Aging and Health Question Bank
Course Introduction
Aging and Health explores the biological, psychological, and social aspects of aging, examining how these factors influence individual and population health outcomes. The course covers theories of aging, age-related physiological changes, common chronic diseases in the elderly, mental health issues, and the impact of societal attitudes toward aging. Students will also analyze healthcare systems, policy implications, and strategies for promoting healthy aging, with emphasis on interdisciplinary approaches and the unique needs of diverse older adult populations.
Recommended Textbook
Ebersole and Hess Gerontological Nursing and Healthy Aging in Canada 2nd Edition by Theris A.
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26 Chapters
314 Verified Questions
314 Flashcards
Source URL: https://quizplus.com/study-set/2017
Page 2
Chapter 1: Introduction to Healthy Aging
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/40122
Sample Questions
Q1) The nurse develops a community program to promote exercise for older persons.Which of the following should the nurse include in the exercise program?
A)Reinforce the ease of exercising every day.
B)Use exercise to relax any dietary restrictions.
C)Describe ways to resume exercise after lapses.
D)Teach participants that exercise achieves wellness.
Answer: C
Q2) Which province or territory is predicted to have the fastest growing older-person population in Canada between the years 2006 and 2031?
A)Ontario
B)British Columbia
C)Yukon
D)Newfoundland
Answer: C
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3
Chapter 2: Gerontological Nursing History, Education, and Roles
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/40123
Sample Questions
Q1) What was the first formal action taken by the Canadian Gerontological Nursing Association (CGNA) in relation to gerontological nursing?
A)The CGNA established the first provincial gerontological nursing association.
B)The CGNA established gerontological nursing standards.
C)The CGNA created the Canadian Association of Older Adults.
D)The CGNA formed the Canadian Association of Gerontology.
Answer: B
Q2) Gerontological nurses may be generalists or specialists.In order to prepare a nurse generalist, which of the following nursing practices experience would be the most meaningful and helpful?
A)Working with older persons experiencing chronic health conditions found in acute care settings
B)Working with older persons across the continuum of care
C)Working with older persons in long-term care facilities, because this is where most older persons reside
D)Working with older persons in home care, because the goal is to keep them in their homes as long as possible
Answer: B
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Chapter 3: Communicating With Older Persons
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following strategies is most useful for communicating with an older person who is experiencing cognitive impairment?
A)Speak normally, because the older person can understand what you are saying.
B)Communicate infrequently with the older person, to diminish frustration.
C)Correct the older person and repeat until you are understood.
D)Use multiple ways of communicating, such as by gesture and touch, as well as speech.
Answer: D
Q2) Which of the following is a true statement concerning communication with an older person who has aphasia?
A)Communication should be simplified, using very basic words.
B)The older person should be exposed to a variety of different staff members to stimulate rehabilitation.
C)A nurse should pay attention to what speech and word recognition patterns the patient uses.
D)Alternative or augmentative tools exist for only a few types of aphasia.
Answer: C
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5
Chapter 4: Culture, Ethnicity, and Aging
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse plans care for an older person who follows the beliefs of the personalistic or magicoreligious system.Which of the following should the nurse consider when planning care?
A)The older person may attribute his illness to voodoo or a hex.
B)Invite the hospital chaplain to speak with the older person.
C)Maintain blood pressure below 120/70 mm Hg.
D)Review principles of the magicoreligious system.
Q2) The nurse uses knowledge about and experience with cultures to care for older persons within the context of a culture.Which one of the following is the best method of providing culturally competent nursing care?
A)Apply assessment and cultural data.
B)Support the older person's cultural patterns.
C)Increase specific cultural knowledge.
D)Assess any strengths and weaknesses.
Q3) Which health belief system uses treatments to repair a body part?
A)Holistic
B)Biomedical
C)Personalistic
D)Magicoreligious
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Page 6
Chapter 5: Nursing Documentation
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) In Canada, advance directives (advanced care planning) falls under which jurisdiction?
A)Federal
B)Provincial/territorial
C)Municipal
D)Health care agency/provider
Q2) The nurse must inform an older person whose first language is French and who does not speak any English about patient rights.The nurse also has to have the older person sign the document about information access.Which intervention should the nurse use to maintain the confidentiality of this older person?
A)The nurse should present the older person with a French version of the information access document.
B)The nurse should have an English-speaking family member explain the document to the older person.
C)The nurse should explain the document to the older person using an interpreter to ensure understanding.
D)The nurse should instruct an interpreter to read the information access document to the older person privately.
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Chapter 6: Biological Theories and Physical Changes of Aging
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which change in the skin is abnormal in an older person?
