Exam 4: Assessment of the Older Adult

A nurse is conducting an admission interview with an older patient admitted to a long-term care facility.When the nurse asks about the patient's former occupation,the patient states,"What do you care? I am long retired!" What response by the nurse is best?

The gerontologic nurse admitting a patient to an assisted living facility recognizes the importance of tools such as the Katz and the Barthel indexes because of the impact they have on which of the following?

The nurse has used the Yesavage Gerontologic Depression Scale (short form)and scored the patient at a 1.What is the nurse's best action?

A 76-year-old postsurgical diabetic patient has reported feeling dizzy and clammy.The daily serum glucose level shows the patient's levels to be within normal limits.The gerontologic nurse shows an understanding of established health norms for the older adult when stating

To establish a mutually respectful relationship with an older adult patient being admitted to a skilled nursing unit,the nurse first introduces himself and then asks the older adult which of the following?

Which action by the nurse most effectively implements guided reminiscence during a patient interview?

A patient is being admitted after a fall that has caused a painful leg injury.In preparing to interview the patient for a health history,the nurse is initially concerned about which of the following?

An older patient is hospitalized after a fall that resulted in a fractured left ankle.By day 4 of the hospitalization,which included reduction of the fracture and analgesic drug therapy,the patient has become mildly disoriented and is incontinent of urine.The nurse explains to the family that these symptoms reflect the

A nurse is working with an older patient in the gerontology clinic.The patient reports a vague decline in function and says,"I guess I'm just getting older." What action by the nurse is best?

The registered nurse in a long-term care facility has administered the Montreal Cognitive Assessment (MoCA)to a new resident.Before documenting the resident's score,what action by the nurse is best?

A nurse who cares for older adults recognizes which of the following clinical features associated with dementia? (Select all that apply. )

An older patient is reluctant to report multiple vague signs and symptoms,including lethargy,incontinence,and weight loss that have persisted for 6 weeks.The nurse recognizes that such symptoms place the patient at great risk for

To best minimize patient anxiety and help ensure a successful history assessment interview,the gerontologic nurse does which of the following first?

An older patient is being admitted to a long-term care facility.The nurse recognizes that the primary purpose of the initial gerontologic health assessment is to

The nurse using the SPICES model to assess older patients collects data on which topics? (Select all that apply. )

The nurse admitting a debilitated patient to a long-term care facility initially assesses the patient using the Katz Index.The student asks why the nurse chose that tool.What answer by the nurse is best?

An older patient is admitted for bacterial pneumonia.The only abnormal assessment values include a heart rate of 102 beats per minute,slight cyanosis of the nail beds,and mild confusion.The patient's daughter questions the possibility of pneumonia stating,"He isn't coughing or having any difficulty breathing." The nurse responds most appropriately with which comment?

A nurse aide working in the gerontologic unit's dining room tells the nurse that a patient who was oriented to time and place this morning is now confused about what day it is and why she's "here." The nurse appropriately directs the nurse aide to do which of the following?

The gerontologic unit nursing manager evaluates that which nurse shows the best understanding of how personal attitude affects the interview process during a health assessment of an older adult patient?

The gerontologic nurse recognizes that which patient is at highest risk for a decline in functional ability?