Community Health Nursing
Pre-Test Questions
Course Introduction
Community Health Nursing explores the principles and practices of health promotion, disease prevention, and health maintenance within diverse community settings. This course emphasizes the nurses role as a caregiver, educator, advocate, and collaborator in assessing community needs, planning and implementing interventions, and evaluating outcomes to improve the overall well-being of populations. Students learn to address cultural, environmental, and social determinants of health, with a focus on vulnerable and at-risk groups. Key topics include epidemiology, health education, public health policies, family and school health, home visits, and disaster preparedness, preparing students to deliver holistic, evidence-based care at the community level.
Recommended Textbook
Toward Healthy Aging Human Needs and Nursing Response 7th Edition by Priscilla Ebersole
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27 Chapters
262 Verified Questions
262 Flashcards
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Chapter 1: Gerontological Nursing and an Aging Society
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The following services are commonly offered by state Area Agencies on Aging (AAAs),except:
A) senior centers.
B) nutrition centers.
C) long-term care ombudsman.
D) primary health care.
Answer: D
Q2) The Scope and Standards of Gerontological Nursing Practice:
A) identifies minimum nurse staffing levels for both acute and long-term care facilities.
B) describes minimum gerontological nursing education required for nursing staff in long-term care facilities.
C) mandates the presence of a full-time advanced practice nurse (APN),either a gerontological clinical nurse specialist or a geriatric nurse practitioner,for all patient care areas with greater than 50% of the population older than age 65.
D) identifies levels of clinical gerontological care and gerontological nursing performance.
Answer: D
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3
Chapter 2: Theories of Aging
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10 Verified Questions
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Sample Questions
Q1) Select the true statement regarding the nonstochastic group of theories.
A) Aging events occur randomly.
B) Biological aging is genetically programmed.
C) Aging is a result of an accumulation of errors in RNA and DNA metabolism.
D) The free radical theory is an example of this type of theory.
Answer: B
Q2) In your discharge teaching of your client with diabetes,you use concepts from the activity theory of aging when you instruct your client to:
A) continue her daily walking routine.
B) curtail further increases in physical activity.
C) limit contact with children.
D) avoid exposing herself to crowds.
Answer: A
Q3) Erikson's stage or task for later life is:
A) ego maturation vs.stagnation.
B) ego transcendence vs.ego preoccupation.
C) generativity.
D) ego integrity vs.despair.
Answer: D
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Chapter 3: Health and Wellness
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Healthy People 2010:
A) describes racial and ethnic differences in health practices.
B) provides measurements of health status for specific diseases across the life span.
C) offers direction for the achievement of improved quality of life across the life span.
D) presents criteria for Medicare reimbursement for preventive health care for older adults.
Answer: C
Q2) Your client,age 67,was recently admitted to an acute care facility after reluctantly seeking medical care at the insistence of his wife.Although he insists,"I'm fine,it's just something I ate," he has been diagnosed with an acute myocardial infarction.Which factor contributes to your client's statement?
A) Men generally suffer more sickness and dysfunction than women during their lifetime.
B) Men tend to see themselves as healthy despite serious problems.
C) Men have a longer life expectancy,so your client has nothing to worry about.
D) Older men receive fewer technical medical interventions than do women.
Answer: B
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Chapter 4: Physiological Changes with Aging
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Sample Questions
Q1) A 97-year-old patient is admitted to the medical unit with pneumonia.He was treated as an outpatient with oral antibiotics and was only admitted for intravenous antibiotics when his symptoms did not resolve.He has a productive cough and bilateral congestion and is complaining of weakness.His vital signs are 106/78,82,24,and a temperature of 97 degrees (oral).His granddaughter asks you,"Why isn't grandpa running a fever? He is so very sick." You answer her based on the knowledge that:
A) he is no longer febrile because his pneumonia is resolved.
B) in a 97-year-old,a temperature of 97 degrees is considered febrile.
C) a lack of fever cannot be used to rule out an infection in older adults.