A)Thinner and more fragile skin
B)A tear in the skin after being assisted with transferring from the bed
C)Mottled pigmentation and greater number of freckles
D)Loss of hair on the extremities
Q2) An older person has been diagnosed with a nutrition imbalance.Which age-associated intestinal problem should the nurse be aware of when planning goals and interventions to improve this older person's nutritional status?
A)Older persons have less intrinsic factor secretion.
B)Older persons have short, broad, small intestinal villi.
C)Older persons have decreased gastric smooth muscle.
D)Older persons have decreased large intestinal motility.
Q3) Which theory of aging suggests that the adverse physical effects of aging result from gradual loss of control mechanisms in the pituitary and hypothalamus?
A)Free radical theory
B)Programmed theory
C)Stochastic theory
D)Neuroendocrine theory
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Chapter 7: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/40128
Sample Questions
Q1) The nurse observes older female adults learning advanced knitting techniques.The nurse concludes that this is a suitable learning activity for these women because it accomplishes which goal?
A)It helps to maintain joint flexibility.
B)It improves the group's cohesiveness.
C)It provides a needed social opportunity.
D)It adds to their existing knowledge base.
Q2) An older male adult with severe knee pain tells the nurse how he lost his job and his home after starting a new business when he was 48 years old.Now he lives alone and relies on welfare.Using Jung's theory, what in this individual's life is the most pivotal in his personality development?
A)Living alone
B)Meagre income
C)Severe knee pain
D)Job loss and home loss
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Chapter 8: Nutritional Needs
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which of the following is a true statement about nutrition for older persons?
A)The older person should be encouraged to practise strict controls on cholesterol intake to ensure protection against heart disease.
B)Transportation can be a critical factor in nutritional insufficiency in older persons.
C)Ethnic cooking is a major concern for older persons, because it makes balanced nutrition difficult to maintain.
D)There are no government programs to promote congregate dining among older persons.
Q2) Which one of the following is a potential mechanical risk factor that may potentiate malnutrition in older persons?
A)Memory loss
B)Removal from usual cultural patterns
C)Decreased or diminished vision or blindness
D)Loneliness, isolation, or living alone
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Chapter 9: Hydration and Continence
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which of the following statements is true about fluid intake for older persons?
A)An older person's daily total volume should be 1000 to 1500 mL.
B)Coffee is a suitable beverage for maintaining hydration.
C)Sports drinks should not be consumed, because they contain too much sugar.
D)The amount of fluid offered with medication administration should be standardized (at least 100 mL) for an older person.
Q2) Which type of incontinence is characterized by a large residual urine volume?
A)Urge incontinence
B)Stress incontinence
C)Overflow incontinence
D)Functional incontinence
Q3) Which one of the following signs and symptoms is characteristic of a urinary tract infection (UTI) in an older person?
A)Fever
B)Dysuria
C)Anorexia
D)Flank pain
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11
Chapter 10: Rest, Sleep, and Activity
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/40131
Sample Questions
Q1) During the night, an older female adult complains to the nurse that she has not slept more than two hours since her admission to the hospital.Which intervention should the nurse implement to increase the duration of this woman's sleep?
A)Inquire about the sleep habits used at home.
B)Suggest that she avoid napping during the day.
C)Tell her that sleep is fragmented in older people.
D)Offer her a book or suggest she watch a movie.
Q2) An older man has Alzheimer's disease, and his wife says he is up and wandering around the house at night.Which intervention should the nurse implement to increase the older man's duration of sleep?
A)Instruct the wife to increase her husband's daily physical activity.
B)Collaborate with the health care provider to administer a hypnotic.
C)Teach the wife how to apply a vest restraint during sleep.
D)Help the wife plan daily periods for napping and activity.
Q3) Which of the following statements is true about sleep in older persons?
A)The time spent in bed increases, but the time spent asleep decreases.
B)The amount of leg movement during sleep remains steady throughout life.
C)Rapid-eye-movement (REM) sleep increases with age.
D)The amount of stage III sleep increases steadily throughout life.
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Page 12
Chapter 11: Promoting Healthy Skin and Feet
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/40132
Sample Questions
Q1) Which infection-control practice should the nurse implement when caring for an older person who has active herpes zoster?
A)Wear a face shield and gown for all patient contact.
B)Instruct staff and visitors to wear a mask of the respirator type.
C)Use a hospital room that has negative airflow circulation.
D)Cover ruptured skin lesions with a nonabsorbent dressing.
Q2) An older male adult has peripheral edema and brownish skin below the knees bilaterally.Which goal does the nurse use specifically in this older person's plan of care, to manage his condition?
