtaining a history on an older adult. Which finding will thenursi
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n g attendant most typically find? a. Lives in a nursing home.
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b. Lives with a spouse. ra ra ra
c. Lives divorced. ra
d. Lives alone. ra
ACCURATE ANSWER:-B ra
Recent research found that 59% of older adults in noninstitutional settings lived with a spouse
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(42% of older women, 72% of older men); 28% lived alone (34% of older women, 21% of older
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men); and only 3.1% of all older adults resided in institutions such as nursing homes or center
a ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s. Most older adults have lost a spouse due to death rather than divorce.
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DIF:Understand (comprehension) ra
OBJ:Identify common myths and stereotypes about older adults ra ra ra ra ra ra ra
. TOP:Assessment
ar
MSC: Health Promotion and Maintenanc e ra ra ra ra
2. A nursing attendant is developing a plan of care for an older adult. Which information
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will thenursing attendant consider?
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a. Should be standardized because most geriatric hospital client s have thesame needs.
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b. Needs to be individualized to thehospital client ’s unique needs.
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c. Focuses on thedisabilities that all aging persons face. ra ra ra ra ra ra ra
d. Must be based on chronological age alone. ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Every older adult is unique, and thenursing attendant needs to approach each one as a uniqu
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
e individual. thenursing care of older adults poses special challenges because of great variation
ar ra ra ra ra ra ra ra ra ra ra ra ra ra
in their physiological, cognitive, and psychosocial health. Aging does not automatically lead t
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o disability and dependence. Chronological age often has little relation to thereality of aging f
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
or an older adult.
ra ra ra
DIF:Understand (comprehension) ra
OBJ:Identify common myths and stereotypes about older adults ra ra ra ra ra ra ra
. TOP:Planning
ar
MSC: Health Promotion and Maintenanc e ra ra ra ra
3. Which information presented by a coworker on a gerontological unit will ca
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use thenursing attendant to intervene? a.
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Most older people have dependent functioning.
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b. Most older people have strengths we should focus on. ra ra ra ra ra ra ra ra
c. Most older people should be involved in care decision. ra ra ra ra ra ra ra ra
d. Most older people should be encouraged to have independence.
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ACCURATE ANSWER:-A ra
, Most older people remain functionally independent despite theincreasing prevalence of chr
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onic disease; therefore, this misconception should be addressed. It is critical for you to respe
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ct older adults and actively involve them in care decisions and activities. You also need to iden
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
tify an older adult’s strengths and abilities during theassessment and encourage independen
ra ra ra ra ra ra ra ra ra ra ra
ce as an integral part of your plan of care.
ra ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Identify common myths and stereotypes about older adults. TOP:Impleme
ra ra ra ra ra ra ra ra
ntation MSC:
Health Promotion and Maintenance ar ra ra
4. A nursing attendant suspects an olderadult hospital client
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is experiencing nursing attendant neglect. Which assessment findings
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are consistent with thenursing attendant ’s suspicions?
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a. Nursing attendant refuses to leave exam room ra ra ra ra ra ra
b. Left at a grocery store ra ra ra ra
c. Refuses to take a bath ra ra ra ra
d. Cuts and bruises ra ra
ACCURATE ANSWER:-A ra
A necessary part of your assessment is completing theinterview and assessment privately aw
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ay from thenursing attendant . It is definitely a ―red flag‖ if thenursing attendant refuses to leav
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
e theroom or area so that you can ask questions confidentially. Abandonment includes deserti
ra ra ra ra ra ra ra ra ra ra ra ra ra
on at a hospital, nursing facility, or public location such as a shopping center. Self neglect include
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s refusal or failure to provide oneself with basic necessities such as food, wate
ra ra ra ra ra ra ra ra ra ra ra ra ra
r, clothing, shelter, personal hygiene, medication, and safety. Physical abuse includes hitting,
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beating, pushing, slapping, kicking, physical restraint, inappropriate use of drugs, fractures, l
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acerations, rope burns, and untreated injuries. ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Describe themulti-faceted aspects of elder mistreatment. ra ra ra ra ra
TOP:Assessment ar
MSC: Psychosocial Integrity ra ra
5. A nursing attendant is teaching a group of olderadult hospital client s. Which teachi
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ng strategy is best for thenursing attendan t to use?
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a. Provide several topics of discussion at once to promote independence and making choices.
ra ra ra ra ra ra ra ra ra ra ra ar
b. Avoid uncomfortable silences after questions by helping hospital client s
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complete their statements. ra ra
c. Ask hospital client s to recall past experiences that correspond with their interests.
