Chronic Illness Management Exam Bank
Course Introduction
Chronic Illness Management explores strategies and approaches for supporting individuals living with long-term health conditions. The course examines the physical, psychological, and social impacts of chronic diseases, emphasizing patient-centered care, interdisciplinary collaboration, and effective communication. Students learn about prevention, symptom management, treatment adherence, and self-management techniques, as well as community resources and healthcare system navigation. Ethical considerations and cultural competence in chronic illness care are also discussed, preparing students to develop and implement comprehensive care plans that enhance quality of life for diverse patient populations.
Recommended Textbook
Ebersole and Hess Toward Healthy Aging Human Needs and Nursing Response 9th Edition by Touhy
36 Chapters 367 Verified Questions
367 Flashcards
Source URL: https://quizplus.com/study-set/777
2
Chapter 1: Health and Wellness in an Aging Society
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse considers which of the following?
A) Most super-centenarians are functionally independent or require minimal assistance with activities of daily living
B) The majority of super-centenarians have cognitive impairment
C) The number of super-centenarians is expected to decrease in coming years as a result of heart disease and stroke.
D) It is theorized that super-centenarians survived as long as they have due to genetic mutations that made them less susceptible to common diseases
Answer: A
Q2) Primary prevention strategies for older adults include which of the following? (Select all that apply.)
A) An annual influenza immunization clinic
B) A smoking cessation program
C) A prostate screening program
D) A cardiac rehabilitation program
E) A meal planning education program for type 2 diabetics
Answer: A, B
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Chapter 2: Gerontological Nursing: Past Present and Future
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which of the following factors contribute to poor outcomes for older adults during transitions of care? (Select all that apply.)
A) Inability to read and understand discharge instructions
B) Inadequate financial resources to purchase medications
C) Lack of desire to comply with discharge instructions
D) Improved medication reconciliation during hospitalization
E) High levels of nurse-patient engagement
Answer: A, B
Q2) Changes in certified nursing facilities in recent years include which of the following? (Select all that apply.)
A) Increase in the number of subacute beds
B) Decrease in nursing facility length of stay
C) Increase in level of acuity of the residents
D) Decrease in cost of care in the nursing facility
E) Decrease in the number of registered nurses employed in long-term care facilities
Answer: A, B, C
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Chapter 3: Theories of Aging
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The nurse preparing wellness information for older adult clients is promoting interventions consistent with the concepts of the biological theories of aging when suggesting that they: (Select all that apply.)
A) use moisturizers daily to minimize dry skin.
B) discuss the use of antacids to control heartburn with their health care provider.
C) stay active by interacting with family and friends regularly.
D) practice stress reduction techniques on a regular basis.
E) consider getting a yearly influenza vaccination.
Answer: A, B, D, E
Q2) The nurse shows an understanding of the error group of aging theories when stating: (Select all that apply.)
A) "Aging occurs differently for the various ethnic groups."
B) "Our genetic makeup is responsible for how we are affected by age."
C) "Aging is a result of mistakes in our RNA and DNA metabolism."
D) "The free radical theory is an example of an error theory."
E) "Aging effects are really random and unpredictable."
Answer: C, D, E
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Page 5
Chapter 4: Cross Cultural Caring and Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility. Reasons for completing a cultural assessment include: (Select all that apply.)
A) culture guides decision-making about health, illness, and preventive care.
B) culture provides direction for individuals on how to interact during health care encounters.
C) culture impacts attitudes toward aging.
D) all members of a culture react in the same way in similar situations.
E) knowledge of culture eliminates health care disparities.
Q2) Ethnocentrism is defined as:
A) an understanding of another's cultural beliefs and practices.
B) a conflict that occurs when an individual interacts with another whose beliefs differ from his own.
C) application of limited knowledge about one person with characteristics specific to another person.
D) a belief that one's ethnic group is superior to that of another.
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Chapter 5: Cognition and Learning
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Health literacy is defined as:
A) the capacity to read basic health information in order to make appropriate health decisions.
