Erikson's stages of personality development for a person that is 76 years old would be:
a) autonomy versus shame
b) integrity versus despair
c) generativity versus isolation
d) trust versus mistrust
Question 2The nurse is reviewing secondary prevention actions with an older patient. Which interventions should the nurse encourage the patient to complete? Standard Text: Select all that apply.
1. Yearly depression screening
2. Colonoscopy every 10 years
3. Yearly fecal occult blood test
4. Yearly height and weight check
5. Yearly blood pressure screening
Question 3Which of the following statements is correct in describing nursing care plans for older adults?
A) Standardized care plans are more effective in goal attainment than individualized care plans.
B) Care plans are controlled by the nurses caring for the client; other members of the interdisciplinary team should develop their own specific plans of care.
C) The first step of creating a nursing care plan is a systematic assessment using a functional health pattern framework.
D) Older adults often have multiple nursing diagnoses and each diagnosis should be addressed at once.
Question 4The nurse is instructing a new patient on the benefits of exercise. She would include which of the following in providing the most current recommendations for older adults?
a. the emphasis is on being more physically active rather than a narrow adherence to a rigid exercise regimen
b. older adults should exercise one solid hour per day to achieve benefits
c. research has shown that older adults need to burn more calories than younger adults in order to obtain cardiac benefit from exercise
d. all of the above are true
Question 5The theory of aging that says that personality and coping patterns remain consistent through life is:
a) continuity
b) gerotranscendence
c) human needs
d) life course
Question 6Which of the following aging changes is most significant to renal efficiency?
a. loss of up to half of functioning nephrons
b. decreased cardiac output
c. nocturia
d. a and b
Question 7An older patient with confusion is prescribed to receive a blood transfusion. What should the nurse do to obtain consent for this transfusion?
1. Ask the patient's durable power of attorney to sign the consent.
2. Withhold the blood transfusion until the patient's mental status improves.
3. Administer the blood transfusion since a signed consent form is not necessary.
4. Explain the transfusion, help the patient sign the consent, and administer the transfusion.
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