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Exam 41: Common Psychosocial Care Problems of Older Adults

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Question 1

Short Answer

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When the nurse observes the ________ ________ warning on the label on a bottle of antipsychotics, the nurse is aware that it is a very strong advisory from the Food and Drug Administration (FDA) prior to pulling the drug off the market.

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Black Box
The FDA may place the "Black B...

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Question 2

Multiple Choice

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When the nurse plans to use reminiscence as a psychosocial approach to managing confusion with cognitively impaired patients, the nurse should:

A) use plants, pictures, and animals to encourage interactions in the group.
B) use memory aids such as television, radio, clock, and calendar.
C) encourage individual and group sharing of information about previous life experiences.
D) increase socialization roles in the group, such as serving each other refreshments.

E) B) and C)
F) A) and B)

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C

Question 3

Multiple Choice

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The nurse clarifies to a family of a resident with Alzheimer disease that dementia differs from confusion and delirium in that dementia is:

The 64-year-old resident newly admitted to a long-term care facility refuses to sit down and eat, preferring to wander aimlessly through the facility. The initial intervention by the nursing staff should be to:

The nurse is planning an instruction for an 84-year-old man relative to a significant change in his diet for diabetes. The nurse will plan her education around the idea that older adults:

The nurse frequently refers to "The _____________," a medication list that names drugs that are potentially harmful for use in elderly patients.

When a patient becomes violent and hits a table with his cane, the initial appropriate nursing approach is to:

A depressed older adult patient was started on antidepressant drug therapy 3 weeks ago. The highest nursing priority when working with this patient at this time would be:

When the nurse determines that an older adult patient has a reasonable risk of being physically abused by family members, it is the nurse's legal obligation to:

The nurse is aware that the older adults of today face some functional psychosocial issues, which include: (Select all that apply.)

The nurse clarifies that the diagnosis of nocturnal delirium refers to a syndrome also called _______________.

A home health nurse working with an older adult patient assesses an early indication that this patient is developing Alzheimer disease. This early indication would be:

In order to minimize the risk of aspiration in a resident with advanced Alzheimer disease, the person feeding the patient should:

The nurse adds to the plan of care for a cognitively impaired resident who has begun to wander night and day throughout the long-term care facility. An appropriate intervention to add to the plan of care for the resident with wandering behavior would be to:

The nurse in a long-term care facility emphasizes to the family of a resident recently admitted that one of the purposes of the creative behavioral therapies is to:

The nurse would question a new order for a tricyclic antidepressant for a patient who has had a recent:

The behavior in a depressed older adult patient that would indicate that this patient is contemplating suicide is:

An older adult patient with early Alzheimer disease is receiving the drug donepezil (Aricept) . The nurse assesses the patient laboratory reports carefully for drug side effects because of the drug's potential toxicity to the:

When a patient with dementia exhibits increasing agitation, hostility, and paranoia, the nurse anticipates the health care provider will prescribe a(n) :

A recently widowed 80-year-old man has been admitted to a long-term care facility for complaints of anorexia, loss of energy, and loss of sleep. The nurse learns that the patient is recently widowed. Prioritize the nursing actions that might be needed for this patient. (Separate letters by a comma and a space as follows: A, B, C, D.) A) Provide a quiet environment. B) Involve him in some activity. C) Be alert to suicidal tendencies. D) Spend time with the patient at mealtime.