Final Exam: NUR163/ NUR 163 (Latest
2023/ 2024 Update) Concepts of Practical
Nursing in the Care of Elderly Patients
Exam Review| Questions and Verified
Answers| Graded A – Hondros
Fatigue – ANSWER Subjective Measurement
If someone is having trouble sleeping, what intervention could we use? – ANSWER
Encourage pt to go outside, because sunlight helps with melatonin levels
What is a intervention for a older adult who is having trouble sleeping because of
a constant need to go to the bathroom – ANSWER Wear
depends (adult diapers)
A newley admitted patient is having multiple problems. What symptom do you
report first? – ANSWER Breathing
What is a primary sexual right? – ANSWER 2 consenting adults
To be effective communicators, nurses must… – ANSWER
Develop awareness of their own values and beliefs and the way they influence
their perception of patients’ experiences
Cultural Competence – ANSWER A set of behaviors that
includes understanding the impact of cultural values and beliefs on human
experiences, while maintaining awareness of own cultural values and their effect
on the perception of self and others.
Circadian – ANSWER From Latin word “about a day”
What is the average amount of sleep needed for people ages 20 to 60 years? –
ANSWER 7.5 hours
What body system controls sleep? – ANSWER Central Nervous
System
What causes older adults to feel sleepy earlier in the evening and to wake earlier
in the morning? Know as “phase advance” – ANSWER
Decreases in melatonin (which regulates the sleep-wake cycle) and growth
hormone (which promotes sleep) lead to a shift in circadian rhythm
Final Exam: NUR163/ NUR 163 (Latest
Update) Concepts of Practical Nursing in
the Care of Elderly Patients Exam
Review| Questions and Verified Answers|
Graded A – Hondros
What should a woman who already been through menopause report to their PCP
- ANSWER Vaginal Bleeding
What is common for a women who has given multiple vaginal births to
experience? – ANSWER Vaginal Prolapse
What should a patient do if they are experiencing urinary frequency, decreased
urine flow and nocturia? – ANSWER Schedule a prostate
examine for BPH
What happens with fragile capillaries? – ANSWER Senile
Purpura
What can commonly cause erectile dysfunction? – ANSWER
Diabetes
What is import we do as nurses for a residents’ sexual wellbeing? – ANSWER
Protect it
Due to a decreased immune response, who is at a higher risk for STI’s? –
ANSWER adults over 50
What should be used for vaginal dryness? – ANSWER water
based lubricant
Common reasons older adults refuse their annual physical exam? – ANSWER
a) Cost
b) Fear of what they may find
c) feel they do not need
d) lack of transportation
What you might find in a patient who is non adherent to medications? –
ANSWER a) getting worse not better
b) not progressing to wellness
c) thinks medication is not working
d) repeat complications
What kind of direct questions to use when you need to know something quickly? –
ANSWER Closed questions
What medication would a male possibly have taken if experiencing chest pains? –
ANSWER Viagra
How do you effective speak with older adults? – ANSWER
Simple terminology and effective communication
NUR 163 Final Concepts of Practical
Nursing in the Care of Elderly Patients
Exam Review| Questions and Verified
Answers| Graded A – Hondros
Nursing Interventions for skin integrity – ANSWER
turn q2h, use draw sheet, heels on pillows, bladder training
discharge instructions for cardiac patients – ANSWER
pace yourself
rest periods
conserve energy
UAP and fall prevention – ANSWER toilet q2h
no loose socks
physiological changes in older adults – ANSWER
decreased peristalsis
decreased cardiac output
Relocation Stress Syndrome – ANSWER pt
frequently irritable
pt stays in room
S/S of stress – ANSWER muscle tension
hyperventilation
decreased HR
dizziness
Patients at greatest risk of stress related problems – ANSWER
Also have chronic illness
loss of spouse
relocated
decreased income
screenings for older adults to assess stress – ANSWER
BMI
BP
cognitive
functional
potential nutritional complications for older adults – ANSWER
limited income
limited transportation
neighborhood only has convenience stores
external stressors – ANSWER heat, cold, noise,
light, physical trauma
intrinsic motivation – ANSWER internal
motivation
what do older adults fear the least – ANSWER
death
Ostomies – ANSWER change when 1/3 full
chronic fatigue syndrome – ANSWER lasts more
than 6 months and is accompanied by muscle and joint pain, headaches, and
sleep and memory problems
Final Exam: NUR163/ NUR 163 (Latest
2023/ 2024 Update) Concepts of Practical
Nursing in the Care of Elderly Patients
Exam Review| Questions and Verified
Answers| Graded A – Hondros
What type of pain meds are ibuprofen and tylenol? – ANSWER
Analgesics
-anti-inflammatories
- muscle relaxers
What are the 3 types of prevention? – ANSWER Primary: prevents
illness before it begins
Secondary: catches illness and treats it before it worsens; screenings
Tertiary: Rehabilitation; After disease or injury is established
Elderly patients should have a well balanced diet with an intake around __
calories.
