Older Adult Final Exam Questions With Complete Solutions
1. A 78-year old patient is admitted to the hospital with
pneumonia. He has a history of hypertension, CHF, type II
diabetes, and hearing loss. He wears hearing aids in both ears.
While conducting an assessment, what nursing interventions
should the nurse use in order to effectively communicate with
this patient? Select all that apply.
A. Stand behind the patient
B. Speak slowly
C. Eliminate background noise
D. Speak in a low-pitched voice
E. Over-articulate all words correct answers B. Speak slowly
C. Eliminate background noise
D. Speak in a low-pitched voice
1. A gerontology nurse addresses a number of challenges while
treating patients in the clinic. Which issues are of particular
concern in treating older adults, and which require the nurses to
be especially observant and compassionate? Select all that
apply.
A. Patients with poor hearing
B. Problems with insurance coverage and claims
C. Patients who under report their symptoms
D. A cascade disease pattern that leads to health deterioration
E. Impatient or unhappy patients correct answers A. Patients
with poor hearing
C. Patients who underreport their symptoms
D. A cascade disease pattern that leads to health deterioration
,1. A nurse reviews a list of drugs prescribed for an older adult to
determine if the drug doses are safe for the patient. What is the
primary reason for increased drug toxicity and adverse drug
events in older adults?
A. Decline in enzyme activity
B. Increase in metabolism
C. Decrease in drug half-life
D. Increase in hepatic blood flow correct answers A. Decline in
enzyme activity
1. The home health nurse is visiting a client for the first time.
While assessing the client's medication history, it is noted that
there are 19 prescriptions and several over-the-counter
medications that the client has been taking. Which intervention
should the nurse take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report
polypharmacy.
d) Determine whether a family member supervises medication
administration. correct answers b) Determine whether there are
medication duplications.
2. The home health nurse is visiting a client for the first time.
While assessing the client's medication history, it is noted that
there are 19 prescriptions and several over-the-counter
medications that the client has been taking. Which intervention
should the nurse take first?
a) Check for medication interactions.
, b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report
polypharmacy.
d) Determine whether a family member supervises medication
administration. correct answers b) Determine whether there are
medication duplications.
A 70-year-old client asks the nurse to explain to her about
hypertension. An appropriate response by the nurse as to why
older clients often have hypertension is due to:
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls. correct answers D.
Accumulation of plaque on arterial walls.
A 75-year-old patient with a history of CHF, hypertension, and
diabetes is waiting on a visit from their homecare nurse. When
speaking with his/her client, what statement by the patient would
the nurse want to investigate first?
a) My last three blood sugars have been under 105 mg/dl.
b) I normally sleep with three pillows but last night I had to
sleep with four.
c) Yesterday I went to the bathroom a lot yesterday but I haven't
at all this afternoon
d) My son hasn't come to visit me; I don't think he cares about
me anymore. correct answers b) I normally sleep with three
pillows but last night I had to sleep with four.
1. A 78-year old patient is admitted to the hospital with
pneumonia. He has a history of hypertension, CHF, type II
diabetes, and hearing loss. He wears hearing aids in both ears.
While conducting an assessment, what nursing interventions
should the nurse use in order to effectively communicate with
this patient? Select all that apply.
A. Stand behind the patient
B. Speak slowly
C. Eliminate background noise
D. Speak in a low-pitched voice
E. Over-articulate all words correct answers B. Speak slowly
C. Eliminate background noise
D. Speak in a low-pitched voice
1. A gerontology nurse addresses a number of challenges while
treating patients in the clinic. Which issues are of particular
concern in treating older adults, and which require the nurses to
be especially observant and compassionate? Select all that
apply.
A. Patients with poor hearing
B. Problems with insurance coverage and claims
C. Patients who under report their symptoms
D. A cascade disease pattern that leads to health deterioration
E. Impatient or unhappy patients correct answers A. Patients
with poor hearing
C. Patients who underreport their symptoms
D. A cascade disease pattern that leads to health deterioration
,1. A nurse reviews a list of drugs prescribed for an older adult to
determine if the drug doses are safe for the patient. What is the
primary reason for increased drug toxicity and adverse drug
events in older adults?
A. Decline in enzyme activity
B. Increase in metabolism
C. Decrease in drug half-life
D. Increase in hepatic blood flow correct answers A. Decline in
enzyme activity
1. The home health nurse is visiting a client for the first time.
While assessing the client's medication history, it is noted that
there are 19 prescriptions and several over-the-counter
medications that the client has been taking. Which intervention
should the nurse take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report
polypharmacy.
d) Determine whether a family member supervises medication
administration. correct answers b) Determine whether there are
medication duplications.
2. The home health nurse is visiting a client for the first time.
While assessing the client's medication history, it is noted that
there are 19 prescriptions and several over-the-counter
medications that the client has been taking. Which intervention
should the nurse take first?
a) Check for medication interactions.
, b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report
polypharmacy.
d) Determine whether a family member supervises medication
administration. correct answers b) Determine whether there are
medication duplications.
A 70-year-old client asks the nurse to explain to her about
hypertension. An appropriate response by the nurse as to why
older clients often have hypertension is due to:
A. Myocardial muscle damage
B. Reduction in physical activity
C. Ingestion of foods high in sodium
D. Accumulation of plaque on arterial walls. correct answers D.
Accumulation of plaque on arterial walls.
A 75-year-old patient with a history of CHF, hypertension, and
diabetes is waiting on a visit from their homecare nurse. When
speaking with his/her client, what statement by the patient would
the nurse want to investigate first?
a) My last three blood sugars have been under 105 mg/dl.
b) I normally sleep with three pillows but last night I had to
sleep with four.
c) Yesterday I went to the bathroom a lot yesterday but I haven't
at all this afternoon
d) My son hasn't come to visit me; I don't think he cares about
me anymore. correct answers b) I normally sleep with three
pillows but last night I had to sleep with four.
