In addition to seasonal flu (influenza) vaccine and Td or Tdap vaccine (Tetanus, diphtheria, and pertussis), you should also get HPV vaccine, which protects against the types of human papillomaviruses (HPV) that cause most cervical, anal, and other cancers, as well as genital warts. CDC recommends: Show
HPV vaccination is not recommended for everyone older than age 26 years. However, some adults age 27 through 45 years who are not already vaccinated may decide to get HPV vaccine after speaking with their doctor about their risk for new HPV infections and the possible benefits of vaccination. HPV vaccination in this age range provides less benefit, as more people have already been exposed to HPV. In addition, the hepatitis B vaccine is recommended for all adults age 19 through 59 years. The vaccine provides protection from hepatitis B which can cause serious health problems, including liver damage, cirrhosis, liver cancer, and even death. Some vaccines may be recommended for adults because of particular job or school-related requirements, health conditions, lifestyle or other factors. For example, some states require students entering colleges and universities to be vaccinated against certain diseases like meningitis due to increased risk among college students living in residential housing. Read more about state mandates. Talk with your doctor or other healthcare provider to find out which vaccines are recommended for you at your next medical appointment. Under the Affordable Care Act, insurance plans that cover children now allow parents to add or keep children on the health insurance policy until they turn 26 years old. For more information, see Can children stay on a parent’s plan through age 26? or healthcare.gov.
Terms in this set (22)The community health nurse who focuses on health maintenance and preventative care knows which factor is most important in determining an individual's likelihood to participate in health maintenance practices? A) Culture B) Motivation The single most important factor in determining an individual's likelihood to participate in health maintenance practices is that individual's motivation to live a healthy life. Culture, knowledge, and access to health care are important factors, but motivation is the most important.REF: Pages 78-79 The nurse is educating the patient on proper dental hygiene. Which statement, if made by the patient, indicates a need for further education? A)
"I will brush twice daily with fluoride toothpaste." C) "I will replace my firm-bristle brush often to ensure the best clean. The patient should brush his teeth twice daily with a soft-bristle brush with fluoride toothpaste, floss daily, and use mouthwash only to freshen the breath. Firm-bristled brushes can cause damage to the teeth and gums and should be avoided.REF: Pages 77-78 The older adult presents to the clinic complaining of persistent dry mouth. The nurse knows this can most likely be attributed to which cause? A) Dehydration due to decreased oral intake C) Side effect of many common medications Many medications taken by older adults result in dry mouth. It is not an age-related change. Many adults do not experience thirst in response to dehydration, which worsens dehydration. Although excessive use of hard candy and caffeinated beverages worsen dry mouth, they do not necessarily cause dry mouth.REF: Page 77
The nurse caring for an African-American woman knows this woman is vulnerable to which health disparities due to her ethnicity? A) Obesity A) Obesity African-American women are at an increased risk for obesity, hypertension, cervical cancer, stomach cancer, and diabetes mellitus. White women are at an increased risk for breast cancer.REF: Page 78 The home health nurse knows age-related sensory changes can increase a patient's risk for falls in the home. Which age-related sensory changes can increase a patient's risk for falls in the home? A) Sight A) Sight Common age-related changes to the patient's sight can increase the patient's risk for falls in the home. Many safety issues can result from age-related changes to the patient's senses of touch, taste, and hearing.REF: Page 79 The nurse is educating the patient with multiple comorbidities and his family on ways to reduce the risk of adverse drug interactions associated with polypharmacy in the older adult. Which statement, if made by the patient, indicates an understanding of the education? A) "I should wear a medical alert bracelet to inform others of my health conditions." D) "I will keep a list of medications, dosages, reasons, and the names of the providers who prescribed them with me at all times." Polypharmacy is a life-threatening problem for older adults with multiple comorbidities who are seen by multiple specialists. In order to prevent adverse drug interactions associated with polypharmacy, the patient should keep current a list of medications to show to each provider. A pill organizer is helpful to ensure the proper dosages of each medication are taken and not forgotten, but is less helpful in preventing adverse drug interactions. The patient should discuss any herbal remedies with his provider before taking them, rather than just diligently researching them. A medical alert bracelet