D) oral temperatures are always inaccurate in older adults.
Q2) Which statement best describes normal changes of aging?
A) All age-related changes are the result of disease.
B) When comparing functional abilities of an elderly client,it is important to not allow social or cultural influences to cloud your assessment.
C) It is always very easy to tell the difference between normal aging and the results of one's lifelong poor habits.
D) Individual variations are enormous at every age and in every part of the body.
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6
Chapter 5: Laboratory Values and Diagnostics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A 77-year-old woman with breast cancer has completed a course of external radiation and is receiving chemotherapy.After her recent chemotherapy treatment,she complains of severe weakness and lethargy,and is admitted to the hospital.She has an unsteady gait,and complains of dizziness when arising from the chair.Her platelet count is 45,000.Based on this scenario,what nursing intervention is of the highest priority?
A) Preventing falls
B) Maintaining skin integrity
C) Preventing infection
D) Replacing fluids
Q2) While looking at your patient's laboratory values,you note the following values.Which contains an alteration (increase or decrease)that you might expect with aging?
A) Potassium 4.5 mEq/L
B) Blood urea nitrogen (BUN)10 mg/dL
C) Creatinine 0.8 mg/dL
D) Erythrocyte sedimentation rate (ESR)20 mm/hr
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Chapter 6: Health Assessment in Gerontological Nursing
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7 Verified Questions
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Sample Questions
Q1) The FANCAPES assessment tool:
A) appraises the older adult's ability to meet his or her needs and the amount of assistance needed.
B) evaluates the older adult's ability to perform instrumental activities of daily living (IADLs).
C) assesses the older adult's cognitive abilities.
D) assesses the level of dementia present.
Q2) What is true about instruments to assess for depression in older adults?
A) Older adults tend to score inaccurately low (indicating less depression)than younger adults on the Zung Self-Rating Depression Scale.
B) The Geriatric Depression Scale cannot be used in older adults with dementia or cognitive impairment.
C) The Beck Depression Inventory is designed for gerontological patients.
D) The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult.
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Chapter 7: Managing Basic Physiological Needs
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Sample Questions
Q1) In implementing your nursing care plan for your client with constipation,what will you include in your plan?
A) Bedrest
B) Limiting fluids
C) Increased fiber in the diet
D) Aluminum-containing antacids
Q2) A 77-year-old woman reports that she has difficulty sleeping.The nurse asks her for a history of her sleep problems.What instruction should the nurse include in suggestions to improve her sleep?
A) Take several daytime naps if you cannot sleep at night.
B) Try a glass of wine at bedtime.
C) Include 10 minutes of moderately strenuous exercise before going to bed.
D) Use the bed only for sleep or sex.
Q3) An older adult has Alzheimer's disease.His wife says he gets up at night and wanders around the house.What suggestion given by the nurse would be most appropriate?
A) "Ask your physician to prescribe strong sedatives."
B) "Increase his daily activity by taking him on frequent walks."
C) "Try using a restraint jacket at night."
D) "He needs his rest,so make sure he takes a nap during the day."
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Page 9
Chapter 8: Biological Maintenance Needs
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Sample Questions
Q1) Normal age-related changes in the mouth include:
A) thickening of the enamel on the teeth.
B) recession of the gums.
C) increase in saliva production
D) leukoplakia.
Q2) An older woman tells the nurse her husband seldom brushes his teeth as he did in the past.One reason for this might be:
A) decreased manual dexterity.
B) loss of some of his natural teeth.
C) decrease in taste acuity.
D) lack of dental insurance.
Q3) An 81-year-old woman complains of pain in the right upper posterior thoracic area and has an elevated temperature (101° F).She subsequently develops clusters of fluid-filled vesicles in the same area where she reported the pain.It is likely that she has:
A) seborrheic keratoses.
B) rosacea.
C) herpes zoster.
D) stasis dermatitis.
