In assessing the aging client, it is importnat for the nurse to recognize:
a) The client's ability to perform ADLs
b) The financial status of the
... [Show More] client
c) The job that the client held prior to aging
d) All components of well-being, including biological function, psychological function, and social function
- D
Medications, slower mobility, lack of proper fluid intake, and poor diet can contribute to what common symptom in the elder population?
a) Urinary incontinence
b) Skin changes
c) Mental changes
d) Depression - A
The nurse assessing the older population needs to have a basic understanding of which of the following?
a) The economic status of the area
b) The difference between normal and abnormal for the older age group
c) The signs of sexual dysfunction
d) The signs of cardiac disease - B
Which statement would be most appropriate to ask when assessing an aging adult for cognitive function?
a) What is today's date?
b) Can you count to 10 for me?
c) Have you noticed anything different about your memory or thinking in the past few months?
d) Who is the president of the United States? - C
Which disease or ailment is often under diagnosed and undertreated in the aging population?
a) Schizpphrenia
b) Depression
c) Associative disorders
d) Attention deficit disorder - B
Which statement demonstrates normal cognitive function for an aging adult?
a) Occasional memory lapses
b) Unable to recall the names of their children or siblings
c) Unable to recall current address or phone number
d) Unable to count to 10 or repeat a series of consecutive numbers - A
Denmentia and depression are strongly related to:
a) Clients over the age of 60
b) Clients over the age of 65
c) A decreased quality of life and functional deficits
d) Past economic status and job performance - C
Which statement reflects the state of drug absorption in the geriatric patient?
a) The rate of absorption is slowed
b) The rate of absorption is faster due to thinning of the mucosa
c) The percentage of the medication that is absorbed is decreased
d) There is a decrease in gastric pH as we age - A
The absorption of medication in the geriatric client is most often affected by:
a) A decrease in body fat
b) An increase in serun albumin
c) A decrease in body water and lean body weight
d) An increase in body water - C
Which organ is responsible for drug metabolism and must be considered when prescribing medicaiton for an older adult?
a) Kidneys
b) Pancreas
c) Intestines
d) Liver - D
An older adult on digoxin and furosemide is showing signs of toxicity. The gerontology nurse understands that:
a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to be decreased due to impaired kidney function
b) Digoxin and furosemide are excreted through the intestinal tract, and dose changes would be ineffective
c) An increase in fluid intake will fix the symptoms, and no change in dose is needed
d) How a drug is excreted is not a consideration when dosing an older adult - A
Which statement is true regarding adverse drug reactions (ADRs) in older adults?
a) The rate of ADRs in geriatric clients is seven times that of younger adults and poses serious health problems
b) Older adults rarely have adverse reactions to prescribed medications becuase they are monitored
c) Adverse reactions are minimal in older adults and require no intervention
d) Only about 1% of older adults require hospitalization for ADRs - A
Which substance(s) show changes through aging by becoming less pliable and stiffer?
a) Lipofuscin
b) Collagen and elastin
c) Epithelial tissue
d) Cytoplasm - B
Which factor is NOT a normal part of aging and needs to be addressed to promote nutrition in the older adult client?
a) Loss of teeth
b) Increase in gastric pH
c) Xerostoma or dry mouth
d) Decline in basal metabolic rate - C
An 80-year-old female asks the nurse about over-the-counter vitamin supplements. The most appropriate advice would include:
a) No vitamin supplements are needed with a balanced diet
b) Any multivitamin will do
c) Take only a calcium supplement
d) Take a multivitamin for those over the age of 50, which should include the recommended vitamins for the aging adult - D
Which theories on aging were introduced in the early 1900s?
a) Wear-and-tear theory and autointoxication theory
b) Evolution theory
c) Molecular theory
d) Cellular theory - A [Show Less]