Exam 13: Promoting Healthy Adaptation to Aging

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An 82-year-old man is alert and oriented and in good physical health except for some arthritic pain that "slows me down, but I just keep moving." He lives alone in an apartment in a senior citizen complex but enjoys the company of other residents and takes part in the social activities there. His lifestyle is an example of:

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C

An 85-year-old has been increasingly confused and disoriented to place and time over the last several months. He also has difficulty remembering what he ate, who visited, and where the recreation room is. This behavior is indicative of ________________.

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dementia
Confusion, memory loss, and disordered thinking are early signs of dementia. Causes of dementia include malnutrition, medications, mini strokes, and Alzheimer disease.

A nurse caring for an older adult suspects that he is experiencing depression. Which of the following are true for the older adult and depression?

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B

An 80-year-old man has no chronic diseases and is alert, oriented, and physically active. Which of the following nursing diagnoses is likely to be present as a result of the normal aging process?

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An 85-year-old widow who lives alone has fallen several times in the last month and has been noted by her children to be confused about her medications and to frequently "forget" what is cooking on the stove until it is burned. These observations indicate that:

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A nurse making a home visit to a 75-year-old woman discovers that the patient stays in bed or on the couch most of the time because she is afraid of falling. The nurse should arrange for:

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A 78-year-old man is admitted to the hospital after a fall from his bed at home that resulted in a fractured hip and several fractured ribs. He states, "I don't know how I broke so many bones. I only fell out of bed." The nurse can explain that:

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To promote cognitive health for a 79-year-old, the nursing student should encourage the patient to do which of the following? (Select all that apply.)

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An 82-year-old patient expresses concern of always being cold. Based on knowledge of the physical changes associated with aging, the nurse could appropriately respond: (Select all that apply.)

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The home health nurse assesses the older patients in her case load for signs of abuse. The nurse is aware that the primary incidence of abuse is ______________.

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The nurse points out that there are many myths about older adults that are not true. The statement that reflects the most accuracy about older adults is:

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The nurse points out elements in our culture that support longevity in older people, which include: (Select all that apply.)

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The nurse understands that the best explanation of why a particular person lives into his 90s in relatively good health is that the person:

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A nurse working for an assisted living facility is reviewing the Healthy People Objectives for Older Adults. Which of the following would she incorporate into the environment to promote health for the older adult population?

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A 76-year-old recently lost her spouse. They lived in a large house with a yard that they managed well until her spouse's sudden death. She is in good health and stays active but is becoming concerned about her ability to maintain the large house by herself. The nurse's most helpful suggestion would be to: (Select all that apply.)

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The home health aide who visits an older adult reports to the nurse that the patient has many new bruises on her arms and face. The patient states that her daughter "has a temper and got mad" when she visited the day before. The nurse should:

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The nurse clarifies that the immune system failure theory states that:

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When the 75-year-old patient tells the nurse that he has had a good and rewarding life and has enjoyed every minute of it, the nurse is aware that the patient has attained the Eriksonian stage of:

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A 67-year-old submitted a job application at a local gas station. The station manager said, "Aren't you retired? I can't hire you. You're too old to be working!" This is an example of __________________.

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An 84-year-old patient who is hospitalized for pneumonia says to the nurse, "I don't know why I've lived so long. All my friends are gone, my children and grandchildren are all independent and successful-nobody needs me anymore." An appropriate response by the nurse is:

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