Which culture has a higher rate of diabetes, hypertension and chronic renal disease than other ethnic groups

A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility. Reasons fro completing a cultural assessment include:

Select all that apply

Which technique is most effective when communicating with a client who is positioned in bed

A nurse in the ambulatory care setting is preparing to do an interview with a non-English speaking client. The nurse secures an interrupter. In order to have the most effective interview, the nurse should do which of the following?

Select all that apply

A nurse identifies a need to assess a patients cognitive status. The nurse chooses to use the clock drawing test. The nurse knows that the patient must have which of the following abilities?

Select all that apply

An older patient learns that he has metastatic cancer. The patient states "I must have angered God". This is an example of which type of belief

What is the most rapidly growing ethnic minority and less likely to obtain preventative services such as the flu vaccines and mammograms?

True or False:

Minority elderly groups are growing and thus present unique challenges for the nurses today

A nursing student is preparing a presentation on the wellness-based model for health aging. Which of the following concepts should the student include in the presentation?

Select all that apply

A 78 year old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be "senile". The advanced practice nurse administers the clock drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance the nurse concludes that the patient:

Which of the following are examples of elderspeak

select all that apply

When conducting an admissions interview with an older client, the nurse observes that the client pauses for a period of time before responding to the questions. The nurse responds to this client based on the assumption that the client is

Primary prevention strategies for older adults include which of the following

select all that apply

A home care nurse is caring for an older patient from a different culture who is bed bound and high risk for development of a pressure ulcer. The nurse discusses the plan of care with the patients daughter, emphasizing the importance of turning every 2 hours and posts a turning clock on the wall. When the nurse returns later in the week, the turning clock has been removed, and the patients daughter reports that she turns her mother occasionally. She states "I am taking very good care of my mother. You just don't understand our ways do not involve doing things on schedules" The best response by the nurse is

Primary prevention strategies for older adults include which of the following?

Select all that apply

A nurse organizes a health fair for older adults. The nurse's goal is to focus on the six priority areas identified by the National Prevention Council. Which of the following activities should the nurse include?

Select all that apply

One of the most common visual changes associated with aging is:

Which of the following is considered an eye emergency?

Which of the following are best practices for communicating with older adults?

What is the most common type of hearing loss in the older adult?

A limitation of the Katz Index of activities of daily living (ADLs) is that:

When comparing the Older American's Resources and Services (OARS) with the Katz Index of ADLs, what is true?

Factors that complicate assessment of older adults include:

Select all that apply.

The FANCAPES assessment tool focuses on the older adult's:

A nurse is assessing a patient's activities of daily living. The nurse will assess which of the following?

Select all that apply.

A 75-year-old female asks a nurse "I know I should be moving, but how much is the right amount of exercise for me?" The best response of the nurse is:

A nurse is discussing the importance of exercise with a 78-year-old female who states: "I know I should be exercising, but I have arthritis in my knees and it is painful. Can you recommend a type of exercise that would be beneficial and cause me less pain?" Which of the following exercises should the nurse recommend?

A nurse at a senior center promotes activity by leading exercise programs. Which of the following is a benefit of such exercise?

A nurse is working with an older individual who has recently started an exercise program. The individual tells the nurse, "This exercise thing is really hard, and I absolutely hate walking on a treadmill going nowhere. I think I am going to call it quits." Which of the following responses by the nurse will be most effective in encouraging the individual to remain in the program?

An older adult who has a balance disorder and has sustained repeated falls is recommended to start an exercise program. Which of the following exercises would be most beneficial in improving balance in this individual?

Select all that apply

The nurse managers of the geriatric and pediatric units arrange an intergenerational holiday party. The rationale for arranging such a partnering is based on which principle?

Which intervention best demonstrates that the nurse understands the spiritual needs of a terminally ill client?

Which description would be most characteristic of a self-actualized individual?

