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A nurse and social worker co-lead a reminiscence group for six 'baby boomer' adults. Which activity is appropriate to include in the group?
- A. Post-World War II music
- B. Learning to send and receive email
- C. Discussing national leadership during the Vietnam War
- D. Identifying the most troubling story in today's newspaper
Correct Answer: A
Rationale: The baby boomer generation (born 1946?1964) would be familiar with post-World War II culture, making this activity appropriate for a reminiscence group.
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A nurse asks the following questions while assessing an older adult. The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers 'yes' to which question?
- A. Would you say your mood is often sad?'
- B. Are you having any trouble with your memory?'
- C. Have you noticed an increase in your alcohol use?'
- D. Do you often experience moderate-to-severe pain?'
Correct Answer: A
Rationale: Sadness may be a symptom of depression. Sad moods occurring with regularity should signal the need to assess further for other symptoms of depression.
A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, 'My family visited during the night. They stood by the bed and talked to me.' In reality, the patient's family lives 200 miles away. The nurse should first suspect what as the trigger for the resident's experience?
- A. A side effect associated with medications.
- B. Early Alzheimer's disease associated with advanced age.
- C. A transient ischemic attack and developed sensory perceptual alterations.
- D. Previously unidentified alcohol abuse and is beginning alcohol withdrawal delirium.
Correct Answer: A
Rationale: A resident taking medications is at high risk for becoming confused because of medication side effects, drug interactions, and delayed excretion.
A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism?
- A. Failure of older adults to receive necessary medical information
- B. Development of public policy that favors programs for older adults
- C. Staff shortages because caregivers prefer working with younger adults
- D. Perception that older adults consume a small share of medical resources
- E. More ancillary than professional personnel discriminate with regard to age
Correct Answer: A,C
Rationale: Because of society's negative stereotyping of older adults, some staff avoid working with them, leading to staff shortages, and older adults often receive less information about their conditions.
A health care provider writes these new prescriptions for a resident in a skilled care facility: '2 g sodium diet; restraint as needed; limit fluids to 2000 mL daily; 1 dose milk of magnesia 30 mL orally if no bowel movement occurs for 3 days.' Which prescription should the nurse question?
- A. Restraint
- B. Fluid restriction
- C. Milk of magnesia
- D. Sodium restriction
Correct Answer: A
Rationale: Restraints may be applied only on the written order of the health care provider that specifies the duration during which the restraints can be used. The Joint Commission guidelines and Omnibus Budget Reconciliation Act regulations also mandate a number of other conditions that must be considered and documented before restraints are used.
A clinic nurse interviews four patients between 70 and 80 years of age. Which patient should have further assessment regarding the risk of alcohol addiction?
- A. One with a history of intermittent problems of alcohol misuse early in life and who now consumes one glass of wine nightly with dinner.
- B. One with no history of alcohol-related problems until age 65 years, when the patient began to drink alcohol daily 'to keep my mind off my arthritis.'
- C. One who drank socially throughout adult life and continues this pattern, saying, 'I've earned the right to do as I please.'
- D. One who abused alcohol between the ages of 25 and 40 years but now abstains and occasionally attends Alcoholics Anonymous.
Correct Answer: B
Rationale: The geriatric problem drinker is defined as someone who has no history of alcohol-related problems but develops an alcohol-abuse pattern in response to the stresses of aging.