Exam 9: Health Care Delivery Settings and Older Adults

The nurse planning the discharge of a 70-year-old client who lives alone and is recovering from a fractured ankle shows an understanding of factors affecting the client's ultimate return to preinjury function when:

An 80-year-old client with visual and hearing deficits is admitted for hip replacement surgery.The client has begun to show mild confusion especially regarding the ability to recognize hospital staff and as a result has become resistant to care and treatment.To best minimize this problem, the nurse initially edits the client's care plan to include:

The nurse is about to educate a 70-year-old client newly diagnosed with type 2 diabetes on how to test his serum glucose levels appropriately.The nurse shows an understanding of the adaptation of teaching techniques for this age group by:

Which statement by a resident best substantiates the nurse's evaluation that the resident's psychosocial needs are being met?

The nurse on a medical acute care unit is preparing for the admission of an 84-year-old client with several diagnosed chronic illnesses.The nurse begins the plan of care for this client based on the understanding that the older adult is likely to:

The nurse caring for a 90-year-old client is concerned when the client begins experiencing mild confusion.The nurse notes that the vital signs are all within normal limits for this client.In order to best assess related symptoms, the nurse initially:

The nurse best shows an understanding of the effects of acute hospitalization on the functional abilities of the older client by:

A 70-year-old client covered by Medicare is being admitted for stabilization of type 2 diabetes.When asked by the family why their parent's care is being comanaged by a geriatric nurse practitioner and a physician, the best explanation is that:

The nursing interventions included in the care plan of a confused and frail 70-year-old to best minimize the client's risk of injury related to the geriatric triad include which of the following? Select all that apply.

The nurse responsible for the planning of care of a confused 85-year-old client shows the best understanding of the management of the cascading effect of iatrogenic illnesses in this population cohort by:

The nurse best addresses the possible intrinsic factors that contribute to falls experienced by older adult clients in an acute care setting by:

The nurse is caring for an older adult client admitted with a stage 3 pressure ulcer on the left heel and who also has a history of Parkinson's disease and chronic renal failure.To best minimize the client's risk of developing an iatrogenic illness, the nurse:

The nurse in an acute care facility is caring for a 79-year-old client recovering from a cerebral vascular accident that has resulted in mild loss of muscle function in his right arm and leg.The nurse is best addressing the client's need via the functional model of care when:

When admitted to the acute care environment, in order to best meet the older adult client's major psychosocial concern, the admitting nurse will:

The nurse at an assisted living facility is caring for a 73-year-old cognitively impaired client who has recently been admitted.The nurse creates a care plan that strives to help maintain the client's independence by including: