A nurse is caring for an older adult who is in the pre-trajectory phase of the Chronic Illness Tra-jectory. The nurse knows that this phase is characterized by which of the following:
a. The absence of signs or symptoms of the illness
b. Diagnostic testing being conducted
c. A progressive decline in physical and or mental status
d. A period of temporary remission from the crisis
Question 2The benefits of telehealth include that it: (Select all that apply.)
a. promotes self-management of illness in rural and underserved areas.
b. facilitates remote physical assessment and monitoring of chronic conditions.
c. decreases costs by replacing the role of the nurse with technology.
d. decreases costs by reducing hospital re-admissions.
e. is reimbursed by all health care insurances.
Question 3A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite it being 90 degrees Fahrenheit outside, the windows are closed and the client is wearing a sweater.
The nurse initially recognizes that this behavior may be related to:
a. cognitive changes that diminish the indi-vidual's awareness of temperature chang-es.
b. age-related neurosensory changes that di-minish awareness of temperature changes.
c. a delirium-related acute illness that is af-fecting body heat production.
d. age-related motor deficiencies that result in self-neglect.
Question 4A homecare nurse in an area of the country that is prone to tornadoes routinely discusses disaster preparedness with older adult clients. What is the primary rationale for this intervention?
a. Older adults are less likely to seek formal and informal help when affected by natu-ral disasters.
b. The older adult is more likely to live in a communal environment that provides as-sistance in times of natural disasters.
c. Most older adults have insurance to help them recover from material losses due to a natural disaster.
d. Federal and private assistance agencies generally provide older adults with priori-ty attention in time of natural disasters.
Question 5A homecare nurse visits an older patient who lives in a Naturally Occurring Retirement Commu-nity (NORC). The nurse understands that NORCs are:
a. purpose-built senior housing communities.
b. neighborhoods or buildings where a large segment of the residents are older adults.
c. communities where volunteers coordinate access to services for older adults.
d. intentional collaborative housing where residents participate in the design and op-eration of the neighborhood.
Question 6What information should be included in an informational program to be presented on burn pre-vention to a senior citizens group? (Select all that apply.)
a. Do not smoke in bed or when sleepy
b. Wear well-fitted clothing when cooking or when grilling outdoors
c. Establish a meeting place for all family members outside of the home in case of a fire
d. Establish a plan for exiting each room of your home in the case of a fire
e. Have a fire extinguisher readily available in the kitchen
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