NURS-3325--RN-BSN-HOLISTIC-CARE-OLDER ADU-- Test Module 2: Review/Quiz

Cours e NURS-3325--RN-BSN-HOLISTIC-CARE-OLDERADU-- Test Module 2: Review/Quiz  Question 1 5 out of 5 points Which of the following are examples of how older adults are different from younger adults? Selected Answers: diminished reserves (cardiovascular and pulmonary) Answers: diminished reserves (cardiovascular and pulmonary) functional improvement decreased ability to respond to ambulation decreased ability to learn  Question 2 5 out of 5 points Which of the following is NOT necessarily a risk or potential negative outcome of frailty? Selected Answer: CVA Answers: Institutionalizati on CVA Falls dependency  Question 3 5 out of 5 points In older adults, a sign of worsening heart failure is: Selected Answer: decreased appetite. Answers: decreased appetite. elevated temperature. This study source was downloaded by from CourseH on :00:10 GMT -06:00 orthostatic hypotension. chest discomfort.  Question 4 5 out of 5 points Placing an older, frail patient on bedrest generally results in: Selected Answer: decreased functional status Answers: improved functional status decreased cardiac output prevention of falls decreased functional status  Question 5 5 out of 5 points The first cause you would think of if there is a change in mental status in an older adult, particularly confusion, is: Selected Answer: drug toxicity. Answers: stress. the aging process. drug toxicity. visual changes.  Question 6 5 out of 5 points What is the one most important reason for the RN to be able to identify the frail individual who is hospitalized? Selected Answer: Frail elders are more likely to develop the “Geriatric Cascade” of This study source was downloaded by from CourseH on :00:10 GMT -06:00 problems with resulting negative outcomes if they do not receive immediate clinical intervention Answers: Frail elders are more likely to develop the “Geriatric Cascade” of problems with resulting negative outcomes if they do not receive immediate clinical intervention Frail elders are more likely to develop contractures if hospitalized. Frail elders are more likely to develop a UTI if hospitalized. Frail elders have an increased risk for drug toxicity.  Question 7 5 out of 5 points In implementing care for an elderly bedridden client, which nursing intervention reflects appropriate action to compensate for normal changes of aging? Selected Answer: Turning her every 2 hours to maintain intact skin integrity Answers: Turning her every 2 hours to maintain intact skin integrity Administering prophylactic antibiotics Inserting multiple intravenous lines in case fluid resuscitation becomes necessary rapidly Drawing daily laboratory values for complete blood count with differential to analyze for “shift to the left”  Question 8 5 out of 5 points The Katz ADLs (Activities of Daily Living) includes all but which of the following: Selected Answer: Doing laundry Answers: Bathing Doing laundry Feeding Toileting  Question 9 This study source was downloaded by from CourseH on :00:10 GMT -06:00 0 out of 5 points Interventions to prevent falls include: (Select all that apply.) Selected Answers: decreasing restraint use. medication review for antiepileptics or benzodiazepines. confine patient by raising all four bedrails and elevate the bed. treating postural hypotension. Answers: decreasing restraint use. medication review for antiepileptics or benzodiazepines. confine patient by raising all four bedrails and elevate the bed. treating postural hypotension. Response Feedback: By raising all 4 bedrails and raising the bed height you are restraining the patient which is not an effective way to prevent falls. If the patient decides to leave the bed they are more likely to fall by going over the side rail or foot rail.  Question 10 5 out of 5 points A potential early sign of pneumonia in an older adult that is different from those typically seen in younger patients is: Selected Answer: confusion Answers: fever confusion productive cough hemoptysis  Question 11 This study source was downloaded by from CourseH on :00:10 GMT -06:00 5 out of 5 points The decreased muscle mass of older adults predisposes them to: Selected Answer: dehydratio n. Answers: incontinen ce. delirium. dehydratio n. depression .  Question 12 5 out of 5 points Falls are the leading cause of injury in older adults. For those over age 75 who suffer a hip fracture from falling, what percent will die within one year? Selected Answer: 50% Answers: 10% 25% 50% 75%  Question 13 5 out of 5 points You are the nurse performing the initial assessment on a new patient in the geriatric outpatient practice. What approach would be most effective in eliciting an accurate medication assessment? Selected Answer: Asking the patient to bring in all of the medications that she is taking, including prescription drugs, over-the-counter drugs (OTC), and herbal and dietary supplements Answers: Asking the patient to make a list of all her prescription medications Asking the patient’s daughter to make a list of her mother’s This study source was downloaded by from CourseH on :00:11 GMT -06:00 prescription medications Asking the patient to bring in all of the medications that she is taking, including prescription drugs, over-the-counter drugs (OTC), and herbal and dietary supplements Obtaining a list of the patient’s medications from her previous primary care provider  Question 14 5 out of 5 points The timed “Get Up and Go” test measures the patient’s: Selected Answer: ability to rise from a chair and walk 10 feet, turn, and return to the chair. Answers: ability to use stairs. continence status. ability to rise from a chair and walk 10 feet, turn, and return to the chair. ability to transfer independently from bed to chair or toilet.  Question 15 5 out of 5 points Geriatric syndromes are not specific to older adults but become a problem because older adults have less physiological reserve. Which of the following conditions is not generally considered a geriatric syndrome? Selected Answer: hearing loss Answers: polypharmacy falls incontinence hearing loss Answer Feedback: Hearing loss is not considered to be a Geriatric Syndrome even though many older adults suffer hearing loss.  Question 16 5 out of 5 points This study source was downloaded by from CourseH on :00:11 GMT -06:00 Postural hypotension in an older adult can result from Selected Answer: dehydration Answers: improving baroreceptor response as a normal part of aging blood pressure medications that are well managed dehydration antibiotics  Question 17 5 out of 5 points As a normal effect of aging, what percent decrease in renal function would we expect to see in the older adults. Selected Answer: 50 % Answers: 10 % 80 % 20 % 50 %  Question 18 5 out of 5 points Using prompted voiding consistently in people who have dementia: Selected Answer: helps them anticipate that someone is coming to take them to the bathroom. Answers: tends to generate poor results because they do not understand the prompts. improves continence in 60% of incontinent residents in longterm care facilities. This study source was downloaded by from CourseH on :00:11 GMT -06:00 helps them anticipate that someone is coming to take them to the bathroom. improves daytime continence in 40% of cognitively impaired home-bound older adults.  Question 19 5 out of 5 points Which one is NOT a contributing factor to healthcare providers having problems making accurate diagnoses in the older adult? Selected Answer: Older adults only suffer from a few common diseases. Answers: Older adults only suffer from a few common diseases. Lab values in order adults may be different from younger persons. Older adults often have atypical symptoms. Older adults do not always demonstrate a fever response to infection.  Question 20 5 out of 5 points Gauze or wet to dry dressings may not be the best dressings for the following reasons (select all that apply) Selected Answers: 1. The dressings must be changed very frequently 2. Gauze does not provide a barrier to moisture or infection 3. They do not provide a moist environment for the wound 4. Removal of dried gauze from a wound bed can be very painful Answers: 1. The dressings must be changed very frequently 2. Gauze does not provide a barrier to moisture or infection This study source was downloaded by from CourseH on :00:11 GMT -06:00 3. They do not provide a moist environment for the wound 4.