When the daughter of a client diagnosed with moderate Alzheimer's disease (AD) asks about the possible benefits of enrolling her mother in art classes, the nurse's response is based on the knowledge that:

Which nursing intervention best addresses the need for social support demonstrated by an older adult couple who will be assuming responsibility for the raising of two grandchildren?

When acting as a fictive kin, in which activity will a paid caregiver engage?

Which behavior suggests that an older adult who has lost his life partner is successfully managing the exploration stage of the adjustment process?

Which statements made by a couple who have recently retired support the nurse's evaluation that the transition to retirement has been a successful one?

Select all that apply.

Which of the following reactions to the loss of a spouse or long-term partner is a unique example of older adult male bereavement?

An older woman is preparing to move in with her daughter following the death of her spouse of 55 years. The daughter asks a nurse, "I know we are doing the right thing for mom, but I am a bit nervous about this. Do you have any suggestions about things that we should do in preparation?" The nurse responds:

Select all that apply

Which activity would a couple in the reorientation phase of their retirement engage in?

The nurse is caring for an older client who experienced a hip replacement surgery 10 hours ago. Which intervention will help minimize this client's risk of developing delirium?

An older client diagnosed with dementia resides with his daughter. When the homecare nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him. She states, "I don't know why he hates me and wants to hurt me. I try so hard to take good care of him. I love him." How will the nurse respond to the client's daughter?

A nurse is caring for a patient with a diagnosis of delirium. Which of the following is an expected assessment finding for this patient?

In order to focus on the older population with the greatest risk for suicide, the nurse would conduct a depression screening that targets:

When assessing an older client for indications of depression, the nurse bases the intervention on the knowledge that:

A nurse administers the Short Michigan Alcohol Screening Test Geriatric Version (S-MAST- G) to an older adult. The older adult receives a score of "2." The nurse knows that this score is indicative of:

The nurse preparing educational information on common mental health disorders among the older adult population should include:

A nurse in a long-term care facility is approached by an older resident who is crying and states: "You need to help me. The mean little men are in my room again. They are watching me from the corner and they are laughing at me. Make them go away." The nurse accompanies the resident to the room and there is no one in the corner of the room. What is the best response by the nurse?

(Select all that apply.)

A nurse is caring for an older adult with Parkinson's Disease. The patient is receiving the medication levodopa-carbidopa. The nurse understands that in order to maximize effectiveness, the administration schedule for this medication should adhere to which of the following?

An older adult is diagnosed with Alzheimer's Disease. The nurse knows that this diagnosis is made on the presence of which of the following? (Select all that apply.)

A diagnosis of Parkinson's disease is made based on the presence of which of the following symptoms? (Select all that apply.)

The greatest risk for injury for a client with progressed Parkinson's disease is:

An older adult with suspected Parkinson's Disease has a "challenge test" performed in order to confirm the diagnosis. The nurse understands that a "challenge test" will demonstrate which of the following?

An older adult is referred to a geriatric nurse practitioner because of changes in memory and reports by family members that "there is something different about her." The nurse practitioner evaluates the older adult for potentially reversible causes for the changes, which include: Select all that apply.

An older patient is concerned that her neighbor was recently diagnosed with Alzheimer's Disease and asks a nurse what can be done to decrease the risk of Alzheimer's Disease. The nurse includes which of the following in the response to the patient?

Select all that apply.

While the older African American is at the highest risk for developing Alzheimer's disease, the nurse demonstrates an understanding of this disease process's risk factors when assessing this population's:

A nurse understands that the pathophysiology of Parkinson's Disease includes which of the following?

Select all that apply.

Which activity assures the nurse that the client's wish to "leave a living legacy" has been accomplished?

Which statement best demonstrates an older adult's success at achieving self-actualization?

Which statement best demonstrates the primary benefit of intergenerational partnering and the activities that it creates?

What is the role of the nurse in assisting older adults with travel interests?

A female nurse is caring for an older women from the Hasidic Jewish community. The woman's son is at the patient's bedside. The nurse notes that when she communicates with the patient and her son, the son does not maintain eye contact with her and also notes that he withdraws when she attempts to shake his hand. The best response by the nurse is to:

Which statement by the nurse is the strongest example of ageism by professional nurses?

