Geriatric Chapter 8

ANS: A Screenings are to identify unmet health needs and to refer identified persons to an appropriate resource for assessment and treatment. - correct answer 1. The nurse clarifies that the difference between a health screening and health assessment is that a health screening: a. identifies persons with unmet health needs who may need a referral. b. assesses local health needs for the Public Health Department. c. collects data that will be used for research. d. provides appropriate treatment for identified health needs ANS: D The objective concrete measurement of the temperature is the only objective data in the nurse's record - correct answer 2. The nurse charts that the "Patient stated abdominal pain is still at a level of 8 on a scale of 1 to 10 and that he is still nauseated. Patient complains of feeling cold and has an oral temperature of 97.8°." The objective information recorded is the: a. pain measurement. b. presence of nausea. c. sense of cold. d. oral temperature. ANS: A The ACS recommends an annual fecal occult blood test for persons older than 50. Sigmoidoscopy is recommended every 3 to 5 years. Pap smears and pelvic examinations are recommended every 2 to 3 years - correct answer 3. The nurse reminds the 55-year-old woman that the American Cancer Society (ACS) recommendation for persons older than 50 years is to have an annual: a. fecal occult blood test. b. sigmoidoscopy. c. Pap smear. d. pelvic examination. ANS: C Diabetes is the most common health threat for the older adult, regardless of ethnicity - correct answer 4. The nurse is aware that the most common health threat for the older adult, regardless of ethnicity, is: a. hypertension. b. cancer. c. diabetes. d. glaucoma. ANS: D The "permission" to go to the bathroom and knowledge of its location will set the patient at ease. It is helpful to provide information about the probable time limits of the interview - correct answer 5. The statement that would put the older woman most at ease during the lengthy health interview would be: a. "This interview will take about an hour." b. "Please have a seat over there across from the desk." c. "There are 75 questions we need to get answered in the next hour." d. "The bathroom is behind that green door. We'll be taking a break in about 30 minutes." ANS: A Addressing the patient formally and identifying yourself, as well as informing the patient of the expectation of the interview, is an appropriate approach to the older adult. - correct answer 6. To establish rapport, the nurse should initiate the health interview by saying: a. "Hello, Mrs. Smith. My name is Alice. We'll start with a few questions before the physical exam." b. "Welcome, Sara. I'm Alice. Let's get down to some questions about your health." c. "I'm Alice Jones. I'm here to do an interview about your health." d. "Hey, Mrs. Smith! Are you ready for some questions about your health?" ANS: C Directly addressing the older adult cues the patient and family member that the responses are expected from the patient - correct answer 7. The 94-year-old woman has come to the health assessment interview with her 70-year-old daughter, who answers all the interview questions for her mother. The nurse's best approach to this situation would be to: a. say, "I'm speaking to your mother. Please let her answer for herself." b. continue to interact with the daughter to facilitate completion of the interview. c. look directly at the patient and say, "Mrs. Smith, now I'd like to hear from you about your health." d. document that all answers to the interview came from a third party. ANS: A Focusing on the patient's concerns gives the patient the perception that the nurse is concerned about him or her as a person - correct answer 8. The most effective method of building rapport is to open the health interview with: a. focusing on the problems that the patient sees as important. b. explaining the importance of health maintenance. c. informing the patient of the number of questions that will be asked. d. reassuring the patient that the interview is private.