Ingrid Farnston, 82 years old, has the reputation of being a ...

[SGallaher96]

Ingrid Farnston, 82 years old, has the reputation of being a difficult resident. She has lived at the long-term care facility for 2 years. She is very particular about how her care is performed and how her room is arranged.
 
  She commonly yells at the nursing assistants and complains about them to her family. The family is supportive of the staff and the care that they provide. The family often comments that their mother is a difficult woman. Which of the following rehabilitation principles should guide her rehabilitation?
  a. Personality problems are generally related to personality characteristics of the older person before he or she was disabled
  b. The duration of rehabilitation depends on the psychological acceptance of the older adult of his or her condition
  c. Loss and its meaning vary with every person
  d. More severe emotional reactions are produced when disability is traumatic

Question 2

Strategies to prevent osteoporosis include
 
  a. Adding calcium to the diet, exercising, and avoiding alcohol
  b. Adding calcium to the diet, taking insulin, and decreasing fat intake
  c. Adding calcium to the diet, avoiding smoking, and taking aspirin
  d. Taking insulin

[gcook]

Answer to Question 1

A
An older adult's personality characteristics and traits do not change with aging but sometimes seem to intensify. Responses B, C, and D could affect Mrs. Farnston's rehabilitation; however, from the case presentation, she does not seem to be denying her disability (response B), having difficulty accepting her loss (response C), or having a severe emotional reaction to her functional limitations (response D).

Answer to Question 2

A
Adding calcium to the diet, exercising, avoiding alcohol, and avoiding smoking all are key strategies to prevent osteoporosis. Taking aspirin and decreasing fat intake may be appropriate for older adults (responses B and C), but they would have no impact on osteoporosis. Taking insulin is for people with diabetes, with a physician's orders only.