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d. Speak in a high pitch to help hospital client s hear better.
ra ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-C ra
Teaching strategies include theuse of past experiences to connect new learning with previou
ra ra ra ra ra ra ra ra ra ra ra ra
s knowledge, focusing on a single topic to help thehospital client concentrate, giving thehosp
ar ra ra ra ra ra ra ra ra ra ra ra ra
ital client enough time in which to respond because older adults’ reaction times are longer th
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
an those of younger persons, and keeping thetone of voice low; older adults are able to hear lo
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
w sounds better than high-frequency sounds.
ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Discuss issues related to psychosocial changes of aging. ra ra ra ra ra ra ra
TOP:Teaching/Learning ar
, MSC: Health Promotion and Maintenance
ra ra ra ra
6. An older hospital client has fallen and suffered a hip fracture. As a consequence, theh
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ospital cl ar
ient ’s family is concerned about thehospital client ’s ability to care for self, especially
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
during this convalescence. What should thenursing attendant do?
ra ra ra ra ra ra ra
a. Stress that older hospital client s usually ask for help when needed.
ra ra ra ra ra ra ra ra ra ra ra
b. Inform thefamily that placement in a nursing center is a permanent solution.
ra ra ra ra ra ra ra ra ra ra ra
c. Tell thefamily to enroll thehospital client in a ceramics class to maintain quality of life.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d. Provide information and answer questions as family members make choices a
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mong care options. ra ra
ACCURATE ANSWER:-D ra
Nursing attendant s help older adults and their families by providing information and answ
ra ra ra ra ra ra ra ra ra ra ra ra ra
ering questions as they make choices among care options. Some older adults deny functiona
ra ra ra ra ra ra ra ra ra ra ra ra ra
l declines and refuse to ask for assistance with tasks that place their safety at great risk. the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
decision to enter a nursing center is never final, and a nursing center resident sometimes is
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
discharged to home or to another lessacute residence. What defines quality of life varies and is u
ra ra ra ra ra ra ra ra ra ra ra ar ra ra ra ra
nique for each person. ra ra ra
DIF:Apply (application) ra
OBJ:Discuss common developmental tasks of older adults. ra ra ra ra ra ra
TOP:Implementatio n MSC: Health Promotion and Maintenance ar ra ra ra ra
7. What is thebest suggestion a nursing attendant could make to a family requesting h
ra ra ra ra ra ra ra ra ra ra ra ra ra
elp in selecting a local nursing center?
ra ar ra ra ra ra
a. Have thefamily members evaluate nursing home staff according to their ability to
ra ra ra ra ra ra ra ra ra ra ra ar
get tasks done efficiently and safely.
ra ra ra ra ra
b. Make sure that nursing home staff members get hospital client s out of bed and
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
dressed according to staff’s preferences. ra ra ra ra
c. Explain that it is important for thefamily to visit thecenter and inspect it personally.
ra ra ra ra ra ra ra ra ra ra ra ra ar
d. Suggest a nursing center that has standards as close to hospital standards a s possible.
ra ra ra ra ra ra ra ra ra ra ra ra ar
ACCURATE ANSWER:-C ra
An important step in theprocess of selecting a nursing home is to visit thenursing home. the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nursing home should not feel like a hospital. It is a home, a place where people live. Member
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s of thenursing home staff should focus on theperson, not thetask. Residents should be out of
ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra ra
bed and dressed according to their preferences, not staff preferences.
ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Discuss common developmental tasks of older adults. ra ra ra ra ra ra
TOP:Implementatio n MSC: Management of Care ar ra ra ra
8. A 70-yearold hospital client
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who is experiencing worsening dementia is no longer able to live alone.
ra ra ra ra ra ra ra ra ra ar ra ra
thenursing attendant is discussing health care services and possible longterm livin
ra ra ra ra ra ra ra ra ra ra
g arrangements with thehospital client ’s only son. What will thenursing attend
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ant suggest? ra
a. An apartment setting with neighbors close by.
ra ra ra ra ra ra
b. Having thehospital client utilize weekly home health visits. ra ra ra ra ra ra ra
c. A nursing center because home care is no longer safe.
ra ra ra ra ra ra ra ra ra
MULTIPLE CHOICE ra
1. A nursing attendant is obtaining a history on an older adult. Which finding will thenursi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
n g attendant most typically find? a. Lives in a nursing home.
ar ra ra ra ra ra ra ra
b. Lives with a spouse. ra ra ra
c. Lives divorced. ra
d. Lives alone. ra
ACCURATE ANSWER:-B ra
Recent research found that 59% of older adults in noninstitutional settings lived with a spouse
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
(42% of older women, 72% of older men); 28% lived alone (34% of older women, 21% of older
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra r
men); and only 3.1% of all older adults resided in institutions such as nursing homes or center
a ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s. Most older adults have lost a spouse due to death rather than divorce.