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Chapter 9: Nutritional Needs
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A 76-year-old patient has severe osteoarthritis of the right knee.She is experiencing significant pain and some decreased mobility.She consults an orthopedist who recommends weight reduction and refers her to a nutritionist.The rationale for the orthopedist's action is that:
A) obesity puts significant pressure on the major joints.
B) obesity is an absolute contraindication to joint replacement.
C) obesity predisposes an individual to develop osteoporosis.
D) obesity predisposes an individual to be intolerant to nonsteroidal antiinflammatory drugs (NSAIDs).
Q2) Interventions to include when developing a care plan for a patient with gastroesophageal reflux disease include:
A) eating three large meals daily and avoiding eating between meals.
B) elevating the head of the bed or placing a wedge.
C) napping for 30 to 60 minutes following meals.
D) eating a high-fat diet.
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11
Chapter 10: Chronic Disease in Late Life
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) An 86-year-old woman is diagnosed with diverticulosis on her routine colonoscopy.She asks you how she got this problem.You base your answer on the knowledge that the risk factors for diverticulosis include:
A) increased intake of dairy products.
B) overuse of laxatives.
C) infection with the bacterium Helicobacter pylori.
D) a diet low in fiber.
Q2) You are assisting your elderly client with chronic obstructive pulmonary disease (COPD)in self-care activities.Which direction provided by you will best help her achieve the goal of being able to perform self-care activities?
A) Bathe and eat slowly,allowing rest periods.
B) Attempt to walk short distances without oxygen.
C) Perform all activities of daily living at one time,and then rest.
D) Bathe right after eating,and then rest.
Q3) An older adult with pneumonia often:
A) presents with an elevated temperature.
B) is not treated with antibiotics.
C) presents with a change in functional status and mental status.
D) presents with a markedly elevated white blood cell (WBC)count.
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Page 12
Chapter 11: Pain and Comfort
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A 78-year-old client is being seen in the geriatrician's office for a blood pressure check.She has a history of hypertension and osteoarthritis,and has recently fallen and fractured two ribs.She has been prescribed extra strength Tylenol for the pain.What statement by the client requires further evaluation by the nurse?
A) "I find that when I drink herbal tea and then take my Tylenol at bedtime,I sleep through the whole night."
B) "I heard that meditation may help me deal with the pain without taking all that Tylenol."
C) "I take two extra strength Tylenol tablets (500 mg/tablet)every 4 hours around-the-clock and it helps my pain."
D) "I make sure that I take my Tylenol with breakfast when I first get up."
Q2) Adjuvant medications:
A) are used instead of opioids to decrease the likelihood of addiction.
B) have no side effects.
C) are used to eliminate the side effects of opioid medications.
D) are used in combination with analgesics to potentiate the effect of the analgesics.
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Chapter 12: Geropharmacology
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The Beers list is a list of medications that should not be used in older adults.The reason that the medications should not be used is that:
A) they are not covered by Medicare Part D prescription drug benefit.
B) they have a higher than usual risk for older adults.
C) they are likely to be abused by older adults.
D) they cause allergic reactions in older adults.
Q2) Tardive dyskinesia is defined as an irreversible movement disorder characterized by:
A) a compulsion to be in motion.
B) facial movements and involuntary twisting of the limbs,trunk,neck,and face.
C) an inability to move.
D) a bilateral tremor and rigidity.
Q3) What is an important contributing factor 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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14
Chapter 13: The Use of Herbs and Supplements in Late Life
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) Herbal supplements are manufactured in all but one of these forms:
A) tincture.
B) salves.
C) extracts.
D) intravenous.
Q2) An 88-year-old woman is being seen for the first time at the outpatient geriatric clinic.When the nurse completes her nursing admission history,she asks the patient about her medication list.She inquires about the use of herbs and other supplements as well as prescription medications.The reason for this inquiry is that herbs and supplements:
A) may interact with prescription medications.
B) are hazardous when used by older adults.
C) replace the need for prescription medications.
