[community Public Health] Chapter 28: Older Adults In The Community
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What percentage of the total population in the United States is older than 65 years?
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0% to 5%
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6% to 10%
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11% to 15%
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16% to 20%
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This quiz from the Community Public Health Chapter 28 focuses on older adults in the community, exploring demographics, living situations, and health concerns. It assesses understanding of elderly care, developmental theories, and nursing responsibilities.
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- 2.
A 68-year-old woman had an appointment to see the public health department outreach coordinator. Where would this client most likely reside?
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In a nursing home
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In an assisted-living complex
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In one of her childrens homes
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Independently in her own housing
Correct Answer
A. Independently in her own housingExplanation
Based on the given information, the 68-year-old woman has an appointment to see the public health department outreach coordinator. This suggests that she is capable of making and attending appointments on her own, indicating that she is likely residing independently in her own housing.Rate this question:
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- 3.
How do most elderly people compare to younger people?
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More elderly persons are socially isolated with few social contacts.
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More elderly persons change jobs frequently.
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More elderly persons are not pleased with their lives.
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Most elderly persons engage in most normal activities.
Correct Answer
A. Most elderly persons engage in most normal activities.Explanation
The correct answer suggests that most elderly people engage in most normal activities. This implies that they are actively involved in various daily tasks and routines, similar to younger individuals. It indicates that they are not socially isolated, do not frequently change jobs, and are generally satisfied with their lives. This answer highlights the active and engaged lifestyle of elderly individuals, contradicting the common stereotype that they are limited in their activities and interests.Rate this question:
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- 4.
A college student asked the nurse what the different areas of nursing were because he thought he might want to be a nurse. However, he added, he did not want to work with old people. How might you accurately respond?
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There are many possibilities as a nurse, so just choose a clinical specialty such as pediatrics.
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Becoming a school nurse will provide the most opportunities so that you will be working with young people.
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Regardless of clinical setting, most nurses care for older adults in their careers.
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The population is aging rapidly, so it is likely you will find a job working with elderly persons.
Correct Answer
A. Regardless of clinical setting, most nurses care for older adults in their careers.Explanation
This response accurately addresses the student's concern about not wanting to work with old people. It states that regardless of the clinical setting, most nurses will end up caring for older adults at some point in their careers. This provides the student with a realistic understanding of the nursing profession and helps them make an informed decision about their career choice.Rate this question:
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- 5.
According to Eriksons developmental theory, what would be a primary concern of a 68-year-old woman?
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Developmental life events, such as loss of employment position
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Multiple changes as her children have children
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The meaning of her life and accepting the inevitability of death
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The possibility of increased housing costs as property taxes keep going up
Correct Answer
A. The meaning of her life and accepting the inevitability of deathExplanation
As per Erikson's developmental theory, the primary concern of a 68-year-old woman would be the meaning of her life and accepting the inevitability of death. At this stage, individuals enter the stage of ego integrity vs. despair, where they reflect on their life and accomplishments. They may question the purpose and significance of their existence and come to terms with their mortality. This stage focuses on achieving a sense of fulfillment and wisdom, accepting the realities of life and death.Rate this question:
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- 6.
What risks are faced by men who retire because of company downsizing?
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Boredom
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Depression, alcoholism, and suicide
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Household injuries
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Spousal abuse
Correct Answer
A. Depression, alcoholism, and suicideExplanation
Men who retire because of company downsizing may face a higher risk of depression, alcoholism, and suicide. This is because retirement can lead to a loss of purpose, social isolation, and financial strain, which can contribute to mental health issues and substance abuse. Additionally, the sudden change in routine and identity can be overwhelming for some individuals, leading to feelings of hopelessness and despair. It is important to provide support and resources to individuals facing this situation to help mitigate these risks.Rate this question:
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- 7.
What risks are faced by women aged 65 or older?
