Exam 28: Older Adults

A patient with whom the nurse is discussing advance directives asks,"What advantage does a durable power of attorney for health care have over a living will?" The nurse should reply that a durable power of attorney for health care:

An advance directive gives valid direction to health care providers when a patient is:

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

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

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 senile." The student is expressing:

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

An 80-year-old patient has difficulty walking because of arthritis and says,"It's awful to be old.Every day is a struggle.No one cares about old people." Which is the nurse's most therapeutic response?

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 75-year-old patient comes to the clinic reporting frequent headaches.After an introduction at the beginning of the interview,the nurse should:

A nurse assessing an older adult patient for suicide potential should include questions about mood and which other symptoms? Select all that apply.

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?

The highest priority for assessment by nurses caring for older adults who self-administer medications is:

A health care provider decided that the emotional distress of an older adult patient who experiences threatening auditory hallucinations warrants the use of risperidone (Risperdal).Which intervention should the nurse add to the patient's plan of care?

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.

An SSRI is prescribed for an older adult patient with depression.Nursing assessment should include careful collection of information regarding:

In a sad voice,a patient tells the nurse of the recent deaths of a spouse of 50 years and their adult child in an automobile accident.The patient has no other family and only a few friends in the community.What is the priority nursing diagnosis?

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

Which beliefs facilitate the provision of safe,effective care for older adult patients? Select all that apply.

A 79-year-old white man tells a visiting nurse,"I've been feeling down lately.My family and friends are all dead.My money is running out,and my health is failing." The nurse should analyze this comment as:

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