C473 Pre- assessment Care of Older Adult (PFFV)- Western Governors University 2023
Which element is part of psychosocial well-being for an older
... [Show More] adult?
Avoidance of chronic disease
Avoidance of disability
Looking like a younger person
Engagement with others
2.
How should a healthcare professional greet Estelle Bartlett, a petite, widowed elder, on
the first home visit?
“Hi sweetie, I’m a healthcare professional, Clara Jones.”
“Good morning, Estelle, I’m a healthcare professional Clara Jones.”
“Hi dear, I’m a healthcare professional Clara Jones.”
“Mrs. Bartlett, I’m a healthcare professional Clara Jones.”
3.
What might be an important aspect of an individualized care plan for an older adult with
a low income and who is depressed, lives in a community, is treated with an
antidepressant, and has favorite pastimes of reading, cooking, and spending time with
grandchildren?
YANA library card
Improved sleep
Improved nutrition
A daily walk
4.
A talented, accomplished, and very active elder wanted to take up painting after
retirement. A recent stroke compromised the elder's short-term memory severely.
Which community-based program should the healthcare professional suggest to the elder
and family first?
Swimming in the neighborhood pool
Taking memory-enhancer classes at the senior center
Walking to a neighborhood church
Taking painting classes at the senior center
5.
An older patient missed an arthritis clinic appointment because the patient could not
afford the pain medication.
After first meeting the patient's immediate medication needs, which steps should the
healthcare professional take in order to prevent a recurrence?
Select all that apply
Ask the drug company for help
Enroll the patient in Medicare’s hospice care
Recommend alternative therapies
Investigate eligibility for the Medicaid program
6.
An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg.
Which action should the home-care professional recommend regarding the dog?
Find the dog a good, loving home
Give the dog to a nearby family member
Call the Humane Society
Find out the elder’s ideas
7.
What is an effective way to communicate with an older adult living with dementia?
Approach in a nonthreatening manner
Shout to get the older adult's attention
Move the older adult's belongings out of the way
Hold the older adult’s hand if the older adult is agitated
8.
Older women experience bone loss, which makes them more susceptible to hip fracture.
How should an environment change for an older woman after a hip-fracture repair?
Prohibit the older woman from using stairs
Have the older woman sleep on one side
Have the older woman's toilet seat raised
Advise the older woman to use a shower rather than a bath
9.
A vigorous recent widower visited his primary care team and stated that he was lonely.
Which recommendation should the team make for this patient?
Taking an antidepressant
Finding a new relationship
Moving in with his children
Taking a sleeping pill
10.
Which lighting feature in most nursing homes compromises elder adults’ ability to
function?
YOUR
ANSWEGlare
Indirect lighting
YOUR
ANSWESunlight
Even lighting
11.
The assessment of which factor in the home environment is required for a client with
mobility problems?
Availability of adequate care
Presence of stairs or other obstacles
Physical limitation of the caregivers
Access to Medicare
12.
A home care nurse visits an older patient living with dementia whose spouse is providing
care. The nurse notices a restraint sitting in the chair.
What should the nurse do first in this situation?
Lecture the spouse about the risks of restraints
Find out why the spouse needs to use the restraints
Report the spouse's abuse to adult protective services
Help the spouse plan care without using restraints
13.
Which is considered to be a permanent, progressive reduction in mental capacity?
YOUR
ANSWER
Delirium
Dementia
Stroke
Presbyopia
14.
When evaluating an older patient, a nurse finds the patient to be highly depressed and
suffering from low self-esteem.
What psychosocial problem can the nurse deduce from these symptoms?
The patient is experiencing complicated grieving.
The patient has powerlessness.
The patient has disturbed thought processes.
The patient is at risk for suicide.
15.
Which question included in the assessment questionnaire will help the nurse to
teach appropriate coping skills to the client with prostate cancer?
“What do you do to reduce stress?”
“Do you have a living will or advance directive?”
“Are there any questions about your illness that you’d like me to answer?”
“Do you know how to reach your provider if you have questions about your care?”
16.
Which statement of the client helps the nurse to reach the conclusion that a client is
experiencing a midlife crisis?
“I want be alone in a cottage away from my family members for one week.”
“I feel I have not achieved anything great in my life. What can I do to make my life meaningful?”
“I struggled hard to help my children reach their goals.”
“I have savings that I can use during emergency situations.”
17.
A spiritual African American older patient has terminal HIV.
Why might this patient require careful assessment and monitoring for pain, based on
knowledge of spiritual beliefs common in African American communities? [Show Less]