Nokea
A nurse caring for an older adult patient population should be familiar with which legal and ethical issues that are common concerns for this group?
- A. Physical abuse
- B. Autonomous decision making
- C. Emotional abuse
- D. Financial abuse
- E. Need for medication therapy
Correct Answer: A,C
Rationale: Among the most important legal and ethical issues are decision-making about health care and various forms of elder abuse, including physical and emotional abuse.
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Which statement about aging provides the best rationale for focused assessment of older adult patients?
- A. Older adults are often socially isolated and lonely.
- B. As people age, they become more rigid in their thinking.
- C. The majority of older adults sleep more than 12 hours per day.
- D. The senses of vision, hearing, touch, taste, and smell decline with age.
Correct Answer: D
Rationale: Only the correct answer is true and cues the nurse to assess carefully the sensory functions of the older adult patient. The incorrect options are myths about aging.
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 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 student nurse visiting a senior center tells the instructor, 'It's so depressing to see all these old people. They are so weak and frail. They are probably all confused.' The student is expressing what attitude?
- A. Reality
- B. Ageism
- C. Empathy
- D. Distrust
Correct Answer: B
Rationale: Ageism is defined as a bias against older people because of their age. None of the other options can be identified from the ideas expressed by the student.
A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. What topic is of high priority?
- A. Identifying depression in older adults
- B. Providing cost-effective foot care for older adults
- C. Identifying nutritional deficiencies in older adults
- D. Psychosocial stimulation for those who live alone
Correct Answer: A
Rationale: Depression is the most common, most debilitating, and also most treatable psychiatric disorder in the older adult. Home health staff are often better versed in the physical aspects of care and less knowledgeable about mental health topics. Statistics show that older adult patients with mental health problems are less likely than young adults to be diagnosed accurately.