OLDER ADULT TEST #2
1. A limitation of the Katz Index of activities of daily living (ADLs) is
that: Select one:
a. completion of the tool requires the joint efforts of the interdisciplinary team.
b. it puts a heavier weight on the cognitive abilities necessary to perform ADLs. The Katz Index
assigns an equal weight to all of the ADLs, and because of that, it cannot be used to identify the
particular area of need or change in any one task. Any health care professional can complete the
Katz Index, although input from the interdisciplinary team is valuable. The Katz Index does not
address the cognitive abilities necessary to perform ADLs. The ADLs are considered in
dichotomous terms only, the ability to compete the task independently or the complete inability
to do so.
c. all ADLs are weighted equally.
d. it provides a range of performance for each task.
Feedback
The correct answer is: all ADLs are weighted equally.
2. An older adult patient currently takes phenytoin (antispasmodic) . The gerontological
nurse reinforces the increased need for routine dental visits because this medication
decreases:
Select one:
a. the muscle strength of the tongue
b.calcium levels of the teeth
c. innervations of the trigeminal nerve
d. the production of saliva
e. production of saliva
Feedback
Your answer is incorrect.
Pg 102 Dehydration is prevalent in the older adult due to decrease thirst. Taking a drug which
decreases saliva in the elderly compounds the risk of dental decay.
The correct answers are: production of saliva, the production of saliva
3. A nurse is performing preoperative teaching for an older adult who is scheduled to have a
cataract extraction and lens implant. The nurse includes which of the following in the
teaching plan? (Select all that apply.)
Select all that apply:
a. Maintain strict control of your blood sugar and blood pressure
b. Maintain a dry sterile dressing over the eye for 10 days
c. Avoid lifting heavy objects after the surgery Postcataract surgery the individual needs to
avoid heavy lifting, straining, and bending from the waist. Fall prevention is also very important
as is complying with eye drop administration. Maintaining strict blood sugar and blood pressure
control is most important for diabetic retinopathy, not cataract extraction. There usually is not a
dressing over the operative site, and not for 10 days.
d. Take stool softeners as needed
e. Avoid bending from the waist after the surgery Postcataract surgery the individual needs to
avoid heavy lifting, straining, and bending from the waist. Fall prevention is also very important
as is complying with eye drop administration. Maintaining strict blood sugar and blood pressure
control is most important for diabetic retinopathy, not cataract extraction. There usually is not a
dressing over the operative site, and not for 10 days.
,OLDER ADULT TEST #2
Feedback
The correct answers are: Avoid lifting heavy objects after the surgery, Avoid bending from the
waist after the surgery, Take stool softeners as needed
4. Aging is recognized by gerontologists as a development process that:
Select one:
a. relates to behavioral characteristics
b. is directly related to heredity
c. begins at the time of birth
d. is measured in chronological
years Feedback
Chap 1 pg 3 Aging is a complex and continuous process beginning in each cell from birth
The correct answer is: begins at the time of birth
Question text
5. When assessing an older adult , the nurse should be alert to the clinical manifestations of
depression that may be masked by other chronic conditions. The cardinal and primary
exhibited in the depressed older adult is:
Select one:
a. drinking alcohol
b. crying
c. a loss of interest in previously pleasurable activities
d. inactivity
Feedback
Assessment of change in behavior
Pg 83
The correct answer is: a loss of interest in previously pleasurable activities
Question 6Correct1.00 points out of 1.00 Flag question
Question text
6. When a client who routinely takes the herb St. John's Wort (SJW) shares that his or
her "hay fever is really bad right now," the nurse initially:
Select one:
a. suggests that the client stop taking the herb until the hay fever has improved.
b. compares the client's current blood pressure to his/her baseline blood pressure. When taking
SJW, people should be warned not to take medications containing monoamines, such as
medications for nasal decongestants, hay fever, and asthma, because this combination may cause
hypertension. The primary care provider should not be notified until the BP monitoring is
known. Avoiding specific OTC medications and stopping the herb is information the client
should have been given prior.
c. stresses the need to avoid over-the-counter (OTC) medications containing monoamines.
d. notifies the primary care provider that the client has been self-medicating for hay
fever. Feedback
The correct answer is: compares the client's current blood pressure to his/her baseline blood
pressure.
7. An older patient is prescribed warfarin for stroke prevention and clopidogrel for lowering
cholesterol. A nurse is providing patient education. Which of the following foods should
the patient be taught to avoid? (Select all that apply.)
