An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks
a. Have you ever experienced a memory loss as a result of consuming alcohol?
b. Would you drink to relax after a particu-larly stressful day?
c. Do you ever drink when you are alone?
d. How many alcoholic drinks do you con-sume each week?
Question 2An older patient admitted to the hospital with symptoms strongly suggestive of tuberculosis (TB) has a negative Mantoux test. The nurse correctly anticipates that
a. the purified protein derivative (PPD) test will be administered.
b. a chest x-ray will be ordered to detect possible infiltration.
c. therapy consisting of a combination of bactericidal drugs will be initiated.
d. the skin test will be repeated to achieve a booster effect.
Question 3A nurse is assisting a patient with a life review. What action by the nurse is best?
a. Ask the patient what his or her job was.
b. Ask about memories the patient is proud of.
c. Ask the patient about special holiday foods.
d. Ask the patient to name children and grandchildren.
Question 4The nurse is caring for an older adult who reports severe chronic pain. To best assess age-related physiologic changes that could influence plans for initiating an appropriate drug regimen, the nurse prepares the patient for which laboratory evaluation?
a. White blood count
b. Glomerular filtration rate
c. Serum complement level
d. Electroencephalogram
Question 5The nurse recognizes that an older adult on both antihypertensive and antidepressant drug therapies has a specific need for
a. regular blood pressure monitoring.
b. an effective history focusing on sexual function.
c. an increase in daily fluid intake.
d. frequent assessment of emotional stability.
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