ra ra ra ra ra ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Identify common myths and stereotypes about older adults ra ra ra ra ra ra ra
. TOP:Assessment
ar
MSC: Health Promotion and Maintenanc e ra ra ra ra
2. A nursing attendant is developing a plan of care for an older adult. Which information
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
will thenursing attendant consider?
ra ra ra
a. Should be standardized because most geriatric hospital client s have thesame needs.
ra ra ra ra ra ra ra ra ra ra ra
b. Needs to be individualized to thehospital client ’s unique needs.
ra ra ra ra ra ra ra ra ra
c. Focuses on thedisabilities that all aging persons face. ra ra ra ra ra ra ra
d. Must be based on chronological age alone. ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Every older adult is unique, and thenursing attendant needs to approach each one as a uniqu
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
e individual. thenursing care of older adults poses special challenges because of great variation
ar ra ra ra ra ra ra ra ra ra ra ra ra ra
in their physiological, cognitive, and psychosocial health. Aging does not automatically lead t
ra ra ra ra ra ra ra ra ra ra ra ar
o disability and dependence. Chronological age often has little relation to thereality of aging f
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
or an older adult.
ra ra ra
DIF:Understand (comprehension) ra
OBJ:Identify common myths and stereotypes about older adults ra ra ra ra ra ra ra
. TOP:Planning
ar
MSC: Health Promotion and Maintenanc e ra ra ra ra
3. Which information presented by a coworker on a gerontological unit will ca
ra ra ra ra ra ra ra ra ra ra ra
use thenursing attendant to intervene? a.
ra ar ra ra
Most older people have dependent functioning.
ra ra ra ra ra
b. Most older people have strengths we should focus on. ra ra ra ra ra ra ra ra
c. Most older people should be involved in care decision. ra ra ra ra ra ra ra ra
d. Most older people should be encouraged to have independence.
ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-A ra
, Most older people remain functionally independent despite theincreasing prevalence of chr
ra ra ra ra ra ra ra ra ra ra
onic disease; therefore, this misconception should be addressed. It is critical for you to respe
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ct older adults and actively involve them in care decisions and activities. You also need to iden
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
tify an older adult’s strengths and abilities during theassessment and encourage independen
ra ra ra ra ra ra ra ra ra ra ra
ce as an integral part of your plan of care.
ra ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Identify common myths and stereotypes about older adults. TOP:Impleme
ra ra ra ra ra ra ra ra
ntation MSC:
Health Promotion and Maintenance ar ra ra
4. A nursing attendant suspects an olderadult hospital client
ra ra ra ra ra ra ra ra
is experiencing nursing attendant neglect. Which assessment findings
ra ra ra ar ra ra ra ra
are consistent with thenursing attendant ’s suspicions?
ra ra ra ra ra ra
a. Nursing attendant refuses to leave exam room ra ra ra ra ra ra
b. Left at a grocery store ra ra ra ra
c. Refuses to take a bath ra ra ra ra
d. Cuts and bruises ra ra
ACCURATE ANSWER:-A ra
A necessary part of your assessment is completing theinterview and assessment privately aw
ra ra ra ra ra ra ra ra ra ra ra ra
ay from thenursing attendant . It is definitely a ―red flag‖ if thenursing attendant refuses to leav
ar ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
e theroom or area so that you can ask questions confidentially. Abandonment includes deserti
ra ra ra ra ra ra ra ra ra ra ra ra ra
on at a hospital, nursing facility, or public location such as a shopping center. Self neglect include
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s refusal or failure to provide oneself with basic necessities such as food, wate
ra ra ra ra ra ra ra ra ra ra ra ra ra
r, clothing, shelter, personal hygiene, medication, and safety. Physical abuse includes hitting,
ra ra ra ra ra ra ra ra ra ra ra ra
beating, pushing, slapping, kicking, physical restraint, inappropriate use of drugs, fractures, l
ra ra ra ra ra ra ra ra ra ra ra
acerations, rope burns, and untreated injuries. ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Describe themulti-faceted aspects of elder mistreatment. ra ra ra ra ra
TOP:Assessment ar
MSC: Psychosocial Integrity ra ra
5. A nursing attendant is teaching a group of olderadult hospital client s. Which teachi
ra ra ra ra ra ra ra ra ra ra ra ra ar
ng strategy is best for thenursing attendan t to use?
ra ra ra ra ra ra ra ra
a. Provide several topics of discussion at once to promote independence and making choices.
