Exam 28: Older Adults

If an older adult patient must be physically restrained, who is responsible for the patient's safety?

Which is the best comment for a nurse to use when beginning an interview with an older adult patient?

A nurse and social worker co-lead a reminiscence group for eight "young-old" adults. Which activity is most appropriate to include in the group?

An older patient reports drinking a six-pack of beer daily. The patient tells the community health nurse, "I've been having trouble with my arthritis lately, so I take acetaminophen four times a day for pain." What are the nurse's priority interventions? (Select all that apply.)

An older adult with a history of major depressive disorder has taken sertraline (Zoloft) daily for three years. The patient tells the nurse, "I want to stop taking this medication. I don't think I need it anymore." Select the nurse's best response.

A student nurse visiting a senior center tells the instructor, "It's so depressing to see all these old people. They are so weak and frail. They are probably all confused." The student is expressing:

A nurse assessing an older adult patient for depression should include questions about mood as well as which other symptoms? (Select all that apply.)

Recognizing the risk for acquired immunodeficiency syndrome (AIDS) among older adults, nurses should provide health teaching aimed at:

When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?

A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? (Select all that apply.)

When admitting older adult patients, health care agencies receiving federal funds must provide written information about:

A health care provider decided that the emotional distress in an older adult patient warranted the prescription of risperidone (Risperdal). Which interventions should the nurse add to the patient's plan of care? (Select all that apply.)

A nurse wants to perform a preliminary assessment for suicidal ideation in an older adult patient. Which question would obtain the desired data?

Which statement about aging provides the best rationale for focused assessment of older adult patients?

A nurse and social worker co-lead a reminiscence group for six "elite-old" adults. Which activity is appropriate to include in the group?

A patient asks the nurse, "I already have a living will. Why should I have a durable power of attorney for health care also?" The nurse should reply, "A durable power of attorney for health care:

A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me." In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident:

A clinic nurse interviews four patients between 70 and 80 years of age. Which patient should have further assessment regarding the risk of alcohol addiction? The patient:

A health care provider writes these new prescriptions for a resident in a skilled care facility: "2 g sodium diet; restraint as needed; limit fluids to 2000 ml daily; 1 dose milk of magnesia 30 ml orally if no bowel movement occurs for 3 days." Which prescription should the nurse question?

A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. A topic of high priority should be: