Nokea
What is the best indicator of a successful transition to hospice care for older adults?
- A. Complete cessation of all medical treatments
- B. Improvement in physical strength
- C. Relief from physical, emotional, and spiritual suffering
- D. Long-term emotional stability
Correct Answer: C
Rationale: The correct answer is C: Relief from physical, emotional, and spiritual suffering. This is the best indicator of a successful transition to hospice care for older adults because hospice care focuses on providing comfort and improving quality of life rather than curative treatments. Relief from suffering aligns with the goals of hospice care, addressing the holistic needs of patients. Choice A is incorrect as complete cessation of all medical treatments may not be appropriate for all patients in hospice care. Choice B is incorrect as improvement in physical strength may not be the primary goal in hospice care. Choice D is incorrect as long-term emotional stability is important but not necessarily the best indicator of a successful transition to hospice care.
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What is the most common cause of hospitalization for older adults with diabetes?
- A. Stroke
- B. Hypoglycemia
- C. Diabetic ketoacidosis
- D. Infection
Correct Answer: D
Rationale: The correct answer is D: Infection. Older adults with diabetes are more vulnerable to infections due to weakened immune systems caused by high blood sugar levels. Infections can lead to severe complications and hospitalization. Stroke (A) is a common complication of diabetes but not the most common cause of hospitalization. Hypoglycemia (B) and diabetic ketoacidosis (C) are acute complications of diabetes but are less common causes of hospitalization compared to infections.
All of the following except___ can occur due to the decreased tactile sensations that occur in the older person.
- A. Burns on feet and hands due to inability to feel the temperature of bath water
- B. Social isolation due to not wanting to be touched
- C. Development of sores on feet due to inability to feel pressure and injury
- D. Increased tendency to fall due to decreased sensation of feet to floor
Correct Answer: B
Rationale: The correct answer is B because social isolation is not directly related to decreased tactile sensations. A, C, and D are consequences of decreased tactile sensations in older individuals. A can occur due to not feeling the temperature, C due to not feeling pressure and injury, and D due to decreased sensation causing falls. Social isolation is more related to emotional or psychological factors rather than physical sensations. It is crucial to differentiate between physical consequences and social consequences when considering the effects of decreased tactile sensations in older individuals.
The nurse is providing an educational session to new employees, and the topic is abuse of the older adult. The nurse helps the employees identify that which client is most typical of a victim of abuse?
- A. 75 y.o man with moderate hypertension
- B. 68 y.o man with newly dx cataracts
- C. 90 y.o woman with advanced Parkinson's dz
- D. 70 y.o woman with early dx Lyme dz
Correct Answer: C
Rationale: The correct answer is C: 90 y.o woman with advanced Parkinson's dz. Older adults with advanced Parkinson's disease are more vulnerable to abuse due to their physical and cognitive impairments. They may be dependent on caregivers, making them easy targets for abuse. The other choices do not indicate significant vulnerability to abuse. Choice A is a common demographic but lacks specific vulnerability factors. Choice B with cataracts and Choice D with early Lyme disease do not inherently increase the risk of abuse.
An older female patient states reading is difficult in the evening. Which intervention should the nurse implement?
- A. Put a high-intensity lamp at the head of her bed.
- B. Explain that the arcus senilis is interfering with vision.
- C. Put more powerful tubes in the fluorescent lights.
- D. Examine her retinas for signs of damage.
Correct Answer: A
Rationale: The correct answer is A because a high-intensity lamp can provide better lighting for reading, addressing the difficulty the patient experiences in the evening. This intervention can improve visibility and reduce strain on the eyes. Option B is incorrect as arcus senilis is a common age-related condition but not a direct cause of difficulty reading. Option C is incorrect as simply increasing the power of fluorescent lights may not address specific visual needs for reading. Option D is incorrect as examining the retinas may not directly address the patient's difficulty in reading and is not the most appropriate initial intervention.
An older adult reports increasing loss of balance. Which teaching should the nurse implement?
- A. Exercise with light weights.
- B. Stand on one foot at a time while supported.
- C. Train with the use of sit-ups.
- D. Work out in a swimming pool.
Correct Answer: B
Rationale: The correct answer is B: Stand on one foot at a time while supported. This exercise helps improve balance by challenging the proprioceptive system. By standing on one foot while supported, the older adult can gradually strengthen their muscles and improve their balance. Other choices like exercising with light weights may not specifically target balance, training with sit-ups focuses more on core strength, and working out in a swimming pool may provide buoyancy but may not directly address the balance concern.