WGU, Care of the Older Adult - C475 Exam Questions and Verified Correct Correct Answers Score 100% A 66-year-old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly.
Which barrier to physical activity is least common for the elderly? - Correct Answer Swelling of ankles
A critical competency in geriatric nursing is the ability to assess family knowledge of the skills necessary in the care of older adults.
What broad caregiver competencies are included in this assessment?
Choose 2 Correct Answerwers - Correct Answer Allowing the active participation of the patient in all aspects of care Balancing the patient's autonomy with safety
A goal of the national health initiative Healthy People 2010 is to increase the quality and extend the years of healthy life.
What are two ways that this initiative can achieve its goal?
Choose 2 Correct Answerwers - Correct Answer By trying to spread the view that aging is natural and need not include illness and disease By helping people overcome views of denial and foreboding as old age approaches
A home-care nurse visits an elder living with dementia whose spouse is providing care.The nurse notices a restraint sitting in the chair.
What is the most important thing the nurse should do? - Correct Answer Help the spouse plan care without using restraints
A nurse caring for people at the end of their lives knows that dyspnea is relatively common and interferes with patients' comfort and rest.
What is the evidence-based intervention for shortness of breath? - Correct Answer 5 mg of liquid morphine every 4 hours, along with lorazepam 0.5-2.0 mg every 4-6 hours PRN for anxiety and restlessness
A senior is being cared for by her daughter. The daughter works a full-time job and is only able to care for her mother before she goes to work, on her lunch break, and after 1 / 2
she gets off work. The senior expresses to a nurse that she gets lonely during the day and sometimes cannot perform tasks by herself. Which community resource should the nurse recommend looking into? - Correct Answer Daycare services for seniors
A spiritual African American elder has terminal HIV.
Based on knowledge of spiritual beliefs common in African American communities, why might this patient require careful assessment and monitoring for pain? - Correct Answer The patient may understate pain levels because of a belief that the illness is God's plan.
A talented, accomplished, and very active elder wanted to take up painting after retirement. A recent stroke compromised the elder's short-term memory severely.
Which community-based program should the nurse suggest to the elder and family first?
- Correct Answer Taking painting classes at the senior center
A vigorous recent widower visited his primary care team and stated that he was lonely.
Which recommendation should the team make for this patient? - Correct Answer Finding a new relationship
Agnes is a 77-year-old who lost her husband last year and has congestive heart failure.She has moved in with her son Alex. She has been brought to the ER by Alex who says she is short of breath. He does not know how long she has been in the state, nor does he know the medication she should be on.
What is the nursing priority? - Correct Answer Admit and stabilize the patient
An 81-year-old patient is a new resident in Hill Side Nursing Home. Upon admission the patient had a Braden score of 17.
Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers? - Correct Answer The primary risk factor is polypharmacy.
An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg.
Which action should the home-care nurse recommend regarding the dog? - Correct Answer Find out the elder's ideas
An elder patient missed an arthritis clinic appointment because the patient could not afford the pain medication.
After first meeting the patient's immediate medication needs, which two steps should the nurse take in order to prevent a recurrence?
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