True or False:

In assisted living facilities extensive medical service/ frequent visits are routine

When a nursing interview identifies that a client is daily taking doses of herbal supplements, the nurse's priority is to:

An older adult client is being seen for the first time at the outpatient geriatric clinic. As a component of the nursing admission history, the nurse inquires about the use of herbs and other supplements. The basis for this inquiry is that such herbal therapy:

What factor is an important contribution to polypharmacy in older adults?

True or False:

There are more males in the population than females

True or False:

Macular degeneration would be considered a normal aging change when assessing an older adult.

The AACN/John A. Harford Foundation Competencies are helpful to nurses because they:

Which of the following new findings would be considered abnormal and requiring immediate attention in the older adult?

What is the most compelling reason for health professionals to be educated in the area of gerontology?

An antihypertensive medication has been prescribed for an older patient with hypertension. The patient tells a clinic nurse that he would like to take an herbal substance to help lower his BP instead of the prescription medication. Which of the following should the nurse do?

Select all that apply.

The area in which nurses have the greatest effect on the safe, effective medication therapy of an older client is?

When discussing pharmacological considerations, a 68 year old client ask, "Why do medications seem to act differently than they did when I was younger?" The nurse bases the response on the concept that:

An older woman asks a nurse, "You always seem to be telling me that I need to drink more water. How much water do I really need to drink?" The nurse bases her response on the knowledge that older adults should consume at least:

An older patient reports the following symptoms to a nurse during a routine visit to the geriatric clinic: blurry vision, the need for more light when reading, and blind spots in the middle of his visual field. He also states, "Strangely enough my peripheral vision continues to be pretty good." The nurse suspects that the patient has which of the following?

An older patient tells a nurse, "The nurse practitioner told me that these ugly purple bruises on my arms are called purpura and are due to fragile blood vessels. I still don't understand why this happens to me." The nurse responds bases on the knowledge that:

Select all that apply.

A 74 year old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to facilitate the restoration of the patient's bladder function?

Select all that apply.

An older adult asks a nurse, "I hear a lot about getting enough fruits and vegetables in my diet and eating a balanced diet. It is confusing. Can you help me understand what a balanced diet for me would be?" The nurse bases a response on which of the following?

A 78 year old patient has a history of osteoarthritis and lives alone in a two story home. The bathroom is on the first level and the bedroom is on the second level. The patient states "I am so upset. I have been wetting the bed at night." What type of incontinence does the patient most likely have?

A nurse is providing glaucoma education for a group of older adults in a senior center. The nurse knows that the following groups are most likely to develop glaucoma:

Select all that apply.

A nurse is conducting an assessment of an older patient's eyes. The nurse expects to see which of the following normal age-related changes of the external eye?

Select all the apply.

Many other adults have a vitamin B12 deficiency. Reasons for this include which of the following? Select all that apply.

A nurse is caring for a frail older adult in a LTC facility and is concerned about preventing hypothermia. Which of the following interventions should the nurse implement?

Select all that apply.

An older man tells a nurse, "The doctor says I have something wrong with my eyes something called presbyopia. Can you explain why I have that? I was always fortunate to to have good eyesight." The nurse formulates a response based on the knowledge that:

A nurse identifies that an older adult needs more education on nutritional needs when the older adult states the following:

A homecare nurse visits an older patient who lives in a Naturally Occurring Retirement Community (NORC). The nurse understands that NORCs are:

An older adult complains of xerostomia. Which of the following interventions should the nurse implement for this patient? Select all that apply.

An older patient is diagnosed with diabetic retinopathy. The patient asks a nurse, "Is there anything that I can do to prevent progression of this disease and blindness?" The nurse includes which of the following into the response?

Select all that apply.

