Deck 92: Dementi As and Related Disorders

Question 1

The nurse caring for older adults in a nursing home setting knows that most older adults are active and healthy and able to perform typical activities of daily living (ADLs). Which are considered the more complex instrumental activities of daily living (IADLs)? Select all that apply.

A) Using a cell phone
B) Dressing oneself
C) Feeding oneself
D) Managing money
E) Using a computer
F) Taking care of household maintenance

Answer 1

Using a cell phone
Managing money
Using a computer
Taking care of household maintenance

Question 2

The nurse caring for clients in a nursing home explains to a student nurse that many problems commonly associated with aging processes are disease processes that result from changes related to the normal aging processes. Which are normal aging processes? Select all that apply.

A) Decreased functioning of organs
B) Increased tactile sensation owing to fragile skin
C) Increased emotional, socioeconomic, and physical losses
D) Decreased capacity for recovery from wounds, injury, or illness
E) Decreased intellectual ability
F) Decreased reaction time

Answer 2

Decreased functioning of organs
Increased emotional, socioeconomic, and physical losses
Decreased capacity for recovery from wounds, injury, or illness
Decreased reaction time

Question 3

An aging adult diagnosed with diabetes needs assistance with ADLs. What is the current method for caring for adults with manageable conditions?

A) Provide care in the client's own home.
B) Provide care in a family member's home.
C) Provide care in an assisted living facility.
D) Provide care in a nursing home.

Answer 3

Provide care in the client's own home.

Question 4

A 79-year-old woman who is living independently in her home needs help with ADLs following a hip replacement. Home care is not an option because of the level of care she currently needs. Which facility would be the best option for care?

A) Senior center
B) Assisted living facility
C) Rehabilitative care facility
D) Subacute-care facility

Question 5

A daughter caring for an aging parent in her home needs respite care from the responsibility of caring for a frail adult. Which would be the care setting of choice for this family?

A) Retirement complex
B) Long-term care facility
C) Senior center
D) Subacute-care facility

Question 6

The daughters of an aging man who lives alone agree to help their father to stay independently in his home by using available community and social services. Which is the biggest disadvantage of home care?

A) Basic hygiene needs may not be met.
B) Independence may not be attained.
C) Nutritional needs may not be addressed.
D) Social needs may not be addressed.

Question 7

The nurse is assisting an aging client with nutritional needs. Which fact should the nurse keep in mind when planning meals for this client?

A) Older adults absorb nutrients more quickly.
B) Older adults have reduced caloric needs.
C) Older adults' specific nutrient requirements vary greatly from younger people.
D) Older adults' fat intake should not exceed approximately 10% of total caloric
Intake.

Question 8

The nurse caring for older adults in a long-term care facility compares the residents' current weight with their usual weight. Which finding is significant and should be reported to the physician?

A) Weight loss within the past month that is greater than 5% of the total body weight
B) Weight loss within the past month that is greater than 10% of the total body weight
C) A loss of 5% or more of body weight within the past 3 months
D) A loss of 15% or more of body weight within the past 6 months

Question 9

An aging client diagnosed with depression has now begun to refuse to eat. What measure should the nurse take first to address the client's nutritional needs?

A) Provide oral nutraceutical supplements to the client.
B) Start an IV line to provide parenteral nutrition.
C) Ask the family members to feed the client.
D) Ask the client what favorite foods may be prepared.

Question 10

A nurse is caring for a 72-year-old client recovering from a fracture in the neck of the femur. What should the nurse keep in mind when preparing a diet chart for the client?

A) Restrict the client's fluid intake to prevent edema.
B) Provide 1 g of protein per kilogram of body weight.
C) Provide maximum of 40% of the total calories as fat intake.
D) Provide unsaturated fats containing essential fatty acids.

Question 11

The nurse is assisting a frail adult with an impaired swallowing mechanism to eat a nutritious meal. Which nursing intervention would be appropriate for this client?

A) Have the client lie on their left side for meals.
B) Cut the food into large pieces so the client can bite off pieces.
C) Suggest that the client bend the chin toward the chest when swallowing.
D) Provide larger, less frequent, meals of semisolid foods.

Question 12

A nurse is caring for an older adult who is often to forgetful to comply with the medication program. What should the nurse do to help the client in taking medications appropriately?

A) Provide medications on time every day.
B) Place a list of medications in the client's wallet.
C) Use organizers to place daily medications.
D) Appoint a volunteer to assist with administration of medication.

Question 13

When planning meals in a long-term care facility, the nurse keeps in mind the hydration needs of older adults. Which consideration related to intake of fluids for these clients should the nurse consider?

A) Older adults need to be encouraged to drink fluids.
B) Older adults have larger fluid reserves to protect against dehydration.
C) Older adults should limit fluids if incontinence is a problem.
D) Older adults experience a stronger thirst mechanism than younger adults.

Question 14

A nurse is assisting an older adult with personal hygiene. What should a nurse do when providing skin care for the client?