Select all that apply:
, OLDER ADULT TEST #2
a. oranges
b. Grapefruit juice
c. Collard greens It is important to avoid "leafy green vegetables" when taking Coumadin.
d. Red meat
e. Milk
Feedback
Food and Drug interactions pg 106
The correct answers are: Grapefruit juice, Collard greens
8. An older resident in a long-term care facility reports to the nurse that she has been
noticing changes in her vision, including the appearance of halos around objects and a
yellow tint to most objects. The nurse knows that these complaints are most often
associated with:
Select one:
a. cataracts.
b. age-related macular degeneration.
c. glaucoma.
d. diabetic retinopathy. Signs of cataracts include the appearance of halos around objects as
light is diffused, blurring, decreased perception of light and color giving a yellow tint to most
objects, and a sensitivity to glare.
Feedback
The correct answer is: cataracts.
9. A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence,
Confusion, Evidence of falls, and Skin breakdown) to assess an older female patient in
the hospital. The nurse notes that the patient has new onset urinary incontinence. The
first action by the nurse is to:
Select one:
a. call the provider and obtain an order for an antibiotic for a suspected urinary tract infection.
b. send a urine specimen for culture and sensitivity.
c. develop a plan of care with the patient to control episodes of incontinence.
d. conduct a more in-depth focused assessment of the urinary incontinence. SPICES is an
assessment tool. Anything that indicates a problem in any of the categories warns the nurse that
a more in-depth assessment is needed. The nurse needs to further assess the urinary incontinence
prior to implementing any interventions.
Feedback
The correct answer is: conduct a more in-depth focused assessment of the urinary incontinence.
10. When conducting an admissions interview with an older client, the nurse observes that
the client pauses for a period of time before responding to the questions. The nurse
responds to this client based on the assumption that the client is:
Select one:
a. reluctant to share information with someone with whom he or she has no relationship.
b. sorting through his or her vast life experiences in order to answer appropriately. Basically,
elders may need more time to give information or answer questions simply because they have a
larger life experience to draw from. Sorting through thoughts requires intervals of silence, and
therefore listening carefully without rushing the elder is very important. It is an unfounded
assumption to assume that the client's response is due to senility based exclusively on his or her
1. A limitation of the Katz Index of activities of daily living (ADLs) is
that: Select one:
a. completion of the tool requires the joint efforts of the interdisciplinary team.
b. it puts a heavier weight on the cognitive abilities necessary to perform ADLs. The Katz Index
assigns an equal weight to all of the ADLs, and because of that, it cannot be used to identify the
particular area of need or change in any one task. Any health care professional can complete the
Katz Index, although input from the interdisciplinary team is valuable. The Katz Index does not
address the cognitive abilities necessary to perform ADLs. The ADLs are considered in
dichotomous terms only, the ability to compete the task independently or the complete inability
to do so.
c. all ADLs are weighted equally.
d. it provides a range of performance for each task.
Feedback
The correct answer is: all ADLs are weighted equally.
2. An older adult patient currently takes phenytoin (antispasmodic) . The gerontological
nurse reinforces the increased need for routine dental visits because this medication
decreases:
Select one:
a. the muscle strength of the tongue
b.calcium levels of the teeth
c. innervations of the trigeminal nerve
d. the production of saliva
e. production of saliva
Feedback
Your answer is incorrect.
Pg 102 Dehydration is prevalent in the older adult due to decrease thirst. Taking a drug which
decreases saliva in the elderly compounds the risk of dental decay.
The correct answers are: production of saliva, the production of saliva
3. A nurse is performing preoperative teaching for an older adult who is scheduled to have a
cataract extraction and lens implant. The nurse includes which of the following in the
teaching plan? (Select all that apply.)
Select all that apply:
a. Maintain strict control of your blood sugar and blood pressure
b. Maintain a dry sterile dressing over the eye for 10 days
c. Avoid lifting heavy objects after the surgery Postcataract surgery the individual needs to
avoid heavy lifting, straining, and bending from the waist. Fall prevention is also very important
as is complying with eye drop administration. Maintaining strict blood sugar and blood pressure
control is most important for diabetic retinopathy, not cataract extraction. There usually is not a
dressing over the operative site, and not for 10 days.
d. Take stool softeners as needed
e. Avoid bending from the waist after the surgery Postcataract surgery the individual needs to
avoid heavy lifting, straining, and bending from the waist. Fall prevention is also very important
as is complying with eye drop administration. Maintaining strict blood sugar and blood pressure
control is most important for diabetic retinopathy, not cataract extraction. There usually is not a
dressing over the operative site, and not for 10 days.