may be helpful for this patient, but is not the best option for preventing drug interactions.REF: Page 76 The older patient presents to the clinic with food-stained and rumpled clothing, body odor, and unwashed hair. The nurse should be sure to ask questions to detect issues in which areas? Select all that apply. A) Dementia A) Dementia The older adult who presents to the clinic with an unkempt appearance and body odor may be experiencing dementia, depression, vision changes, and changes to his or her functional ability.REF: Page 79 The home health nurse is planning care for an older adult with diabetes mellitus. What is the best way to ensure this patient is compliant with the care plan? A) Create easily attainable goals for the patient C) Include the patient in the process of selecting goals and interventions In order to promote the patient's compliance with the care plan, the nurse should include the patient in the process of selecting goals and interventions. It is also helpful to create easily attainable goals (at least initially) for the patient, incorporate common practices from the patient's culture (as long as they are also important to the patient), and work with the patient's family as well.REF: Page 85 The 75-year-old patient presents to the clinic for her annual exam. The nurse is reviewing her immunization record and notes the patient received her pneumococcal vaccine at age 73, flu vaccine at age 74, and Td booster at age 64, but has never received the shingles vaccine or the hepatitis B vaccine. The nurse learns the patient has a history of chicken pox at age 8, has been married to the same man for 52 years, and has never used IV drugs. Which vaccine(s) should the nurse plan to administer to this patient? Select all that apply. A) Td booster A) Td booster The Td booster should be administered every 10 years, the flu vaccine every year, and the pneumococcal vaccine every 10 years. Therefore, the patient needs an updated Td booster and flu vaccine but does not need another pneumococcal vaccine until age 83. The shingles vaccine is given to older adults regardless of whether or not they have had chicken pox or shingles in the past; however, this decision should be discussed between the provider and the patient as there are no recommendations for this vaccine. Administration of the hepatitis B vaccine is a decision that must be made between the patient and the provider, but this patient does not appear to be at risk for hepatitis B based on lifestyle choices, so administration is unlikely.REF: Page 75 The nurse is caring for an individual from a culture with which she is unfamiliar. What is the best way to provide culturally appropriate care for this patient? A) Research the patient's culture online C) Ask the patient which cultural practices are important to her The best source of information on the cultural practices that are important to the patient is the patient herself. It would be less helpful to research the patient's culture online, consult with a religious official from the patient's culture, or discuss the patient's care with another nurse who is a member of the same culture as the patient because of differences amongst members of each culture.REF: Page 78 For a healthy older adult, with no known chronic health conditions, what diagnostic testing should occur on an annual basis? A) Screening for hearing loss C) Glaucoma screening Vision should be checked yearly to monitor for glaucoma. Screening for hearing loss or diabetes and electrocardiograms are not routinely performed unless there is indication of a problem. Blood cholesterol testing is done every five years. (p. 75) The home health nurse is assessing an older patient who has a history of chronic obstructive pulmonary disease and hypertension. Which finding is most likely to prompt the nurse to immediately call the health care provider? A) Patient seems more irritable than usual D) Patient reports a severe unremitting headache The home health nurse is likely to report all of the findings to the health care provider; however, a severe unremitting headache in a patient with hypertension could be a symptom of stroke. This finding would require immediate evaluation. (p. 76) An older adult says to the nurse, "Why should I bother to see the doctor about my problems? It's just old age." What is the nurse's best response? A) "Well, you can't really be sure that it's just old age" C) "Your symptoms could be an early sign of illness" Symptoms can be an early sign of illness. This response gives the patient a rational reason for getting checked. Options A and B are also correct but are vague and generalized. Discussion of the patient's beliefs and thoughts is another option, but the nurse is still likely to advise that symptoms could be a sign of illness. (p. 79) The patient's daughter tells the nurse that her mother does not take her medication as frequently as prescribed. Which intervention would the nurse perform first? A) Suggest that a pill-box reminder might be useful D) Try to determine the patient's reasons for medication noncompliance The nurse would try to determine the cause(s) of the behavior. Once the cause is When the nurse asks the patient if he has been performing the mobility and