B) the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions.
C) the capacity to read and write in order to access health care.
D) the capacity to read and execute health care documents.
Q2) A nurse is developing an educational session for a group of older adults at a senior center. Which of the following would the nurse include in the education? (Select all that apply.)
A) Attention span, language, and communication skills typically remain stable with increasing age
B) Older brains slow down and take longer to process constantly increasing amounts of information
C) In order to preserve brain function, it is important to engage in challenging cognitive activities
D) Older adults are not able to develop new cognitive abilities
E) Individuals over age 100 have a higher prevalence of dementia than younger individuals
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7
Chapter 6: Communicating with Older Adults
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Sample Questions
Q1) A nurse manager is providing a novice geriatric nurse with guidelines when encouraging an older client to reminisce about his or her life and past experiences. Which suggestions will be included? (Select all that apply.)
A) Don't correct the client even when you suspect the memory is incorrect
B) When the focus remains on sad topics, assess the client for possible depression
C) Refrain from interjecting personal stories into the reminiscing process
D) Expect and respect a degree of repetition
E) Use close-ended questions to help focus the reminiscing
Q2) When conducting an admissions interview with an older client, the nurse observes that the client pauses for a period of time before responding to the questions. The nurse responds to this client based on the assumption that the client is:
A) exhibiting signs of mild cognitive impairment.
B) nervous and having difficulty concentrating on the questions.
C) reluctant to share information with someone with whom he or she has no relationship. D) sorting through his or her vast life experiences in order to answer appropriately.
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8
Chapter 7: Health Assessment
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Sample Questions
Q1) The FANCAPES assessment tool focuses on the older adult's:
A) ability to meet personal needs to identify the amount of assistance needed.
B) ability to perform instrumental activities of daily living (IADLs).
C) cognitive abilities.
D) level of dementia present.
Q2) A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be "senile." The advanced practice nurse administers the clock-drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance, the nurse concludes that the patient:
A) probably has Alzheimer's disease.
B) needs further evaluation.
C) probably has delirium.
D) needs a functional status assessment.
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9
Chapter 8: Laboratory Values and Diagnostics
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Sample Questions
Q1) An older woman asks a nurse in the cardiology practice, "What is the ideal number that my cholesterol levels should be? I am confused by all of the different numbers." The nurse formulates her response on the knowledge that:
A) recent guidelines from the American Heart Association state that there is no "one size fits all" recommendation and that recommendations must be individualized to each patient.
B) recent guidelines from the American Heart Association provide different recommendations for individuals age 65-74, 75-84, and over age 85.
C) recent guidelines from the American Heart Association recommend a total serum cholesterol level below 100.
D) recent guidelines from the American Heart Association recommend a total serum cholesterol level over 200.
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10
Chapter 9: Geropharmacology
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15 Verified Questions
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Sample Questions
Q1) A 77-year-old Hispanic Catholic nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her biological sister lives as well. She is being discharged home after a hospitalization for congestive heart failure with prescriptions for eight different medications. She is considered at risk for noncompliance due to contributing factors that include: (Select all that apply.)
A) language barrier.
B) living alone.
C) large number of medications.
D) ethnic background.
E) religious background.
Q2) What factor is an important contribution to polypharmacy in older adults?
A) Inadequate communication among medical care providers
B) Implementation of Medicare Part D prescription drug benefit
C) Use of generic medications
D) Increasing popularity of dietary and herbal supplements
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11
Chapter 10: The Use of Herbs and Supplements
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Sample Questions
Q1) The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client's statement that:
A) "Will I start taking my St. John's wort as soon as I can eat again?"
B) "I've haven't taken my ginkgo for exactly 10 days."
C) "I didn't want to risk catching a cold so I took my echinacea with just a sip of water."
D) "It seemed strange not taking my garlic pill this morning."