,OLDER ADULT TEST #2
Feedback
The correct answers are: Avoid lifting heavy objects after the surgery, Avoid bending from the
waist after the surgery, Take stool softeners as needed
4. Aging is recognized by gerontologists as a development process that:
Select one:
a. relates to behavioral characteristics
b. is directly related to heredity
c. begins at the time of birth
d. is measured in chronological
years Feedback
Chap 1 pg 3 Aging is a complex and continuous process beginning in each cell from birth
The correct answer is: begins at the time of birth
Question text
5. When assessing an older adult , the nurse should be alert to the clinical manifestations of
depression that may be masked by other chronic conditions. The cardinal and primary
exhibited in the depressed older adult is:
Select one:
a. drinking alcohol
b. crying
c. a loss of interest in previously pleasurable activities
d. inactivity
Feedback
Assessment of change in behavior
Pg 83
The correct answer is: a loss of interest in previously pleasurable activities
Question 6Correct1.00 points out of 1.00 Flag question
Question text
6. When a client who routinely takes the herb St. John's Wort (SJW) shares that his or
her "hay fever is really bad right now," the nurse initially:
Select one:
a. suggests that the client stop taking the herb until the hay fever has improved.
b. compares the client's current blood pressure to his/her baseline blood pressure. When taking
SJW, people should be warned not to take medications containing monoamines, such as
medications for nasal decongestants, hay fever, and asthma, because this combination may cause
hypertension. The primary care provider should not be notified until the BP monitoring is
known. Avoiding specific OTC medications and stopping the herb is information the client
should have been given prior.
c. stresses the need to avoid over-the-counter (OTC) medications containing monoamines.
d. notifies the primary care provider that the client has been self-medicating for hay
fever. Feedback
The correct answer is: compares the client's current blood pressure to his/her baseline blood
pressure.
7. An older patient is prescribed warfarin for stroke prevention and clopidogrel for lowering
cholesterol. A nurse is providing patient education. Which of the following foods should
the patient be taught to avoid? (Select all that apply.)
Select all that apply:
, OLDER ADULT TEST #2
a. oranges
b. Grapefruit juice
c. Collard greens It is important to avoid "leafy green vegetables" when taking Coumadin.
d. Red meat
e. Milk
Feedback
Food and Drug interactions pg 106
The correct answers are: Grapefruit juice, Collard greens
8. An older resident in a long-term care facility reports to the nurse that she has been
noticing changes in her vision, including the appearance of halos around objects and a
yellow tint to most objects. The nurse knows that these complaints are most often
associated with:
Select one:
a. cataracts.
b. age-related macular degeneration.
c. glaucoma.
d. diabetic retinopathy. Signs of cataracts include the appearance of halos around objects as
light is diffused, blurring, decreased perception of light and color giving a yellow tint to most
objects, and a sensitivity to glare.
Feedback
The correct answer is: cataracts.
9. A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence,
Confusion, Evidence of falls, and Skin breakdown) to assess an older female patient in
the hospital. The nurse notes that the patient has new onset urinary incontinence. The
first action by the nurse is to:
Select one:
a. call the provider and obtain an order for an antibiotic for a suspected urinary tract infection.
b. send a urine specimen for culture and sensitivity.
c. develop a plan of care with the patient to control episodes of incontinence.
d. conduct a more in-depth focused assessment of the urinary incontinence. SPICES is an
assessment tool. Anything that indicates a problem in any of the categories warns the nurse that
a more in-depth assessment is needed. The nurse needs to further assess the urinary incontinence
prior to implementing any interventions.
Feedback
The correct answer is: conduct a more in-depth focused assessment of the urinary incontinence.
10. When conducting an admissions interview with an older client, the nurse observes that
the client pauses for a period of time before responding to the questions. The nurse
responds to this client based on the assumption that the client is:
Select one:
a. reluctant to share information with someone with whom he or she has no relationship.
b. sorting through his or her vast life experiences in order to answer appropriately. Basically,
elders may need more time to give information or answer questions simply because they have a
larger life experience to draw from. Sorting through thoughts requires intervals of silence, and
therefore listening carefully without rushing the elder is very important. It is an unfounded
assumption to assume that the client's response is due to senility based exclusively on his or her
