Exam 35: Older Adults

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A community health nurse visits an older adult whose spouse died 6 months ago and notes several vodka bottles are in the trash.The person says, "I get lonely and drink a little to help me forget." What is the nurse's most therapeutic intervention?

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D

Which information is most important to obtain during assessment of an older adult with a mental disorder?

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A

What high priority assessment should a nurse caring for an older adult who self-administer medications preform?

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B

What assessment question asked by the nurse planning care for an older client best minimizes the risk for ineffective medication administration by the client and impaired medication effectiveness?

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Which interventions should the nurse implement to facilitate an effective assessment of an older adult? (Select all that apply.)

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When assessing older adults, the nurse should pay particular attention to which demographic group with the highest suicide risk?

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A 65-year-old patient is diagnosed with late-onset schizophrenia.Both positive and negative symptoms of the disorder are present.The patient has a history of atrial fibrillation.The nurse should prepare patient education materials related to what medication?

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An older adult patient diagnosed with depression is prescribed a selective serotonin reuptake inhibitor (SSRI).Nursing assessment should include careful collection of what information to best assure patient safety?

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A resident in a senior community has lost weight, feels depressed, and has lost interest in former social activities.The nurse asks, "When you last saw your doctor, did you share these problems?" The resident replies, "Yes, but the doctor said I shouldn't expect to feel good every day." Which barrier to mental health care is evident?

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Which assessment findings related to a 68-year-old patient should be identified as risk factors for late-onset alcohol abuse and dependence? (Select all that apply.)

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An older adult patient is severely suicidal and the patient's physical condition is declining.When it is apparent that traditional interventions are ineffective, the nurse should prepare for which intervention?

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Which remarks by a 72-year-old patient should prompt the nurse to assess for depression? (Select all that apply.)

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A community health nurse assesses four patients between ages 70 and 80.Which patient has the highest risk for alcohol dependence?

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A nurse plans a staff education program for employees of a senior living community.Which topic has priority when considering client safety?

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Reducing aggressive outbursts on a unit for older adults with mental disorders can be best achieved by implementing which intervention?

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A nurse demonstrates an understanding of milieu management associated with the care of older client's diagnosed with psychiatric disorders when implementing which interventions?

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A patient living in community housing for older adults says, "I don't go to the senior citizens club.They play cards and talk about the past, because that's all they can do." The nurse suspects that these remarks represent what personal behavior?

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An 80-year-old patient comes to the clinic reporting frequent headaches.As the nurse begins the assessment, which initial action should be taken to maximize the effectiveness of the assessment?

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