Chapter 30 Aging Clients with Psychosocial Needs

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Chapter 30  Aging Clients with Psychosocial Needs

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

While interviewing a 75-year-old client, the nurse assesses which of the following intrinsic factors related to the client’s aging process?
A)
Economic level, education, and former occupation
B)
Health habits, nutritional status, and food preferences
C)
High cost of health care and societal attitudes about aging
D)
Familial longevity, intelligence, and lack of genetic disease
Ans:
D

Feedback:

The adverse effects or processes of decline associated with growing old are separated into primary and secondary aging. Primary aging is intrinsic and determined by inherent or hereditary influences, such as familial longevity, intelligence, or lack of genetic disease. Secondary aging refers to extrinsic changes (defects and disabilities) caused by hostile factors in the environment, including trauma and acquired disease.

2.
Which of the following statements best describes the phenomenon of “failure to thrive,” sometimes diagnosed in the elderly?
A)
Failure to thrive is a lack of financial, emotional, and physical stamina experienced in the older adult years.
B)
Failure to thrive is a syndrome that includes the elderly person’s inability to maintain erection during sexual intercourse.
C)
Failure to thrive is commonly diagnosed in elderly individuals who have recently moved from institutional settings into the homes of their children or other caretakers.
D)
Failure to thrive is a syndrome that results from disease or stress and includes symptoms of unexplained weight loss and deterioration in functional abilities.
Ans:
D

Feedback:

A nonspecific condition often seen in elderly clients is referred to as failure to thrive. Also diagnosed in newborns resulting from conditions that interfere with normal metabolism, appetite, and activity, this syndrome occurs in the elderly as a result of systemic disease, acute or chronic illness, or psychological stress. Clinical symptoms include unexplained weight loss, deterioration in mental status and functional ability, and social isolation.

3.
Which of the following are three common causes of loneliness in the elderly?
A)
Loss of spouse, loss of pet, and inability to speak English
B)
Lack of finances, lack of social support, and lack of housing
C)
Lack of housing, lack of finances, and lack of transportation
D)
Low self-esteem, anxiety, and depression
Ans:
A

Feedback:

Burnside lists five causes of loneliness in the elderly (from most common and severe to least common and severe):
• Death of a spouse, relative, or friend
• Loss of a pet
• The inability to communicate in the English language
• Pain: People often complain of loneliness when pain occurs during the late evening or early morning hours because no one is around to provide comfort.
• Certain times of the day or night: Changes in living habits due to institutionalization in a nursing home may cause loneliness because the elderly people are no longer able to perform daily or nightly rituals.

4.
A client complains that despite good medical care, his wife frequently talks about a variety of physical complaints and bodily sensations, including insomnia, anorexia, and pain. The nurse’s best response to his concerns is what?
A)
“From what I understand, your wife has always been a chronic complainer. Is that true?”
B)
“It’s part of the anxiety from her illness. It’s best to just ignore her complaints.”
C)
“These are symptoms of cancer and should be investigated immediately.”
D)
“These are common complaints as we age; conveying concern and support would be helpful.”
Ans:
D

Feedback:

Hypochondriasis or preoccupation with one’s physical and emotional health resulting in bodily or somatic complaints is common in the elderly client. The aging person is rechanneling stress and anxiety into bodily concerns as he or she assumes the “sick” role. Support, concern, and interest conveyed to the client serve as secondary gains, reinforcing a sense of control. The caregiver should assess all complaints thoroughly, in a matter-of-fact manner, and avoid stereotyping the person as a “chronic complainer.”

5.
In the elderly population, psychoactive agents should be prescribed at significantly lower dosages than in younger populations. Which of the following best describes the rationale for this?
A)
Lower dosages should be prescribed because the elderly clients are less able to afford appropriate amounts of these expensive drugs.
B)
Because in the case of confusion, it is best to decrease the likelihood of overdose by prescribing lowered dosages to elderly clients.
C)
The elderly clients are less able to understand what daily amounts of drugs they need.
D)
The physiology of elderly persons renders them less able to metabolize and eliminate psychoactive drugs through the liver and kidney, so they need fewer drugs.
Ans:
D

Feedback:

As the body ages, the ability of the liver and kidney to metabolize chemicals decreases. Therefore, it is important to give lower dosages as the individual ages in order to prevent toxicity.

 

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