Older Adults Writing Paper Essay

Older Adults Writing Paper

1. A student nurse is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter
in for 3 days. Eight hours ago the patient’s temperature was
37.1° C (98.8° F). The student reports her recent assessment to
the registered nurse (RN): the patient’s temperature is 37.2° C
(99° F); the Foley catheter is still in place, draining dark urine;
and the patient is uncertain what time of day it is. From what
the RN knows about presentation of symptoms in older adults,
what should he recommend first?
1. Tell the student that temporary confusion is normal and
simply requires reorientation
2. Tell the student to increase the patient’s fluid intake since
the urine is concentrated
3. Tell the student that her assessment findings are normal for
an older adult
4. Tell the student that he will notify the physician of the
findings
2. A patient’s family member is considering having her mother
placed in a nursing center. You have talked with the family

before and know that this is a difficult decision. Which of the
following criteria would you recommend in choosing a nursing
center? (Select all that apply.)
1. The center should be clean, and rooms should look like a
hospital room.
2. There should be adequate staffing on all shifts.
3. Social activities should be available for all residents.
4. Three meals should be served daily with a set menu and
serving schedule.
5. Family involvement in care planning and assisting with
physical care is necessary.
3. A nurse has conducted an assessment of a new patient who has
come to the medical clinic. The patient is 82 years old and has
had osteoarthritis for 10 years and diabetes mellitus for 20
years. He is alert but becomes easily distracted during the
nursing history. He recently moved to a new apartment, and
his pet beagle died just 2 months ago. He is most likely
experiencing:
1. Dementia.
2. Depression.
3. Delirium.
4. Disengagement.
4. A major life event such as the death of a loved one, a move to
a nursing home, or a cancer diagnosis could precipitate:
1. Dementia.
2. Delirium.
3. Depression.
4. Stroke.
5. Sexuality is maintained throughout our lives. Which answer
below best explains sexuality in an older adult?
1. When the sexual partner passes away, the survivor no
longer feels sexual.
2. A decrease in an older adult’s libido occurs.
3. Any outward expression of sexuality suggests that the older
adult is having a developmental problem.
4. All older adults, whether healthy or frail, need to express
sexual feelings.
6. Older adults experience a change in sexual activity. Which best
explains this change?
1. The need to touch and be touched is decreased.
2. The sexual preferences of older adults are not as diverse.
3. Physical changes usually do not affect sexual functioning.
4. Frequency and opportunities for sexual activity may
decline.
7. You see a 76-year-old woman in the outpatient clinic. Her chief
complaint is vision. She states she has really noticed glare in
the lights at home. Her vision is blurred; and she is unable to
play cards with her friends, read, or do her needlework. You
suspect that she may have:
1. Presbyopia.
2. Disengagement.
3. Cataract(s).
4. Depression.
8. A nurse is caring for a patient preparing for discharge from the
hospital the next day. The patient does not read and has a
hearing loss. His family caregiver will be visiting before discharge. What can you do to facilitate the patient’s understanding of his discharge instructions? (Select all that apply.)
1. Speak loudly so the patient can hear you.
2. Sit facing the patient so he is able to watch your lip movements and facial expressions.
3. Present one idea or concept at a time.

Older Adults Writing Paper Essay

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