Ccie
Ccie
Ccie
Rationale: Option D addresses altered perception in two ways. First, by using visual
aids to reinforce verbal instructions, one addresses the possibility of decreased
ability to hear high-frequency sounds. By developing the handouts in large print,
one addresses the possibility of decreased visual acuity. Option A does not allow
discussion of the information; furthermore, the text and print may be small and
difficult to read and understand.
2. When developing the plan of care for an older adult who is hospitalized for
an acute illness, the nurse should
Rationale: The plan of care for older adults should be individualized and based on
the patients current functional abilities. A standardized geriatric nursing care plan
is unlikely to address individual patient needs and strengths. A patients need for
discharge to a long-term-care facility is variable. Activity level should be designed
to allow the patient to retain functional abilities while hospitalized and also to allow
any additional rest needed for recovery from the acute process.
3. Which information obtained by the home health nurse when making a visit
to an 88-year-old with mild forgetfulness is of the most concern?
A. The patient's son uses a marked pillbox to set up the patient's medications
weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a son
at night.
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D. The patient tells the nurse that a close friend recently died.: B. The patient
has lost 10 pounds (4.5 kg) during the last month.
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7. Which of the following statements accurately reflects data that the nurse
should use in planning care to meet the needs of the older adult?
Rationale: Approximately two thirds of older adults use prescription and nonprescrip-
tion drugs with one third of all prescriptions being written for older adults
8. The nurse is aware that the majority of older adults:
A. Live alone
B. Live in institutional settings
C. Are unable to care for themselves
D. Are actively involved in their community: D. Are actively involved in their
community
9. The nurse works with elderly clients in a wellness screening clinic on a
weekly basis. Which of the following statements made by the nurse is the most
therapeutic regarding their mobility?
A. "Don't worry about the medication's name if you can identify it by its color
and shape."
B. "Unless you have severe side affects, don't worry about the minor changes
in the way you feel."
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C. "Feel free to ask your physician why you are receiving the medications that
are prescribed for you."
D. "Remember that the hepatic system is primarily responsible for the phar-
macotherapeutics of your medications.": C. "Feel free to ask your physician why
you are receiving the medications that are prescribed for you."
Rationale: The nurse should encourage the older adult to question the physician
and/or pharmacist about all prescribed drugs and over-the-counter drugs. The older
adult should be taught the names of all drugs being taken, when and how to take
them, and the desirable and undesirable effects of the drugs.
11. In performing a physical assessment for an older adult, the nurse antici-
pates finding which of the following normal physiological changes of aging?
A. Increased perspiration
B. Increased airway resistance
C. Increased salivary secretions
D. Increased pitch discrimination: B. Increased airway resistance
A. "If this doesn't work out, she can always go to live with my sister."
B. "I don't think she will react very well to me making decisions for her."
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C. "I'm afraid that mom will be depressed and miss her home."
D. "My children will just have to adjust to having their grandmother with
us.": B. "I don't think she will react very well to me making decisions for her."
14. The nurse, preparing to discharge an 81-year-old client from the hospital,
recognizes that the majority of older adults:
A. "Dad has always been a fighter; he'll fight this too. He won't give up."
B. "We have an appointment with his care provider to see about medication
therapy."
C. "Good thing we found out about this early so we can prevent this from
getting worse."
D. "We have a made arrangements to discuss nursing home placement for
dad.": B. "We have an appointment with his care provider to see about medication
therapy."
17. The nurse is planning client education for an older adult being prepared
for discharge home after hospitalization for a cardiac problem. Which nursing
action addresses the most commonly determined need for this age-group?
A. "I don't seem to have problems with side effects, but I'll let my doctor know
if something happens."
B. "I'm lucky since my daughter is really good about keeping up with my
medications."
C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand
something."
D. "It shouldn't be too hard to keep it straight since I don't have any really
serious health issues.": C. "I'll be sure to read the inserts and ask the pharmacist
if I don't understand something."
19. Which of the following client statements regarding self-medication admin-
istration by an older-adult client requires follow-up teaching by the nurse?
A. "I take all the pills ordered once a day at bedtime, so I'm less likely to forget
them."
B. "I have one pill that needs cut in half. I am going to ask the pharmacist to
do that for me."
C. "The pharmacist said to keep my pills away from the sunlight, so I put them
inside the kitchen cabinet."
D. "My daughter comes over each morning and puts my pills into a container
that sorts them by the time they are due.": A. "I take all the pills ordered once a
day at bedtime, so I'm less likely to forget them."
20. Which of the following statements made by an older-adult client poses
the greatest concern for the nurse conducting an assessment regarding the
clients adjustment to the aging process?
A. "I use to enjoy dancing and jogging so much, but now I have arthritis in my
knees so that it's hard to even walk."
B. "I've given my grandchildren money for college so they can live a better life
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than I had."
C. "Growing old certainly presents all sorts of challenges. I wish I knew then
what I know now."
D. "As I age I've found its harder to do the things I love doing, but I guess it
will all be over soon enough.": D. "As I age I've found its harder to do the things I
love doing, but I guess it will all be over soon enough."
21. Of the following options, which is the greatest barrier to providing quality
health care to the older-adult client?
A. "What makes you think that this transfer to the nursing center will be
permanent?"
B. "The reason for this transfer is only to support you while you continue to
recuperate."
C. "The decision to stay in the nursing center is yours to make. When you want
to leave no one will stop you."
D. "The nursing center is a lovely place with a wonderful staff of caring people.
Just give it a chance. You may like it.": A. "What makes you think that this transfer
to the nursing center will be permanent?"
25. A nurse caring for older adults in an assistive living facility recognizes that
a clients quality of life needs are best determined by:
A. During a meal.
B. During assessment of vital signs.
C. While assisting a patient with a bath.
D. When assisting a patient during a walk.: C. While assisting a patient with a
bath.
30. When caring for the older adult, it is important to:
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A. Physical signs of aging.
B. Immunological function.
C. Functional abilities.
D. Chronic illness.: C. Functional abilities.
33. Of the following, which describes dementia?
A. Revise the client's care plan to show the need for the application of
moisturizing lotion
B. Assume personal responsibility to apply the moisturizing lotion daily to the
client's skin
C. Encourage the client to tell whomever bathes her to apply the moisturizing
lotion to her areas of dry skin
D. Inform the staff that the client's skin is showing signs of breakdown and
moisturizing lotion needs to be applied daily: A. Revise the client's care plan to
show the need for the application of moisturizing lotion
39. A 76-year-old adult female is brought to a neighborhood client after being
found wandering around the local park. The client appears disheveled and re-
ports being hungry. Which of the following assessment and interview findings
would cause the nurse to suspect elder abuse? (Select all that apply.)
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41. You are caring for a 78 year-old female cardiac patient. In preconference,
your clinical instructor asks you what is an age-related change in the cardiac
system of the older adult? Your best response would be
1. dementia.
2. depression.
3. delirium.
4. Alzheimer's.: 2. depression.
43. Your patient assigned to you has pneumonia. You are reviewing the age-re-
lated changed involved with the older adult. Select all age-related changes of
the respiratory system that apply.
1. presbycusis.
2. car accidents.
3. pneumonia.
4. falls.: 4. falls.
45. Which medication prevents the breakdown of a brain chemical important
for memory and thinking and may slow the progress of Alzheimer's disease.
1. memantine (Namenda)
2. ozazepam (Serax)
3. donepezil (Aricept)
4. citalopram (Celexa): 3. donepezil (Aricept)
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