A)Promote perfusion to the periphery.
B)Maintain dependent positioning.
C)Protect skin from ultraviolet rays.
D)Promote lower extremity compression.
Q3) Which of the following is an important consideration regarding the skin of an older person?
A)Generous amounts of soap should be used for cleansing.
B)Sweat glands increase in activity.
C)The skin becomes more vulnerable to damage.
D)The skin becomes darker in unexposed areas.
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Page 13
Chapter 12: Maintaining Mobility and Environmental Safety
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/40133
Sample Questions
Q1) Driving cessation has been associated with which of the following?
A)Decreased social integration
B)Decreased income
C)Increase in falls
D)More prescription medications
Q2) The nurse wants to encourage an older female adult who lost her balance and fell to include daily exercise as a means of improving her balance and strength.What recommendation and intervention according to the RNAO Best Practice Guideline (BPG): Prevention of Falls and Fall Injuries in the Older Adult is appropriate for the older person?
A)Tell the older person to use an assistive device until her balance and strength improve.
B)Implement a multifactorial fall prevention intervention to prevent future falls.
C)Help the older person to learn how to exercise the core group of muscles.
D)Instruct the older person to enroll in an exercise program for eight weeks.
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Chapter 13: Assessment Tools in Gerontological Nursing
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which one of the following categories is not found in the Fulmer SPICES assessment tool?
A)Pain
B)Confusion
C)Falling
D)Incontinence
Q2) Which type of assessment tool gives the most reliable results for an older person?
A)Medical history
B)Self-report
C)Observational
D)Report-by-proxy
Q3) The nurse assesses an older male adult who has Alzheimer's disease and his caregiver.Which information from the caregiver warrants further investigation by the nurse to assess the caregiver for strain?
A)The patient wants to stay home.
B)The patient sleeps on two pillows.
C)The patient sits in the chair all day.
D)The patient does not like to be alone.
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15
Chapter 14: Safe Medication Use for Older Persons
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/40135
Sample Questions
Q1) The nurse prepares to administer vancomycin (Vancocin) to an older person.Which laboratory test should the nurse review before administering this medication?
A)Stool culture
B)Serum potassium
C)Creatinine clearance
D)Alkaline phosphatase
Q2) Which of the following medications correctly matches the older-person condition given, according to current medical knowledge?
A)Alprazolam (Xanax) for depression at bedtime
B)Buspirone (BuSpar) for chronic anxiety states
C)Amitriptyline (Elavil) for depression in the morning
D)Haloperidol (Haldol) long-term for psychotic behavior
Q3) In speaking with an older person, which question is likely to elicit the most accurate information about the individual's adherence to the medication plan?
A)"You take digoxin (Lanoxin) at the correct time, don't you?"
B)"Why didn't you take all of your digoxin (Lanoxin) last month?"
C)"How many doses of digoxin (Lanoxin) do you think you missed?"
D)"You have never missed a dose of digoxin (Lanoxin), have you?"
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Chapter 15: Living With Chronic Illness
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/40136
Sample Questions
Q1) Which one of the following descriptors represents a phase of the chronic illness trajectory (CIT)?
A)Caring
B)Stable
C)Bargaining
D)Rehabilitation
Q2) An older female adult has gastritis, occasional migraine headaches, and severe osteoporosis in the long bones, with impaired mobility and chronic pain.In the trajectory phase, what health teaching should the nurse offer to the older person?
A)Regular exercise (at least 30 minutes daily) will increase bone density.
B)Daily intake of vitamin C 500 mg will reverse osteoporosis over time.
C)Rest periods of one to two hours throughout the day will prevent osteoporotic pain in long bones.
D)Taking nonsteroidal anti-inflammatory agents (NSAIDs) every two hours will reduce pain.
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Chapter 16: Pain and Comfort
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12 Verified Questions
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Sample Questions
Q1) Which statement is true about analgesic medications for older persons?
A)Opioids are less effective in older patients than in younger patients.
B)Stool softeners and laxatives should be used with opioids.
C)Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) are generally harmless.
D)The dose limit for acetaminophen is difficult to reach for older persons.
Q2) An older person admitted for back surgery asks for opioid pain medication.The nurse knows the patient asks for pain medication 15 minutes before it is due.Which recommendation should the nurse implement?
A)Validate the pain with other assessment data.
B)Administer the pain medication as prescribed.
C)Tell the patient it is too soon for pain medication.
D)Talk the patient into alternative comfort measures.
Q3) Compared with acute pain, which of the following statements is true of persistent pain?
