CHAPTER 43
Caring for Older Persons
TRUE OR FALSE 10. Men usually live longer than
women.
Circle T ifthe statement promotes a client’s rights,
and circle F if it does not. 11. Clients who do not speak English
have a greater risk of suffering from
1. TF _ Encourage the client to wear a lonelincseand cote
hospital gown at all times.
12. The skin of an older person is fragile
2. TF Protect the client’s right to privacy. and easily injured.
3. T F Encourage the client oes 13; The older person may have decreased
counselling if the client's sexual mobility, which would decrease the
attitudes are different from yours. HieEEdHe
4. TF Knock before you enter a room. 14. Activity and diet can slow the loss of
b | h.
5. TF Older clients have the right to be Snead rate be
sexual. 15. Decreased kidney function
6. T F_ Discourage single older clients from eee urine aanemo's
developing new relationships. :
16. M have difficulty urinati
7. TF Couples in a long-term care facility ay aor i ae
should be allowed to share the same cei eae
room.
7s The support worker can help the
8. T EF Same-sex couples should not be ateserien, RUSS Veg RP
allowed to share a room. infections by providing extra fluids.
9. TF Separation from children can cause
loneliness in an older client.
260 CHAPTER 43 Caring for Older Persons 3 a eS ae 2:
MULTIPLE RESPONSE ‘ Zo Which of the following physical changes is
most likely to cause confusion or behavioural
From the list below, choose all of the correct changes in an older client?
answers. A. Respiratory infections
B. Lack of exercise
18. How can the support worker facilitate C. Reduced blood flow to the brain
breathing in the older client? D. Poor fluid intake
A. Avoid the use of heavy bed linens over
the client’s chest. 23. Which,of the following is true in regard to
B. ‘Turn and reposition the client at least depression in older persons?
every 4hours. A. Depression is an inevitable part of the
C. Encourage deep breathing. aging process.
D. If the client is on bed rest, keep the B. Older persons are more likely to report
head of the bed flat. their depression than younger adults.
E. Encourage activity. C. Depression in older persons may go
unrecognized.
19. What are some ways in which older persons
D. Depression in older persons must be
may express closeness and intimacy without treated with medication.
having intercourse?
A. Holding hands 24. Why should older persons avoid using
B. Touching heating pads?
C. Caressing A. Their skin has overactive oil glands and
D Embracing may burn easily.
B. ‘They will not be able to manage the
MULTIPLE CHOICE heating controls.
C. Heating pads can impair circulation.
Circle the correct answer. D. Decreased sensitivity to heat may
increase the risk of burns.
20. Which of these statements about sexuality
for older persons is true? 25. Older persons often complain that food has
A. Love, affection, and intimacy are an no taste. This happens because:
important part of life at any age. A. Memory is shorter in older persons.
B. Older persons are unable to masturbate. B. ‘The number of taste buds decreases
C. It is not normal for older persons to be with age.
sexual. C. ‘The ability to feel heat and cold
D. A decline in the female hormone decreases.
estrogen increases sexual desire. D. A progressive loss of brain cells occurs.
21. Which statement is true about sexuality and
the older person?
A. After menopause, women are no longer
interested in having sexual relations.
B. Aman cannot have an erection when he
gets older.
C. Sexual relationships are psychologically and
physically important to the older person.
D. Orgasm may be less intense and longer
in duration than in younger adults.
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CHAPTER 43 _ Caring for Older Persons 261
MATCHING
Match the statement about physical changes in the older person with the body system affected.
26. Decrease in bone strength bake Integumentary
ie Change in sleeping patterns Musculo-skeletal
28. Less blood flows through narrowed arteries Nervous
a Fe Folds, lines, and wrinkles appear Cardiovascular
30. Lung tissue becomes less elastic Respiratory
al. Decreased appetite Digestive
ee Urine becomes concentrated el
Ola
tert.
Urinary
Match the body system to the correct care measures described.
33. Performing range-of-motion exercises Integumentary
34. Providing a sweater and a lap blanket for a client who is cold Nervous
35. Allowing the older client to rest or nap more during the day Musculo-skeletal
36. Placing the client in a semi-Fowler’s position @!
a
rei
Bele Respiratory
FILL IN THE BLANKS
Indicate whether the examples given are:
A. A benefit of working
B. A benefit of retirement
C. A negative aspect of retirement
27, Time to travel
38. More leisure time
39. Poor health and aging
40. Increased medical bills with less income
41. Personal fulfillment and usefulness
42. Friendships formed with coworkers
43. Reduced income forces lifestyle changes
44. Time to do as you wish
45. Meeting basic needs of love, belonging, and self-esteem
46. Reward for a lifetime of work
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7962 CH APTER 43 Caring for Older Persons |
Indicate whether each of the effects of aging ‘
listed is:
A. Physical
B. Psychological
C. Social
47. ____—sGrreying hair
48. Preparing for one’s own death
49. Death of a partner
50. Slower movements
51. Retirement
52. What are two common causes of loneliness in older clients?
;
53. What happens to the roles of children and parents as the parent ages?
54. What are some ways loneliness in older people can be prevented?
b
Ss
55. Why are there usually more widows than widowers?
56. When a partner dies, how is the other partner affected?
ae Serious and problems may
occur.
b. May lose or attempt
57. In Canada, older clients who do not speak English or French often have greater loneliness and
isolation than others. What are some of the reasons for this?
a. Relatives and friends who share cultural values may
b. Clients may not have anyone and may not
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CHAPTER 43 _ Caring for Older Persons 263
58. How do these physical changes affect the safety of older persons?
Diinistravieand easily injured
Fewer nerve endings
Pectcasinm strengty ancemusclea@ttopny. =e
=
Bones become brittle
Reduced sense of touch and pain
GQ»
©)
(ox
lor
an) Reduced blood flow to brain; loss of brain cells
hE Older clients often complain of feeling cold. What are some ways you can safely provide warmth?
a
b.
Cc.
60. How can loss of bone and muscle strength be slowed?
61. Touch and sensitivity to | and
are reduced with aging.
62. Urine may be more concentrated because of and
63. Urinary frequency or urgency may occur because weaken
and decreases.
64. Why should you make sure that an older person reduces their fluid intake after 5 p.m.?
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