The gerontologic nurse plans community programming for older women, noting what facts about this population subgroup? (Select all that apply)

Increased chance of living in poverty

Suffering many chronic diseases

More likely to live alone

Taking care of a spouse

Living with extended families

Answer and Explanation

Correct Answer : A,B,C,D

A.   Older women are statistically more likely to live in poverty compared to older men. This is often due to a combination of factors including lower lifetime earnings, career interruptions for caregiving, and less access to pension benefits.
B.   Older women are indeed more likely to suffer from multiple chronic diseases such as hypertension, diabetes, and arthritis. Chronic conditions are common in this age group and can significantly impact quality of life. Community programming should include education and resources related to managing chronic diseases, as well as access to preventive care and support services.
C.   Older women are more likely to live alone compared to older men. This may be due to longer life expectancy and higher rates of widowhood among women. Programs should address the needs of those living alone, such as social support, community engagement opportunities, and services that mitigate isolation, like social activities or check-in services.
D.   Many older women are caregivers for their spouses or other family members. This caregiving role can be physically and emotionally demanding. Community programs should offer support for caregivers, including respite care, counseling services, and caregiver education to help manage stress and prevent burnout.
E.   While this can occur, older women are less likely to live with extended families compared to living alone. Living arrangements vary widely, and while some older women may live with extended families, it is not as prevalent as living alone. Community programming should be adaptable to different living situations but may focus more on the needs of those living alone or as caregivers.

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Correct Answer is B

Explanation

A. Serum complement levels are used to evaluate the complement system, which is part of the immune system and plays a role in inflammation and infection. While complement levels can be important in certain inflammatory and autoimmune conditions, they are not typically used to assess age-related changes that impact drug metabolism or the appropriate selection of pain medications.
B. The Glomerular Filtration Rate (GFR) is a key measure of kidney function. In older adults, kidney function often declines with age, affecting the metabolism and excretion of medications. Many drugs are primarily eliminated through the kidneys, and impaired kidney function can lead to drug accumulation, increased risk of toxicity, and altered therapeutic efficacy. Assessing GFR helps in adjusting medication doses to avoid adverse effects and ensure safe and effective treatment.
C. A White Blood Count (WBC) measures the number of white blood cells in the blood and is used to assess the body's response to infection, inflammation, and other conditions. While it provides valuable information about immune function and potential infections, it does not directly address age-related changes in drug metabolism or pharmacokinetics. Therefore, it is not the primary test for evaluating how aging might affect drug therapy.
D. An Electroencephalogram (EEG) records the electrical activity of the brain and is used to diagnose neurological conditions such as seizures, sleep disorders, and brain abnormalities. Although EEGs are valuable in certain neurological assessments, they do not provide information on how age-related physiological changes affect drug metabolism or how to tailor drug regimens for older adults.

A. Check facility policies and contact the hospital social worker B. Allow the family to pray with the patient then escort them to the waiting room C. Call the police who can force the family to accept medical care D. Call security to keep the family from interfering with medical care

Correct Answer is A

Explanation

A. When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B. While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C. This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D. This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.

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The gerontologic nurse plans community programming for older women, noting what facts about this population subgroup? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is A

Explanation

A nurse is assessing a patient's understanding of their current health problems which in turn contributes to proper disease management. Which question by the nurse is most helpful?

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