Exam 34: The Aging Individual

The community health nurse is visiting a homebound elderly patient who lives alone.The nurse assesses the patient's environment and finds the home dark and cold.The food pantry contains two cans of soup and half a package of crackers.The contents of the refrigerator have spoiled due to the lack of electricity.The patient states that her electricity has been turned off because her nephew who looks after her has not paid the bill this month even though she gave him the money to do so.During the physical assessment,the nurse finds that the patient has lost 8 pounds since the last visit and has what appear to be cigarette burn marks in various stages of healing on the patient's arms.The nurse determines that the patient is the victim of which type of abuse? Select all that apply.

Hank is an older adult widower who lives in a long-term care facility.Recently,Hank has been complaining of fatigue,sleeping excessively,and refusing to engage in unit activities,including meals.When the nurse asks Hank about these symptoms he sighs,"Don't worry about me.I'm just a tired old man who is waiting to die." Which questions are most important for the nurse to ask Hank? Select all that apply.

An elderly,emaciated client is brought to an emergency department by the client's caregiver.The client has bruises and abrasions on the shoulders and back in multiple stages of healing.When directly asked about these symptoms,which type of client response should a nurse anticipate?

A client diagnosed with Neurocognitive Disorder Due to Alzheimer's Disease has difficulty communicating because of cognitive deterioration.Which nursing intervention is appropriate to improve communication?

The nursing instructor is teaching a course on human growth and development to a class of nursing students.The teaching is successful when the students identify which factors as biological aspects of aging? Select all that apply.

______________ theory describes the process of withdrawal by older adults from societal roles and responsibilities.

A nursing instructor is teaching about reminiscence therapy.What student statement indicates that learning has occurred?

Which psychiatric disorder would a nurse expect to see diagnosed in a client's later life?

According to the U.S.Census Bureau criteria,how would a nurse classify a 70-year-old man?

An elderly client who lives with a caregiver is admitted to an emergency department for a fractured arm.The client is soaked in urine and has dried fecal matter on the lower extremities.The client is 6 feet tall and weighs 120 pounds.Which condition should the nurse suspect?

James is an older adult who has bilateral cataracts.Which statement made by the nurse indicates implementation of appropriate nursing interventions for this patient? Select all that apply.

Which adults are most likely to maintain a positive self-concept during the aging process? Select all that apply.

A nurse is conducting a class on fall prevention at a local senior center.In relationship to the slowed cognitive processing of advanced age,which teaching modification would be most appropriate for the nurse to implement?

A family asks why their father is attending activity groups at the long-term care facility.The son states,"My father worked hard all of his life.He just needs some rest at this point." Which is the appropriate nursing reply?

The nurse is teaching the son of an older adult about the psychological changes associated with aging.Which statement made by the nurse is correct? Select all that apply.

Tandy is an older adult who suffers from dementia.The nurse visits with Tandy and listens as Tandy flips through a photo album and recounts stories from her past.Tandy is engaged in _____________ therapy.

An elderly client has met the criteria for a diagnosis of Major Depressive Disorder.The client does not respond to antidepressant medications.Which treatment should a nurse anticipate that the physician would prescribe for this client?

After Margie's husband of 52 years passed away,Margie's children moved her to an assisted-living community so she would have more social interaction.She has lived in the community for 3 years,and she has been the president of the social committee.Lately,Margie has had difficulty remembering the dates and times of social events she has planned and the names of some of her closest friends in the community.When the nurse addresses this issue,Margie responds with "I've always been so sharp and now I feel like my brain is hardly working at all.I've turned into a dotty old woman who can't keep things straight.I'm so embarrassed and humiliated.I'm so glad my husband isn't here to see this." Which nursing actions are likely to improve Margie's self-esteem? Select all that apply.

A couple resides in a long-term care facility.The husband is admitted to the psychiatric unit after physically abusing his wife.He states,"My wife is having an affair with a young man,and I want it investigated." Which is the appropriate nursing reply?

A son who recently brought his extremely confused parent to a nursing home for admission reports feelings of guilt.Which is the appropriate nursing reply?