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Chapter 30, Psychosocial Needs of the Older Adult
Terms in this set (27)
A patient has been prescribed an antiparkinson drug to treat the side effects caused by antipsychotic drugs. What is this phenomenon called?
A cognitively impaired, nonverbal patient is observed to have the following assessment findings: 1. Periods of rapid breathing that are associated with activity; 2. No noted moaning; 3. Displays of facial grimacing when changing position; 4. Nervous-like restlessness observed; and 5. Distracted by conversation or touch. Review the following information and determine the pain rating for this patient. 0-1 No significant pain; 2-3 Mild to moderate pain; 4-6 Moderate to severe pain; 7-10 Severe to very severe pain.
Moderate to severe pain
A nurse is assessing the severity of pain in an Alzheimer's patient who has dementia. The nurse finds that the patient has occasional labored breathing. Which sign and symptom indicate labored breathing in the patient?
The patient has episodic bursts of harsh and difficult respiration
An older adult patient who is in the terminal stages of liver cancer requests the nurse's assistance in writing an advance directive. What is the most appropriate response by the nurse?
No, I cannot assist you in writing an advance directive
The family member of an older adult patient reports that the patient was found wandering outside the house the day before without clothes. What is the most appropriate response by the nurse?
Has your father fallen or hit his head recently?
A nurse is educating geriatric patients at a community health care center about directives of the Patient Self-Determination Act (PSDA). Which statement made by the nurse is appropriate according to the act?
Patients can give their personal statement of where and how to die in the living will
The nurse is evaluating a group of nursing students after teaching about pain perception in older adults. Which statement by the students indicates the need for further teaching?
The ability to perceive pain decreases in older adults
The nurse manager meets with unlicensed assistive personnel (UAPs) in a skilled care facility. Which comment by an UAP indicates an accurate perception of aging?
We should involve our residents in planning activities to celebrate holidays and other special occasions
A nurse doing a survey about the adequacy of pain management in the elderly will be most likely to find that the elderly
Receive less analgesia than younger adults, which makes pain relief inadequate
Which statement concerning the development of mental illness in the aging population is true? Select all that apply
Depression is not considered a normal part of human aging.
Independence is preserved by appropriate and early diagnosis.
Accurate treatment supports the older individuals' decision-making abilities.
Which statement is true regarding Medicare-Part D assistance with medication costs for the older adult?
There is a $275 initial deductible before Medicare-Part D assumes any responsibility for the expense of medication prescriptions
An elderly patient diagnosed with dementia is unable to dress without assistance; however, this patient's motor function is intact. Which term should the nurse use to document this finding?
When interviewing an elderly patient with hypothyroidism, a nurse finds that the patient is treated with many drugs. What appropriate teaching does the nurse give to the patient's family to avoid adverse drug interactions? Select all that apply.
Regularly follow up with the primary health care provider.
Use a calendar to mark the medications that need to be refilled.
Educate the patient about over-the-counter medications
An 85-year old man has been sad and crying frequently, not attending to hygiene, eating less, and sleeping much of the day. Which principle will apply to the initial nursing assessment and intervention for this person?
Older male patients have the highest rate of suicide.
Oxidative stress, wear-and-tear, and neuroendrocrine are types of which theory of aging?
Which statement is true and should be considered when caring for an older patient prescribed an opiate for pain management? Select all that apply.
Constipation is a frequent side effect of opiate therapy.
Morphine is a safer choice than meperidine because it requires smaller overall doses.
Analgesic therapy for older adults begins with smaller doses that are increased gradually as needed
A nurse is conducting a survey on the geriatric population in a community. Which observation made by the nurse is appropriate for the geriatric population and can be documented?
Older widows appear to adjust better than younger ones
A nurse is caring for an elderly patient with liver dysfunction. The patient gets aggressive sometimes due to severe anxiety. What nursing intervention should the nurse perform while caring for this patient? Select all that apply.
Encourage the patient to express emotions and feelings.
Provide written information to the patient
The nurse is assessing the pain management of patients in an extended care facility. Patients with what condition should be prescribed an opioid by the primary health care provider? Select all that apply.
A nurse educates a group of nursing students about Jung's theory of personality development. Which statement by the students indicates effective learning?
Individuals move from outward achievement to self-acceptance during development
Review the following material on the cultural beliefs of older African Americans regarding depression. Which intervention will have the greatest impact on treating depression among this population?
Working with African-American community leaders to help minimize the existing bias against seeking treatment for depression
An elderly patient in the terminal stages of lung cancer reports pain. The patient tells the nurse, "I wish I could just die." What does the nurse do? Select all that apply.
Demonstrate active listening
Document the statement
Report to the health care provider
Ask the patient to express more
The nurse is teaching about different theories of aging. What does aging involve according to Maslow?
Self-actualization occurs as an individual ages
An older adult patient who is being treated for diabetes, hypertension, and cardiac disorder reports lightheadedness and dizziness on standing up. On further assessment, the nurse finds that the patient had been experiencing headaches and heart palpitations for the past few weeks. The objective assessment findings are as follows: pulse rate 80 beats per minute, respiratory rate 14 per minute, sitting blood pressure 120/80. What assessment should be done next in order to find the cause of the patient's condition?
Check the blood pressure of the patient in standing position
A nurse is performing a clinical assessment of an elderly patient. What appropriate techniques should the nurse follow while interacting with the patient?
The nurse should conduct the interview in a closed room
An older adult patient is treated with aspirin (Ecotrin) for arthritis. The patient has developed fatigue and on assessment is found to have a bleeding gastric ulcer. What instruction is provided regarding pain medication?
Stop aspirin, and start using acetaminophen
The nurse is performing a clinical assessment of an elderly patient with acute renal failure. The nurse finds that the patient appears confused and is likely to have delirium. Which factor should the nurse assess in the patient to find the cause for the delirium?
Assess medications of the patient
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Chapter 30 Psychosocial Needs of the Older Adult
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