A diabetes nurse is providing care for a 73-year-old client who is a regular client of the hospital's out-client diabetes clinic. What assessment question most clearly addresses this client's potential for optimal function?
A) What are some goals that you have for maximizing your level of wellness?
B) How can we help you to take ownership of your own health?
C) Is there anything that you're doing that might be exacerbating your diabetes?
D) How long do you think that you'll be able to live independently?
Question 2An older adult has recently begun to display unprecedented lapses in short-term memory. The nurse overhears a colleague reassuring the person by saying, Try not to worry; it's just a part of growing older.
The nurse recognizes that this is an example of what phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
Question 3A nurse hears a colleague make the statement, Most older adults have nothing to worry about financially. Which of the following responses is most appropriate?
A) You have to remember that there's a huge economic disparity among older adults.
B) Actually, the number of older people living below the poverty line has been increasing, not decreasing.
C) This isn't really true now, but it is true that the gaps that disadvantaged groups live with are expected to shrink.
D) This is true for some groups, but not for minorities who are less likely to be living with their relatives.
Question 4A nurse is teaching an older person about the concept of successful aging. Which of the nurse's questions addresses an important contributor to successful aging?
A) Are you largely free of acute or chronic illnesses?
B) Do you feel financially secure?
C) Do you feel like you actively engage with life?
D) Do you have a reliable support network?
Question 5A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a colleague. Which of the nurse's statements reflects an accurate view of the relationship between aging and wellness?
A) It's important that the individual knows this is an expected part of growing older.
B) We need to teach the older adult how he can keep living a fruitful life in spite of his diagnosis.
C) We need to make sure our teaching is not too detailed for someone of his age.
D) We need to ensure his expectations of continuing to live alone are realistic.
Question 6The highest level of evidence to support interventions at the end of life is with
A. Opioids for pain control
B. Hyocsyamine for respiratory secretions
C. Stimulant laxatives for treating constipation
D. Opioids for dyspnea
Question 7The highest level of evidence with the use of adjuvant analgesics is with
A. Tricyclic antidepressants avoided due to high adverse events
B. Therapeutic trials before discontinuing drugs
C. Patient with fibromyalgia are candidates for adjuvant analgesics
D. Neuropathic pain patients are candidates for adjuvant analgesia
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