A) 1500
B) 2000
C) 1200
D) 1300 – ANSWER C) 1200
How much exercise should an elderly person get? – ANSWER 30
minutes a day
Ex – walking, gardening, swimming
How many times a day should the elderly brush their teeth?
A) 4
B) 3
C) 2
D) 1 – ANSWER C) 2
How close is intimate space?
A) 18-48 inches
B) 0-18 inches
C) 48 inches to 12 feet
D) greater than 12 feet – ANSWER B) 0-18 inches
How close is personal space?
A) 18-48 inches
B) 0-18 inches
C) 48 inches to 12 feet
D) greater than 12 feet – ANSWER A) 18-48 inches
How close is social space?
A) 18-48 inches
B) 0-18 inches
C) 48 inches to 12 feet
D) greater than 12 feet – ANSWER C) 48 inches to 12 feet
the partial or total loss of the ability to communicate
Affects the ability to understand/ express through words, gestures, and writing
use visual aids
Most common in older adults – ANSWER aphasia
How close is public space?
A) 18-48 inches
B) 0-18 inches
C) 48 inches to 12 feet
D) greater than 12 feet – ANSWER D) greater than 12 feet
Speaking to elderly like children
- uses terms like honey, dearie, and sweetie
patronizing/ demeaning way to speak to older adults
slow speech with simple vocabulary. – ANSWER elder speak
a slowly progressive decline in mental abilities, including memory, thinking, and
judgment, that is often accompanied by personality changes - causes both cognitive and language defects
- slow onset; uncurbable
- use gestures and Y/N questions
Caused by damage to cerebral cortex
Characteristics include: limited attention span, inability to focus on more than one
thing at a time, confusion of reality and fantasy, inability to follow complete
directions – ANSWER Dementia
Which type of diabetes is insulin dependent?
A) Type 1
B) Type 2 – ANSWER A) Type 1
NUR 163 Final Concepts of Practical
Nursing in the Care of Elderly Patients
Exam Review| Questions and Verified
Answers| Graded A – Hondros
If someone is in menopause for awhile and they have vaginal bleeding, should
it be reported? – ANSWER Yes
What is a uterine prolapse and when does it happen? – ANSWER
Usually happens after multiple vaginal births,
A hysterectomy is a treatment for – ANSWER
Multiple Vaginal Births
Signs and symptoms of an enlarged prostate: – ANSWER
Decreased urine output
Weak stream of urine
Nocturia
Frequent UTI’S
What happens if you see scattered bruising areas on patients fore arms –
ANSWER Normal Age related change for bruising,
this is due to capillaries becoming fragile
FVD – ANSWER causes- not enough in, too much out
(Lasix), alcohol, hypernatremia, D/V, sweating/hemorrhaging
S/S- Decrease in BP, increase ing HR, headache, dry mucous membranes,
confusion/altered mental status, concentrated urine, decreased UO, weak
thready pulse
Interventions- IV fluids (cautious of elderly, can cause pulmonary edema if
done too quickly), oral fluids, hold diuretic, treat underlying cause, monitor
i/o, monitor vitals, decrease sodium intake
stress – ANSWER s/s- decreased in immune resonse,
lose/gain weight, decrease output, increased frequency,
constipation/diarrhea, teeth grinding, mood swings
vitals- increased HR, BP, RR
fatiguues/insomnia, gastic ulcer, blood glucose increased
elderly and stress – ANSWER #1 cause – loss of
loved one- child unexpected
financial loss, loss of independence, lack of support. Elderly do not tend to
fear/stress about death themselves
at risk ineffective coping – ANSWER substance
abuse, tobacco, alcohol, prescriptions, cognitive impairment, poor coping in
younger years, poor support systems, chronic illness
Can normal age changes contribute to sexual dysfunction? – ANSWER
