Question 1

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

Accepted Answer

A) advance health care directives 
B) the financial status of the institution 
C) how to sign out against medical advice 
D) the institution's policy on the use of restraints 
A) advance health care directives 
B) the financial status of the institution 
C) how to sign out against medical advice 
D) the institution's policy on the use of restraints

Question 2

A 74-year-old patient is regressed and apathetic and responds to others only when they initiate the interaction.What form of therapy would be most useful to promote resocialization?

Accepted Answer

A) Life review 
B) Remotivation 
C) Group psychotherapy 
D) Individual psychotherapy 
A) Life review 
B) Remotivation 
C) Group psychotherapy 
D) Individual psychotherapy

Question 3

A nurse asks the following questions while assessing an older adult.The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers "yes" to which question?

Accepted Answer

A) "Would you say your mood is often low?" 
B) "Are you having any trouble with your memory?" 
C) "Have you noticed an increase in your alcohol use?" 
D) "Do you often experience moderate-to-severe pain?" 
A) "Would you say your mood is often low?" 
B) "Are you having any trouble with your memory?" 
C) "Have you noticed an increase in your alcohol use?" 
D) "Do you often experience moderate-to-severe pain?"

Question 4

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

Accepted Answer

A) discouraging sexual expression 
B) using birth controls measures 
C) avoiding blood transfusions 
D) encouraging condom use 
A) discouraging sexual expression 
B) using birth controls measures 
C) avoiding blood transfusions 
D) encouraging condom use

Question 5

A 78-year-old nursing home resident 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:

Accepted Answer

A) may have a cognitive impairment associated with medication effects. 
B) may be developing Alzheimer's disease associated with advanced age. 
C) had a transient ischemic attack and developed sensory perceptual alterations. 
D) has a previously unidentified alcohol dependency and is beginning alcohol withdrawal delirium. 
A) may have a cognitive impairment associated with medication effects. 
B) may be developing Alzheimer's disease associated with advanced age. 
C) had a transient ischemic attack and developed sensory perceptual alterations. 
D) has a previously unidentified alcohol dependency and is beginning alcohol withdrawal delirium.

Question 6

An older adult patient brings a bag of medication to the clinic.The nurse finds one bottle labeled "Ativan" and one labeled "lorazepam," and both are labeled "Take two times daily." Bottles of hydrochlorothiazide,Inderal,and rofecoxib,each labeled "Take one daily," are also included.Which conclusion is accurate?

Accepted Answer

A) Rofecoxib should not be taken with Ativan. 
B) The patient's blood pressure is likely to be very high. 
C) This patient should not self-administer any medication. 
D) Lorazepam and Ativan are the same drug;consequently,the dose is excessive. 
A) Rofecoxib should not be taken with Ativan. 
B) The patient's blood pressure is likely to be very high. 
C) This patient should not self-administer any medication. 
D) Lorazepam and Ativan are the same drug;consequently,the dose is excessive.

Question 7

An older patient drinks 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.

Accepted Answer

A) Inquiring about sleep disturbances caused by mixing alcohol and analgesic medications 
B) Determining the safety of the daily acetaminophen dose the patient is ingesting 
C) Advising the patient of the harmful effects of alcohol and acetaminophen on the liver 
D) Suggesting an increase in the acetaminophen dose because alcohol causes faster excretion 
E) Assessing the patient for declining functional status associated with medication-induced dementia 
A) Inquiring about sleep disturbances caused by mixing alcohol and analgesic medications 
B) Determining the safety of the daily acetaminophen dose the patient is ingesting 
C) Advising the patient of the harmful effects of alcohol and acetaminophen on the liver 
D) Suggesting an increase in the acetaminophen dose because alcohol causes faster excretion 
E) Assessing the patient for declining functional status associated with medication-induced dementia

Question 8

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?

Accepted Answer

A) Performing mild aerobic exercises 
B) Singing a song from World War II 
C) Discussing national leadership during the Vietnam War 
D) Identifying the most troubling story in today's newspaper 
A) Performing mild aerobic exercises 
B) Singing a song from World War II 
C) Discussing national leadership during the Vietnam War 
D) Identifying the most troubling story in today's newspaper

Question 9

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

Accepted Answer

A) identifying clinical depression in older adults. 
B) providing cost-effective foot care for older adults. 
C) identifying nutritional deficiencies in older adults. 
D) psychosocial stimulation for those who live alone. 
A) identifying clinical depression in older adults. 
B) providing cost-effective foot care for older adults. 
C) identifying nutritional deficiencies in older adults. 
D) psychosocial stimulation for those who live alone.

Question 10

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

Accepted Answer

A) with a history of intermittent problems of alcohol misuse early in life and who now consumes one glass of wine nightly with dinner. 
B) with no history of alcohol-related problems until age 65 years,when the patient began to drink alcohol daily "to keep my mind off my arthritis." 
C) who drank socially throughout adult life and continues this pattern,saying,"I've earned the right to do as I please." 
D) who abused alcohol between the ages of 25 and 40 years but now abstains and occasionally attends Alcoholics Anonymous. 
A) with a history of intermittent problems of alcohol misuse early in life and who now consumes one glass of wine nightly with dinner. 
B) with no history of alcohol-related problems until age 65 years,when the patient began to drink alcohol daily "to keep my mind off my arthritis." 
C) who drank socially throughout adult life and continues this pattern,saying,"I've earned the right to do as I please." 
D) who abused alcohol between the ages of 25 and 40 years but now abstains and occasionally attends Alcoholics Anonymous.

Question 11

An older adult patient with depression is being treated with sertraline (Zoloft).This medication is often chosen for older adult patients because it:

Accepted Answer

A) has a high degree of sedation. 
B) is effective when given in smaller doses. 
C) has few adverse interactions with other drugs. 
D) is less affected by changes associated with aging. 
A) has a high degree of sedation. 
B) is effective when given in smaller doses. 
C) has few adverse interactions with other drugs. 
D) is less affected by changes associated with aging.

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

A 74-year-old patient is regressed and apathetic and responds to others only when they initiate the interaction.What form of therapy would be most useful to promote resocialization?

A nurse asks the following questions while assessing an older adult.The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers "yes" to which question?

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

An older patient drinks 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.

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?

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

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

An older adult patient with depression is being treated with sertraline (Zoloft).This medication is often chosen for older adult patients because it:

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Legal and Ethical Basis for Practice

Nursing Process and Qsen: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Stress and Stress-Related Disorders

Anxiety, anxiety Disorders, and Obsessive-Compulsive Disorders

Somatoform Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders

Neurocognitive Disorders

Addictions and Compulsions

Crisis and Mass Disaster

Child, Partner, and Elder Violence

Sexual Violence

Suicidal Thoughts and Behavior

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Filters

Exam 28: Older Adults

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

A 74-year-old patient is regressed and apathetic and responds to others only when they initiate the interaction.What form of therapy would be most useful to promote resocialization?

A nurse asks the following questions while assessing an older adult.The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers "yes" to which question?

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

An older patient drinks 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.

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?

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

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

An older adult patient with depression is being treated with sertraline (Zoloft).This medication is often chosen for older adult patients because it:

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Legal and Ethical Basis for Practice

Nursing Process and Qsen: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Stress and Stress-Related Disorders

Anxiety, anxiety Disorders, and Obsessive-Compulsive Disorders

Somatoform Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders

Neurocognitive Disorders

Addictions and Compulsions

Crisis and Mass Disaster

Child, Partner, and Elder Violence

Sexual Violence

Suicidal Thoughts and Behavior

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Filters