An older patient asks a nurse, "I really have trouble sleeping and my doctor does not want to prescribe a sleeping pill for me. He says they are not good for older people. I really don't understand his response. Can you help me?" The best response by the nurse is:

An 89 year old hospitalized female patient tells a nurse, "I go to the bathroom really often, but I manage this by not drinking too much before I go to bed so I can sleep for the night." The patient has no pain or discomfort with voiding. The nurse considers this finding to be a:

A nurse is performing an admission assessment on an older patient who presented with a high fever and cough, reduced oral intake for 3 days, and lower extremity weakness. The patient has sunken eyes, and the patient's skin turgor over the sternum is poor. The nurse suspects that the patient is dehydrated. Which of the following are indicators of dehydration in this patient?

Select all that apply.

A nurse is caring for an older adult in a hospital who has an indwelling catheter. The nurse assess the patient based on the knowledge that which of the following are correct indications for an indwelling catheter?

Select all that apply.

An older resident of a long term care facility diagnosed with dementia has in the last 48 hours become more confused than usual and while usually requiring help with toileting has been incontinent of urine. The client's health care provider orders a complete blood count and serum electrolytes. When the laboratory tests are all within normal limits, the nurse initially:

A 74 year old client who has experienced a progressive loss of hearing acuity in recent years obtains a new hearing aid. Which of the following should be included in the nurse's teaching plan?

An older patient asks a nurse, "My doctor referred me to a hearing specialist who thinks that surgery for a cochlear implant may be beneficial for me. Can you tell me how one of those things works?" The nurse formulates a response based on the knowledge that:

An older patient complains of pruritus. The nurse suggests which of the following interventions to alleviate the patient's complaint?

Select all that apply.

An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include:

Select all that apply.

A nurse is preparing to hand feed an older adult with a history of a right cerebrovascular accident (CVA) with facial weakness and dysphagia. Which techniques should the nurse utilize when feeding this patient?

Select all that apply.

A client who reported "a problem sleeping" shows an understanding of good sleep hygiene by:

A nurse is assessing an older patient and notes a cluster of fluid-filled vesicles on the right thoracic area. The nurse suspects HZ. The patient asks the nurse, "I really don't understand how I got shingles. I don't even know anyone who has this infection." The nurse includes which of the following in formulating a response to the patient?

A nurse is observing a nurse aide perform denture care for a resident in the nursing home. The nurse recommends that the nurse aide receive additional education on denture care when the nurse observes which of the following?

An older adult tells a nurse that he is experiencing difficulty falling asleep, he routinely gets into bed at 8:30 pm and watches his favorite television shows until 11:00 pm, and often lies awake for hours after. Which of the following suggestions are appropriate for the nurse to give to this patient? Select all that apply.

A nurse administers hypodermoclysis (HDC) to an older nursing home resident. The purpose of hypodermoclysis is:

The nurse is most concerned by observing when assisting with an older client's bath:

When a client asks, "What could be causing my triglycerides to be so high; I'm really careful about my diet?" The nurse responds by asking the client:

Select all that apply.

A patient tells the nurse, "Every time I laugh or cough, I wet myself." Which type of urinary incontinence is this patient describing?

An older client reports to a nurse, "My daughter says there is something wrong with my hearing. I am not so sure. Yes, I have some problems hearing, but I am 78 years old. What does she expect? I noticed that at Christmas dinner with all the racket around, I had some trouble. I think it is that my granddaughters mumble a lot, just like all young people. I guess it has been getting steadily worse: it seems to be both ears as well." Based on the client's description, the nurse suspects which of the following?

An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?

The nurse's assessment of an older client suspected of having AIDS is based on the fact that:

A nursing student is providing education to a group of older adults who are in an independent living retirement village. Which statement made by the nursing student requires the nurse to intervene?

Which question would the nurse ask to best assess an older female client's report that she is experiencing decreased sexual pleasure?

A co-worker asks the nurse to explain spirituality. What is the nurse's best response?

Palliative care refers to care that is:

The dying older person may be under medicated for pain due to which of the following misconceptions?