A)It leads to markedly altered vital signs.
B)It is usually described as a burning pain.
C)It is generally gone within four months.
D)It can bring about changes in lifestyle.
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Page 18
Chapter 17: Diabetes Mellitus
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which one of the following is the most important goal when planning nursing care for an older patient with diabetes mellitus?
A)Stabilize the serum glucose.
B)Prevent disease progression.
C)Set walking distance goals.
D)Plan for consistent exercise.
Q2) An older male adult comes to a primary care setting, and his reason for seeking health care is to get a prescription for sildenafil (Viagra).Which laboratory report can help to explain why this individual needs sildenafil?
A)Serum potassium 4.5 mEq/L
B)Prothrombin time 13 seconds
C)Hemoglobin 140-180 g/L (14.0-18.0 g/dL)
D)Glycosylated hemoglobin (Hgb A1c) over 8%
Q3) Which of the following laboratory results is a goal for reducing a person's risk for diabetes and heart disease?
A)Triglycerides over 1.69 mmol/L (150 mg/dL)
B)Cholesterol over 5.18 mmol/L (200 mg/dL)
C)High-density lipoprotein under 1.03 mmol/L (40 mg/dL)
D)Fasting blood glucose under 7.0 mmol/L (126 mg/dL)
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Page 19
Chapter 18: Bone and Joint Health
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13 Verified Questions
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Sample Questions
Q1) Which one of the following is a suitable nursing intervention for an older person who has gout?
A)Vitamin D 400-1000 international units (IU)
B)Liquid paraffin hand baths and disease-modifying antirheumatic drugs
C)A diet low in purines
D)Aspirin 500 mg daily
Q2) An osteoporosis-related fall necessitated hip-replacement surgery for an older female adult who is entering a rehabilitation facility.Which of the following goals is the nurse's priority during this woman's rehabilitation?
A)Tell the patient to eat whole grains, fruits, and vegetables.
B)Recapture the patient's preoperative mobility status.
C)Keep the patient's surgical wound clean and dry.
D)Tell the patient to take two steps into the walker.
Q3) Which statement about rheumatoid arthritis (RA) is true?
A)Rheumatoid arthritis strikes different parts of the body unilaterally.
B)Patients with rheumatoid arthritis have no remissions and exacerbations.
C)Rheumatoid arthritis affects only joints.
D)It is considered an autoimmune disease, in which products from the inflamed lining of the joint invade and destroy the cartilage and bone within the joint.
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Page 20
Chapter 19: Visual and Auditory Changes
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Sample Questions
Q1) The children of an older male adult feel that his vision may be impaired and they are worried about him driving a car.Which sign/behaviour has research shown to indicate that there may be vision problems in this patient?
A)This older person has complained of squinting and a greater sensitivity to light.
B)This older person recently began taking a prescription medication for high blood pressure.
C)This older person has decreased his socialization with his bridge group.
D)This older person has shown decreased interest in making meals.
Q2) According to the Canadian National Institute for the Blind (CNIB), age-related macular degeneration (AMD) is the leading cause of severe vision loss in older persons in Canada.The CNIB suggests that older persons can change several modifiable risk factors to reduce or prevent AMD.Which of the following demonstrates modification of a risk factor for AMD?
A)Consume few or no alcoholic beverages.
B)Stop smoking.
C)Avoid direct sunlight.
D)Consume foods high in vitamin C.
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Chapter 20: Cardio-Vascular and Respiratory Disorders
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11 Verified Questions
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Sample Questions
Q1) What is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF) in older persons who have HF?
A)Control fluid balance.
B)Control blood pressure.
C)Prevent deconditioning.
D)Maintain patient safety.
Q2) Clinical heart failure (HF) is categorized as left-sided, right-sided, or both-sided (biventricular) failure.Mrs.Poulin, 80 years of age, lives in a long-term care (LTC) facility and has been diagnosed as having Class II mild heart failure.She is comfortable at rest and occasionally dyspneic after completing her own morning care.Which atypical exacerbation of congestive heart failure (CHF) should the nurse be alerted to when caring for Mrs.Poulin?
A)Weight gain of 1 kg in one week
B)Swelling of lower extremities after sitting for two hours
C)Malaise and diminished desire to participate in activities
D)Nonproductive cough
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Page 22
Chapter 21: Cognitive Impairment and Neurological Disorders
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Sample Questions
Q1) Classic signs of Parkinson's disease (PD) in an older person include tremors at rest, rigidity (stiff muscles), akinesia (poverty of movement), and postural abnormalities.Which of the following is the most conspicuous sign of PD?
