An older male adult who is right-handed works as a carpenter, but he has been left with a flaccid right arm after a thrombus occluded a cerebral artery.
Which is the most important goal for the plan of care to help this man achieve his optimal state of health and wellness? a. Maintain skin integrity of right arm.
b. Collaborate with occupational therapy.
c. Promote plaque-reversing strategies.
d. Support effective coping mechanisms.
Question 2An older adult admitted for back surgery asks for opioid pain medication. The nurse knows the patient asks for pain medication 15 minutes before it is due. Which recommendation should the nurse implement?
a. Validate the pain with other assessment data.
b. Administer the pain medication as re-quested by the patient.
c. Tell the patient that it is too soon for pain medication.
d. Teach the patient alternative comfort measures.
Question 3Which older adult has the most characteristics associated with becoming frail?
a. Male, African American, with dementia
b. Female, high school drop-out, on Medicaid
c. Male, Hispanic American, with hypoproteinemia
d. Female, African American, retired allergy doctor
Question 4The nurse plans the care for an older man who has Medicare, lives on Social Security and a small pension, and has type 2 diabetes mellitus.
Which aspect(s) of this man should the nurse integrate into a positive approach to his health and well-being? (Select all that apply.) a. Pays for some diabetic supplies.
b. Enjoys regular physical activity.
c. Practices effective glucose control.
d. Lives alone in a high-rise apartment.
e. Lacks low-cost, reliable transportation.
f. Attends weekly dinner club for diabetics.
Question 5An older female adult has severe osteoporosis in long bones, impaired mobility, and chronic pain. Which acute illness or condition is this woman most likely to experience as a result of osteoporosis?
a. Peripheral neuropathy
b. Chronic stable depression
c. Intertrochanteric fracture
d. Opioid analgesic addiction
Question 6Which are the major factors influencing the experience of aging?
a. Health, history, and sex
b. Self-care needs and culture
c. Self-fulfillment and self-esteem
d. Society, culture, and marital status
Question 7Acute illness is to chronic illness as which of the following comparisons?
a. An emergency department is to a nursing home
b. A hospital staff nurse is to a nurse practitioner
c. Health insurance is to Medicare for older adults
d. Inpatient surgical care is to outpatient medical care
Question 8Each of the following is a nonpharmacological intervention for pain except which one?
a. Acupuncture treat-ments c. Lidocaine patch
b. Adjuvant therapy d. Capsaicin
Question 9Which statement is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen?
a. Management of the client's chronic disease rests on the client and the caregiver, so goals should be set collaboratively.
b. The client will be able to make needed changes in his life if you provide accurate, written instructions.
c. Psychological functioning is usually impaired only to a small extent in a client with a chronic illness.
d. The client's values, culture, and beliefs will have little to do with the types of changes he will be able to make.
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