The partner of a client comments that, "Our sex life will certainly suffer now that he's had a heart attack." Which statement is the basis for the nurse's response?

A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has prioritywhen preparing the grandmother for long-term success in this new role?

An older adult is concerned that if her spouse, who recently suffered a stroke, is placed in a nursing home, they will take everything in order to pay for his care. What response will the nurse make?

A male older adult patient expresses concern and anxiety about decreased penile firmness during an erection. What is the nurse's best response?

An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care?

What intervention would the nurse implement when an older male diagnoses with dementia is observed masturbating in the unit's dayroom?

A nurse working in an emergency department is caring for an 89 year old women who was brought to the hospital by her daughter for a fracture of the right arm. The daughter states that her mother got up out of the wheelchair unassisted to go to the bathroom and fell. The patient can not recall the circumstances of the fall. The patient is weeping and cradling her right arm. The patient's history reveals two pervious wrist fractures over the course of the past year. The nurse notes several large ecchymosis areas on the right hand and left arm and on the left side of the body and the back. The ecchymosis are in various stages of healing. Upon assessment the patient is non weight-bearing. The nurse suspects physical abuse based on which of the following findings? Select all that apply.

If an older adult wishes to have another person make health care decisions in his behalf should he become unable to do so himself, he should

When a cognitively impaired, wealthy, white client is noted to have burns on her upper back, her son states that the patient burned herself when attempting to shower. Which statement by a member of the team reflects a need for further education on elder abuse?

Which question will best access the ability of the LGBT older couple to successfully adjust to the challenges of aging?

A nurse in a long term care facility is concerned that a 94 year old resident with dementia is losing weight. Upon assessment the nurse notes that the resident who is able to feed herself independently consumes less than 50% of each of her meal trays. Which of the following strategies can the nurse utilize to improve this resident's intake?

Select all that apply.

Which option is an example of elder exploitation?

A nurse suspects that her next-door neighbor, an older women, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation?

An older widow who is newly admitted resident of a LTC facility develops a romantic relationship with a male resident. When the residents daughter demands that the staff put a stop to this sexual behavior right now the nurse's response is based on the understanding that:

A patient with gradual, progressive cognitive impairment (dementia) is admitted to the nursing unit after hip replacement surgery. Which of the following is a nursing care principle for care of cognitively impaired older adults?

A patient presents to the clinic with confusion and provides a list of medications to the nurse. Which of the following medications could be a source of this problem?

Which of the following statements made by a family caregiver would a nurse consider most indicative of elder abuse?

A nurse is discussing sexuality with an older adult. Which action will the nurse take?

A nurse is using the function-focused care approach to care for a hospitalized older adult. The nurse is assisting the patient to transfer from the bed to a chair. Which of the following statements by the nurse is most congruent with this approach to care?

A nurse caring for an older hospitalized woman is concerned about promoting functional status. Which of the following interventions should the nurse include in this patient's plan of care?

Select all that apply.

A nurse is educating a group of older adults on the benefits of an exercise program. The nurse includes education on when not to exercise. Which of the following should the nurse include in the education?

Select all that apply.

Which attempt by the family to prevent an older, frail adult from falling causes the home health nurse concern?

An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia. She has a history of hypertension and congestive heart failure and is on a total of five different medications for these chronic conditions. The nurse caring for the woman develops a care plan that includes the diagnosis Risk for Falls. A priority nursing intervention for this client is to:

A nurse is assessing an older adult's risk for falls. One of the questions that she asks is whether the older adult has fallen in the past year. She asks this because individuals who have fallen:

A nurse is admitting and orienting an older adult to the hospital unit. She discusses fall prevention and demonstrates the use of the call bell to the patient. The patient's daughter asks: "Why don't you just put up all the side rails to prevent my mother from getting out of bed by herself and falling. That should work, right?" The best response by the nurse is:

A nurse in a long-term care facility notes that there has been an increase in falls on one unit and that many of the falls are occurring immediately following mealtime. The nurse recommends that the nursing home conduct a trial of six smaller meals instead of the three traditional meals. The nurse makes this recommendation on the understanding that:

Which assessment finding is a contributor to an older client's risk for falls? Select all that apply.