Q2) The nurse is conducting a presurgical interview when it is noted that the older adult patient's medication list includes Tylenol 650 mg four times a day for arthritic pain, gingko 80 mg twice a day, and glucosamine chondroitin 500 mg three times per day.
The nurse proceeds to share with the client that in order to minimize the risk for postsurgical complications, there is the need to refrain from taking:
A) glucosamine chondroitin for 1-2 weeks due to a potential for excess anesthetic sedation.
B) ginkgo for 2 weeks due to the potential for increased bleeding.
C) Tylenol for 24-48 hours due to the potential for increased bleeding.
D) gingko for 1 week due to the potential for an allergic reaction during surgery.
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Chapter 11: Vision
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Sample Questions
Q1) A nurse is performing preoperative teaching for an older adult who is scheduled to have a cataract extraction and lens implant. The nurse includes which of the following in the teaching plan? (Select all that apply.)
A) Avoid lifting heavy objects after the surgery
B) Avoid bending from the waist after the surgery
C) Take stool softeners as needed
D) Maintain strict control of your blood sugar and blood pressure
E) Maintain a dry sterile dressing over the eye for 10 days
Q2) You have four rooms to choose from for your older client to be admitted this afternoon. Which room would you choose?
A) A brightly lit, blue room with cozy throw rugs
B) An orange-carpeted room with soft lighting and yellow walls
C) A brightly lit, blue room with an EZ-Glide wax floor
D) A fluorescent-lighted room with green walls and a glossy, tiled floor
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Chapter 12: Hearing
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?
A) Refer the resident for an evaluation for a hearing aid
B) Raise her voice when speaking to the resident
C) Examine the resident's ears for cerumen impaction
D) Teach the resident to read lips
Q2) An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)
A) tumors of the middle ear.
B) cerumen impaction.
C) infections of the external and middle ear.
D) age-related hearing impairment.
E) excessive and loud noise.
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14
Chapter 13: Skin Care
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10 Verified Questions
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Sample Questions
Q1) A nurse is educating a group of nursing assistants in long-term care on the prevention of skin tears. Which of the following interventions should the nurse include in the education? (Select all that apply.)
A) Lubricate the resident's skin with moisturizers twice daily
B) Ensure that the resident has adequate nutrition and hydration
C) Bathe the resident in hot soapy water
D) Avoid the use of lifting shifts when transferring the resident
E) Dress the resident in long sleeves and long pants to protect the extremities
Q2) The nurse is most concerned by observing when assisting with an older client's bath:
A) A firm, irregularly-shaped, pink-colored nodule
B) A slightly raised multicolor lesion with an asymmetrical, irregular border
C) A pearly papule with prominent blood vessels
D) Rough, scaly, sandpaper-like patches that are slightly tender
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Chapter 14: Nutrition
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Sample Questions
Q1) A hospitalized older adult who recently had surgery and a wound infection postoperatively is noted to be losing weight despite consuming his meal trays and snacks. One reason that this might be occurring is:
A) an injury may trigger inflammatory mediators that increase metabolic rate and impair nutrient utilization.
B) an injury may cause malabsorption of nutrients.
C) most hospitalized older patients do not consume adequate amounts of micro- and macronutrients.
D) most hospitalized patients do not have accurate weights recorded upon admission.
Q2) An older adult's nutritional status is screened by a nurse using the Mini Nutritional Assessment (MNA). The older adult scores a score of "10" on the screening portion of the tool. The best action by the nurse is to:
A) refer the patient to a dietician.
B) complete the assessment portion of the tool.
C) conduct a 72-hour calorie count.
D) initiate nutritional supplements between meals.
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16
Chapter 15: Hydration and Oral Care
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10 Verified Questions
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Sample Questions
Q1) An older adult complains of xerostomia. Which of the following interventions should the nurse implement for this patient? (Select all that apply.)
A) Encourage the patient to brush and floss teeth regularly.
B) Encourage the patient to have regular dental screenings.
C) Provide antiseptic mouthwash (e.g., Listerine) for the patient.
