Exam 18: Assessing the Older Adult

The nurse conducts a cranial nerve (CN) assessment for an older adult patient. Which finding indicates decreased functioning of CN II?

An older adult female patient presents in the emergency department (ED) with a fever and newly developed incontinence. The patient denies pain on urination but states, "I feel like I have to go more often and I don't always make it to the toilet on time." Based on this data, which nursing action is the priority for this patient?

Which technique will the nurse suggest regarding dental hygiene for the older adult patient because of decreased dentine and gingival recession?

The nurse is assessing an older adult patient who is bedridden. The nurse notes some muscle wasting. Which term will the nurse use when documenting this finding?

During the health history, an older adult patient has difficulty answering the questions. Which is the priority action by the nurse?

An older patient with peripheral-vascular disease reports foot pain. Which color does the nurse expect when inspecting the patient's feet?

The nurse is conducting a physical assessment for an older adult patient. The nurse notes that the patient has yellow, thickened nails. Which is the most likely cause for this finding?

The nurse is providing care to an older adult patient who states, "I have lived a good life and I know that I have done my best." Which stage of Erikson's theory does this statement represent?

The nurse is assessing an older adult male patient who has enlarged mammary glands. Which term will the nurse use when documenting this finding?

The nurse is providing care to an older adult patient diagnosed with severe multiple sclerosis (MS). The patient has the urge to urinate but is often incontinent because of an inability to navigate to the toilet. Which type of incontinence is the patient experiencing?

There are several challenges for gathering a health history on an older adult patient. Which is true regarding the majority of older adults?

When conducting a peripheral vascular assessment for an older adult patient, the nurse notes what looks like twisted veins. Which term will the nurse use when documenting this finding?

Which nursing action is appropriate when conducting a health history interview for an older adult patient?

The nurse is assessing an older adult patient who reports dry skin and itching. Which term will the nurse use when documenting the occurrence of itching?

Which is the most appropriate action by the nurse before beginning the health history when assessing an older adult patient?

Which is true about older adults?

Which is the most common cause of limited range of motion (ROM) in the older adult population?

Which is likely to cause orthostatic hypotension in older adult patients?

Which is the most commonly held belief about older adults that transcends most cultures?

The nurse is assessing the skin of an older adult patient and notes skin tags. Which term will the nurse use when documenting this finding in the medical record?