A) Bathe the client every day.
B) Avoid applying lotions on the skin.
C) Use soap when giving a bath.
D) Use oils when giving a bath.

Question 15

The nurse is providing nail and foot care to an elderly client in a nursing home. Which should the nurse consider when performing this procedure for older adults?

A) The fingernails of the elderly grow faster than those of younger persons.
B) The toenails often become thin and brittle.
C) Nails should be cut in a rounded (semicircular) shape.
D) Corns and calluses should be soaked in water but never cut.

Question 16

The nurse is performing toenail care for clients in a long-term care facility. For which client would this most likely be contraindicated?

A) A client with hypertension
B) A client with diabetes
C) A client with arthritis
D) A client with fair skin

Question 17

A nurse is caring for an older adult who regularly reports constipation. What should the nurse encourage the client to increase in the diet?

A) Meat
B) Bran
C) Eggs
D) Milk

Question 18

During the nursing assessment, what sign of stress should the nurse watch for in the aging client?

A) Elevated blood pressure
B) Reports being hungry
C) Urinary retention
D) Bradycardia

Question 19

The nurse is performing risk assessment for depression on elderly clients in a long-term healthcare facility. Which should the nurse consider when assessing the mental health of an older adult?

A) Depression is a normal part of aging.
B) Older adults are more in control when losses occur than are younger adults.
C) Many older adults are reluctant to admit that they are depressed.
D) Clinical depression is often overdiagnosed in older adults.

Question 20

A nurse is caring for an older adult client with a history of substance abuse. What information should the nurse provide the client's family when educating them on substance abuse in their loved one?

A) Older adults often admit being a substance abuser.
B) Alcoholism can be easily detected in the client.
C) Client may have low self-esteem and tend to be a loner.
D) Substance abuse by the client cannot be controlled or cured.

Question 21

The nurse is using remotivation techniques to treat an older adult client diagnosed with depression. Which activity should the nurse plan for this client?

A) Doing crossword puzzles or playing cards
B) Reminiscing about past accomplishments
C) Providing physical exercise, such as walking outside
D) Providing a pet for companionship

Question 22

The nurse is using therapeutic communication techniques when counseling residents of an assisted-living facility. Which guideline is recommended for this process?

A) Allow the client to speak without actively participating in the conversation.
B) Stand up when speaking to demonstrate interest and respect.
C) Do not engage a client with speaking difficulties in a conversation.
D) Place older clients in double rooms to encourage social interaction.

Question 23

The nurse is caring for an older adult client who is diagnosed with presbyopia. Which describes this condition?

A) Impaired vision that results from normal aging
B) Dry eyes related to the aging process
C) A sensorineural hearing problem
D) The inability to use or understand speech

Question 24

The nurse caring for clients in a long-term nursing home assesses the clients for sensory deficits. Which is a nursing care measure for this population?

A) Teach clients to clean their eyeglasses with a tissue or paper towel.
B) Double the illumination for each added 13 years of age beyond 40.
C) Do not keep a night light in the bathroom to stimulate the use of night vision.
D) Tell the client not to let people know if speech is not heard.

Question 25

The nurse is caring for older adult clients in a subacute nursing care facility and institutes nursing measures to keep them safe. Which is the leading cause of disability and death in nursing homes?

A) Fires
B) Suffocation
C) Falls
D) Poisoning

Question 26

A nurse is caring for a client with loss of proprioception. The client uses a bed with side rails. What measure should the nurse implement to prevent discomfort and support independence for the client when using a bed with side rails?

A) Keep only one side rail of the bed up.
B) Set the bed 3 ft above the ground.
C) Place a chair to support the client when climbing down.
D) Move side rails when client wants to move off the bed.

Question 27

The nurse is placing a restraint on an older adult client who is on bed rest but regularly attempts to get out of bed to go to the bathroom. Which is a guideline when using restraints?

A) For a client on bed rest, physical restraints are the recommended option.
B) Generally, a physician's order is required to apply restraints.
C) Restraints should be used when nursing staff is inadequate to keep clients safe.
D) Use side rails instead of restraints, as appropriate.

Question 28

The nurse is speaking to a group of older adults about the benefits of exercise on a person's health. Which would be a benefit listed?

A) Prevents vascular elasticity from causing arteriosclerosis.
B) Increases fat muscle ratio to maintain metabolism.
C) Decreases endurance to ensure mobility and improve posture.
D) Increases bone mass to reduce osteoporosis.

Question 29

Who has the greatest risk for developing kyphosis?

A) A client with hypertension
B) A client with leukemia
C) A client with osteoporosis
D) A client with emphysema

Question 30

A nurse suspects that the client, who lives in a group home setting, is a victim of elder abuse. What warning sign should the nurse watch for when caring for the client?

A) Client does not like spending his own money.
B) Client shows signs of recent weight gain.
C) Client misses scheduled visits to the healthcare facility.
D) Client shows evidence of poor grooming.