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Communicating With Geriatric Patients

Considering Health Care Perceptions

1. Patients sometimes worry that if they complain too much about minor issues, they won't be taken seriously later on.

A. True B. False

2. When caring for older patients, nurses should:

A. Let older patients know that they welcome their questions and participation. B. Encourage older adults to voice their concerns. C. Be alert to barriers to communication about symptoms, such as fear about loss of independence or costs of diagnostic tests. D. All of the above.

Understanding Older Patients

3. Which of the following are benefits of effective communication?

A. Help prevent medical errors. B. Make the most of limited interaction time. C. Lead to improved health outcomes. D. All of the above.

4. When addressing an older patient, nurses should use familiar terms, such as "dear" to help make the patient feel comfortable and welcomed.

A. True B. False

5. With established patients, friendly questions about their families or activities can relieve stress.

A. True B. False

6. It is important not to interrupt a patient, because once interrupted, a patient is less likely to reveal all of his or her concerns.

A. True B. False

7. All of the following are true with regards to demonstrating empathy, except for:

A. Empathy can be learned and practiced. B. Empathy adds significant time to the patient interview so a longer appointment should be scheduled. C. Empathy leads to patient satisfaction, understanding, and adherence to treatment. D. Empathy as the ability to sense other people's emotions

8. All of the following are tips to make it easier to communicate with a person who has lost some hearing, except for:

A. Speaking in a raised voice allows for the pronunciation of words to come through clearer. B. Face the person directly, at eye level, so that he or she can lip-read or pick up visual clues. C. Keep your hands away from your face while talking, as this can hinder lip-reading ability. D. Be aware that background noises, such as whirring computers and office equipment, can mask what is being said.

9. Before the patient leaves, make sure they understand:

A. What the main health issue is. B. What he or she needs to do about their health issue. C. Why it is important to take certain actions. D. All of the above.

Obtaining the Medical History

10. All of the following are strategies for making efficient use of the healthcare professional's and the patient's time, except for:

A. Try to have the patient tell his or her story only once, since the process of telling it can be very tiring for the patient. B. Sit and face the patient at eye level. C. Use open-ended questions, avoiding yes-or-no questions, to get the most information from the patient while they are at the appointment. D. Request previous medical records and/or mail forms that the patient or family member can complete at home.

11. Encourage the patient and his or her caregivers to bring a written list of concerns and questions.

A. True B. False

12. When finding out which prescription and over-the-counter medications older patients are using and how often, remember to ask about:

A. Dietary supplements B. Homeopathic remedies C. Teas D. All of the above

Encouraging Wellness

13. Each of the following are ways to encourage older patients to exercise, except for:

A. Help patients set realistic goals and develop an exercise plan. B. Refer patients to community resources, such as mall-walking groups and senior center fitness classes. C. Educate patients that exercise increases the risk of falls and fall-related injuries. D. Follow up to check progress and reevaluate goals over time.

14. Walking and strength-building exercises by people with knee osteoarthritis should be avoided as it increases pain and reduces quality of life.

A. True B. False

15. The need for all of the following increases after age 50, except for:

A. Energy (calories) B. Calcium C. Vitamin D D. Vitamins B6 and B12

16. Nurses should try which of the following strategies to encourage healthy diets?

A. Emphasize that good nutrition can have an impact on well-being and independence. B. If needed, suggest liquid nutrition supplements, but emphasize the benefits of solid foods. C. If needed, suggest multivitamins that fulfill 100% of the recommended daily amounts of vitamins and minerals for older people, but not megadoses. D. All of the above.

Talking About Sensitive Subjects

17. Many older people have a "don't ask, don't tell" relationship with healthcare professionals about all of the following, except:

A. Driving B. Urinary incontinence C. Trouble with bowel movements D. Sexuality

18. Advanced directives can help honor individual end-of-life preferences and desires, but this conversation should not be started until end-of-life care is appropriate.

A. True B. False

19. Which of the following is a rationale for why an older patient may have driving issues and should consider giving up driving?

A. Aging can lead to slowed reaction times and impaired vision. B. It may be harder to move the head to look back, quickly turn the steering wheel, or safely hit the brakes. C. Certain medications may make them sleepy or impair judgment. D. All of the above.

20. The laws in most States require nurses to report suspected abuse or neglect.

A. True B. False

21. Any person, regardless of age, who is not in a long-term relationship with a faithful partner and has unprotected sex, is at risk of sexually transmitted disease.

A. True B. False

22. For patients who report suffering and distress about illness or end-of-life, a referral to a hospital or nursing home chaplain may be helpful.

A. True B. False

Supporting Patients With Chronic Conditions

23. The patient should be told what to expect from a treatment, including all of the following, except:

A. Recommended lifestyle changes B. If the medication makes them sick, they should stop taking it C. The degree of improvement that is realistic D. When he or she may start to feel better

24. It should be made clear to the patient that a referral to another doctor does not mean that the patient is being abandoned.

A. True B. False

Breaking Bad News

25. To show empathy, communication experts suggest that you start by saying 'I'm sorry . . .' when you are giving the patient bad news.

A. True B. False

Including Families and Caregivers

26. Your encouragement and praise can help to sustain a caregiver.

A. True B. False


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