Older Adults Writing Paper
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9. Taste buds atrophy and lose sensitivity, and appetite may
decrease. As a result, the older adult is less able to discern:
1. Spicy and bland foods.
2. Salty, sour, and bitter tastes.
3. Hot and cold food temperatures.
4. Moist and dry food preparations.
10. Kyphosis, a change in the musculoskeletal system, leads to:
1. Decreased bone density in the vertebrae and hips.
2. Increased risk for pathological stress fractures in the hips.
3. Changes in the configuration of the spine that affect the
lungs and thorax.
4. Calcification of the bony tissues of the long bones such as
in the legs and arm.
11. A 63-year-old patient is retiring from his job at an accounting
firm where he was in a management role for the past 20 years.
He has been with the same company for 42 years and was a
dedicated employee. His wife is a homemaker. She raised their
five children, babysits for her grandchildren as needed, and
belongs to numerous church committees. What are your major
concerns for this patient? (Select all that apply.)
1. The loss of his work role
2. The risk of social isolation
3. A determination if the wife will need to start working
4. How the wife expects household tasks to be divided in the
home in retirement
5. The age the patient chose to retire
12. During a home health visit a nurse talks with a patient and his
family caregiver about the patient’s medications. The patient
has hypertension and renal disease. Which of the following
findings places him at risk for an adverse drug event? (Select
all that apply.)
1. Taking two medications for hypertension
2. Taking a total of eight different medications during the day.
3. Having one physician who reviews all medications
4. Patient’s health history
5. Involvement of the caregiver in assisting with medication
administration
13. You are caring for an 80-year-old man who recently lost his
wife. He shares with you that he has been drinking more than
he ever did in the past and feels hopeless without his wife. He
reports that he rarely sees his children and feels isolated and
alone. This patient is at risk for:
1. Dementia.
2. Liver failure.
3. Dehydration.
4. Suicide.
14. You are working with an older adult after an acute hospitalization. Your goal is to help this person be more in touch with
time, place, and person. What might you try?
1. Reminiscence
2. Validation therapy
3. Reality orientation
4. Body image interventions
15. A 71-year-old patient enters the emergency department after
falling down stairs in the home. The nurse is conducting a fall
history with the patient and his wife. They live in a one-level
ranch home. He has had diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His
blood pressure is stable around 130/70. The patient does not
exercise regularly and complains of weakness in his legs when
climbing stairs. He is alert, oriented, and able to answer questions clearly. What are the fall risk factors for this patient?
(Select all that apply.)
1. Presence of a chronic disease
2. Impaired vision
3. Residence design
4. Blood pressure
5. Leg weakness
6. Exercise history
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