Chapter 21: Aging Population My Nursing Test Banks

Chapter 21: Aging Population

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. An 85-year-old patient is admitted to the hospital with the diagnosis of cerebrovascular accident and depression. The symptom that is unrelated to depression would be?

A.

Crying and refusing to perform task

B.

Answering I forgot to questions

C.

Having positive self-esteem

D.

Neglecting ADLs

____ 2. The Omnibus Budget Reconciliation Act (OBRA) provides standards of care for which of the following:

A.

Very young

B.

Older adults

C.

Those who have certain intellectual communication difficulties

D.

Those without medical insurance

____ 3. In the elderly, administering medication is a great concern for the nurse since these patients are more prone to side effects. The primary cause of this is:

A.

Altered circulation and renal function

B.

Accelerated gastrointestinal system

C.

Enlarged Lymph nodes

D.

Musculoskeletal system weakness

Completion

Complete each statement.

4. The federal act that establishes the standards of care for older adults is known as the Omnibus Budget ______________ Act.

5. Major concerns of the elderly living alone in their home are: (Name 2) ____________________________________________

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 6. When assessing the elderly for depression, the nurse may find that a depressed person over 70 years of age without a medical diagnosis, may have the following symptoms of depression (select all that apply):

A.

Aches

B.

Pains

C.

Constipation

D.

One-sided weakness

E.

Sleep disturbances

Chapter 21: Aging Population

Answer Section

MULTIPLE CHOICE

1. ANS: C

The patient may suffer from depression as a result of limitations produced by the stroke. The patients cerebrovascular event also will have an impact on the patient and his family. Depression can be evidenced by sadness, confusion, and lack of self-care.

PTS: 1 REF: Chapter 21: Aging Population; Cerebrovascular Accident; page 339

KEY: Integrated Processes: Nursing Process: Assessment | Content Area: Mental Health: Aging Population | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Coping Mechanism

2. ANS: B

OBRA provides regulations for proper assessment of the elderly; for this reason, registered nurses have to provide the initial physical assessment.

PTS: 1 REF: Chapter 21: Aging Population; Introduction; page 337

KEY: Integrated Processes: Nursing Process: Assessment | Content Area: Legal | Cognitive Level: Analysis | Client Need: Physiological Integrity: Reduction of Risk Potential: System Specific Assessments

3. ANS: A

LPNs/LVNs are accountable for medications administered to their patients. It is important to know the side effects of all medications distributed. Document and report any signs of toxicity. The elderly are more likely to have side effects when there is altered metabolism through the kidneys and liver as well as altered circulatory function.

PTS: 1

REF: Chapter 21: Aging Population; Medication Concerns; Table 21-1Common Drug Side Effects and Nursing Actions for Elderly Patients; page 341

KEY: Integrated Processes: Nursing Process: Intervention | Content Area: Mental Health: Pharmacology | Cognitive Level: Comprehension | Client Need: Physiological Integrity: Adverse Effects/Contraindications/Side Effects/Interventions

COMPLETION

4. ANS:

Reconciliation

The Omnibus Budget Reconciliation Act (OBRA) ensures that proper assessment of elderly people will be provided in the health care facility and in the home.

PTS: 1 REF: Chapter 21: Aging Population; Restorative Nursing; page 337

KEY: Integrated Processes: Communication and Documentation | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Client Rights

5. ANS:

Safety, quality of life, support system, access to medical care, financial support, emotional support

The elderly remaining in the home have a greater chance of remaining healthier longer.

Integrated Process: Caring | Content Area: Mental Health: Aging | Cognitive Level: Application | Client Need: Health Promotion and Maintenance: Aging Process

Ref. Chapter 21: Aging Population; Introduction; page 336

PTS: 1 REF: Chapter 21: Aging Population; Restorative Nursing; page 337

KEY: Integrated Processes: Communication and Documentation | Content Area: Legal | Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Client Rights

MULTIPLE RESPONSE

6. ANS: A, B, C, E

These symptoms can be confused with other conditions, such as electrolyte imbalance, drug reactions, and dementia. Observation and documentation by the practical nurse can assist the physician in ruling out a medical diagnosis. The elderly are more likely to have physical symptoms with depression.

PTS: 1 REF: Chapter 21: Aging Population; Depression; page 339

KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Aging Population | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental Health Concepts

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