D) Encourage adequate intake of water.
E) Provide saliva substitutes.
Q2) Which of the following statements describing oral care for the older population is correct?
A) Regular dental examinations can prevent tooth loss and improve the ability to chew healthful foods.
B) Losing one's teeth is considered a normal part of the aging process.
C) Oral malignancies seldom occur in older adults so oral examinations are of low priority.
D) Preventative dental care is covered under Medicare.
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17
Chapter 16: Elimination
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Sample Questions
Q1) A nurse caring for a cognitively impaired older adult client shows an understanding of the unique clinical symptoms of constipation in this population when: (Select all that apply.)
A) checking documentation to determine if the client has had a bowel movement in the last 24-36 hours.
B) questioning staff as to whether the client has any unexplained falls in the last few days.
C) asking the client to name all of his or her children and grandchildren.
D) requesting that the client's temperature be taken now and again in 4 hours.
E) reviewing the client's food intake over the last 24-36 hours.
Q2) An otherwise healthy older adult reports having begun to experience problems "holding my water." The nurse shows an understanding of interventions that may help minimize the problem of urinary incontinency when: (Select all that apply.)
A) asking whether the client smokes tobacco.
B) assessing the average amount of caffeine the client drinks daily.
C) asking if the client has been evaluated for diabetes recently.
D) suggesting the client keep a record of the amount of fluids ingested daily.
E) reviewing the client's current medication list.
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Chapter 17: Sleep
9 Verified Questions
9 Flashcards
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Sample Questions
Q1) A long term care facility has selected sleep promotion as its quality improvement project. Which of the following interventions would be appropriate to implement on this unit? (Select all that apply.)
A) Ensuring that all residents receive evening care and are in bed by 8:00 PM
B) Taking as many residents as possible outside for 30 minutes daily
C) Instituting quiet time (keep noise down, speak in hushed tones, no overhead paging) between 9:00 PM and 6:00 AM
D) Avoiding waking residents for routine care during the night
E) Limiting caffeine and fluids before bedtime
Q2) A nurse in a long-term care facility notes that an older resident with Alzheimer's disease awakens frequently at night and is restless and agitated. Which of the following interventions will be most effective to help manage this resident's sleep problems?
A) Taking the resident outside in the garden for 45 minutes daily
B) Limiting fluid intake for the resident
C) Educating the resident on the association between Alzheimer's Disease and insomnia
D) Administering a mild sedative hypnotic at bedtime
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19
Chapter 18: Physical Activity and Exercise
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Sample Questions
Q1) A nurse is using the function-focused care approach to care for a hospitalized older adult. The nurse is assisting the patient to transfer from the bed to a chair. Which of the following statements by the nurse is most congruent with this approach to care?
A) "Place your hands across your chest and let us move you to the edge of the bed."
B) "Place both of your hands on the overbed trapeze and pull yourself up to a sitting position."
C) "How do you get yourself out of bed when you are at home? Why can't you do the same thing here?"
D) "It is taking you a long time to get yourself into a sitting position. Let me help you sit up."
Q2) A nurse at a senior center promotes activity by leading exercise programs. Which of the following is a benefit of such exercise?
A) Improvement of mood
B) Cardiovascular stress
C) Painful and stiff joints
D) Depression
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Chapter 19: Falls and Fall Risk Reduction
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Sample Questions
Q1) A nurse is assessing an older adult's risk for falls. One of the questions that she asks is whether the older adult has fallen in the past year. She asks this because individuals who have fallen:
A) have a higher risk of falling again than persons who did not fall in the past year.
B) are more likely to sustain injuries if they fall again than persons who did not fall in the past year.
C) have most likely developed a fear of falling as compared to persons who did not fall in the past year.
D) are most likely to have a balance disorder as compared to persons who did not fall in the past year.
Q2) Which assessment finding is a contributor to an older client's risk for falls? (Select all that apply.)
A) Client is awaiting cataract surgery on right eye.