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Boredom
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Loss of spouse
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Major health problems
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Seriously annoying their husbands
Correct Answer
A. Loss of spouseExplanation
As women age, they face the risk of losing their spouse, which can have significant emotional and practical implications. Losing a spouse can lead to feelings of loneliness, grief, and a sense of loss. It can also result in a loss of companionship, financial support, and social connections. Additionally, the loss of a spouse may require women to take on new responsibilities and make adjustments to their daily lives. Therefore, the risk of losing a spouse is a significant concern for women aged 65 or older.Rate this question:
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- 8.
Every day a 70-year-old hospitalized woman read the newspaper. She expressed to the nurse that she was saddened after this activity. What is the probable reason that reading the newspaper was upsetting her?
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She disliked the articles about the bad things happening locally and nationally.
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She disagrees with the political slant of the newspapers.
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Obituaries of her friends represent the loss of part of her past.
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Reading about recent military actions overseas was saddening.
Correct Answer
A. Obituaries of her friends represent the loss of part of her past.Explanation
The probable reason that reading the newspaper was upsetting for the 70-year-old hospitalized woman is that the obituaries of her friends represent the loss of part of her past. This suggests that she may be experiencing grief and sadness due to the reminders of her friends' deaths. Reading about the loss of people she knew and the memories associated with them could be a source of emotional distress for her.Rate this question:
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- 9.
A home care nurse was working with a 73-year-old woman who lives alone. What would be the most therapeutic intervention by the nurse?
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Complimenting the client on her cooking and superb housekeeping skills
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Conveying to the client the importance of planning and prepaying her funeral
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Encouraging her in her hobbies of scrapbooking and writing her autobiography
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Suggesting that the client consider buying long-term care insurance for future need
Correct Answer
A. Encouraging her in her hobbies of scrapbooking and writing her autobiographyExplanation
The most therapeutic intervention by the nurse would be to encourage the client in her hobbies of scrapbooking and writing her autobiography. This intervention promotes engagement in meaningful activities and self-expression, which can enhance the client's sense of purpose, self-esteem, and overall well-being. It also provides an opportunity for the client to reminisce and reflect on her life experiences, fostering a sense of fulfillment and personal growth.Rate this question:
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- 10.
How do the majority of elderly people rate their own health?
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Very poor to poor
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Fair to average
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Pretty good
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Good or better
Correct Answer
A. Good or betterExplanation
The majority of elderly people rate their own health as good or better. This implies that most elderly individuals perceive their health to be in a satisfactory or excellent condition. It suggests that they do not consider their health to be very poor, poor, fair, or average, but rather they feel that it is pretty good or even better. This positive self-assessment of health among the elderly population indicates a generally optimistic outlook regarding their well-being.Rate this question:
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- 11.
From whom do the majority of elderly persons obtain assistance when needed?
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Assisted-living arrangements
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Extended-care facilities
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Family, friends, and neighbors
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Nursing homes or long-term care centers
Correct Answer
A. Family, friends, and neighborsExplanation
The majority of elderly persons obtain assistance when needed from their family, friends, and neighbors. This is because these individuals are often the closest and most readily available support system for the elderly. They can provide emotional support, help with daily tasks, and offer companionship. Assisted-living arrangements, extended-care facilities, and nursing homes or long-term care centers may also provide assistance, but they are not as commonly relied upon as family, friends, and neighbors.Rate this question:
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- 12.
On whom does most of the burden for family caregiving fall?
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Middle-aged family members
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Paid, nonprofessional caregivers
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Paid, professional individuals
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Professional caregiving organizations
Correct Answer
A. Middle-aged family membersExplanation
Most of the burden for family caregiving falls on middle-aged family members. This is because they are often sandwiched between caring for their own children and their aging parents or other family members. Middle-aged individuals are typically in the prime of their careers and may also have financial responsibilities, making it difficult for them to balance caregiving duties. Additionally, they may not have the necessary training or resources to provide professional-level care, leading to increased stress and strain on their own physical and mental health.Rate this question:
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- 13.
