Chapter 32 Care of Elderly Patients

Chapter 32  Care of Elderly Patients

Complete Chapter Questions And Answers
 

Sample Questions

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

____ 1. The nurse recognizes that an individual who is most likely experiencing frequent loss of friends, family members, and physical capabilities is
A.
A 68-year-old man who is anticipating retirement this year.
B.
A 71-year-old woman who volunteers with her church three times a week.
C.
A 77-year-old woman who owns her own home.
D.
An 89-year-old woman who lives in an assisted living facility.

____ 2. Which of the following statistics is anticipated to be true by 2030?
A.
The birth rate will be 10% of the death rate.
B.
Three million U.S. citizens will be over the age of 65.
C.
There will be 1 million centurions.
D.
One in every five U.S. citizens will be over the age of 85.

____ 3. The nurse is notified that a new admission is expected to the unit. The nurse is told that the patient is 101 years old and is being admitted from a nearby nursing home. An appropriate assumption is that
A.
The patient will be blind.
B.
The patient’s risk of falls will be high.
C.
The patient will be confused.
D.
The patient will need complete care.

____ 4. The student nurse has been assigned the care of a 72-year-old man who was admitted with a hemorrhagic stroke. The student’s plan of care would be based on which of the following?
A.
Symptoms of neurological deficit may last minutes or hours.
B.
The patient will need to be on low-dose heparin to prevent future strokes.
C.
The patient is at risk for additional clot formation over the next 48 hours.
D.
The patient has experienced bleeding within the brain tissue.

____ 5. The nurse is approached by the son of a client. The individual walks with a cane, has notable facial droop, and takes a long time to express what he wants to say. The best response by the nurse is to
A.
Face the individual and directly ask, “Is there something I can do for your mother?”
B.
Loudly ask, “What do you need?”
C.
Use hand motions to determine if the patient is hungry, thirsty, or in pain.
D.
Make eye contact and say, “I’ll have the aide come to the room in a minute.”

Chapter 32. Care of Elderly Patients
Answer Section

MULTIPLE CHOICE

1. ANS: C

Feedback
A
The “young-old” are individuals who are aged 65 to 75 years. They have just started experiencing more of the physiological changes that are brought on by the aging process, although they may have experienced a somewhat gradual decline in physical health in the preceding decades.
B
The “young-old” are individuals who are aged 65 to 75 years. They have just started experiencing more of the physiological changes that are brought on by the aging process, although they may have experienced a somewhat gradual decline in physical health in the preceding decades.
C
The “middle-old” are individuals who are aged 75 to 85 years. These are people who have often retired from working and who are experiencing the losses of spouses, family members, and friends to death. Physical changes are more apparent. Chapter Objective: Differentiate between young-old, middle-old, old-old, and elite old adults.
D
The “old-old” are those who are aged 85 years and older. Often their health has significantly declined, leaving these people with the need for regular, and sometimes around the clock, assistance.

PTS: 1 REF: Chapter: 32 | Page: 746 OBJ: Chapter Objective: 32-3
KEY: Content Area: Aging Process | Integrated Process: Nursing Process/Evaluation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

2. ANS: D

Feedback
A
This is not an expected statistic by 2030.
B
This is not an expected statistic by 2030.
C
This is not an expected statistic by 2030.
D
By 2030, it is anticipated that one in every five U.S. citizens will be elderly, and that there will be 7 million citizens who are older than the age of 85 years according to the National Institute on Aging. Chapter Objective: Discuss common myths and stereotypes about aging.

PTS: 1 REF: Chapter: 32 | Page: 747 OBJ: Chapter Objective: 32-2
KEY: Content Area: Aging Process | Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge

3. ANS: B

Feedback
A
There is no reason to assume this.
B
Nursing care should always be personalized, based on the needs of the individual, not on assumptions about a person based on his or her age. Fall risk is a safety concern so this is the most appropriate assumption to ensure safety. Chapter Objective: Describe the physiological and psychosocial changes associated with aging.
C
There is no reason to assume this.
D
There is no reason to assume this.

PTS: 1 REF: Chapter: 32 | Page: 748 OBJ: Chapter Objective: 32-4
KEY: Content Area: Aging Process | Integrated Process: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

4. ANS: D

Feedback
A
Symptoms associated with a transient ischemic attack may last a few minutes or a few hours.
B
The patient has experienced a hemorrhagic stroke, so anything that promotes bleeding will be contraindicated.
C
When the cause of the cerebrovascular accident is a blood clot, it is referred to as an ischemic stroke.
D
When the cause is a bleeding blood vessel, it is referred to as a hemorrhagic stroke. Chapter Objective: Define key terms associated with care of elderly patients.

PTS: 1 REF: Chapter: 32 | Page: 748 OBJ: Chapter Objective: 32-1
KEY: Content Area: Aging Process | Integrated Process: Nursing Process/Planning | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

5. ANS: A

Feedback
A
When communicating with an individual who may have had a cerebrovascular accident, speak slowly and be sure to face the patient when speaking to him or her. Allow plenty of time for the patient to respond. Chapter Objective: Describe the physiological and psychosocial changes associated with aging.
B
Increased volume is not necessary.
C
The individual can communicate needs if given the time to express himself or herself.
D
This option shifts responsibility to another staff member.

PTS: 1 REF: Chapter: 32 | Page: 748 OBJ: Chapter Objective: 32-4
KEY: Content Area: Aging Process | Integrated Process: Communication and Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Application