B) Client's type 2 diabetes is poorly controlled with diet and exercise alone.
C) Client reports a fall in the last year.
D) Client has a history of contact dermatitis and psoriasis.
E) Client attends Tai Chi classes at the senior center.
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Page 21
Chapter 20: Safety and Security
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Sample Questions
Q1) A nurse is caring for a frail older adult in a long-term care facility and is concerned about preventing hypothermia. Which of the following interventions should the nurse implement? (Select all that apply.)
A) Make sure that the temperature in the resident's room is at least 65 degrees Fahrenheit.
B) Cover residents well when in bed and while bathing.
C) Provide a head covering for the resident.
D) Maintain resident in bed covered with heavy blankets at all times.
E) Provide hot, high-protein meals and bedtime snacks.
Q2) A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite it being 90 degrees Fahrenheit outside, the windows are closed and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to:
A) cognitive changes that diminish the individual's awareness of temperature changes.
B) age-related neurosensory changes that diminish awareness of temperature changes.
C) a delirium-related acute illness that is affecting body heat production.
D) age-related motor deficiencies that result in self-neglect.
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Chapter 21: Living Well with Chronic Illness
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Sample Questions
Q1) An older man who is a smoker is hospitalized for orthopedic surgery. A nurse takes the opportunity to provide smoking cessation education. The patient asks the nurse: "I have been smoking for most of my life, and I am an old man. Why are you wasting your time telling me to stop smoking? Isn't it too late?" The nurse bases the response on the knowledge that:
A) smoking cessation as late as age 75 can reduce premature death by up to 50%.
B) smoking cessation as late as age 75 can completely eliminate premature death.
C) smoking cessation at a late age will not impact the smoker but can reduce exposure of family members to second-hand smoke.
D) smoking cessation education is only effective in individuals under age 75.
Q2) The role of a nurse caring for an older patient who is in the stable phase of a chronic illness may include which of the following? (Select all that apply.)
A) Coordinating care with members of the interdisciplinary team
B) Administering medications to the patient
C) Providing assistance with bathing and dressing
D) Ensuring that the patient's immunizations are up to date
E) Providing emergency care
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Page 23
Chapter 22: Cardiovascular and Cerebrovascular Health and Illness
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Sample Questions
Q1) A nurse is auscultating an older patient's heart and notes a systolic murmur (heard between the S1 and S2 heart sounds. The first action by the nurse is to:
A) question the patient about the presence of the murmur.
B) note it in the chart as this is always a normal finding for an older adult.
C) contact the medical provider as this is an abnormal finding.
D) immediately implement emergency interventions.
Q2) An older patient with atrial fibrillation is prescribed warfarin for anticoagulation. Which of the following should the nurse include in the teaching plan? (Select all that apply.)
A) Frequent blood testing is required to assure that the level of anticoagulation is in the correct range.
B) Limit dietary intake of vitamin K.
C) Increase dietary intake of vitamin D and calcium.
D) Inform the medical provider if any antibiotics are ordered from any other provider.
E) Seek medical attention immediately if an injury is sustained.
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Page 24
Chapter 23: Neurodegenerative Disorders
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Sample Questions
Q1) Differences in the presentation of patients with Neurocognitive Disorder (NCD) Alzheimer's Disease (AD) and NCD Lewy bodies (LB) are: (Select all that apply.)
A) individuals with LB develop motor symptoms, and individuals with AD do not.
B) individuals with AD display impairments in judgment whereas individuals with LB do not.
C) the use of traditional antipsychotic medication is contraindicated for individuals with LB.
D) LB usually occurs in individuals under age 60, and AD occurs in individuals only over age 60.
E) individuals with LB develop language symptoms, and individuals with AD do not.
Q2) An older adult is diagnosed with Alzheimer's Disease. The nurse knows that this diagnosis is made on the presence of which of the following? (Select all that apply.)