Which characteristics would a nurse anticipate when working with a family who is providing care for an aging parent?
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An increase in closeness within family relationships
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Having to work more hours to pay for the aged persons needs
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Help at home because the aged person can complete many simple household tasks
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Increased stress coupled with loss of private time for recreation
Correct Answer
A. Increased stress coupled with loss of private time for recreationExplanation
When working with a family who is providing care for an aging parent, a nurse would anticipate an increase in stress for the family members. Taking care of an aging parent can be physically and emotionally demanding, leading to increased stress levels. Additionally, the responsibility of caregiving may result in a loss of private time for recreation as the family members prioritize the needs of the aging parent. This can lead to a decrease in leisure activities and personal time for relaxation and enjoyment.Rate this question:
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- 14.
A woman is currently caring for her mother-in-law. She is looking for a place for her mother-in-law to go during the day while she works. The mother-in-law does not have major health problems but is becoming bored, irritable, and depressed. Which choice would be best for both the caregiver and her mother-in-law?
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A continuous care community
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A group home
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A multipurpose senior center with activities
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Foster care
Correct Answer
A. A multipurpose senior center with activitiesExplanation
A multipurpose senior center with activities would be the best choice for both the caregiver and her mother-in-law. This option would provide the mother-in-law with a stimulating environment and activities to keep her engaged and entertained during the day. It would also give her the opportunity to socialize with other seniors, which could help alleviate her feelings of boredom, irritability, and depression. Additionally, this option would give the caregiver peace of mind knowing that her mother-in-law is in a safe and supportive environment while she is at work.Rate this question:
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- 15.
A 60-year-old woman complained to the nurse that she just could not keep caring for her 85-year-old mother much longer. What might prevent the woman from using the respite center that the nurse suggested?
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Cost of respite care
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Embarrassment
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Family expectations
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Fear of how others would care for her mother
Correct Answer
A. Cost of respite careExplanation
The woman may be prevented from using the respite center due to the cost of respite care. Respite care can be expensive, and the woman may not have the financial means to afford it. This could be a significant barrier for her in accessing the respite center and getting the support she needs to care for her mother.Rate this question:
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- 16.
Which of the following would be the best choice for the grandmother who felt fine but was feeling depressed from sitting around the house all day while the rest of the family members were at work or school?
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A group home with shared living arrangements, which would meet friendship needs
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A senior citizens center, which would provide socialization, recreation, and support
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Adult daycare with assistance with meals, medications, and transportation
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Foster care with a family that did not have both adults working all day
Correct Answer
A. A senior citizens center, which would provide socialization, recreation, and supportExplanation
The best choice for the grandmother who is feeling depressed from sitting around the house all day while the rest of the family members are at work or school would be a senior citizens center. This option would provide socialization, recreation, and support, which could help alleviate her feelings of depression and loneliness. The center would offer opportunities for her to engage with other seniors, participate in activities, and receive emotional support, ultimately improving her overall well-being.Rate this question:
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- 17.
A family is considering nursing home placement for their elderly parent. Which of the following interventions would be most appropriate for a nurse?
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Suggesting the purchase of a nursing home insurance policy
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Suggesting the use of a specific checklist to collect data about potential facilities
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Suggesting having a family service worker to help with placement
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Suggesting consideration of using more in-home services
Correct Answer
A. Suggesting the use of a specific checklist to collect data about potential facilitiesExplanation
Suggesting the use of a specific checklist to collect data about potential facilities would be the most appropriate intervention for a nurse in this situation. This intervention would help the family gather important information about different nursing homes, such as the quality of care, staff-to-patient ratio, safety measures, and available services. It would enable the family to make an informed decision about the best facility for their elderly parent's needs.Rate this question:
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- 18.
What is the most frequent reason for an elderly person to be hospitalized?
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Auto accidents
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Back pain
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Falls
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Heart attack
Correct Answer
A. FallsExplanation
Falls are the most frequent reason for an elderly person to be hospitalized. As people age, their balance and coordination may decline, increasing the risk of falls. Falls can result in various injuries, such as fractures, head trauma, and sprains, which often require hospitalization for treatment. Additionally, falls can have long-term consequences on an elderly person's overall health and independence. Therefore, it is crucial to implement preventive measures and safety precautions to reduce the occurrence of falls among the elderly population.Rate this question:
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- 19.
A home health nurse is teaching a client and family about how to perform a dressing change. The nurse discussed the dressing change with them, provided written instructions, and left them an agency business card in case they had any questions. What is one reason that the nurse provided such extensive instructions?
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Elderly people are slow to understand and learn
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Legal requirements for teaching must be met through these methods.
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Role modeling for the procedure is necessary.
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Senses become less acute with age.
Correct Answer
A. Senses become less acute with age.Explanation
As people age, their senses, including vision and hearing, tend to decline. This can affect their ability to understand and learn new information, including instructions for performing a dressing change. By providing extensive instructions, including written instructions and a business card for any questions, the nurse is compensating for the potential decrease in the client's sensory acuity and ensuring that they have all the necessary information to perform the dressing change correctly and safely.Rate this question:
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- 20.
At the request of a family, a nurse returned for a follow-up visit a month after the patient was discharged from care. He had been doing quite well, but at this visit the home care nurse noticed that the client was extremely confused and disoriented. What should the nurse discuss with the family before contacting the clients physician?
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Current prescription and over-the-counter drugs the client is taking
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Family history of Alzheimer disease
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Financial resources available to the client
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Results of the laboratory values from the clients last blood test
Correct Answer
A. Current prescription and over-the-counter drugs the client is takingExplanation
The nurse should discuss the current prescription and over-the-counter drugs the client is taking with the family before contacting the client's physician. This is because the sudden confusion and disorientation could be a side effect or interaction of the medications the client is taking. By discussing the medications with the family, the nurse can gather important information about the dosage, frequency, and any recent changes in medication that could be contributing to the client's symptoms. This information will be valuable for the physician in determining the appropriate course of action for the client's care.Rate this question:
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- 21.
What is the most frequent reason for placement in a nursing home?
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Dementia, primarily from Alzheimer disease
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Inability of the family to care for the family member any longer
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Hip fracture that necessitates long-term convalescence
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Social interaction with other residents
Correct Answer
A. Dementia, primarily from Alzheimer diseaseExplanation
Dementia, primarily from Alzheimer's disease, is the most frequent reason for placement in a nursing home. This is because individuals with dementia often require specialized care and supervision that may be difficult for families to provide at home. The progressive nature of Alzheimer's disease can make it challenging for families to cope with the increasing care needs of their loved ones. Therefore, nursing homes with trained staff and resources to manage dementia-related symptoms are often the best option for individuals with Alzheimer's disease.Rate this question:
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- 22.
A nurse was very frustrated: It had taken a great deal of time and effort to get an elderly gentleman a hearing aid, and now he was not wearing it. Why would the client not wear a hearing aid after obtaining it?
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The client decided he could hear fairly well without the hearing aid.
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Background noise was so loud that he could not understand conversations.
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He does not know how to use the hearing aid and does not want to ask for assistance.
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Senses become more acute with age, so he no longer needed it.
Correct Answer
A. Background noise was so loud that he could not understand conversations.Explanation
The client's frustration with the hearing aid suggests that he initially had a need for it. However, the fact that he is not wearing it implies that there is a reason behind this decision. The most plausible explanation is that the background noise is too loud, making it difficult for him to understand conversations even with the hearing aid. This would render the hearing aid ineffective in improving his ability to hear, leading to his decision not to wear it.Rate this question:
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- 23.
What is one of the most common forms of elder abuse?
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Criminal victimization (crime)
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Neglecting to provide basic hygienic care
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Refusal to feed the elderly person
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Self-neglect by the elderly person
Correct Answer
A. Self-neglect by the elderly personExplanation
Self-neglect by the elderly person is one of the most common forms of elder abuse. This occurs when an elderly person fails to meet their own basic needs for hygiene, nutrition, and overall well-being. It can include neglecting personal hygiene, not eating or drinking enough, not taking necessary medications, and living in unsafe or unsanitary conditions. Self-neglect can have serious consequences for the health and safety of the elderly person, making it an important issue to address in elder abuse prevention and intervention efforts.Rate this question:
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- 24.
What is the source of income for the majority of elderly persons?
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Investments and personal savings
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Support from family members
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Private pensions
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Social Security
Correct Answer
A. Social SecurityExplanation
The majority of elderly persons rely on Social Security as their source of income. Social Security is a government program that provides financial support to retired individuals. It is a form of social insurance where workers pay into the system during their working years and receive benefits when they retire. This program ensures that elderly individuals have a steady income stream to support their living expenses after retirement.Rate this question:
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- 25.
An elderly woman was debating all possible futures she might confront. She asked the nurse the typical cost of 1 year in a nursing home. How should the nurse respond?
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About $30,000 a year.
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Dont worry about it. Medicare will pay it.
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Dont worry about it. Medicaid will pay it.
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About $75,000 a year.
Correct Answer
A. About $75,000 a year.Explanation
The nurse should respond with "About $75,000 a year." This is the correct answer because it provides the most accurate estimate of the typical cost for 1 year in a nursing home. The other options either underestimate the cost (about $30,000 a year) or provide incorrect information about Medicare or Medicaid covering the expenses.Rate this question:
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- 26.
A 79-year-old man stops at a local pharmacy to fill his prescription for an antihypertensive medication. How would he pay for this prescription?
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Medicare Part B
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Medicare Part A
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Medicare Part D
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Medicare Part C
Correct Answer
A. Medicare Part DExplanation
The correct answer is Medicare Part D. Medicare Part D is the prescription drug coverage program offered by Medicare. It helps cover the cost of prescription medications for Medicare beneficiaries. Since the man is filling a prescription for medication, he would use Medicare Part D to pay for it. Medicare Part B covers outpatient services and medical supplies, Medicare Part A covers hospital stays, and Medicare Part C is an alternative to Original Medicare that includes prescription drug coverage.Rate this question:
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- 27.
Which is the largest and most well-known interest group for elderly persons?
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The National Council of Senior Citizens
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The American Association of Aged (AAA)
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The American Association of Retired Persons (AARP)
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Gray Panthers
Correct Answer
A. The American Association of Retired Persons (AARP)Explanation
The American Association of Retired Persons (AARP) is the largest and most well-known interest group for elderly persons. It is a nonprofit organization that advocates for the rights and well-being of individuals aged 50 and older. With over 38 million members, AARP provides a wide range of services and resources, including health insurance, discounts, and advocacy on issues such as healthcare, Social Security, and retirement planning. AARP has a strong presence and influence in the United States, making it the correct answer to this question.Rate this question:
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- 28.
Which of the following is an appropriate primary nursing intervention to help meet the health care needs of elderly people?
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Advocacy by lobbying for appropriate community resources
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Case management with the client and family in setting goals
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Teaching the family how to care for the elderly person in the family
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Screening applications for nursing home placement
Correct Answer
A. Advocacy by lobbying for appropriate community resourcesExplanation
Advocacy by lobbying for appropriate community resources is an appropriate primary nursing intervention to help meet the health care needs of elderly people. This intervention involves advocating for the elderly population by lobbying for resources and services that can support their health and well-being. By advocating for appropriate community resources, nurses can help ensure that the elderly have access to the necessary healthcare services, support systems, and social programs that can enhance their quality of life and meet their specific needs. This intervention focuses on addressing the broader systemic issues and challenges faced by the elderly population, rather than just providing direct care.Rate this question:
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Current Version
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Mar 21, 2023Quiz Edited by
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May 12, 2020Quiz Created by
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