Which is a true statement about the role of grandparents?
a. The usefulness of grandparents declined with the advent of the industrial age.
b. Today, many grandparents are the primary caregivers of their grandchildren.
c. The value of grandparents is to provide gifts to younger family members.
d. Traditionally, parents are subordinate to the grandparents in caregiving.
Question 2An older woman recently lost her brother, provides care for her husband who has health needs, and must move to a new location after 35 years in the same home.
When she comes to the pri-mary care facility with clinical indicators of influenza, the nurse recognizes which of the follow-ing? a. She is exhibiting attention-seeking beha-viors.
b. Crises and stressors can impair physical health.
c. Her greatest need is respite care for her husband.
d. Crisis leads to a lower functional status for the victim.
Question 3An older man is taking aripiprazole (Abilify) for agitation. Which patient assessment is the nurse's priority to prevent catastrophic effects of the medication?
a. Oral and facial dyskinesia c. Muscle spasms of the face
b. Mask facies, shuf-fling gait d. Repetitive aimless walking
Question 4The nurse prepares to discharge an older man who has heart failure and is in stable condition, when his wife states that she will avoid sexual activities with him because of his heart disease.
Which of the following factors should the nurse use in patient teaching about sexual activity for an older adult with heart failure? a. An older adult with heart failure should avoid sexual relations because of the de-mand it places on the heart.
b. Sexual relations and climbing six flights of stairs expend the same amount of energy.
c. Fear and lack of knowledge can cause older people to reduce their sexual activity unnecessarily.
d. Sexuality is a private matter between the older man and his wife.
Question 5Which statement is not true of older adult relationships?
a. After 50 years of marriage, a couple can face new and severe challenges to their relationship.
b. Older adults often hold their families together by arranging get-togethers and do-cumenting the family history and rituals.
c. Losing a brother or sister brings an elder face to face with his or her own death.
d. For older adults, friends can never take the place of family.
Question 6The nurse distrusts the male caregiver, the son of an older female adult, and collaborates with social services about potential resources for abused older adults.
Which characteris-tics of the caregiver does the nurse report to social services as indicators of potential elder abuse? a. Collects unemployment benefits
b. Finds fault with any nursing care
c. Takes frequent breaks for smoking
d. Lives in the same house as his mother
e. Makes demands on assistive personnel
f. Sits at patient's bedside for hours daily
Question 7When completing medication reconciliation for an older woman, the nurse notes that the patient is being discharged home on anticoagulant therapy. The nurse also notes that at admission, the patient reported that she uses herbal supplements at home.
Which instruction should the nurse include during discharge teaching? a. You may need to supplement with only ginkgo while on anticoagulant therapy.
b. You may need to increase the use of gar-lic supplements while on anticoagulant therapy.
c. Avoid using Hawthorn supplements while taking an anticoagulant medication.
d. Avoid using chamomile supplements while on anticoagulant therapy.
Question 8Which is a true statement?
a. Urine flow gradually decreases in old age.
b. Elders generally need less fluid than younger people because of their lower body water content.
c. Urine specific gravity and skin turgor can be used to diagnose dehydration in elders and in younger people.
d. Multiple physiological changes of aging place elders at greater risk of dehydration than middle-aged persons or children.
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