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Which beliefs facilitate provision of safe, effective care for older adult patients?
- A. Sexual interest declines with aging.
- B. Older adults are able to learn new tasks.
- C. Aging results in a decline in restorative sleep.
- D. Older adults are prone to become crime victims.
- E. Older adults are usually lonely and socially isolated.
Correct Answer: B,C,D
Rationale: Older adults are more prone to become crime victims, experience a decline in restorative sleep, and can continue learning new tasks, which affect care delivery.
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A tricyclic antidepressant is prescribed for an older adult patient diagnosed with major depressive disorder. Nursing assessment should include careful collection of information regarding what focus?
- A. Use of other prescribed medications and over-the-counter products
- B. Evidence of pseudoparkinsonism or tardive dyskinesia
- C. A history of psoriasis and any other skin disorders
- D. A current immunization status
Correct Answer: A
Rationale: Drug interactions, with both prescription and over-the-counter products, can be problematic for the geriatric patient taking tricyclic antidepressant medications.
An older adult with a history of major depressive disorder has taken an antidepressant daily for 3 years. The patient tells the nurse, 'I want to stop taking this medication. I don't think I need it anymore.' What is the nurse's best response to assure the patient's safety?
- A. Why do you think you don't need this medication anymore?'
- B. Have you talked with your family members about this decision?'
- C. If you stop the medication, your depression will return worse than ever.'
- D. This medication should be gradually stopped. Let's talk to your health care provider about a plan.'
Correct Answer: D
Rationale: A gradual discontinuation is needed to avoid discontinuation symptoms, ensuring patient safety.
A nurse and social worker co-lead a reminiscence group for six 'baby boomer' adults. Which activity is appropriate to include in the group?
- A. Post-World War II music
- B. Learning to send and receive email
- C. Discussing national leadership during the Vietnam War
- D. Identifying the most troubling story in today's newspaper
Correct Answer: A
Rationale: The baby boomer generation (born 1946?1964) would be familiar with post-World War II culture, making this activity appropriate for a reminiscence group.
An advance directive gives valid direction to health care providers when a patient is demonstrating what characteristic?
- A. Aggression
- B. Dehydration
- C. Ineffective verbally communicate
- D. Unable to make health care decisions
Correct Answer: D
Rationale: Advance directives are invoked when patients are unable to make their own decisions.
When admitting older adult patients, health care agencies receiving federal funds must provide written information about what topic?
- A. Advance health care directives
- B. The financial status of the institution
- C. How to sign out against medical advice
- D. The institution's policy on the use of restraints
Correct Answer: A
Rationale: The Patient Self-Determination Act of 1990 requires that patients have the opportunity to prepare advance directives.