Nokea
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.
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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 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.
When admitting older adult patients, health care agencies receiving federal funds must provide written information about what topic?
- A. Advance health care directives
- B. The financial status of the institution
- C. How to sign out against medical advice
- D. The institution's policy on the use of restraints
Correct Answer: A
Rationale: The Patient Self-Determination Act of 1990 requires that patients have the opportunity to prepare advance directives.
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.
A nurse and social worker co-lead a reminiscence group for eight adults aged 65 to 70. Which activity is most appropriate to include in the group?
- A. Singing a song from World War II
- B. Learning how to join an online social network
- C. Discussing national leadership during the Vietnam War
- D. Identifying the most troubling story in today's newspaper
Correct Answer: C
Rationale: Young-old adults (65?74 years) were attuned to conflicts in national leadership during the Vietnam War, making this activity appropriate for a reminiscence group.