D) cause excessive sedation in older adults
Q3) The profile of a usual herbal supplement client resembles:
A) inner city,lower socioeconomic status,female.
B) white,highly educated with higher income level.
C) third generation,middle income,Hispanic American.
D) men and women from small rural communities.
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Page 15
Chapter 14: Sensory Function
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) An appropriate psychosocial nursing diagnosis for your elderly client experiencing a hearing loss might include all except:
A) anxiety.
B) chronic low self-esteem.
C) social isolation.
D) risk for falls.
Q2) An 86-year-old nursing home resident is being evaluated for a hearing disorder.What is the most common and easily corrected of all interferences in the hearing of older adults?
A) Otosclerosis
B) Tinnitus
C) Cerumen impaction
D) Ototoxic drug therapy
Q3) You are assessing your elderly client for tinnitus.Which statement correctly describes this symptom?
A) It is characterized by hissing,buzzing,or ringing in the ears.
B) It is never related to metabolic conditions.
C) It always accompanies hearing loss.
D) It is characterized by silence.
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Page 16
Chapter 15: Mobility
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11 Verified Questions
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Sample Questions
Q1) Parkinson's disease is characterized by which alteration in gait?
A) Wide-based gait with frequent side-stepping
B) Stooped posture and a short,rapid shuffling
C) Spastic,shuffling gait
D) Waddling gait
Q2) A nurse is making a visit to the home of an 88-year-old client.The nurse reviews safety measures with the client and screens the home environment for potential hazards that could precipitate a fall.The nurse urges the client to eliminate:
A) night lights.
B) railings on the stairway.
C) throw rugs.
D) the use of a cane.
Q3) Rheumatoid arthritis:
A) is diagnosed by a positive pannus blood test.
B) results from a deficiency of vitamin D.
C) includes systemic manifestations as well as bilateral joint deformities.
D) is characterized by low bone mass and compromised bone strength.
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Chapter 16: Environmental Safety and Security
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5 Flashcards
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Sample Questions
Q1) You are educating your elderly female client about fire safety.You answer her questions knowing that:
A) elderly women are more likely to die in fires than elderly men.
B) fire mortality for elders is twice that of any other age group except children ages 1 to 4.
C) most people who die in fires are killed by the flames.
D) most fires occur outside the home.
Q2) You are a nurse on the Acute Care for the Elderly Unit,which has an activity program for patients on the unit.All patients are encouraged to get out of bed and walk to the activity program daily.This program is based on the understanding that:
A) fewer registered nurse staff are required to care for patients who are ambulatory.
B) physical activity improves mobility,balance,and muscle strength.
C) fewer falls occur in patients who are out of bed than among those who are on bedrest.
D) older adults who are ambulatory have less of a risk of developing hypothermia.
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Chapter 17: Economic,Residential,and Legal Issues
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Sample Questions
Q1) The Omnibus Budget Reconciliation Act (OBRA)of 1987 included:
A) mandatory registered nurse (RN)to patient ratios in nursing homes.
B) mandatory RN continuing education.
C) elimination of the use of restraints and medications for discipline of residents.
D) mandatory daily patient assessments by physicians.
Q2) One significant difference in the two levels of care in a nursing home-subacute (skilled)care and chronic care-is that subacute care:
A) provides 24-hour personal assistance to the resident.
B) focuses on rehabilitation or management of complex medical needs.
C) is provided in for-profit facilities only.
D) is not covered by Medicare.
Q3) When are managed care systems most effective?
A) When a client avoids using the system until needed in an emergency situation
B) When a client avoids using primary care practitioners and routinely accesses specialists
C) When a client uses high-tech treatments before trying less costly treatments
D) When a client uses preventive primary care services to maintain his or her health
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Chapter 18: Frailty,Vulnerability,and Elder Mistreatment
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Sample Questions
Q1) An 81-year-old widowed white woman is admitted to the hospital for community-acquired pneumonia.She lives alone and has a history of hypertension,coronary artery disease,glaucoma,and a cataract in her right eye.Her daughter lives 2500 miles away.What factor makes her the most physically vulnerable?