Yes
what is the most effective form to prevent STI’s besides abstinence? –
ANSWER Condoms
If an older female is experiencing vaginal dryness, what can we recommend? –
ANSWER Water Based lube and pain medication 30
minutes before
Hondros NUR 163 Final Concepts of
Practical Nursing in the Care of Elderly
Patients Exam Review| Questions and
Verified Answers| Graded A – Hondros
what are the stages of the grieving process – ANSWER
denial
anger
bargaining
depression acceptance
Why do older people reminisce? – ANSWER They
need to feel that their existence has made a difference. That their lives have had
purpose and meaning.
What does the older adult fear the most? – ANSWER
losing control and power over themselves
What food does the middle east like? – ANSWER
meat
rice
vegetables
chronic fatigue syndrome (CFS) – ANSWER A
medical condition characterized by long-term fatigue and other symptoms that
limit a person’s ability to carry out ordinary activities.
How to improve sleep in the elderly – ANSWER –
give a light snack
-turn off lights and TV
-mild exercise
bladder capacity cant change but the bladder tone may change – ANSWER
stress incontinence
what is the 18th months of the grieving stage? – ANSWER
the stages of denial
erectile dysfunction (ED) – ANSWER inability to
achieve erection of penis
primary assessment before beginning exercise – ANSWER
cardio
Nur 163- Final Exam Concepts of
Practical Nursing in the Care of
Elderly Patients Exam Review|
Questions and Verified Answers|
Graded A – Hondros
If a female is in menopause has sudden onset vaginal bleeding what do you do? –
ANSWER report it
when would a uterine prolapse be most likely to occur? – ANSWER
after multiple vaginal births
or when anything weakens the muscular tissues of the uterus
TX: hysterectomy
or can sling it back up
What are the signs and symptoms of an enlarged prostate? – ANSWER
decreased urine (stream)
painful urination
Nocturia
frequent urination
(you should also schedule an exam if any of these things should occur)
What does it mean if you see scattered bruises on the forearms of an older adult? –
ANSWER It is a normal sign of aging, as we age our capillaries become
more fragile.
(we bruise easier forearms especially, called Senile purpura)
What common circulation decreasing disease process in the older male population
can cause erectile dysfunction? – ANSWER Diabetes
If you are working in a LTCF and an older married couple are roomed together and
you walk in on them having sex, what should you do? – ANSWER
Provide Privacy
Put a Do Not Disturb sign on door
Do older adults get sexually transmitted diseases easier than younger
adults/teenagers? – ANSWER Yes, older adults are at a higher risk
because of their weakened immune systems.
Can normal age related changes contribute to sexual dysfunction? – ANSWER
yes, due to weakened circulation.
Besides abstinence what is the best way to avoid getting an STI? – ANSWER
Condoms (safe sex practices)
When an older adult female (menopausal) has painful(dryness) during sexual
intercourse, what could possibly alleviate this issue? – ANSWER water
soluble lubricant
Pain medications 30 minutes prior to sexual experience
Why do older adults procrastinate going to the doctor? – ANSWER Fear
No motivation
Transportation
Financially unstable
What would you question if an older adult is not adhering to a medication or TX
regimen? – ANSWER Ask them why?
Are they in denial?
Can you afford your tx?
Do you need transportation?
Do you understand why you need these TX?