Which of the following best represents the percentage of elderly persons with co-morbid conditions who suffer from depression.
a. 15
b. 25
c. 37
d. 50
Question 2Evaluate the following assessment data and select the datum that is suggestive of undernutrition.
A) body mass index (BMI) of 20.
B) serum albumin slightly below normal, prealbumin and transferrin within normal limits.
C) unintentional 3 pound weight loss over a month in a elderly woman weighing 120 pounds.
D) denial of taking a multiple vitamin supplement.
Question 3During a home visit, the nurse learns that an older patient is taking herbal remedies in addition to prescribed medications. What should the nurse instruct the patient about this practice? Standard Text: Select all that apply.
1. Some herbal remedies interact with medications.
2. Herbal remedies are natural products and do not harm the body.
3. Talk to the healthcare provider about the use of herbal remedies.
4. The Food and Drug Administration does not regulate herbal remedies.
5. For most herbal remedies, no studies have demonstrated effectiveness.
Question 4A nurse is in the process of discharging an older client with an open abdominal wound requiring dressing changes. The nurse has instructed the client about the importance of maintaining adequate hydration.
Which statement by the client shows the need for further instruction?
A) I can add an extra cup of decaffeinated coffee with breakfast and dinner.
B) I'll drink water and nonsugared beverages whenever I feel thirsty.
C) I will set up a schedule to drink a glass of water every 2 hours throughout the day.
D) If I drink a lot of fluids, I'll have to go to the bathroom more often, but I'll get more exercise.
Question 5The evening charge nurse on a skill nursing unit in a long term care facility is having trouble with one of her nursing assistants sleeping on the job. What should the charge nurse's first action be?
a. report the incident to the nurse manager
b. talk to the nursing assistant involved
c. discuss it with the day charge nurse
d. report the nursing assistant to the director of nursing
Question 6An older patient with dementia has been medicated with sedatives. The healthcare provider now prescribes a lower dose of the sedative and the nursing staff is concerned that the patient will resume agitated behavior.
What should be explained to the staff about the use of this medication? 1. The patient's condition warrants physical restraint only.
2. The patient's physical condition does not warrant use of the drug.
3. The patient's family members would be upset if they were aware of the use of chemical restraints.
4. The use of psychotropic drugs may be considered excessive and harm the patient's health.
Question 7Healthy adults often experience decreased strength and endurance in performing activities as they age. This can be attributed to
A) an increase in cholecystokinin production.
B) a decrease in lean muscle mass.
C) lowered absorption of vitamin D.
D) depression.
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