chapter 24- assessing older adults

8/20/2019 Chapter 24- Assessing Older Adults

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1.Which strategy can the nurse use to facilitate communication during the health history

with an older adult patient?

A) Limit open-ended questions.B) Hae the room well-lit with minimal !ac"ground noise.

#) #onduct a full health history for the most recent information.

$) %eep the pace of the history moing forward to reduce time.

&.$uring a health history' what can the nurse as" to determine an older patient(s a!ilities toconduct instrumental actiities of daily liing? *elect all that apply.)

A) +$o you shop for groceries?,

B) +Are you a!le to feed yourself?,

#) +$o you do your own laundry?,$) +$o you manage your own money?,

) +Who prepares your meals?,

.While conducting a health history' the nurse is concerned that an older patient is a!using

alcohol. What did the nurse assess in this patient? *elect all that apply.)A) /alnutrition

B) 0mpaired !alance and gait

#) /emory loss

$) #omplaints of epigastric distress) 0na!ility to do own laundry

.2he nurse assesses on the face of an older patient seeral raised yellow lesions that feel

li"e warts. What does this finding suggest to the nurse?A) *olar lentiginesB) Actinic "eratoses

#) *e!orrheic "eratoses

$) #herry angiomas

3.Which musculos"eletal system physical e4amination finding is considered an age-related

a!normality?A) 2remor

B) $ecreased arm swing with wal"ing

#) $ifficulty wal"ing heal to toe$) A!sent refle4es

5.When using the 16-/inute 7eriatric *creener with an older patient' which finding would

!e considered positie?

A) Hearing 1'666 H8 in !oth ears

B) 9ises from sitting' wal"s &6 feet' and returns to sit in 56 seconds#) #urrent weight the same as months ago

$) $enies feeling sad or depressed

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;.2he nurse is assessing an older patient for urinary incontinence. :lace in order the stepsof the assessment when using the mnemonic $0A:9*.

a. *tool impaction

!. 9estricted mo!ilityc. $elirium

d. 0nfection

e. 4cess urine outputf. :harmaceuticals

g. Atrophic urethritis

A) d' c' g' f' e' a' !

B) c' d' g' f' e' !' a#) a' c' d' g' f' e' !

$) d' c' !' a' e' f' g

) c' d' a' !' f' e' g

<.While conducting a cardioascular physical e4amination' the nurse suspects an older patient has congestie heart failure. What did the nurse assess in the patient?

A) Harsh holosystolic murmur at the ape4

B) * heart sound

#) #arotid !ruits$) * heart sound

=.2he nurse administered the /ini-#og screening tool to an older patient. 2he patient was

a!le to remem!er two of the three unrelated words and did not identify the correct time

on the drawn cloc". How will the nurse document this finding?A) >ondemented according to /ini-#og screening tool

B) >ormal according to /ini-#og screening tool

#) $emented according to /ini-#og screening tool$) >ormal demented according to /ini-#og screening tool

16.2he nurse is planning instructions to address home safety with an older patient. Whatshould !e included in this teaching? *elect all that apply.)

A) 0nstall handrails on !oth sides of all stairways.

B) se nightlights along stairways and wal"ways.#) *ecure rugs with adhesie tape.

$) Wear soc"s when wal"ing around the home.

) 0nstall gra! !ars in the !athtu!.

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Answer Key

1.B&.A' #' $'

.A' B' #' $

.#3.B

5.B

;.B<.B

=.#

16.A' B' #'

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chapter 24- assessing older adults

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