Nokea
A nurse caring for older adults must be aware of which consequences of ageism in language? (Select all that apply.)
- A. Reduced sense of self
- B. Poor nutritional intake
- C. Lowered sense of self-competence
- D. Decreased memory performance
Correct Answer: A, C, D
Rationale: Step-by-step rationale:
1. Reduced sense of self: Ageist language can contribute to older adults feeling devalued and less confident.
2. Lowered sense of self-competence: Negative language can impact self-esteem and belief in one's abilities.
3. Decreased memory performance: Ageist language can reinforce negative stereotypes, leading to self-doubt and cognitive decline.
Summary of incorrect choices:
B: Poor nutritional intake - Not directly related to consequences of ageism in language.
Incorrect choices do not address the psychological and emotional impacts of ageist language on older adults.
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All of the following except___ can occur due to the decreased tactile sensations that occur in the older person.
- A. Burns on feet and hands due to inability to feel the temperature of bath water
- B. Social isolation due to not wanting to be touched
- C. Development of sores on feet due to inability to feel pressure and injury
- D. Increased tendency to fall due to decreased sensation of feet to floor
Correct Answer: B
Rationale: The correct answer is B because social isolation is not directly related to decreased tactile sensations. A, C, and D are consequences of decreased tactile sensations in older individuals. A can occur due to not feeling the temperature, C due to not feeling pressure and injury, and D due to decreased sensation causing falls. Social isolation is more related to emotional or psychological factors rather than physical sensations. It is crucial to differentiate between physical consequences and social consequences when considering the effects of decreased tactile sensations in older individuals.
Primary prevention for older adults includes:
Correct Answer:
Rationale: Correct Answer: Regular physical activity and healthy diet
Rationale:
1. Regular physical activity helps maintain cardiovascular health, muscle strength, and balance in older adults, reducing the risk of falls and chronic diseases.
2. A healthy diet provides essential nutrients for overall health and helps prevent conditions like obesity, diabetes, and heart disease.
3. Both components are key in primary prevention by promoting overall well-being, reducing the risk of age-related health issues, and enhancing quality of life.
Incorrect Choices:
A: Annual health screenings - While important for early detection, screenings alone do not prevent health issues.
B: Social isolation prevention programs - Important for mental health, but not primary prevention.
C: Routine medication management - Important for managing existing conditions, not primary prevention.
D: Memory enhancement exercises - Beneficial for cognitive health but not primary prevention for physical health issues in older adults.
The nurse is performing an assessment on an older client. What would indicate a potential complication associated with the skin?
- A. Crusting
- B. Wrinkling
- C. Thinning/loss of elasticity
- D. Crusting
Correct Answer: A
Rationale: The correct answer is A: Crusting. Crusting on the skin of an older client can indicate a potential complication such as an infection or skin condition. It suggests that there may be an issue with the skin's integrity, leading to the formation of crusts. Wrinkling (B) and thinning/loss of elasticity (C) are common age-related changes and not necessarily indicative of a complication. Choice D is a duplicate of choice A, so it is incorrect. In summary, crusting is a sign of a potential skin complication, while the other choices are more likely to be normal age-related changes.
The nurse who volunteers at a senior citizens' center is planning activities for the members. What activity would best promote health and maintenance?
- A. Walking 3-5 times per week for 30 minutes
- B. Cooking healthy meals
- C. Reading and knitting
- D. Taking vitamins daily
Correct Answer: A
Rationale: The correct answer is A because walking is a physical activity that promotes cardiovascular health, strength, and overall well-being. Regular exercise like walking 3-5 times per week for 30 minutes can help improve circulation, maintain healthy weight, and reduce the risk of chronic diseases. Cooking healthy meals (choice B) is important for nutrition but may not directly promote physical activity. Reading and knitting (choice C) are mentally stimulating but do not provide the physical benefits of exercise. Taking vitamins daily (choice D) is important for overall health but does not substitute for physical activity.
A 78 yr old female presents to the ED with complaints of nausea and sudden onset shortness of breath. The initial workup includes ____________.
- A. upper endoscopy
- B. CT of the head
- C. liver function studies
- D. EKG and serial enzymes for determination of an MI
Correct Answer: D
Rationale: The correct answer is D, EKG and serial enzymes for determination of an MI. In this scenario, the patient's symptoms of nausea and sudden onset shortness of breath raise concern for a possible myocardial infarction (MI). Conducting an EKG and serial enzymes helps in diagnosing an MI by assessing for cardiac ischemia or injury. Upper endoscopy (choice A) is not indicated for these symptoms. A CT of the head (choice B) is unnecessary as the symptoms are suggestive of a cardiac issue, not a neurological one. Liver function studies (choice C) do not align with the presenting symptoms and are not a priority in this acute setting. Conducting an EKG and serial enzymes is the most appropriate initial workup to assess for a possible MI in this elderly patient with concerning symptoms.