Nokea
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.
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Which beliefs facilitate provision of safe, effective care for older adult patients?
- A. Sexual interest declines with aging.
- B. Older adults are able to learn new tasks.
- C. Aging results in a decline in restorative sleep.
- D. Older adults are prone to become crime victims.
- E. Older adults are usually lonely and socially isolated.
Correct Answer: B,C,D
Rationale: Older adults are more prone to become crime victims, experience a decline in restorative sleep, and can continue learning new tasks, which affect care delivery.
A 74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization?
- A. Medication
- B. Re-motivation
- C. Group psychotherapy
- D. Individual psychotherapy
Correct Answer: B
Rationale: Re-motivation therapy is designed to re-socialize patients who are regressed and apathetic by focusing on a single topic, creating a bridge to reality.
If an older adult patient must be physically restrained, who is responsible for the patient's safety?
- A. Nurse assigned to care for the patient.
- B. Nursing assistant who applies the restraint.
- C. Health care provider who ordered the application of the restraint.
- D. Family member who agrees to the application of the restraint.
Correct Answer: A
Rationale: The nurse caring for the patient is responsible for the safe application of restraining devices and for providing safe care while the patient is restrained.
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 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address?
- A. Initiate a neurological assessment.
- B. Assess if the patient can hear the spoken word clearly.
- C. Suggest that the patient lie down in a darkened room to rest.
- D. Administer medication to relieve the patient's pain prior to the assessment.
Correct Answer: B
Rationale: Before proceeding, the nurse should assess the patient's ability to hear questions. Hearing ability often declines with age. Impaired hearing could lead to inaccurate answers.