A) A decline from a previous level of functioning
B) Fluctuation of symptoms over the course of a 24-hour period
C) An insidious onset
D) A gradual decline in cognitive abilities
E) The cognitive changes worsen in the evening hours
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Page 25
Chapter 24: Endocrine and Immune Disorders
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Sample Questions
Q1) A nurse is educating an older adult with diabetes mellitus on minimizing the risk of cardiovascular disease. The nurse focuses on lipid levels. Which of the following are the recommended goals for lipid levels? (Select all that apply.)
A) Cholesterol <200
B) Low-density lipoprotein (LDL) >100
C) High-density lipoprotein (HDL) >40 (men), >50 (women)
D) Hb A<sub>1C</sub> value of 6.5%
E) Triglycerides <150
Q2) A nurse works in an outpatient diabetes clinic. The nurse knows that the minimum standard of care for a patient with diabetes includes the following at each visit: (Select all that apply.)
A) Monitoring weight and BP
B) Inspecting the feet
C) Obtaining hemoglobin A1C
D) Reviewing self-management skills
E) Obtaining fasting lipid profile and serum creatinine
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Chapter 25: Respiratory Health and Illness
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Sample Questions
Q1) A nurse is planning education for a group of older adults at a senior center on promoting respiratory health. Which of the following should the nurse include in the education? (Select all that apply.)
A) Annual influenza immunization
B) Pneumococcal pneumonia immunization
C) Smoking cessation
D) Weight reduction
E) Benefits of low-sodium low-fat diets
Q2) A nurse assesses an older patient's blood gases. The patient is 70 years old. The nurse knows that this patient's maximum PO is:
A) 69.
B) 79.
C) 89.
D) 99.
Q3) Asthma is often underdiagnosed in older adults because:
A) older adults frequently do not have any of the classic signs and symptoms.
B) symptoms of asthma are often attributed to normal age-related changes.
C) asthma is very uncommon in older adults.
D) asthma symptoms are usually very mild in older adults.
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Page 27
Chapter 26: Common Musculoskeletal Concerns
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Sample Questions
Q1) A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the following should the nurse include in the teaching? (Select all that apply.)
A) Rest the joint during the acute gout attack.
B) Take acetylsalicylic acid (aspirin, or ASA) to relieve pain.
C) Increase fluid intake to 2 L/day.
D) Avoid foods high in purine.
E) Avoid alcoholic beverages.
Q2) Which of the following manifestations would a nurse expect in a 70-year-old patient who has the diagnosis of osteoarthritis?
A) Swan neck deformity of the hand
B) Subluxation of the fingers
C) Heberden's nodes on the distal phalanges
D) Enlarged great toe
Q3) After first managing the pain being experienced by the client with gout, the treatment focuses on:
A) strengthening the affected joints through a controlled exercise plan.
B) minimizing joint disfigurement by using therapeutic splinting.
C) preventing systemic involvement by altering the client's diet.
D) managing chronic pain by taking regular doses of salicylates.
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Page 28
Chapter 27: Pain and Comfort
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Sample Questions
Q1) An older adult with gastric cancer with bone metastases is being discharged from the hospital after beginning a regimen of opioid analgesics to control the metastatic pain. What should be included in the discharge teaching plan?
A) The development of a plan to prevent constipation
B) Benefits of grief counseling
C) Increasing calories in the diet
D) Preventing pressure ulcers
Q2) An older adult is admitted to the hospital after a serious fall. When noting that the client has been prescribed meperidine (Demerol) for muscle pain, the nurse:
A) administers the medication so as to prevent the client from developing the fear of pain.
B) questions the client and family concerning any allergies to analgesic medications.
C) calls the physician to question the appropriateness of this medication order.
D) conducts a pain assessment and determines the client's need for an analgesic medication.
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Chapter 28: Mental Health
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15 Flashcards
Source URL: https://quizplus.com/quiz/15293
Sample Questions
Q1) An older client in an adult day care program tells the nurse, "I'm very stressed because another neighbor passed away." The most therapeutic response by the nurse is:
A) "What do you mean by 'stressed'?"
