Which aspect of the microenvironment is a 79-year-old widow most likely to focus on first?
A) The decor of the house is several decades out of date.
B) The home was recently burglarized and the television stolen.
C) The front steps of the house are decaying and pose a safety risk.
D) The home is unbearably hot in the summer and has cockroaches.
Question 2Which one of the following statements about delirium and dementia is most accurate?
A) A person who has dementia can suffer from delirium.
B) Dementia and delirium are the same.
C) Delirium causes a progressive, irreversible decline in cognition.
D) Dementia occurs in all elderly persons.
Question 3A patient, age 26, has had a tubal insufflation (Rubin's test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. The nurse's most appropriate response would be
a. Don't worry, that is a normal reaction.
b. I'll report the findings immediately to the head nurse.
c. That is a symptom that resulted from your position on the operating table.
d. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.
Question 4The nurse is providing morning care for an elderly male patient who has been admitted to the hospital after an exacerbation of congestive heart failure. The patient admits to the nurse that he can't seem to catch my breath these days.
How should the nurse first respond to this patient's complaint of dyspnea?
A) Inspect, auscultate, and percuss the patient's chest
B) Assess the circumstances surrounding the patient's shortness of breath
C) Place the patient on continuous pulse oximetry
D) Reposition the patient in a Fowler's position
Question 5The nurse, planning care for older patients on a geriatric unit, realizes which of the following health problems as occurring more frequently among older adults than in younger adults? (Select all that apply.)
A) Cellulitis
B) Pneumonia
C) HIV/AIDS
D) Diverticulitis
E) Endocarditis
Question 6A 79-year-old female patient, admitted for hip replacement surgery, complained of insomnia the night before and was administered lorazepam, a benzodiazepine.
She began displaying signs of delirium shortly thereafter, a situation that has persisted until the morning change of shift. Which of the following guidelines should the night nurse provide to the nurse coming on shift to care for the patient? A) Make sure you get a sedative order from her doctor this morning..
B) Try to keep her level of stimulation as low as you can when you are working with her..
C) Make sure you let the family know that there are effective drug treatments that will resolve her delirium..
D) Work with the discharge-planning nurse to help the family reassess her living arrangement after discharge..
Question 7Epididymitis may occur because of ____ to the testicle.
a. trauma
b. edema
c. removal
d. irritants
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