balance exercises as directed by the physical therapist, the patient responds, "That type of exercise wasn't really helping, so I stopped." What is the nurse's best response? A) "Your doctor ordered the physical therapy to help you improve your ability to walk" B) "What do you think would help you to maintain your ability to walk independently?" Involving the patient in the plan of care may help to increase compliance. Also, What is the activity that best promotes health maintenance for the typical older adult? A) One hour of low-impact tai chi per week B) One 30-minute walk, 3-5 times a week Regular exercise should be a part of any daily plan for older adults. Exercise can help keep the joints flexible, maintain muscle mass, control blood glucose levels and weight, and promote a sense of well-being. To be of most benefit, exercise should consist of at least 30 minutes of continuous activity. The type, level, and
amount of exercise that is most beneficial differ for each person and should be based on physician recommendations. The nurse recognizes that regular dental visits are: A) Necessary for only those older adults who still have their natural teeth. B) Recommended on a yearly basis for all older adults, even those with dentures. Dental examinations should be obtained, and inspection of the oral cavity performed, on a regular basis (at least once a year) for all older adults. Older adults who wear dentures still need regular oral examinations because people older than 65 years of age account for more than half of the new cases of oral cancer
each year. An older adult does not follow through with health recommendations from the primary health care provider. The older adult does not take prescribed medications or keep medical appointments. For which diagnosis should the nurse formulate a care plan? A) Noncompliance A) Noncompliance
A person is said to be noncompliant when he or she fails to follow through with recommended health practices. Failing to take prescribed medications, failing to attend scheduled medical appointments, and failing to follow prescribed diets are examples of noncompliant behaviors. Which immunizations should older adults receive on a yearly basis? (Select all that apply.) A) Pneumonia vaccine B) Influenza vaccine The pneumonia vaccine is given starting at 65 or 70 years of age. Repeat vaccination every 10 years is recommended. The influenza vaccine must be obtained on a yearly basis, usually in the fall, because the strain of the virus changes frequently. Although tetanus infection is rare in the United States, approximately half of tetanus cases affect older adults. People who have not
yet had the Tdap vaccine should receive one dose in place of one of their ten-year tetanus (Td) boosters. Specific injuries may require a booster even if 10 years have not elapsed. If someone has never been immunized, they should consult with their physician but will likely start with the Tdap vaccine. Polio vaccine is not recommended to be received on a yearly basis. The need for the hepatitis B immunization is based on individual risk factors and should be discussed with a physician. Typhoid
vaccine is not recommended to be received on a yearly basis. When attempting to help an older adult improve his or her health-maintenance practices, the nurse will need to assess which factors? (Select all that apply.) A) Physical strength and endurance C) Cultural beliefs Health-maintenance practices in older adults are influenced by personal beliefs, religious and cultural beliefs, socioeconomic status, education, and life experiences. Your patient, Mr. Palakiko, tells you he understands that he is at greater risk of certain diseases because of his Pacific Island heritage. Based on what you have learned, which disorder(s) is he likely to be at risk for? (Select all that apply.) A) Obesity B) Stomach cancer Pacific Islanders are at increased risk for diabetes and stomach cancer. The highest rates of obesity are present among African-American, American Indian/Alaskan Native, and Hispanic
American populations. The highest rates of hypertension are present among the African-American population. What is the activity that best promotes health maintenance for the typical older adult? A) One hour of low-impact tai chi per week ... Students also viewedGeri Chapter 6 NCLEX6 terms GERI NCLEX Q&A CH 510 terms Geriatrics Review questions 8,9 and 1015 terms Nursing Perspectives II Test 550 terms Sets found in the same folder
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What immunizations are recommended for healthy adults after age 60?Four Vaccines Every Adult Ages 50-65 Should Have. Flu Shot. There are more than 100 strains of influenza. ... . Tetanus Vaccine. Every adult should receive a Tdap vaccine at least once in their lifetime. ... . Zoster Vaccine. ... . Pneumococcal Vaccine.. What vaccines are recommended for adults over 50?This is why, in addition to seasonal flu (influenza) vaccine and Td or Tdap vaccine (tetanus, diphtheria, and pertussis), you should also get: Shingles vaccine, which protects against shingles and the complications from the disease (recommended for healthy adults 50 years and older)
Which of the following vaccine is given to adults only?Legend. |