Chapter 41 Common Psychosocial Care Problems of Older Adults

Chapter 41  Common Psychosocial Care Problems of Older Adults

Complete Chapter Questions And Answers
 

Sample Questions

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

2. 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

3. 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

4. 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

5. When the nurse plans to use reminiscence as a psychosocial approach to managing confusion with cognitively impaired patients, the nurse should:
a.
use plants, pictures, and animals to encourage interactions in the group.
b.
use memory aids such as television, radio, clock, and calendar.
c.
encourage individual and group sharing of information about previous life experiences.
d.
increase socialization roles in the group, such as serving each other refreshments.

ANS: C
Reminiscence involves individual and group sharing about previous life experiences.

DIF: Cognitive Level: Application REF: p. 833|Table 41-2
OBJ: Clinical Practice #1 TOP: Psychosocial Approaches
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation