G13 Diagnosis: Paraneoplastic Neuromyopathy And Neuropathy! Trivia Quiz

1. The nurse is preparing educational material concerning fire safety in the home. What research data will be included in the material?

A. older women are more likely to die in fires than older men

B. fire mortality is highest in adults older than 65 years of age

C. most people who die in fires are killed by the flames

D. most fires occur outside the home

ANS: B
People older than age 65 are one of the groups at highest risk of dying in fires. Older men are more likely to die in fires than are older women. Most deaths in fires are caused by smoke injuries. Most fires occur within the home

Explanation

ANS: B
People older than age 65 are one of the groups at highest risk of dying in fires. Older men are more likely to die in fires than are older women. Most deaths in fires are caused by smoke injuries. Most fires occur within the home

2. A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite its being 90 degrees F outside, the windows are closed and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to:

A. cognitive changes that diminish the individual’s awareness of temperature changes

B. age-related neurosensory changes that diminish awareness of temperature changes

C. delirium-related to an acute illness that is affecting body heat production

D. age-related motor deficiencies that result in self-neglect

ANS: B
Neurosensory changes related to aging tend to delay or diminish the individual’s awareness of temperature changes and may impair behavior or thermoregulatory responses to dangerously high or low temperatures. There is no evidence in this scenario that the client has cognitive changes, an acute illness or is incapable of self-care and such assumptions should not be routinely made based on age alone.

Explanation

ANS: B
Neurosensory changes related to aging tend to delay or diminish the individual’s awareness of temperature changes and may impair behavior or thermoregulatory responses to dangerously high or low temperatures. There is no evidence in this scenario that the client has cognitive changes, an acute illness or is incapable of self-care and such assumptions should not be routinely made based on age alone.

3. A home care nurse in an area of the country that is prone to tornadoes routinely discusses disaster preparedness with older adult clients. What is the primary rationale for this intervention?

A. Older adults are less likely to seek formal and informal help when affected by natural disasters

B. The older adult is more likely to live in a communal environment which provides assistance in times of natural disasters

C. Most older adults have insurance to help them recover from material losses due to a natural disaster

D. Federal and private assistance agencies generally provide older adults with priority attention in time of natural disasters.

ANS: A
Older adults are less likely to seek assistance than younger adults in times of disaster. The remaining options are not generally proven to be true for the majority of older adults.

Explanation

ANS: A
Older adults are less likely to seek assistance than younger adults in times of disaster. The remaining options are not generally proven to be true for the majority of older adults.

4. Which factor is the greatest barrier to an older adult living independently?

A. Deficits in vision and/or hearing resulting in safety issues

B. Limited finances that prevent upkeep and maintenance of a residence

C. Depression that occurs after the death of a spouse or significant other occurs

D. The manifestation of cognitive impairment resulting from dementia or Alzheimer’s

ANS: A
Sensory deficits, whether visual, auditory, or olfactory, reduce the individual’s ability to detect dangerous conditions or imminent threats. The other options may occur but are not the greatest recognized barrier to independent living

Explanation

ANS: A
Sensory deficits, whether visual, auditory, or olfactory, reduce the individual’s ability to detect dangerous conditions or imminent threats. The other options may occur but are not the greatest recognized barrier to independent living

5. Which nursing intervention will best initially help an older client who is about to move to a new apartment feel safe living alone for the first time?

A. Join and actively participate in the local community watch organization

B. Have a ‘peep hole’ installed in the apartment door and never open the door to strangers

C. Arrange with the local police to have a home security assessment done and then follow through with their suggestions

D. Consider having a dog as a pet since even a small dog can provide protection and, as a bonus, companionship.

ANS: C
Arranging for a home security check by police, and following through on their security suggestions is the first step in identifying and correcting areas of home safety concern and establishing a relationship with the local police. The remaining options are more narrow in their scope and in the case of the pet may not be practical or even allowed.

Explanation

ANS: C
Arranging for a home security check by police, and following through on their security suggestions is the first step in identifying and correcting areas of home safety concern and establishing a relationship with the local police. The remaining options are more narrow in their scope and in the case of the pet may not be practical or even allowed.

6. A home care nurse is conducting a home fire safety assessment for an older client who lives alone. Which observation is a particular worrisome for the nurse?

A. The client shows the nurse a copy of the apartment complex’s fire evacuation plan

B. The home has 3 fire alarms positioned above windows in the kitchen, bedroom and living room

C. The bedroom and bathroom both have solid wood doors installed

D. The client recites the ‘Stop, Drop and Roll’ mantra when asked what to do if her clothes caught fire while cooking.

ANS: B
Home fire alarm should not be installed too near a window, door, or forced-air register, where drafts could interfere with the detector’s operation. The other options reflect appropriate actions to minimize the risk of fire or injury for fires.

Explanation

ANS: B
Home fire alarm should not be installed too near a window, door, or forced-air register, where drafts could interfere with the detector’s operation. The other options reflect appropriate actions to minimize the risk of fire or injury for fires.

7. The nurse is recommending that a client diagnosed with moderate stage Alzheimer's disease attend a support group when he becomes defensive about not driving his automobile and the effects it will have on, "being stuck at home." Which is the priority outcome expected for this client when attending the group sessions?

A. facilitates socialization thus minimizing the effects of social isolation

B. helps with minimizing the loss as a factor in causing depression

C. provides caregivers with respite while assuring the client is well attended to

D. allows for the opportunity for a mental health professional to assess the client

ANS: B
Participants attending the driving cessation support groups DCSG had an improvement in depression scores, were less angry, and were happier. Support groups designed specifically to deal with loss of driving privileges among individuals with dementia may be important in alleviating depressive symptoms and other negative outcomes associated with cessation of driving. The remaining options represent possible outcomes but they do not have the priority that minimizing depression has for this client.

Explanation

ANS: B
Participants attending the driving cessation support groups DCSG had an improvement in depression scores, were less angry, and were happier. Support groups designed specifically to deal with loss of driving privileges among individuals with dementia may be important in alleviating depressive symptoms and other negative outcomes associated with cessation of driving. The remaining options represent possible outcomes but they do not have the priority that minimizing depression has for this client.

8. The nurse documents that an older adult client is living independently in a safe environment. Which assessment data supports this evaluation? Select all that apply

A. The client demonstrates the home’s security alarm system.

B. Various safety features were installed when the bathroom was remodeled.

C. The client has access to a financially generous retirement benefit

D. The nurse observes the client wearing a safety alarm bracelet.

E. The client’s home is within walking distance of a grocery store.

ANS: A, B, D
A safe environment is one in which one in which the older person is capable, with reasonable caution, of carrying out activities of daily living (ADLs) and instrumental activities of daily living (IADLs), as well as the activities that enrich one’s life without fear of attack, accident, or imposed interference. Having access to money and living near a grocery store does not assure the client will be able to attend to financial matters or get to the grocery store.

Explanation

ANS: A, B, D
A safe environment is one in which one in which the older person is capable, with reasonable caution, of carrying out activities of daily living (ADLs) and instrumental activities of daily living (IADLs), as well as the activities that enrich one’s life without fear of attack, accident, or imposed interference. Having access to money and living near a grocery store does not assure the client will be able to attend to financial matters or get to the grocery store.

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9. The nurse is treating a frail, older client for possible hypothermia. Which assessment data suggests the condition is resolving? Select all that apply.

A. client is shivering

B. client’s hands are warm and pink

C. client is in a fetal position

D. client’s temperature is 97.4°

E. The client’s feet are “tingling”

ANS: B, D
Resolution of hypothermia would be supported by the client’s hands being warm and pink to the touch and body temperature being greater than 97° F. The remaining options reflect characteristics of unresolved hypothermia.

Explanation

ANS: B, D
Resolution of hypothermia would be supported by the client’s hands being warm and pink to the touch and body temperature being greater than 97° F. The remaining options reflect characteristics of unresolved hypothermia.

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10. Which precaution would be beneficial in minimizing an older adult's risk of being a victim of fraud? Select all that apply.

A. Do not allow uninvited sales persons into your home

B. Never provide personal information to telephone sales solicitors

C. Rely on the advice of people who only friends have recommended

D. Contact the local Medicare or Medicaid service office for information when needed

E. Keep your bank account and credit card numbers with you at all times.

ANS: A, B, D
The correct options provide sound advice but relying on friends alone for advice may not be prudent while personal information should be kept in a safe place not necessarily on your person

Explanation

ANS: A, B, D
The correct options provide sound advice but relying on friends alone for advice may not be prudent while personal information should be kept in a safe place not necessarily on your person

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11. What information should be included in an informational program to be presented on burn prevention to a senior citizens group? Select all that apply.

A. Do not smoke in bed or when sleepy

B. Wear well fitted clothing when cooking or when grilling outdoors

C. Have the contact information for the local fire department easily accessible

D. Establish a plan for exiting each room of your home in the case of a fire

E. Have a fire extinguisher readily available in the kitchen

ANS: A, B, E
Measures to prevent burns include not smoking in bed or when sleepy, not wearing loose-fitting clothing (e.g., bathrobes, nightgowns, pajamas) when cooking or around an open heat source, and installing a portable hand fire extinguisher in the kitchen. The remaining options are more related to being prepared for a home fire.

Explanation

ANS: A, B, E
Measures to prevent burns include not smoking in bed or when sleepy, not wearing loose-fitting clothing (e.g., bathrobes, nightgowns, pajamas) when cooking or around an open heat source, and installing a portable hand fire extinguisher in the kitchen. The remaining options are more related to being prepared for a home fire.

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12. The nurse is managing the care of an older client experiencing the symptoms of heat fatigue. Which intervention will the nurse implement to help resolve the condition? Select all that apply

A. Helping the client assume a comfortable resting position.

B. Monitoring the client’s intake of electrolyte replacement fluids

C. Withholding the client’s prescribed antidiuretic medication

D. Documenting that the client’s skin remains pale, moist and cool

E. Keeping the environmental humidity low and temperature cool.

ANS: A, B, C( this is the original answer; however in the explanation it points out that C is not correct and instead E should be picked so the correct answers should be A,B,E)
Rest, electrolyte replacement and a cool, less humid environment are all appropriate for managing the recovery of a client who has experienced heat fatigue. Withholding the client’s medication is not advisable without consulting the primary care provider first and documentation of these skin conditions, which reflect unresolved heat fatigue, is not directed at resolving but rather monitoring the condition

Explanation

ANS: A, B, C( this is the original answer; however in the explanation it points out that C is not correct and instead E should be picked so the correct answers should be A,B,E)
Rest, electrolyte replacement and a cool, less humid environment are all appropriate for managing the recovery of a client who has experienced heat fatigue. Withholding the client’s medication is not advisable without consulting the primary care provider first and documentation of these skin conditions, which reflect unresolved heat fatigue, is not directed at resolving but rather monitoring the condition

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