Neeb's Fundamentals of Mental Health Nursing 4th Edition- Linda M.
Neeb's Fundamentals of Mental Health Nursing 4th Edition- Linda M.
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Chapter 21: Aging Population
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. An 85-year-old patient is admitted to the hospital with the diagnosis of cerebrovascular accident and depression. The symptom that is unrelated to depression would be?
| A. | Crying and refusing to perform task |
| B. | Answering “I forgot” to questions |
| C. | Having positive self-esteem |
| D. | Neglecting ADLs |
____ 2. The Omnibus Budget Reconciliation Act (OBRA) provides standards of care for which of the following:
| A. | Very young |
| B. | Older adults |
| C. | Those who have certain intellectual communication difficulties |
| D. | Those without medical insurance |
____ 3. In the elderly, administering medication is a great concern for the nurse since these patients are more prone to side effects. The primary cause of this is:
| A. | Altered circulation and renal function |
| B. | Accelerated gastrointestinal system |
| C. | Enlarged Lymph nodes |
| D. | Musculoskeletal system weakness |
Answer Section
MULTIPLE CHOICE
The patient may suffer from depression as a result of limitations produced by the stroke. The patient’s cerebrovascular event also will have an impact on the patient and his family. Depression can be evidenced by sadness, confusion, and lack of self-care.
PTS: 1 REF: Chapter 21: Aging Population; Cerebrovascular Accident; page 339
KEY: Integrated Processes: Nursing Process: Assessment | Content Area: Mental Health: Aging Population | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Coping Mechanism
OBRA provides regulations for proper assessment of the elderly; for this reason, registered nurses have to provide the initial physical assessment.
PTS: 1 REF: Chapter 21: Aging Population; Introduction; page 337
KEY: Integrated Processes: Nursing Process: Assessment | Content Area: Legal | Cognitive Level: Analysis | Client Need: Physiological Integrity: Reduction of Risk Potential: System Specific Assessments
LPNs/LVNs are accountable for medications administered to their patients. It is important to know the side effects of all medications distributed. Document and report any signs of toxicity. The elderly are more likely to have side effects when there is altered metabolism through the kidneys and liver as well as altered circulatory function.
PTS: 1
REF: Chapter 21: Aging Population; Medication Concerns; Table 21-1Common Drug Side Effects and Nursing Actions for Elderly Patients; page 341
KEY: Integrated Processes: Nursing Process: Intervention | Content Area: Mental Health: Pharmacology | Cognitive Level: Comprehension | Client Need: Physiological Integrity: Adverse Effects/Contraindications/Side Effects/Interventions
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