An older adult who is on bed rest has tachycardia and dry mucous membranes after sur-gery. Which is the nurse's priority for preventive care because of the patient's fluid vo-lume status?
a. Bowel obstruction
b. Delirious behavior
c. Thromboembolic events
d. Delayed wound healing
Question 2Which of the following is a true statement about psychotic behavior in older adults?
a. Usually, hallucinations in older patients are the result of psychological conflicts.
b. Illusion, delusion, and hallucination are different terms for the same phenomenon.
c. An older adult with psychotic behavior should be assessed for a variety of causes.
d. Regardless of the cause, dissimilar hallu-cinations are treated with similar therapies.
Question 3Which statement about conservators is true?
a. A conservatorship entails control over property, whereas a guardianship entails control over the person.
b. The most legally restricting way individuals and property can be handled are through conservatorships and guardianships.
c. Conservators cannot be members of the conservatee's (the patient's) family.
d. Because a conservatorship is the least restrictive alternative, a court hearing is not required.
Question 4An older woman who takes escitalopram (Lexapro) 10 mg by mouth daily states she does not feel better after 1 week of treatment.
Rank the interventions in order, starting with the first inter-vention the nurse should implement to facilitate patient compliance with therapy. a. Tell her that the beneficial effects can take 4 to 6 weeks to appear.
b. Instruct her to take the medication as pre-scribed without stopping.
c. Suggest hard candy, ice chips, and sips of water for a dry mouth.
d. Collaborate with the health care provider to provide an increased dose.
Question 5Each of the following is part of a program for addressing bowel incontinence in an older adult patient except which one?
a. Ensuring that a toilet or commode is readily accessible to the patient
b. A diet containing 6 to 10 grams of fiber and 2 liters of water each day
c. Expectations of a rapid and full recovery
d. Exercises to strengthen abdominal and pelvic floor muscles
Question 6Which statement is true about caregiving?
a. Dementia in an elder can cause grief in the caregiver comparable to the grief from the elder's death.
b. Middle-aged adults and older parents reverse lifelong caregiving roles with in-creasing age.
c. Older adults should relocate to the caregiver's home when long distances separate the two.
d. Increasing numbers of adult children who are developmentally disabled become caregivers for their older parents.
Question 7An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.
Which ideas should the nurse include in the response to this individual? a. The staff receives training in ethics.
b. Validate the woman's impression.
c. Avoid suspicious, paranoid thinking.
d. Use the call bell if she becomes frigh-tened.
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