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​v 1- Which element is part of psychology well being for a

​v 1- Which element is part of psychology well being for an older adults? A avoidance of disability … Show more ​v 1- Which element is part of psychology well being for an older adults? A avoidance of disability B looking like a younger person C avoidance of chronic disease D engagement with others 2- How should a nurse greet Estelle Bartlett,a petite, widowed elder, on the first home visit? A Good morning, Estelle, I am your nurse Clara jones B. Hi dear ,I’m your nurse Clara Jones C Mrs.Bartlett ,I’m your nurse Clara Jones D Hi sweetie ,I’m your nurse Clara Jones 3 – An 85year old widow, living alone, tripped over her beloved dog and broke her leg Which action should the home care nurse recommend regarding the dog? A find the dog a good home B give the dog to a nearby family member C Call the Human society D find out the elders ideas 4- What might be an important aspect of an individualized care plan for low income, depressed community antidepressant and has favorite pastimes of reading, cooking,and spending time with grandchildren ? A. Improved sleep B. Improved nutrition C. A library card D. Daily walk 5- What is an effective way to communicate with an older adult living with dementia ? A. Approach in a non-threatening manner B. Move the elder’s belonging out of the way C. Shout to get elder’s attention D. Hold onto the elder’s hand if the elder is agitated 6- A talented, accomplished, and very active elder wanted to take up painting after retirement. A recent stroke compromised the elder’s show term memory severely. Which community-based program should the nurse suggest to the elder and family first? A. Swimming in the neighborhood pool B. Taking painting classes at the senoir center C. Walking to a neighborhood church D. Taking memory-enahancer classes at the senoir center 7- An elder patient missed an arthritis clinic appointment because the patient couldn’t afford the pain medication. After the meeting the patient’s immediate medication needs, which two steps should the nurse take in order to prevent a recurrence? Choose 2 answer. A.enroll the elder in medicare’s hospice care B. Ask the drug company for help C. Investigate eligibility for the medicaid program D. Remember alternative therapies 8- Older women experience bone loss, which makes them more susceptible to hip fracture. How should an environment change after a hip-fracture repair? A. Sleep only on one side B. Raise the toilet seat C. Don’t allow use of stair D. Use a shower 9- A vigorous recent widower visited his primary care team and stated that he was lonely. Which recommendation should the team make for this patient? A. Finding a new relationship B. Moving in with his children C. Taking a sleep pill D. Taking an antidepressant 10- How often is tetanus vaccination recommended for older adult? A.every 15 years B. Every 10 years C. Yearly D. Every 5 years 11- Which lighting feature in most nursing homes compromises elder adult’s ability to function? A. Indirect lighting B. Glare C. Sunlight D. Even lighting 12- A spiritual African American elder has terminal HIV. Based on knowledge of spiritual beliefs common in African American communities, why might this patient require careful assessment and monitoring for pain? A. The patient may understate pain levels because of a belief that the illness is God’s plan. B. The patient may overstate pain levels so that God will be more likely to hear the patient’s suffering. C. The patient may overstate pain levels so that more drugs can be obtained for religious rituals. D. The patient may understate pain levels because of faith in the doctor’s ability to treat the patient. 13- A home-care nurse visits an elder living with dementia whose spouse is providing care. The nurse notices a restraint sitting in the…. What is the most important thing the nurse should do? A. Find out why the spouse needs to use the restraints B. Help the spouse plan care without using restraints C. Report the spouse’s abuse to adult protective services D. Lecture the spouse about the risks of restraints. 14. Which assessment tool can be used to determine activities of daily living ( ADL) independence in older adult? A. Mini-mental state examination (MMSE) B. Mini-cog assessment C. The Karz index D. Confusion assessment method for the ICU ( CAM ICU) 15. Which nonpharmacologic interventions should nurses counsel patients on when they complain of occasional heartburn, constipation, and low energy? A. Distribution of fatty meals throughout the day. B. Two tablespoons of liquid antacid 30 minuts after each meal C. A hot cup of coffee or tea at each meal D. Adequate consumption of whole grains, fruits, and vegetables 16. When acute delirium is present with extremely hyperactive behavoir in an older patient, which symptom should the nurse consider as additional risk? A. Confabulations B. Advanced agitation C. Dehydration D. Excessive wandering 17. Which factor best describes the cornerstone of an individualized plan of care for an older adult ? A. Normal lobaratory results on the complete metabolic panel B. Ability to speak for oneself C. Evidence of normal range-of-motion per all extremities D. Comprehensive assessment 18. Which impairment best describes the purpose of activities of daily living ( ADL) assessment tools? A. Function impairment B. Speech impairment C. Cognitive impairment D. Physical impairment 19. What is the most widely used cognitive assessment tool? A. Canadian Occupational Performance Measure ( COPM) B. Katz index C. Mini-mental state Examination ( MMSE) D. Barthel