Which of the following is an important consideration about the ...

[faduma]

Which of the following is an important consideration about the skin of an older adult person?
 
  a. Generous amounts of soap should be used for cleansing.
  b. Sweat gland activity increases.
  c. Skin becomes more vulnerable to damage.
  d. Skin becomes darker in unexposed areas.

Question 2

Which type of assessment tool gives the most reliable results for an older adult?
 
  a. Medical history
  b. Self-report
  c. Observational
  d. Report-by-proxy

[Qarqy]

Answer to Question 1

C
Thin skinreduced sebaceous protection, vascular insufficiency, and longer periods in stationary positions promote skin damage for older adults. Because moisture is lost more rapidly from the skin of an older adult, excessive use of soap tends to dehydrate the skin more severely than it does in a younger person. Sweat gland activity does not increase in older age, but moisture is lost more rapidly because the skin is thinner and sebum secretion is reduced. Changes of skin color in areas exposed to the sun are of greater concern than those in unexposed areas.

Answer to Question 2

C

Feedback
A Incorrect. The medical history provides information about the physical status of an older adult in the past and can provide little information about past psy-chosocial, environmental, and other issues pertinent to the health and wellness of older adults.
B Incorrect. A self-report tends to overestimate the person's abilities and health.
C Correct. An observational tool gives objective results based on the nurse's ob-servation and the older adult's complaints as told to the nurse. The nurse uses information obtained from subsequent reassessment and compares the new data to the baseline data to identify trends and constants.
D Incorrect. Report-by-proxy, used primarily when the person is cognitively im-paired, tends to underestimate the person's actual abilities.