Nokea
When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. Which of Erikson's developmental stages has the patient achieved?
- A. Acceptance
- B. Withdrawal
- C. Ego integrity
- D. Interaction
Correct Answer: C
Rationale: The last stage of life is acceptance of life and it results in ego integrity.
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Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?
- A. Once every shift
- B. Every 4 hours
- C. Each evening
- D. Every 2 hours
Correct Answer: D
Rationale: Pressure injuries can be avoided by repositioning the patient every 2 hours.
Which symptom of diabetes distorts tactile sensation?
- A. Proprioception
- B. Loss of visual acuity
- C. Progressive paresis
- D. Peripheral neuropathy
Correct Answer: D
Rationale: Peripheral neuropathy is the presence of abnormal sensation and it distorts tactile sensation.
Which areas are affected only minimally by age?
- A. Physical activity
- B. Productivity
- C. Cognition
- D. Sexuality
Correct Answer: C
Rationale: Aging has little influence on cognition. Only through disease processes is cognition altered.
The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent forces.
Correct Answer: shearing
Rationale: Shearing forces cause skin damage by friction; for instance, when a patient is dragged across bed linens during a position change.
The older adult patient complains to the nurse about nocturia. This problem is most likely related to:
- A. loss of bladder tone.
- B. decrease in testosterone.
- C. decrease in bladder capacity.
- D. intake of caffeine.
Correct Answer: C
Rationale: At least 50% of older men and 70% of older women must get up two or more times during the night to empty their bladders, a condition known as nocturia (excessive urination at night). The most significant age-related change is the decrease in bladder capacity.