index 20. Functional incontinence refers to problems from factors external to the lower urinary track. Which is the least likely item to contribute to inconvenience ? A. Diuretics B. Environmental barriers C. Polypharmacy D. Intravenous fluid 21. When calculating BMI, the nurse notes an older adult’s score is 30. What does this score indicate? A. Cognitive impairment B. Healthy lifestyle C. Falls risk D. Normal hemoglobin 22. What is the primary reason for having the older adult bring all medications with every office visit, including prescription and nonprescription medicines,vitamins, and herbal supplements? A. So the health provider can determine if the older adult know the names of the medication. B. So the health provider can reduce potential polypharmacy in the older adult. C. So the health provider can ensure the older adult takes prescribed medications D. So the health provider can assess the older adults lifestyle 23. Which medications should the nurse cautiously review from the Beer’s List of medications when documenting the patient’s drug profile ? A. Diuretics B. Inotropic drugs C. Benzodiazepines D. Cyclosporines 24. Which statement is true regarding the use of interdisciplinary team? A. They enhance primary care visitation. B. They bring better quality services for clients. C. They meet the centers for Medicare and Medicaid services guidelines. D. They expedite nursing care services 25. What is the most important discussion of the interdisciplinary team at regularly scheduled meetings. A. Care access issues B. Standard dized testing resulting C. Risk reduction assessment D. Complaince issues 26. What should be the nurse’s primary consideration while allowing for patient autonomy and reducing risk when dealing with end of life care ? A.stage of illness B. Cognitive impairment C. Weight D. Age 27. Whicn statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use ? A. Alternatively to physical restraints are unavailable B. Inadequate staffing causes the need for physical restraint use. C. Failure to restrain puts individuals at risk for legal liability D. Risk of falls exists when restraints are used. 28. A 66 year- old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly. Which barrier to physical activity is least common for the elderly? A. Finding safe area to walk B. Swelling of ankles C. Having pain from arthritis D. Experience fatigue 29. An 81-year-old patient is a new resident in Hill Side Nursing Home. Upon admission the patient had a Braden score of 17. Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers? A. The primary risk factor is immobility. B. The primary risk factor is a BMI < 24 C. The primary risk factor is polypharmacy D. The primary risk factor is malnutrition 30. Harriett is a 92-year-old who lives in assisted living; she recently fell and broke her hip. Harriet and her family would like to keep Harriet safe and at the highest level of independence on her return to her accommodations from the hospital. Which action should the nurse take to help Harriet and her family ? A. Counsel about home safely assessments B. Tell Harriet to become active in the local Tai Chi program C. Discuss the rate of unintentional injuries for older aldults D. Have Harriet and her family request a daily room check by staff 31. Sharron is a 90- year-old female who lived in Asia for most of her life and is a nonnative English speaker. She recently had emergency gallbladder surgery. Which nursing action would be best to do before discharging Sharron back to her accommodations? A. Explore her use of alternative medicines B. Explore English as a second language lessons C. Explore aromatherapy for relaxation purposes D. Explore counciling for depression options. 32. Agnes is a 77 year old who lost her husband last year and has congestive heart failure. She has a move in with her son Alex. She has been brought to the ER by Alex who says she is short of breath. He doesn’t know how long she has been in the state, nor does he know the medication she should be on. What is the nursing priority? A. Admit and stabilize the patient B. Call Agne’s daughter C. Contact social services D. Ask the son if he is overwhelmed 33. Duke is a 90 year old male with Alzheimer’s Dementia living in a nursing home. Recently he has been experiencing sun downing. Which solutions should the nurse consider? A. Restraining the patient in a chair in lobby area where he can see people. B. Putting the patient in a room by himself with low light and a closed door C. Giving the patient nonpharmacologic treatments such as putting the patient in a well lit room D. Giving the patient Alprazolam to calm him down. 34. Ruth is a 75 year old residing in an assisted living facility and is at risk for fluid volume deficit. Which nursing action would ensure the most accurate monitoring of Ruth’s fluid status in a co-created plan of care? Choose 2 answer A. Measure and record fluid intake and output. B. Check for crackles in the lungs every shift C. Ask Ruth to weight each day at the same time D. Take the vital signs assessed every 4 hours. 35. Which activity would be helpful for older adult to engage in to prevent or interrupt the course of frailty? A. maintaining social relationships B. Taking a medication for each chronic disease/ disorder C. Avoiding travel D. Sleeping greater than 10 hours daily. Q36 What should the nurse first instruct the older adult to do when the older adult is beginning an exercise program A Purchase new gym shoes B work out until you sweat C Purchase membership at nearby gym D proceed with low intensity and moderat • Show less

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