N3325 Holistic Care of Older Adults UT
Arlington
Module 2 Quiz
N3325 Module Two Review QUIZ for CH
N3325 Holistic Care of Older Adults UT
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Arlington
Module 2 Quiz
1. Placing an older, frail patient on bedrest generally results in:
Improved functional status
Decreased cardiac output
Prevention of falls
Decreased functional status
2. The decreased muscle mass of older adults predisposes them to:
Incontinence Delirium Dehydration Depression
3. Falls are the leading cause of injury in older adults. For those over age 75 who suffer a hip fracture from
falling, what percent will die within one year?
10% 25% 50% 75%
4. Which of the following are examples of how older adults are different from young adults?
Diminished reserves (cardiovascular and pulmonary)
Functional improvement
Decreased ability to respond to ambulation
Decreased ability to learn
5. Gauze or wet to dry dressings may not be the best dressings for the following reasons (select all that
apply)
The dressings must be changed very frequently
They do not provide a moist environment for the wound
Removal of dried gauze from a wound bed can be very painful
Gauze does not provide a barrier to moisture or infection
ALL answers are correct.
6. Postural hypotension in an older adult can result from:
Improving baroreceptor response as a normal part of aging
Blood pressure medications that are well managed
Dehydration
Antibiotics
7. Which one is NOT a contributing factor to healthcare providers having problems making accurate
diagnoses in the older adult?
Older adults only suffer from a few common diseases
Lab values in older adults may be different from younger persons
Older adults often have atypical symptoms
Older adults do not always demonstrate a fever response to infection
8. Using prompted voiding consistently in people who have dementia:
Tends to generate poor results because they do not understand the prompts
Improves continence in 60% of incontinent residents in long-term care facilities
Helps them anticipate that someone is coming to take them to the bathroom
Improves daytime continence in 40% of cognitively impaired home-bound older adults
9. In implementing care for an elderly bedridden client, which nursing intervention reflects appropriate
action to compensate for normal changes of aging?
Turning her every 2 hours to maintain intact skin integrity
Administering prophylactic antibiotics
Inserting multiple intravenous lines in case fluid resuscitation becomes necessary rapidly
Drawing daily laboratory values for complete blood count with differential to analyze for “shift to the
left”
10. In older adults, a sign of worsening heart failure is:
Decreased appetite Elevated temperature orthostatic hypotension chest discomfort
11. A potential early sign of pneumonia in an older adult that is different from those typically seen in
younger patients is:
Fever Confusion Productive Cough Hemoptysis
12. The Katz ADLs (Activities of Daily Living) includes all but which of the following:
Bathing Doing Laundry Feeding Toileting
13. As a normal effect of aging, what percent decrease in renal function would we expect to see in the older
adults?
10% 80% 20% 50%
14. The first cause you would think of if there is a change in mental status in an older adult, particularly
confusion is:
Stress
The Aging Process
Drug Toxicity
Visual Changes
15. Interventions to prevent falls include: (Select all that apply)
Decreasing restraint use
Medication review of antiepilepctics or benzodiazepines
Confine patient by raising all four bedrails and elevate the bed
Treating hypotension
Three out of the four answers are correct
16. What is the one most important reason for the RN to be able to identify the frail individual who is
hospitalized?
Frail elders are more likely to develop the “Geriatric Cascade” of problems with resulting negative
outcomes if they do not receive immediate clinical intervention
Frail elders are more likely to develop contractures if hospitalized
Frail elders are more likely to develop a UTI if hospitalized
Frail elders have an increased risk for drug toxicity
17. The timed “Get Up and Go” test measures the patient’s:
Ability to use stairs
Continence status
Ability to rise from a chair and walk 10 feet, turn, and return to the chair
Ability to transfer independently from bed to chair or toilet
18. Geriatric syndromes are not specific to older adults but become a problem because older adults have
less physiological reserve. Which of the following conditions is NOT generally considered a geriatric
syndrome?
Polypharmacy Falls Incontinence Hearing Loss
19. You are the nurse performing the initial assessment on a new patient in the geriatric outpatient
practice. What approach would be most effective in eliciting an accurate medication assessment?
Asking the patient to make a list of all her prescription medications
Asking the patient’s daughter to make a list of all of her mother’s prescription medications
Asking the patient to bring in all of the medications that she is taking, including prescription drugs, over
the counter drugs (OTC), and herbal and dietary supplements
Obtaining a list of the patient’s medications from her previous primary care provider
20. Which of the following is NOT necessarily a risk or potential negative outcome of frailty?
Institutionalization
CVA
Falls
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