Nokea
One reason polypharmacy occurs is because an older individual has several different health-care providers prescribing medications for him or her and each is unaware of what the other has prescribed.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Lack of coordination among providers contributes to polypharmacy, increasing drug interaction risks.
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Older adults may not empty their bladders completely when they void because of changes in neuromuscular functioning of the bladder muscle or, in men, enlargement of the prostate gland. Which of the following is a common complication of insufficient bladder emptying?
- A. Constipation from enlarged bladder pressing on lower gastrointestinal tract
- B. Renal failure
- C. Urinary tract infection
- D. Bladder spasms
Correct Answer: C
Rationale: Residual urine from incomplete bladder emptying increases the risk of urinary tract infections due to bacterial growth.
Unless indicated by unexpected events, documentation in a long-term care facility is usually done once per week.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Documentation occurs daily or per shift to ensure accurate and timely records of care.
In general, vital signs of long-term care residents should be assessed once a week or once a month, depending on the facility's policy.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Vital signs should be assessed more frequently, often daily or per shift, to monitor health status.
The occurrence of cerebrovascular accidents (stroke) increase with age. What is one of the risk factors that a person can change on their own to decrease the risk for stroke?
- A. Irregular heart beat
- B. Hypertension
- C. Diet high in saturated fats
- D. Diabetes
Correct Answer: B,C
Rationale: Hypertension and a diet high in saturated fats are modifiable risk factors that individuals can address to reduce stroke risk.
An older person under your care who has been alert and oriented begins acting different than normal and appears to be hallucinating. Which of the following is the correct term for this?
- A. Depression
- B. Dementia
- C. Delirium
- D. Confusion
Correct Answer: C
Rationale: Delirium is characterized by acute changes in mental status, such as hallucinations, often reversible with treatment.