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5 Written Questions

5 Matching Questions

  1. Safety and Noncompliance
  2. Assessment
  3. Nursing Intervention and Precautions
  4. Sensory Changes
  5. Polypharmacy
  1. a 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.
  2. b Nurses must be sure to assess older residents thoroughly before administering any medications.
    After admin., nurses s/monitor older adults continually to determine whether med is having desired effect.
    Residents s/also be observed for any ontoward effects or significant changes in medical condition or behavior of older person.
    Nurses s/be particularly watchful for any signs of overdose or toxicity.
  3. c Could 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.
  4. d Vision changes may render an older person unable to read a medication label or to recognize the different sizes, shapes, or colors of various medications.
    Adequately assessing person's ability to read labels accurately, by proper teaching, and by using special labesl or magnifying devices that facilitate safe administration.
  5. e The prescription, administration, or use of more medications than are clinically indicated, is a common problem in older adults.

5 Multiple Choice Questions

  1. Right to know what medication they are receiving and why they are receiving it
    Right to refuse to take medication
    Right to privacy during injections or any other such procedures
    Use of psychotropic drugs as chemical restraints presents a risk to rights of older adults
  2. 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
  3. 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.
  4. 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.
  5. Directions 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.

5 True/False Questions

  1. Financial Factors/Saving MoneyLack 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. Self-Medication and Older Adults
    In an Institutional setting
    Info 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.

          

  3. Sharing Med w/friends or relativesPractice 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.

          

  4. Table 7-2The 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. AlcoholThe 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.

          

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