Nokea
In managing older adults with multiple chronic conditions, which factor has the most significant impact on reducing hospital readmissions?
- A. Minimizing polypharmacy
- B. Frequent medication adjustments
- C. Home health care support
- D. Specialized geriatric assessments
Correct Answer: C
Rationale: The correct answer is C: Home health care support. This is because having access to home health care support can provide ongoing monitoring, medication management, and assistance with activities of daily living, which can help prevent complications and reduce the need for hospital readmissions.
Minimizing polypharmacy (A) is important but may not have as significant an impact as continuous home health care support. Frequent medication adjustments (B) may lead to confusion and potential adverse effects in older adults. Specialized geriatric assessments (D) are beneficial but may not directly address the day-to-day support needed to prevent hospital readmissions.
You may also like to solve these questions
Intra-renal renal failure can be caused by all of the following conditions except______
- A. certain aminoglycoside antibiotics
- B. glomerulonephritis
- C. kidney stones
- D. diabetic or hypertensive nephrosclerosis
Correct Answer: C
Rationale: The correct answer is C: kidney stones. Intra-renal renal failure refers to damage within the kidney itself. Kidney stones mainly affect the urinary tract rather than directly causing damage within the kidney. A: certain aminoglycoside antibiotics can cause intra-renal renal failure by damaging the kidney tubules. B: glomerulonephritis is inflammation of the glomeruli in the kidney, leading to intra-renal renal failure. D: diabetic or hypertensive nephrosclerosis can cause intra-renal renal failure due to long-term damage to the kidney's blood vessels and structures.
Which of the following is considered a key component of successful aging?
- A. Avoiding chronic diseases at all costs
- B. Maintaining cognitive function and social engagement
- C. Relying on medical interventions for every health concern
- D. Living independently without any assistance
Correct Answer: B
Rationale: Step 1: Maintaining cognitive function is crucial for adapting to changes and problem-solving in older age.
Step 2: Social engagement helps combat loneliness and promotes mental well-being.
Step 3: Both factors contribute to a higher quality of life and overall well-being in older individuals.
Summary: A is incorrect as chronic diseases are common in aging. C is incorrect due to over-reliance on medical interventions. D is incorrect as independence doesn't necessarily equate to successful aging.
What is the primary factor contributing to medication nonadherence in older adults?
- A. Lack of health literacy
- B. High cost of medications
- C. Limited access to healthcare providers
- D. Complicated medication regimens
Correct Answer: D
Rationale: The correct answer is D: Complicated medication regimens. Older adults often have multiple medical conditions requiring several medications, leading to confusion and difficulty in following complex regimens. This complexity increases the likelihood of medication nonadherence. Lack of health literacy (A) may contribute but is not the primary factor. High cost of medications (B) and limited access to healthcare providers (C) are important barriers, but they are not as directly linked to nonadherence as the complexity of medication regimens.
A nurse is caring for a 70 yr old client with pain related to osteoarthritis. The pain is relatively constant. The client is prescribed pharmacological treatment for the pain. In suggesting alternative therapies to the client, the nurse would consider their effectiveness to be:
- A. Less effective in the elderly
- B. Greater when used in conjunction with pharmacological therapy
- C. Of no difference
- D. More effective in the elderly
Correct Answer: B
Rationale: The correct answer is B: Greater when used in conjunction with pharmacological therapy. This is because combining alternative therapies with pharmacological treatment can often provide a synergistic effect, resulting in better pain management outcomes. Alternative therapies such as physical therapy, acupuncture, or mindfulness techniques can complement the effects of medications, leading to improved pain relief. Options A and D are incorrect as age alone does not determine the effectiveness of alternative therapies. Option C is also incorrect as combining therapies can enhance overall pain management strategies.
What is the most common cause of delirium in hospitalized older adults?
- A. Medication side effects
- B. Sleep deprivation
- C. Urinary tract infections (UTIs)
- D. Electrolyte imbalances
Correct Answer: C
Rationale: The correct answer is C: Urinary tract infections (UTIs). UTIs are a common cause of delirium in hospitalized older adults due to their impact on the central nervous system. UTIs can lead to systemic inflammation and affect cognitive function, resulting in delirium. Other choices like medication side effects, sleep deprivation, and electrolyte imbalances can contribute to delirium but are not as common or direct as UTIs in this population.