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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.
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 An
older couple living in their own home are considering moving to a continuing care retirement
community. The wife is independent in her ADLs and volunteers at a homeless shelter 2x a
week. The husband recently had a stroke and is undergoing rehab in a long-term care facility.
What would be one of the benefits of a CCRC for this couple? - answer>>>For married couples
in which one spouse needs more care than the other, a CCRC allows them to live nearby in
different parts of the same community.
An older pt is brain dead, and the surrogate named in her DPA is opposed to organ donation. The
law in the state allows a surrogate with a DPA to make end-of-life decisions. Although she failed
to document it, her family states that she wanted to donate her organs. Given the laws about
DPA, what would the nurse expect the surrogate to do? - answer>>>Provide consent (probably
not, but we can hope).
An older female pt has DM and requires dialysis for renal failure. She is discharged to home to
recover from a sternal wound infection and CABG surgery. An at home nurse will provide
wound care. What would be the major justification for the complete and accurate documentation
of this older adult's care? - answer>>>This pt requires complex health care.
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