Chapter 41: Common Psychosocial Care Problems of Older Adults

DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams

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Chapter 41: Common Psychosocial Care Problems of Older Adults

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse is planning an instruction for an 84-year-old man relative to a significant change in his diet for diabetes. The nurse will plan her education around the idea that older adults:
a. need to have their family to hear the instruction.
b. cannot learn complex information or skills.
c. need more time to learn because of slower processing skills.
d. are fixed in their ideas and reject information that does not agree with them.

 

 

ANS:   C

The older adult patient needs more time to learn because of slower processing skills.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 831              OBJ:    Theory #2

TOP:    Changes in Cognitive Functioning    KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. The nurse clarifies to a family of a resident with Alzheimer disease that dementia differs from confusion and delirium in that dementia is:
a. usually rapid in onset.
b. permanent.
c. caused by depression.
d. effectively treatable.

 

 

ANS:   B

Dementia is generally a permanent condition characterized by cognitive deficits with a slow onset. It is primarily seen in Alzheimer disease patients but also occurs in persons with brain tumors.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 832              OBJ:    Theory #3

TOP:    Confusion       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. The nurse in a long-term care facility emphasizes to the family of a resident recently admitted that one of the purposes of the creative behavioral therapies is to:
a. entertain the residents who have become bored.
b. stimulate an avid interest in music or art.
c. keep the residents out of their rooms.
d. slow the rate of deterioration.

 

 

ANS:   D

The creative behavioral therapies of art, music, dancing, and humor are designed to delay the deterioration of the resident.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 833              OBJ:    Theory #1

TOP:    Creative Therapies                              KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. The family of a retired army veteran diagnosed with Alzheimer disease is concerned about obtaining care for the patient while away on vacation. The home health nurse informs the family that the Department of Veterans Affairs offers in facility care for patients with dementia for up to:
a. 10 days a year.
b. 15 days a year.
c. 20 days a year.
d. 30 days a year.

 

 

ANS:   D

The Department of Veterans Affairs offers in facility care for demented patients who are veterans for up to 30 days a year.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 834

OBJ:    Clinical Practice #1                            TOP:    Respite Care

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

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