NUR 257 Exam | Aging and Chronic
Illness in Nursing Exam | Answered with
Rationale and Rated A+ | 2024/2025
Exam Guide | Galen
An 83-year-old woman is being discharged from the hospital following
stabilization of her international normalized ratio (INR) levels (used to
assess the effectiveness of warfarin therapy). She has chronic atrial
fibrillation and has been on warfarin (coumadin) for several years.
Discharge instructions include returning to the clinic weekly for INR testing.
Which statement by the patient indicates that she may be unable to have
the testing done?
a. "When I have the energy, I have to take a bus to get this test done."
b. "I will need to ask my son to bring me into town every week for the test."
c. "Should I just keep taking the same pill every day until I can get a ride
into town."
d. "It is very important to have this test every week. I have several church
friends who can bring me."
- Correct Answer - c. This statement indicates that this patient does not
understand the importance of the test every week and that the test results
will determine ongoing dosing. The other three statements indicate that the
patient is thinking about ways to get into town weekly.
, The old-old population (85 years and older) has an increased risk for frailty.
However, old age is just one element of frailty. Identify at least 3 other
assessment findings that contribute to frailty.
a._______________
b._______________
c._______________
- Correct Answer - Any 3 of the following are appropriate: unplanned
weight loss (>/= 10lbs in the last year), weakness, poor endurance and
energy, slowness and low activity.
An 80-year-old woman is brought to the emergency department by her
daughter, who says her mother has refused to eat for 6 days. The mother
says she stays in her room all of the time because the family is mean to her
when she eats or watches TV with them. She says her daughter brings her
only one meal a day and that meal is cold leftovers from the family's meals
days before.
a. What type of elder mistreatment may be present in this situation?
b. How would the nurse assess the situation to determine whether abuse is
present?
- Correct Answer - a. Psychologic abuse, psychologic neglect, physical
neglect, and maybe a violation of personal rights.
b. Perform a very careful medical history and screening for mistreatment;
interview the mother alone; use an assessment tool designed specifically
for elder mistreatment; specifically assess for dehydration, malnutrition,
pressure ulcers, and poor personal hygiene; evaluate explanations about
physical findings that are not consistent with what is seen or contradictory
statements made by the daughter and the mother.
Illness in Nursing Exam | Answered with
Rationale and Rated A+ | 2024/2025
Exam Guide | Galen
An 83-year-old woman is being discharged from the hospital following
stabilization of her international normalized ratio (INR) levels (used to
assess the effectiveness of warfarin therapy). She has chronic atrial
fibrillation and has been on warfarin (coumadin) for several years.
Discharge instructions include returning to the clinic weekly for INR testing.
Which statement by the patient indicates that she may be unable to have
the testing done?
a. "When I have the energy, I have to take a bus to get this test done."
b. "I will need to ask my son to bring me into town every week for the test."
c. "Should I just keep taking the same pill every day until I can get a ride
into town."
d. "It is very important to have this test every week. I have several church
friends who can bring me."
- Correct Answer - c. This statement indicates that this patient does not
understand the importance of the test every week and that the test results
will determine ongoing dosing. The other three statements indicate that the
patient is thinking about ways to get into town weekly.
, The old-old population (85 years and older) has an increased risk for frailty.
However, old age is just one element of frailty. Identify at least 3 other
assessment findings that contribute to frailty.
a._______________
b._______________
c._______________
- Correct Answer - Any 3 of the following are appropriate: unplanned
weight loss (>/= 10lbs in the last year), weakness, poor endurance and
energy, slowness and low activity.
An 80-year-old woman is brought to the emergency department by her
daughter, who says her mother has refused to eat for 6 days. The mother
says she stays in her room all of the time because the family is mean to her
when she eats or watches TV with them. She says her daughter brings her
only one meal a day and that meal is cold leftovers from the family's meals
days before.
a. What type of elder mistreatment may be present in this situation?
b. How would the nurse assess the situation to determine whether abuse is
present?
- Correct Answer - a. Psychologic abuse, psychologic neglect, physical
neglect, and maybe a violation of personal rights.
b. Perform a very careful medical history and screening for mistreatment;
interview the mother alone; use an assessment tool designed specifically
for elder mistreatment; specifically assess for dehydration, malnutrition,
pressure ulcers, and poor personal hygiene; evaluate explanations about
physical findings that are not consistent with what is seen or contradictory
statements made by the daughter and the mother.
