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alpersworld alpersworld
wrote...
Posts: 348
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6 years ago
Incontinence is a problem for many older women. The normal aging change that contributes to stress incontinence for older women is
 
  a. Decreased renal blood flow
  b. Decreased bladder capacity
  c. Reduced glomerular filtration rate
  d. Loss of mass and strength of perineal muscles

Question 2

When doing a nursing assessment of the head, neck, and face, it is appropriate to
 
  a. Observe hair distribution, question head injury, determine range of motion of the arms
  b. Report facial tic and facial edema, note range of motion of the neck
  c. Assess lice, level of stress, and frequency of nosebleeds
  d. Note head position and proportions, assess dental care

Question 3

Which of the following might you see when entering the hospital room of an ill Native American?
 
  a. The patient and family facing east and praying to Allah
  b. A shaman performing a healing sing with family members
  c. Cups being applied to the patient's back
  d. The eldest member of the patient's family asking questions and taking notes

Question 4

Enlargement of the prostate gland in older men
 
  a. Indicates the presence of cancer
  b. Decreases the incidence of urinary inconti-nence for older men
  c. Is a normal aging change
  d. Is related to a high incidence of impotence for older men

Question 5

Which of the following are the two leading causes of death among Native Americans?
 
  a. Alcoholism and diabetes mellitus
  b. Suicide and homicide
  c. AIDS
  d. Alcoholism and tuberculosis

Question 6

Which body system is most highly influenced by previous life patterns and environmental conditions?
 
  a. Circulatory
  b. Integumentary
  c. Respiratory
  d. Gastrointestinal

Question 7

The Katz scale is used to assess
 
  a. Safety in the home
  b. Nutritional elements in Meals on Wheels federally funded food for elderly people
  c. Activities of daily living
  d. Cardiac output in persons with congestive heart failure

Question 8

What is the best advice for an older person who complains of never being hungry?
 
  a. Avoid eating roughage and drinking large amounts of fluid
  b. Force yourself to eat at least three meals a day
  c. Try eating six small meals throughout the day
  d. As people get older, they may need to eat only one meal a day

Question 9

Older women often think they do not need a pelvic examination because they are past childbearing years or menopause. They also may have painful intercourse that they are hesitant to discuss.
 
  What explanation could you give a woman who has not had a pelvic examination that might encourage such examination on a regular basis?
  a. It is a logical first step to determine if there is something physiologically wrong that could be addressed to improve sexual intercourse
  b. A detailed explanation of silent cancer
  c. It is more important to have a mammogram than a pelvic examination
  d. There is no reason to have a pelvic examination past the age of 65
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Replies
wrote...
6 years ago
Answer to #1

D
Stress incontinence, or loss of urine when intra-abdominal pressure is increased, can be increased with weak pelvic floor muscles. Responses A, B, and C are normal aging changes of the urinary system, but they do not affect stress incontinence.

Answer to #2

B
When doing a head, neck, and face assessment, one does not include arms, nose, or mouth. These areas are unique and separate. It is important to assess each area thoroughly to detect subtle symptoms.

Answer to #3

B
Many Native American tribes have a medicine man or woman, often called a Shaman, who may chant and sing or use incense to help the ill person get well. The other responses are more apt to occur in other ethnic groupsA with Muslims, C with Hispanics, and D with Japanese people.

Answer to #4

C
Benign enlargement of the prostate is a normal aging change. Responses A, B, and D are incorrect. Prostate enlargement is not always related to the presence of cancer. Enlargement of the prostate can cause urethral obstruction and is the primary cause of overflow incontinence and urinary dribbling. Prostate enlargement is not related to impotence.

Answer to #5

D
Alcoholism is the leading cause of death among Native Americans. Tuberculosis is second, followed by diabetes mellitus. AIDS is not among the top seven killers of Native Americans, but suicide (fifth) and homicide (seventh) are.

Answer to #6

B
Exposure to sun, earlier health practices regarding diet, grooming, physical activity, genetic factors, and biochemical and environmental factors affect the integumentary system.

Answer to #7

C
The Katz scale is used to determine if an older person has the ability to care for himself or herself. The other choices are made-up possible definitions.

Answer to #8

C
Slowed gastric emptying may cause an older person to have feelings of fullness and a lack of appetite. Eating smaller, more frequent meals may decrease this discomfort. Responses A, B, and D are not sound advice for an older person. Roughage and fluid are important to promote bowel function. Forcing oneself to eat or eating only one meal a day is not good nutritional practice.

Answer to #9

A
This is a reasonable explanation that addresses a situation the woman may be experiencing. There is no need at this point for a detailed explanation of silent cancer. Responses C and D are incorrect because pelvic examinations are necessary in older women.
alpersworld Author
wrote...
6 years ago
All are answered correctly
wrote...
6 years ago
Happy to help
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