ra ra ra ra ra ra ra ra ra ra ra ar
b. Avoid uncomfortable silences after questions by helping hospital client s
ra ra ra ra ra ra ra ra ra ar
complete their statements. ra ra
c. Ask hospital client s to recall past experiences that correspond with their interests.
ra ra ra ra ra ra ra ra ra ra ra ra
d. Speak in a high pitch to help hospital client s hear better.
ra ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-C ra
Teaching strategies include theuse of past experiences to connect new learning with previou
ra ra ra ra ra ra ra ra ra ra ra ra
s knowledge, focusing on a single topic to help thehospital client concentrate, giving thehosp
ar ra ra ra ra ra ra ra ra ra ra ra ra
ital client enough time in which to respond because older adults’ reaction times are longer th
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
an those of younger persons, and keeping thetone of voice low; older adults are able to hear lo
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
w sounds better than high-frequency sounds.
ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Discuss issues related to psychosocial changes of aging. ra ra ra ra ra ra ra
TOP:Teaching/Learning ar
, MSC: Health Promotion and Maintenance
ra ra ra ra
6. An older hospital client has fallen and suffered a hip fracture. As a consequence, theh
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ospital cl ar
ient ’s family is concerned about thehospital client ’s ability to care for self, especially
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
during this convalescence. What should thenursing attendant do?
ra ra ra ra ra ra ra
a. Stress that older hospital client s usually ask for help when needed.
ra ra ra ra ra ra ra ra ra ra ra
b. Inform thefamily that placement in a nursing center is a permanent solution.
ra ra ra ra ra ra ra ra ra ra ra
c. Tell thefamily to enroll thehospital client in a ceramics class to maintain quality of life.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d. Provide information and answer questions as family members make choices a
ra ra ra ra ra ra ra ra ra ar
mong care options. ra ra
ACCURATE ANSWER:-D ra
Nursing attendant s help older adults and their families by providing information and answ
ra ra ra ra ra ra ra ra ra ra ra ra ra
ering questions as they make choices among care options. Some older adults deny functiona
ra ra ra ra ra ra ra ra ra ra ra ra ra
l declines and refuse to ask for assistance with tasks that place their safety at great risk. the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
decision to enter a nursing center is never final, and a nursing center resident sometimes is
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
discharged to home or to another lessacute residence. What defines quality of life varies and is u
ra ra ra ra ra ra ra ra ra ra ra ar ra ra ra ra
nique for each person. ra ra ra
DIF:Apply (application) ra
OBJ:Discuss common developmental tasks of older adults. ra ra ra ra ra ra
TOP:Implementatio n MSC: Health Promotion and Maintenance ar ra ra ra ra
7. What is thebest suggestion a nursing attendant could make to a family requesting h
ra ra ra ra ra ra ra ra ra ra ra ra ra
elp in selecting a local nursing center?
ra ar ra ra ra ra
a. Have thefamily members evaluate nursing home staff according to their ability to
ra ra ra ra ra ra ra ra ra ra ra ar
get tasks done efficiently and safely.
ra ra ra ra ra
b. Make sure that nursing home staff members get hospital client s out of bed and
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
dressed according to staff’s preferences. ra ra ra ra
c. Explain that it is important for thefamily to visit thecenter and inspect it personally.
ra ra ra ra ra ra ra ra ra ra ra ra ar
d. Suggest a nursing center that has standards as close to hospital standards a s possible.
ra ra ra ra ra ra ra ra ra ra ra ra ar
ACCURATE ANSWER:-C ra
An important step in theprocess of selecting a nursing home is to visit thenursing home. the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nursing home should not feel like a hospital. It is a home, a place where people live. Member
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s of thenursing home staff should focus on theperson, not thetask. Residents should be out of
ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra ra
bed and dressed according to their preferences, not staff preferences.
ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Discuss common developmental tasks of older adults. ra ra ra ra ra ra
TOP:Implementatio n MSC: Management of Care ar ra ra ra
8. A 70-yearold hospital client
ra ra ra ra
who is experiencing worsening dementia is no longer able to live alone.
ra ra ra ra ra ra ra ra ra ar ra ra
thenursing attendant is discussing health care services and possible longterm livin
ra ra ra ra ra ra ra ra ra ra
g arrangements with thehospital client ’s only son. What will thenursing attend
ra ra ra ra ra ra ra ra ra ra ra
ant suggest? ra
a. An apartment setting with neighbors close by.
ra ra ra ra ra ra
b. Having thehospital client utilize weekly home health visits. ra ra ra ra ra ra ra
c. A nursing center because home care is no longer safe.
ra ra ra ra ra ra ra ra ra