A)Tremor
B)Rigidity
C)Akinesia
D)Postural abnormalities
Q2) Which of the following is a beneficial approach to hygienic care for an older person with dementia?
A)Schedule the older person's full shower at 0700 hours for three mornings every week.
B)Have a team give the older person a bath together, with each member washing a different body area.
C)Wash the older person's perineal region first, to remove potentially infectious material.
D)Explain each step as you go, and keep the older-person patient covered as much as possible while bathing.
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Chapter 22: Economic and Legal Issues
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Sample Questions
Q1) Under the Canada Health Act, "medically necessary" services are publicly insured, including primary health care, care in hospitals, and surgical-dental services.How is the term "medically necessary" interpreted by the provinces and the territories?
A)There is provincial and territorial variability in terms of how some "medically necessary" services are interpreted.
B)All provinces and territories follow the same interpretation, and provide all "medically necessary" services to Canadians.
C)Home care, medications outside of hospital, physiotherapy, and optometry services are provided to all Canadians.
D)The level of funding provided for all "medically necessary" services is the same throughout Canada.
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Chapter 23: Relationships, Roles, and Transitions
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Sample Questions
Q1) Which following older person is most likely to need preretirement counselling to avoid significant concerns in retirement?
A)A woman who is a certified public accountant
B)A woman who receives cash for cleaning services
C)A middle-aged male adult who has a history of type 1 diabetes mellitus
D)An older male clerk who works for Canada Post
Q2) Which of the following statements about the role of grandparents is true?
A)The usefulness of grandparents declined with the advent of the industrial age.
B)Today, many grandparents are the primary caregivers of their grandchildren.
C)The value of grandparents is to provide gifts to younger family members.
D)Traditionally, parents are subordinate to the grandparents in caregiving.
Q3) The World Health Organization defines sexual health as a state of physical, emotional, mental, and social well-being related to sexuality.What is the most common reason for sexual inactivity among older persons who have a partner?
A)Sexual prowess and desire wane as the individual ages.
B)Sexual inactivity is related to the male partner, who has poor health.
C)Sex is not as important as it was when a couple was trying to have children.
D)Social and cultural rules determine sexual inactivity in older persons.
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25
Chapter 24: Mental Health and Wellness in Later Life
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Sample Questions
Q1) An older-person female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.Which of the following ideas should the nurse include in a response to this individual?
A)Tell her that the staff receives training in ethics and will not act against another resident's interests.
B)Validate her impression and add additional information about the other resident.
C)Advise her to avoid suspicious, paranoid thinking because the staff and residents are trustworthy individuals.
D)Tell her that the nurse will look in on her and to use the call bell if she becomes frightened.
Q2) You are evaluating the plan of care for an older person who is alcohol-dependent.Which patient documentation indicates a need for follow-up nursing interventions by the nurse?
A)The patient states that he intends to decrease his alcohol consumption.
B)The patient arrives at his group session on time and well groomed.
C)The patient states, "I am an alcoholic because I drink ten beers a day."
D)The patient states that he understands that he needs continued treatment.
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Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) Nurses have had strong opinions both for and against medically assisted dying.Considerable confusion exists regarding terminology and interpretation of what effects the nurse's role may have in end-of-life care or palliative care.Which one of the following might constitute an example of medically assisted dying?
A)Relieving patient suffering and improving the person's quality of living until death.
B)Discontinuing tube feeds, but continuing with intravenous fluids.
C)The physician providing the patient with sleeping pills and instructions about a lethal dose.
D)A patient voluntarily requesting to be helped to die and receiving a lethal injection of pain-relieving medication by their doctor.
Q2) After an older person dies, his brother, who has a history of alcohol abuse, upsets the family by going on a drinking binge instead of attending the funeral.What is the best description of the brother's behaviour?
A)The brother has a personality disorder.
B)The brother is displaying a disrespectful attitude.
C)The brother is experiencing disenfranchised grief.
D)The brother is experiencing chronic grief.
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Page 27
Chapter 26: Care Across the Continuum
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Sample Questions
Q1) Residential options for older persons range along a continuum, from remaining in one's own home; to senior retirement communities; to shared housing with family members, friends, or others; to residential care communities such as assisted living settings.Mrs.Chung is moving into a retirement home in her community.How would you describe Mrs.Chung's level of residential living?
A)Partial to complete dependence
B)Independence
C)Independence to partial dependence
D)Complete dependence to end-of-life care
Q2) Architects are designing homes for younger adults that allow these individuals to age safely in their homes.What is this type of design called?
A)Aging-in-place
B)Residential care
C)Transgenerational
D)Safe haven homes
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