SAS #11 Care of Older Adult

LESSON TITLE: RESEARCH AGENDA ON AGING/PHYSIOLOGICAL CHANGES IN AGING

AFFECTING
INTEGUMENTARY SYSTEM

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1. What is the leading cause of catastrophic out-of-pocket costs for 1 point

families and involves substantial government spending, primarily through
Medicaid and Medicare?

a. Palliative-care

b. Long-term care

c. Hospice Care

d. Home Care

Clear selection

Rationale: *

Paid community-based long-term care services are primarily funded by Medicaid or

Medicare.
2. Problems that the potential burden on aging society contribute on the 1 point

care-giving system and public finances are the following except,

a. Challenge of assuring sufficient resources

b. Effectivity of service system

c. Quality of Long-term care

d. More health care workers

Clear selection

Rationale: *

The “2030 problem” involves the challenge of assuring that sufficient resources and an
effective service system are available in thirty years, when the elderly population is twice
what it is today.

3. Which of the following is not a solution to add funding for future care 1 point

services?

a. Efforts to promote private long-term care insurance

b. Medicaid and Medicare expansions

c. Retaining long-term care workers

d. More attention from policymakers

Clear selection
Rationale: *

Medicaid and medicare expansions is not a solution to add funding for future care services.

4. The following are the different disability projection scenarios except: 1 point

a. High disability scenario

b. Low disability scenario

c. Middle disability scenario

d. Intermediate disability projection

Clear selection

Rationale: *

Middle disability scenario are not included in disability projection scenarios.

5. This provides the “best guess” of the future size of the frail older 1 point

population, does not assume any particular trend in disability rates.

a. High disability scenario

b. Low disability scenario

c. Middle disability scenario

d. Intermediate disability projection

Clear selection
Rationale: *

Intermediate disability projectio provides the “best guess” of the future size of the frail older
population, does not assume any particular trend in disability rates.

6. What is the most appropriate nursing diagnosis for an older adult who is 1 point

bedridden because of progressed Parkinson disease?

a. Risk for impaired skin integrity related to immobility

b. Immobility related to Parkinson disease

c. Impaired skin integrity related to incontinence

d. Ischemia related to disuse syndrome

Clear selection

Rationale: *

Immobility places clients at risk for skin breakdown, pressure ulcers, and poor skin turgor.
7. An older patient asks why a wound is taking so long to heal. What 1 point

explanation should the nurse provide to this patient?

a. “There is less protein in the skin with aging”

b. “The tissue between the skin cells is weaker.”

c. “The amount of blood flow to the skin is slower with aging.”

d. “The number of immune cells in the skin reduces with aging.”

Clear selection

Rationale: *

Once an older person's skin is injured, the skin has a harder time healing properly as well.
Aging and senescent immune cells cannot defend against bacteria, and the risk of serious
skin infection rises. Then in the regenerative stage, slow rates of cell division translate into
slow skin regrowth.

8. The nurse noted that an older patient complains of always feeling cold. 1 point
Which age- related change to the skin could be causing this in the patient?

a. Fewer protein stores

b. Decreased subcutaneous tissue

c. Reduced levels of immune cells

d. Slower blood flow to the skin layers

Clear selection
Rationale: *

Older adults have a thinner layer of fat under the skin, making them more susceptible to
cold.

9. The primary reason an older adult client is more likely to develop a 1 point
pressure ulcer on the elbow as compared to a middle-age adult is:

a. A reduced skin elasticity is common in the older adult

b. The attachment between the epidermis and dermis is weaker

c. The older client has less subcutaneous padding on the elbows

d. Older adults have a poor diet that increases risk for pressure ulcers

Clear selection

Rationale: *

Pressure ulcer are most common on bony parts of the body, such as the heels, elbows, hips
and base of the spine.
 10. While bathing an elderly client who has limited abilities for self-care, the 1 point

nurse notices several patches of dry skin on the client’s heels, elbows, and
coccyx. The nurse cleans and dries all the areas well and applies a
moisturizing lotion. The most appropriate immediate follow-up by the
nurse to ensure appropriate nursing care for this clients skin is to:

a. Revise the client's care plan to show the need for the application of moisturizing
lotion

b. Assume personal responsibility to apply the moisturizing lotion daily to the client's
skin

c. Encourage the client to tell whomever bathes her to apply the moisturizing lotion to
her areas of dry skin

d. Inform the staff that the client's skin is showing signs of breakdown and
moisturizing lotion needs to be applied daily

Clear selection

Rationale: *

Revise the client's care plan to show the need for the application of
moisturizing lotion

AL Strategy: CAT: Muddiest Point In today’s session, what was least clear to you?
*

Views in aging and how that may involve as the baby boom generation redefines aging.

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