Nokea
When bathing an 80-year-old woman who lives on a farm, the nurse assesses brown macules on the patient's hands and forearms. The nurse recognizes these as
Correct Answer: lentigo
Rationale: Lentigo is a term that refers to brown-pigmented lesions on the skin of the older person who has spent a great deal of time in the sun. These macules are also called 'age spots.'
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The older adult female patient is concerned about incontinence when she sneezes. What is the correct terminology for this type of incontinence?
- A. Urge incontinence
- B. Stress incontinence
- C. Overflow incontinence
- D. Functional incontinence
Correct Answer: B
Rationale: Stress incontinence results from increased abdominal pressure, which occurs with coughing or sneezing. Urge incontinence occurs after a sudden urge to void and is associated with cystitis, tumors, stones, and CNS disorders. Overflow incontinence is associated with diabetic neuropathy and spinal cord injuries. Functional incontinence results from unwillingness or inability to get to the toilet.
When the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, the benefits of what are important to stress?
- A. Nutrition
- B. Medications
- C. Exercise
- D. Sleep
Correct Answer: C
Rationale: Primary prevention stresses exercise for the prevention of cardiac disease, falls, and depression.
The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?
- A. Pursed-lip breathing
- B. Increased inspiration
- C. Vital capacity
- D. Decreased expiration
Correct Answer: A
Rationale: Pursed-lip breathing can help empty the lungs of used air and promote inhalation of additional oxygen.
When was the Social Security Act, which was the first major legislation providing financial security for older adults, passed?
- A. 1930
- B. 1935
- C. 1940
- D. 1945
Correct Answer: B
Rationale: The first major legislation to provide financial security for older adults was the Social Security Act of 1935.
When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?
- A. Speak very loudly
- B. Speak rapidly
- C. Lower the tone of the voice
- D. Raise the tone of the voice
Correct Answer: C
Rationale: To communicate with a patient with a hearing loss, the nurse should lower the tone of the voice.