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5 Written Questions

5 Matching Questions

  1. Cognitive Changes
  2. Safety and Noncompliance
  3. OTC PREP.
  4. Alcohol
  5. Polypharmacy
  1. a Lack of literacy skills needed to read labels an directions
    Inability to understand and comply w/directions
    Inability to make correct judgments about medications
    May not recognize that they have to take medication
  2. b Cognitive and sensory limitations
    Special precautions and complicated time schedules
    To reduce the risk for noncompliance, nurses s/encourage older adults to talk to physician and/or pharmacist to see whether there is any safe way to reduce the # of meds or simplify the medication schedule.
    Associating med schedules w/ regular daily events
    Explain importance of preparing med in a well-lit area
    Ensure that containers are properly labeled.
    Apply color codes, tape strips, pictures, or textures to help older adults recognize them.
    Modify containers for ease of use.
    Establish measures to distinguish and separate similar containers
    Teach to store medications properly.
  3. c The prescription, administration, or use of more medications than are clinically indicated, is a common problem in older adults.
  4. d The most commonly consumed nonprescription drug used by adults.
    Most older adults do not think of alcohol as a drug, so they do not think about it when taking meds.
    Alcoholic beveragess can cause adverse reactions when taken in conjunction w/prescription and OTC drugs.
  5. e Many do not think of OTC meds. as real drugs, because no prescription is needed to purchase them.
    OTC meds. are capable of potentiating or interfering w/effects of prescription meds., possibly resulting in serious harm.
    Can also create or mask symptoms of disease

5 Multiple Choice Questions

  1. pg. 121
    Digoxin-bottom out; bradycardia
  2. Study of how older adults respond to medication is a new but growing area.
    The methodology used to test drugs and to establish therapeutic dosages does not take into account the unique characteristics of older adults.
    Because older adults normally have had some changes in body function and are more likely to suffer from at least one disease process, they are not physiologically the same as younger adults.
  3. Can alter aging perons's ability to perform normal functions, can result in behavior changes, and can be life-threatening.
    Adverse reaction to meds common in older adults.
  4. Practice is common and persits because many older adults are unaware of dangers
    All people must be aware that it is not safe to take a med. prescribed for someone else.
  5. The responsibility of assessing medication-taking behaviors and teaching safe self-administration often falls to home health care nurse.
    Because meds are a significant part of the medical plan of care, older adults who live independently must learn to take them properly.

5 True/False Questions

  1. Patient's rightsCan alter aging perons's ability to perform normal functions, can result in behavior changes, and can be life-threatening.
    Adverse reaction to meds common in older adults.


  2. Nursing Interventions related to Med. Admins.R resident
    R med
    R amount
    R dosage form
    R route
    R time
    R documentation
    R therapy (JACO)


  3. Teaching Older Adults About MedicationsInfo to Include on Med Teaching Sheets. box 7-8 128

    Older adults and their families or significant others s/be given complete info about the prescribed meds and the proper method for taking them.


  4. Nursing Intervention and PrecautionsCould include use of safety devices, call signals, behavior monitoring, or any other specific precaution related to medications.
    Care plan s/indicate when it is necessary to check vital signs, monitor lab values, or make any other special observations.
    All parameters specified by physician s/be readily identified in care plan.


  5. Factors that Increase risk for Medication-Related ProblemsDirections provided may be very clear to a knowledgeable health care professional, but they are often misunderstood or misinterpreted by older adults.
    Even simple misunderstandings can lead to improper self-medication and result in serious consequences
    To reduce risks, older adults often require additional instruction.


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