What is the most common cause of hospitalization for older adults with diabetes?

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basic geriatric nursing 6th edition test bank Questions

Question 1 of 5

What is the most common cause of hospitalization for older adults with diabetes?

Correct Answer: D

Rationale: The correct answer is D: Infection. Older adults with diabetes are more vulnerable to infections due to weakened immune systems caused by high blood sugar levels. Infections can lead to severe complications and hospitalization. Stroke (A) is a common complication of diabetes but not the most common cause of hospitalization. Hypoglycemia (B) and diabetic ketoacidosis (C) are acute complications of diabetes but are less common causes of hospitalization compared to infections.

Question 2 of 5

What is the primary factor contributing to medication nonadherence in older adults?

Correct Answer: D

Rationale: The correct answer is D: Complicated medication regimens. Older adults often have multiple medical conditions requiring several medications, leading to confusion and difficulty in following complex regimens. This complexity increases the likelihood of medication nonadherence. Lack of health literacy (A) may contribute but is not the primary factor. High cost of medications (B) and limited access to healthcare providers (C) are important barriers, but they are not as directly linked to nonadherence as the complexity of medication regimens.

Question 3 of 5

In managing frailty, what is the most important factor for improving strength and overall function in older adults?

Correct Answer: C

Rationale: Certainly! Regular strength training exercises are crucial for improving strength and overall function in older adults with frailty. Strength training helps build muscle mass, improve balance, and increase mobility, leading to enhanced functional abilities. It also helps prevent falls and maintain independence. High-protein diet (A) supports muscle health but alone is not sufficient. Medication management (B) is important but not the primary factor for physical function. Limiting physical activity (D) can worsen frailty by causing deconditioning and loss of muscle strength.

Question 4 of 5

In managing older adults with multiple chronic conditions, which factor has the most significant impact on reducing hospital readmissions?

Correct Answer: C

Rationale: The correct answer is C: Home health care support. This is because having access to home health care support can provide ongoing monitoring, medication management, and assistance with activities of daily living, which can help prevent complications and reduce the need for hospital readmissions. Minimizing polypharmacy (A) is important but may not have as significant an impact as continuous home health care support. Frequent medication adjustments (B) may lead to confusion and potential adverse effects in older adults. Specialized geriatric assessments (D) are beneficial but may not directly address the day-to-day support needed to prevent hospital readmissions.

Question 5 of 5

In managing older adults with Alzheimer's disease, what is the most effective approach to improve quality of life?

Correct Answer: B

Rationale: The most effective approach to improve quality of life in older adults with Alzheimer's disease is non-pharmacological interventions like music therapy and structured routines. This is because these interventions have been shown to reduce behavioral symptoms, enhance cognitive function, and promote overall well-being without the potential side effects of pharmacological treatments. Music therapy can help calm and stimulate memory recall, while structured routines provide predictability and familiarity, reducing confusion and agitation. Pharmacological management of behavioral symptoms alone may not address the root causes of the behaviors and can lead to adverse effects. Physical immobilization is harmful and can worsen cognitive decline. Sedatives can have detrimental effects on cognition and may increase the risk of falls and other complications. Therefore, non-pharmacological interventions are the most effective and holistic approach to enhancing the quality of life for older adults with Alzheimer's disease.

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