The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurse's initial in-tervention is to
a. confirm with the physician that all the medications are required.
b. evaluate the patient's understanding of why he is taking each medication.
c. explain to the patient the dangers of taking so many different medications.
d. review the listed medications for possible interactions.
Question 2The nurse caring for older adult patients best minimizes the patient's risk of developing dehydration by
a. identifying the patient's oral fluid prefe-rences and offering them regularly.
b. carefully monitoring the effects of daily diuretics via blood sodium levels.
c. minimizing the patient's reliance on laxa-tives by increasing dietary fiber intake.
d. carefully monitoring of the rate of infusion of all intravenous fluids prescribed.
Question 3A nurse who cares for older adults recognizes which of the following clinical features associated with dementia? (Select all that apply.)
a. Failing to remember his or her room number
b. Becoming increasingly disoriented at night
c. Working on jigsaw puzzles for hours at a time
d. Often referring to a cup as a canyon
e. Misunderstanding when told it's raining cats and dogs
Question 4A director of nursing works in a hospital that serves many Jehovah's Witness patients. What action by the nurse would best facilitate culturally appropriate health care?
a. Establish a bloodless surgery program.
b. Create an immunization clinic for children.
c. Employ spiritual leaders from this faith.
d. Allow faith healing ceremonies.
Question 5A patient is not competent to manage financial affairs. What legal recourse does the older person have?
a. Guardian
b. Conservator
c. Health care proxy
d. Social worker
Question 6The nurse is caring for an older adult patient who was admitted with a stage 3 pressure ulcer on the left heel and who also has a history of Parkinson disease and chronic renal failure
To mi-nimize the patient's risk of developing an iatrogenic illness, the nurse:
a. uses sterile technique when changing the heel's dressings.
b. reviews all the patient's medications for possible adverse reactions.
c. instructs the patient to call for assistance when needing to go to the bathroom.
d. assists the patient in choosing the appro-priate foods from the daily menu.
Question 7The nurse is helping an adult child transition into the role of full-time caregiver for an older parent with dementi
a. What action by the nurse is best?
a. Ensure the child has information on long-term care.
b. Help the child negotiate care issues with siblings.
c. Teach the child about the parent's illness.
d. Offer the child information on support groups.
Question 8A 73-year-old patient is concerned about staying healthy for as long as possible. When asked what lifestyle changes the patient should consider, the nurse suggests
a. As your metabolism slows, you will need to increase your intake of fat.
b. If you are having difficulty sleeping, a mild sedative will help you sleep.
c. Regular exercise will help you preserve function and reduce your risk for disease.
d. Minimize stress by being willing to ask your family for help when you need it.
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