Chapter 15. Nursing Care of Older Adult Patients

Chapter 15. Nursing Care of Older Adult Patients

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is monitoring a patient’s skin status. What should the nurse recognize as the first sign of prolonged pressure on the skin?

a.	Coolness
b.	Cyanosis
c.	Paleness
d.	Redness

 

 

____     2.   The nurse has been providing interventions to address an older patient’s nutritional status. Which observation should the nurse use to determine if nursing care has been effective?

a.	Appetite
b.	Skin turgor
c.	Body weight
d.	Urine output

 

 

____     3.   The nurse is concerned about medication safety for a patient with confusion. Which action should the nurse recommend be included in the patient’s plan of care to address this issue?

a.	Instruct the patient to take all of the medications together.
b.	Have the patient set up the medications for an entire week.
c.	Have a family member set up and administer the medications.
d.	Have the patient turn medication bottles upside down after taking medication.

 

 

____     4.   The nurse is caring for a patient with Alzheimer’s disease. Which environment should the nurse provide to decrease the patient’s symptoms?

a.	A variety of sensory experiences
b.	An environment that varies weekly
c.	A physically challenging environment
d.	A familiar, non-stimulating environment

 

 

____     5.   The nurse is collecting data for an older patient. Which characteristic should the nurse identify in a patient with an age-related loss of water in the vertebral discs?

a.	Spinal flexion
b.	Decreased height
c.	Increased spinal flexibility
d.	Protruding bony prominences

 

MULTIPLE CHOICE

 

1. ANS:  D
2. Early signs of pressure ulcer formation are warmth, redness, tenderness, and a burning sensation at the potential ulcer site. A. B. C. Coolness, cyanosis, and paleness indicate a lack of blood flow to an area.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Application

 

2. ANS:  C
3. The single most important clinical measure of under-nutrition in older adults is current body weight and recent changes. The patient’s body weight should be used to determine if interventions have been effective. A. Appetite will not help determine if interventions regarding nutritional status have been effective. B. D. Skin turgor and urine output are helpful in determining fluid balance.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Application

 

3. ANS:  C
4. As the patient is confused, having a family member assist with the medications is the best option. Interventions that rely on the patient’s memory (A, D) are not helpful. B. The patient could become more confused if expected to turn medication bottles upside down after use.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Application

 

4. ANS:  D
5. With dementia, an atmosphere that provides for physical and emotional safety with consistency and calmness should be provided. A. Sensory overload should be decreased for confused patients. B. Varying the environment weekly would provide too much stimulation for the patient. C. Physically challenging environments would be too stimulating for the patient.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

5. ANS:  B
6. Shorter height is caused by water loss in the intervertebral disks of the spinal column. A. Spinal flexion is a result of gravity over time. C. Older patients most likely will not demonstrate increased spinal flexibility. D. Protruding bony prominences are not related to a loss of water in the vertebral discs.

 

PTS:     1          DIF:     Moderate