B) "Tell me what you did when your other neighbor passed away."
C) "Are you worrying about your own death?"
D) "Let's get involved in some activities and not think about sad things."
Q2) An older adult says to the nurse, "I don't know why I can't handle booze like I used to when I was younger." The nurse's response is based on the knowledge that:
A) older adults develop higher blood alcohol levels due to age-related changes in the neurological system.
B) older adults develop higher blood alcohol levels due to age-related changes that alter absorption and distribution of alcohol.
C) older adults develop higher blood alcohol levels due to slowed reaction times.
D) older adults develop higher blood alcohol levels due to cognitive changes.
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Chapter 29: Care of Individuals with Neurocognitive Disorders
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10 Flashcards
Source URL: https://quizplus.com/quiz/15294
Sample Questions
Q1) A nurse is assessing an older patient with new onset confusion using the Confusion Assessment Method (CAM). The nurse understands that in order to have a diagnosis of delirium when using the CAM, the patient must exhibit which of the following? (Select all that apply.)
A) Acute onset of symptoms or fluctuating course
B) Inattention
C) Disorganized thinking
D) Altered level of consciousness
E) Alteration in level of physical activity
Q2) The nurse is caring for an older client who experienced a hip replacement surgery 10 hours ago. Which intervention will help minimize this client's risk of developing delirium?
A) Requesting that staff offer fluids each time they interact with the client
B) Medicating the client to best facilitate restorative sleep
C) Encouraging the client to remain still and thus minimize pain
D) Suggesting that visitors are limited to family members only
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Chapter 30: Economics and Health Care in Later Life
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Sample Questions
Q1) When educating an older adult about Medicare Part D, which information will be included? (Select all that apply.)
A) It is an elective prescription drug plan with associated out-of-pocket premiums.
B) All persons with either Medicare Part A or B can voluntarily purchase a Medicare Part D prescription drug plan.
C) The plan covers all costs of drugs after a deductible is paid.
D) The plan is not available for individuals who are receive both Medicaid and Medicare.
E) This prescription drug plan requires client co-payments.
Q2) When an older adult is considering long-term care insurance (LTCI), what is important for the nurse to encourage the client to consider?
A) The older one is when applying, the lower the rates will be
B) It is financially better to avoid purchasing LTCI through a group policy
C) It is wise to scrutinize all exclusions before enrolling
D) All policies cover care at home as well as in a long-term care facility
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Chapter 31: Common Legal and Ethical Issues
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Sample Questions
Q1) A frail, elderly widow is admitted to the hospital after sustaining a fall. The client lives alone and has no living relatives. After cognitive testing reveals mild cognitive impairment, the interdisciplinary team on the Acute Care for the Elderly Unit recommends long-term care placement and that a durable power of attorney for health care (DPOA-HC) be established. When the client seems confused over what a DPOA-HC's responsibilities are, the nurse responds that:
A) "A DPOA-HC is a person you name to make health care decisions for you when you can't make them for yourself."
B) "A DPOA-HC is a person you trust to make financial decisions for you and to manage your money."
C) "A DPOA-HC is a person appointed by the court to make sure you get good care and to manage your affairs."
D) "A DPOA-HC is a person who is appointed by the court to make nursing home placement decisions for your care."
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Chapter 32: Long-Term Care
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Source URL: https://quizplus.com/quiz/15297
Sample Questions
Q1) A nurse is discharging an older patient after a hospitalization for a hip fracture. The patient is a participant in a Program for All Inclusive Care for the Elderly (PACE). The nurse understands that a PACE program: (Select all that apply.)
A) provides services to older people who would otherwise need a nursing home level of care.
B) does not provide services to participants who reside in a nursing home.
C) is only available to individuals who have both Medicare and Medicaid.
D) provides medications, eyeglasses, and transportation to care.
E) provides urgent and preventive care.
Q2) Factors that are influencing the decrease in nursing home beds in the United States include: (Select all that apply.)
