Which of the following would not be considered a normal aging change when assessing an older adult?
a. presbyopia
b. presbycusis
c. a score of 3 on the geriatric depression scale (GDS)
d. macular degeneration
Question 2An elderly woman has sent thousands of dollars to a company that promises her chances to win prizes and large sums of money.
She has won a small radio and now is asked to send 1,000 more to the company to be in the drawing for the grand prize. This is most likely an example of: a. violation of personal rights
b. financial abuse
c. a great marketing strategy
d. a legitimate lottery
Question 3Which of the following new findings would be considered abnormal and requiring immediate attention in the older adult?
a. presbyopia
b. presbycusis
c. MMSE score of 12
d. liver spots
Question 4The health history is an important part of the comprehensive geriatric assessment. Which of the following interventions will improve the accuracy and efficiency of obtaining the history?
A) giving the client a form to complete regarding past medical history as soon as the client arrives for the appointment
B) requesting the client bring a list of current medications, including nonprescription medications, taken regularly
C) conducting the assessment in an environment with comfortable seating, handicapped-accessible furnishings, proper lighting, and limited noise
D) scheduling 30 minutes for the medical history interview
Question 5The health care professional working in an outpatient clinic notices that an older woman he is seeing as a patient in the clinic has multiple small bruises and burns on the inner aspects of the thighs.
When the patient sat down, she did so slowly and seemed to wince. What should these signs prompt the health care professional to do first? a. ask some more specific questions related to the home situation of the patient
b. immediately make a report to adult protective services
c. call a doctor into the room to make a report
d. accuse the caregiver of physical abuse
Question 6An older patient is refusing a prescribed course of treatment because it goes against religious principles. The nurse realizes that religion plays what role within ethnocultural heritage? Standard Text: Select all that apply.
1. Provides a system of practices
2. Provides a meaningful philosophy
3. Gives the patient a frame of reference
4. Conducive to spiritual harmony and health
5. Increases morbidity and mortality of older patients
Question 7The nurse is assigned to provide care for a client recently admitted to a rehabilitation care facility.
The client was severely injured in an automobile accident and requires assistance with the activities of daily living and occupational and physical therapy. The nurse notices the client is tearful one evening. When questioned, the client reports feeling lonely and sad. What initial action by the nurse is indicated?
A) Ask the client what is wrong.
B) Sit with the client and encourage a discussion of feelings.
C) Obtain a referral for a psychological consult.
D) Offer to call the client's family members.
Question 8The family of a 95-year-old patient of the Chinese culture is planning on caring for the patient in the home. How can the nurse best meet the patient's needs?
1. Discussing how other families have approached this problem
2. Explaining to the family that resources are available to help the patient
3. Exploring the resources the family has to meet the patient's needs in its home
4. Insisting that the family reconsider its decision and look at other care options
Question 9The Up and Go Test is useful for assessment because it:
a. provides a quick measure of physical, especially walking, ability
b. gives a precise indication of physical strength
c. provide a statistically accurate number associated with grip strength
d. gives an idea of cognitive function
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