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A 79-year-old client resides independently in the community. The visiting home health nurse
finds that despite it being 90 degrees Fahrenheit outside, the windows are closed and the client is
wearing a sweater. The nurse initially recognizes that this behavior may be related to:
a. cognitive changes that diminish the individual's awareness of temperature changes.
b. age-related neurosensory changes that diminish awareness of temperature changes.
c. a delirium-related acute illness that is affecting body heat production.
d. age-related motor deficiencies that result in self-neglect. - answer>>>b. age-related
neurosensory changes that diminish awareness of temperature changes.
A community health nurse provides an annual flu prevention workshop at a local senior center.
The activities include a lecture on preventing infections, which includes hand washing and
limiting exposure to individuals who are ill, as well as an influenza immunization clinic. The
nurse is basing her activities on what theory of aging?
a.) Wear and tear
b.) Oxidative stress
c.) Autoimmune
d.) Free radical - answer>>>c.) Autoimmune or Immunological Theory
, An older adult pt in the hospital reports: "I am worried because simple tasks such as balancing
my checkbook seem to take me longer. Is there something wrong with me?" What is the best
response by the nurse? - answer>>>As you age, normal changes in the brain occur that makes
central processing take longer, so don't worry.
An older adult was seen in her Dr.'s office after falling at home. The pt receives a comprehensive
assessment, and it is determined that she has a positive urine culture and is started on antibiotic
therapy for a UTI. Pt is surprised and reports that she had experienced some pain while urinating
yesterday but didn't think that she had a UTI because her temperature was only 99°F. What could
be a reason why the pt didn't develop a higher temperature? - answer>>>Normal age-related
changes to the immune system affect an older person's response to illness; a low-grade fever may
signify serious illness.
A nurse planning care for older adults who are in good health but isolated from their families. If
the nurse's goal is to move the adults toward gero-transcendence, what NI should the nurse use in
the plan of care? - answer>>>Help each person with individual activities.
A nurse observing older adults learning advanced knitting techniques concludes that this learning
activity is suitable because it does what? - answer>>>Adds to their existing knowledge base.
A nurse at a nursing home wants to help decrease the risk of Alzheimer's in pts. What should the
nurse do to implement this goal? - answer>>>Assist residents with ambulation to meals.
An older man is transferred to a hospice facility with end-stage renal disease. What's a suitable
NI for this pt and his family according to the goals of long-term care? - answer>>>Facilitate
family rituals related to death and dying.
The gerontological nurse collaborates with the wound care team about an older pt who has an
ulcer. How is this nurse demonstrating leadership in the care of older adults? - answer>>>By
coordinating members of the health care team.
A nurse completing a hospital discharge to home for an older adult understands that the most
important NI for this pt before discharge is what? - answer>>>Medication Reconciliation