A) an increase in the use of residential care facilities.
B) a shortage of certified nursing assistants (CNAs).
C) increased Medicaid reimbursement for community-based care alternatives.
D) a shortage of Registered Nurses who are certified in gerontology.
E) the high cost of care in a nursing home.
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Chapter 33: Intimacy and Sexuality
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Source URL: https://quizplus.com/quiz/15298
Sample Questions
Q1) What intervention should a nurse implement when an older male diagnosed with dementia is observed masturbating in the unit's dayroom?
A) Remove the resident from the dayroom and complete an assessment of his behavior.
B) Cover the resident's lap with a blanket and leave him in the dayroom.
C) Counsel the resident by telling him that his behavior is inappropriate.
D) Distract the resident so that he will stop the behavior.
Q2) The partner of a client comments, "Our sex life will certainly suffer now that he's had a heart attack." Which statement is the basis for the nurse's response?
A) The client should no longer have sexual relations because of the demand on his heart.
B) The energy expenditure during sex is equivalent to briskly climbing six flights of stairs.
C) People with heart disease reduce their sexual activity out of fear of their condition.
D) The couple will benefit from attending a cardiac support group.
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Chapter 34: Relationships, Roles, and Transitions
Source URL: https://quizplus.com/quiz/15299
Sample Questions
Q1) Which behavior suggests that an older adult who has lost his life partner is successfully managing the exploration stage of the adjustment process?
A) He smiles when reminiscing about the trips they took together over the years.
B) He explains that he can't make a decision about moving "just yet."
C) He agrees to eat some of his "favorite soup" that his daughter has made.
D) He is heard saying, "I'll never get over the loss, but my life has a purpose."
Q2) Which question will best assess the ability of the LGBT older couple to successfully adjust to the challenges of aging?
A) "How long have you been in this relationship?"
B) "Have you experienced prejudice and discrimination in your life?"
C) "As a couple are you financially secure?"
D) "Do you as a couple share similar religious beliefs?"
Q3) Which of the following reactions to the loss of a spouse or long-term partner is a unique example of older adult male bereavement?
A) Withdrawing from friends and family
B) Remarrying within months of the loss
C) Focusing on "doing" rather than "feeling"
D) Experiencing moderate to severe depression
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Chapter 35: Loss, Death, and Palliative Care
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Source URL: https://quizplus.com/quiz/15300
Sample Questions
Q1) Which principle regarding grief crisis intervention is the basis for intervention planning?
A) The acute phase is the most intense period of the grieving process.
B) The intensity of the grief is in proportion to the expected death trajectory.
C) Grief work is most effective when addressed during the acute phase of grief.
D) Anticipatory grief is an expected barrier to grief work.
Q2) Which intervention is an example of countercoping for a client who has recently received a terminal diagnosis of cancer? (Select all that apply.)
A) Answering the client's questions regarding the trajectory of his or her illness
B) Offering to pray with the client and family
C) Scheduling a meeting with the client and family to identify alternative end-of-life plans
D) Assessing the client frequently for depression and risk of self-harm
E) Being available to just listen to the client talk about dying
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Chapter 36: Self-Actualization, Spirituality, and Transcendence
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Source URL: https://quizplus.com/quiz/15301
Sample Questions
Q1) Which intervention best demonstrates that the nurse understands the spiritual needs of a terminally ill client?
A) Arranging care so that the client's prayer time is not interrupted
B) Assuming the responsibility of notifying the hospital chaplain of the client's admission
C) Providing the client with the schedule of religious services offered in the chapel
D) Suggesting that the family attend worship services with the client whenever possible
Q2) When a terminally ill client expresses a need "for something more to help me cope with the pain," the nurse bases the recommendation of meditation on which principle concerning this alternative therapy?
A) It is efficient and usually takes less than 5 minutes to implement.
B) It has been shown to decrease anxiety and depression.
C) It improves cognitive abilities.
D) It has been known to eliminate emotional distress.
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