According to the Delaney sisters, which of the following factors are important in healthy aging?
a. engaging in enjoyable activities
b. cherishing family traditions
c. seeking the companionship of others
d. all of the above
Question 2A resident in the nursing home is diagnosed with undernutrition and is unable to take in adequate food despite efforts by the multidisciplinary team and family members.
Prior to insertion of a permanent feeding tube, which issue needs to be considered? 1. Equipment, care, and time needed to administer the feedings
2. The extent of the surgical intervention, cost and insurance coverage
3. The patient's nutritional needs and tolerance of the formula feedings
4. The patient's advanced directive and evaluation of risks, benefits, and ethical considerations
Question 3When an older adult lives with family members, which of the following principles would not be appropriate for the nurse to apply in assisting the family to promote quality of life for their older loved one?
a. help them recognize their own needs and limitations
b. provide referrals to community resources
c. recommend nursing home placement immediately to avoid stress
d. respect all family caregivers as an important part of the team
Question 4The primary sign of bladder cancer is:
a. painful hematuria
b. painless hematuria
c. painful hemorrhoids
d. frequent urination
Question 5A homeless man, age 66, is admitted to the acute care facility. He was found lying in an alley. An investigation revealed the individual is homeless and does not have any available family members. The client is unresponsive at the time of admission.
The prognosis is guarded. Which action by the healthcare facility is indicated?
A) Notify a local homeless shelter.
B) The hospital will approach a judge to have the client become a ward of the state.
C) The hospital will assume implied consent for care for a period of 48 hours and then move forward if there is no change to name a guardian.
D) The client will be represented by the hospital social worker until he regains consciousness or a guardian is appointed.
Question 6Which older patient is at greatest risk for vitamin D deficiency?
1. The patient with macrocytic anemia
2. The patient who does not drink milk
3. The patient who works outdoors daily and does not wear sunscreen
4. The patient who is taking isoniazid (INH) after a positive tuberculin skin test
Question 7For an older person (living with an adult child) who needs some help and social interaction during the day while their family member is at work, which of the following care settings would the nurse most likely recommend?
a. hospice
b. assisted living
c. adult day care
d. nursing home
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