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Recognizing the risk for acquired immunodeficiency syndrome (AIDS) among older adults, nurses should provide health teaching focused on what?
- A. Discouraging sexual expression
- B. Using birth control measures
- C. Avoiding blood transfusions
- D. Encouraging condom use
Correct Answer: D
Rationale: Safe sex continues to be important and should be taught to the older adult population. Condom use is diminished in postmenopausal women, which places older adults at risk for AIDS and other sexually transmitted diseases.
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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 patient asks the nurse, 'I already have a living will. Why should I have a durable power of attorney for health care also?' The nurse should provide what as the truth related to a durable power of attorney for health care?
- A. It gives your agent the authority to make decisions about your care if you are unable to during any illness.
- B. It can be given only to a relative, usually the next of kin, who has your best interests at heart.
- C. It authorizes your physician to make decisions about your care that are in your best interest.
- D. It can be used only if you have a terminal illness and become incapacitated.
Correct Answer: A
Rationale: A durable power of attorney for health care is an instrument that appoints a person other than a health care provider to act as an individual's agent in the event that he or she is unable to make medical decisions.
A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. What topic is of high priority?
- A. Identifying depression in older adults
- B. Providing cost-effective foot care for older adults
- C. Identifying nutritional deficiencies in older adults
- D. Psychosocial stimulation for those who live alone
Correct Answer: A
Rationale: Depression is the most common, most debilitating, and also most treatable psychiatric disorder in the older adult. Home health staff are often better versed in the physical aspects of care and less knowledgeable about mental health topics. Statistics show that older adult patients with mental health problems are less likely than young adults to be diagnosed accurately.
An older adult patient brings a bag of medication to the clinic. The nurse found one bottle labeled 'Ativan' and one labeled 'lorazepam,' and both are labeled 'Take two times daily.' Bottles of hydrochlorothiazide, Inderal, and rofecoxib, each labeled 'Take one daily,' are also included. Which conclusion is accurate?
- A. Rofecoxib should not be taken with Ativan.
- B. The patient's blood pressure is likely to be very high.
- C. This patient should not self-administer any medication.
- D. Lorazepam and Ativan are the same drug; consequently, the dose is excessive.
Correct Answer: D
Rationale: Lorazepam and Ativan are generic and trade names for the same drug, creating an accidental overdose situation.
A nurse wants to perform a preliminary assessment for suicidal ideation in an older adult patient. Which question would obtain the desired data?
- A. What thoughts do you have about a person's right to take his or her own life?'
- B. If you felt suicidal, would you communicate your feelings to anyone?'
- C. Do you have any risk factors that potentially contribute to suicide?'
- D. Do you think you are vulnerable to developing a depressed mood?'
Correct Answer: A
Rationale: The correct response is clear, direct, respectful, and open-ended, producing information relative to the acceptability of suicide as an option.