A home health nurse is making a home visit to an older patient. A nurse conducts a home safety assessment and screens the environment for potential hazards for falls. Which of the following are hazards in the home? Select all that apply.

A group of older women in an assisted living facility are talking about one of the residents who fell and fractured her hip. The women ask a nurse the following: "It seems like so many of us fall and break our hips, and then it is downhill from there. Is this really true?" In formulating a response, the nurse considers which of the following?

Select all that apply.

A homecare nurse visits a client in the home to conduct a fall risk assessment. The nurse assesses the client and the home for extrinsic risk factors for falls. Which of the following are extrinsic risk factors?

Select all that apply.

A home health nurse is making a home visit to an older patient. A nurse conducts a home safety assessment and screens the environment for potential hazards for falls. The nurse recommends that the patient eliminate which of the following?

Select all that apply.

The nurse is preparing educational material concerning fire safety in the home. What research data will be included in the material?

The nurse is recommending that a client diagnosed with moderate stage Alzheimer's disease attend a support group when he becomes defensive about not driving his automobile and the effects it will have on "being stuck at home." Which is the priority outcome expected for this client when attending the group sessions?

A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite it being 90 degrees Fahrenheit outside, the windows are closed and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to:

A homecare nurse in an area of the country that is prone to tornadoes routinely discusses disaster preparedness with older adult clients. What is the primary rationale for this intervention?

What information should be included in an informational program to be presented on burn prevention to a senior citizens group?

Select all that apply.

Which precaution would be beneficial in minimizing an older adult's risk of being a victim of fraud?

Select all that apply.

The benefits of telehealth include that it:

Select all that apply.

The daughter of an older patient says to a nurse, "I am so concerned that my dad is still driving. He is dangerous! He has had a couple of accidents and I am worried that he is going to kill himself or, worse, somebody else. What can I do?" The nurse recommends which of the following involved type action strategies for driving cessation?

Select all that apply.

A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best evaluate the management plan prescribed for this client?

Which is the most likely reason that type 2 diabetes mellitus is often difficult to diagnose in older adults?

Hyperglycemia is harder to detect in older adults due to which of the following?

An older adult with type 2 DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this patient?

A nurse is caring for an older adult who has metabolic syndrome. The nurse knows that the following conditions are common in persons with metabolic syndrome: (Select all that apply.)

After first managing the pain being experienced by the client with gout, the treatment focuses on:

A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the following should the nurse include in the teaching?

Which of the following manifestations would a nurse expect in a 70-year-old patient who has the diagnosis of osteoarthritis?

A nurse is planning an educational session on osteoporosis to be given at a senior center. Which of the following should be discussed as preventive measures for osteoporosis?

A nurse is interviewing an older woman who is a new patient in an outpatient medical clinic. Which of the following findings by the nurse is considered a risk factor for osteoporosis?

Kyphosis in the older adult can be a result of which of the following?

A nursing student is preparing a presentation on arthritis. The nursing student knows that differences between osteoarthritis (OA) and rheumatoid arthritis (RA) include that: (Select all that apply.)

A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the following should the nurse include in the teaching? (Select all that apply.)

A patient is diagnosed with osteoporosis. Which statements should the nurse include when teaching the client about the disease? (Select all that apply.)

Which intervention best addresses the principle that is the basis for communicating with aclient experiencing postsurgical delirium?

Which intervention to manage a wandering client in a long-term care facility should beimplemented? (Select all that apply.)

Which information will the nurse manager include when discussing the major differentiationbetween delirium and dementia with novice nurses? (Select all that apply.)

A nurse is assessing an older patient with new onset confusion. The nurse understands thatin order to have a diagnosis of delirium, the patient must exhibit which of the following?(Select all that apply.)