The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult?
a. Inform the staff about his risk for falls.
b. Place a concave mattress on the bed.
c. Provide frequent walks in the hallway.
d. Help him learn to use an assistive device.
Question 2An older female adult who takes citalopram (Celexa) 10 mg by mouth daily states she does not feel better after 1 week of treatment.
Rank the interventions in order, starting with the first intervention the nurse should implement to facilitate patient compliance with therapy. a. Tell her that the beneficial effects can take 4 to 6 weeks to appear.
b. Instruct her to take the medication as prescribed without stopping.
c. Suggest hard candy, ice chips, and sips of water for a dry mouth.
d. Collaborate with the health care provider to provide an increased dosage.
Question 3An older woman who receives intravenous (IV) fluids is making wide gesticulations with her arms and loudly insulting the nursing staff. Which intervention should the nurse implement to maintain safe, effective nursing care initially?
a. Apply bilateral upper extremity restraints.
b. Administer haloperidol (Haldol) for agita-tion.
c. Close the door to her room to reduce the noise.
d. Determine the patients needs.
Question 4An older male adult is taking ziprasidone (Geodon), and the nurse helps him to choose menu items. To prevent exacerbation of potential adverse effects of therapy, which menu item does the nurse instruct the man to avoid?
a. Biscuits and gravy
b. Coffee with cream
c. Whole grain bread
d. Mixed green salad
Question 5The nurse assesses the quality of which of the following patient characteristics when applying the Get-Up-and-Go test from the Hendrich II Fall Risk Model?
a. Stride
b. Speed
c. Balance
d. Flexibility
Question 6Based on current demographic data, which identifies a predictive trend regarding the health care needs of society?
a. Most nurses will not need to care for elder persons.
b. More nursing services will be required to serve the needs of the population older than 85 years.
c. Fewer nurses will be needed to care for older adults.
d. Older adults expect their quality of life to be less than that of earlier generations at their ages.
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