A) Hypertension
B) Osteoarthritis
C) Widowhood and a daughter living far away
D) Pneumonia
Q2) What is a true statement about mandatory reporting of elder mistreatment?
A) Nurses are mandatory reporters of elder mistreatment in all states and territories in the United States.
B) The nurse must have documented proof of elder abuse before reporting an incident.
C) Elder mistreatment reports require that the reporter identify herself in the report.
D) The standard for reporting is one of reasonable belief that a vulnerable person has been or is likely to be abused.
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Chapter 19: Intimacy and Sexuality in Late Life
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Sample Questions
Q1) A 72-year-old widow is a newly admitted resident of a long-term care facility.She initially spends a lot of time in her room and is reluctant to socialize.She meets an 81-year-old male resident of the facility,and they begin spending a lot of time together.They are seen holding hands and sitting together in the widow's room with the door closed.Her daughter attends a care planning meeting and expresses concern over her mother's friendship with the man,stating "The next thing you know they are going to be having sex,maybe they are.This must stop." The nurse bases her response to the daughter on knowing that:
A) Sexual activity in a long-term care facility is inappropriate and must be prevented.
B) Older adults may want to have new relationships and it is normal to express love and intimacy.
C) Sexual desire is absent in older adults.
D) Sexual activity can be dangerous for older adults with chronic illnesses.
Q2) The following have been identified as benefits of therapeutic touch except:
A) provision of sensory stimulation.
B) relief of physical and psychosocial pain.
C) reduction of anxiety.
D) improved skin integrity.
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Chapter 20: Relationships,Roles,and Transitions
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Sample Questions
Q1) A 99-year-old resident of a long-term care facility came to the facility 12 years ago after the death of her husband of 56 years.She has no children or other relatives.She has a very close relationship with one of the nurse aides and refers to the aide as her daughter.The nurse aide is an example of:
A) delusional kin.
B) fictive kin.
C) kin-keeper.
D) primary kin.
Q2) A 68-year-old accountant is planning for retirement.He talks about volunteering in an animal shelter after he retires because he loves animals.What action would be most helpful in assisting him in adjusting to this new role?
A) Begin volunteering for an hour or two per week while he is still working.
B) Volunteer for 40 hours per week immediately upon retiring.
C) Choose a volunteer position in the animal shelter's financial office.
D) Seek a volunteer opportunity that offers a small stipend to supplement his pension.
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22
Chapter 21: Culture,Gender,and Aging
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Sample Questions
Q1) Which cultural group has the fastest growing elderly population in the United States?
A) Blacks
B) Asian/Pacific Island Americans
C) Native Americans
D) Hispanic Americans
Q2) You are assigned to write a culture and illness paper for your gerontology class.Which information will you be sure to include in your paper?
A) Culture is the same as ethnicity.
B) Ethnic groups always share common geographic origin,language,and religion.
C) Ethnicity involves culture,social status,and support systems.
D) You will expect the client you select for the paper to possess all cultural traits outlined in the textbook.
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Chapter 22: Nursing and Aging in Rural and Frontier
Settings
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Sample Questions
Q1) Your older adult client lives in a designated rural area.She owns her own home,where she has lived for most of her life,is recently widowed,and at age 84 has difficulty getting to a grocery store for food.With this information,your best description of her is that:
A) she is atypical of a rural-dwelling older adult due to the common availability of food delivery in rural areas.
B) she is atypical of a rural-dwelling older adult because she is widowed; most rural-dwelling older adults are married.
C) she is typical of an older rural woman,except she owns her own home.
D) she is atypical of an older rural woman because she has lived in the same home for most of her life.
Q2) What is true regarding the health status of rural-dwelling older adults? They are:
A) a population at risk for disease and disability.
B) less likely to have mental illness.
C) able to access health care due to federal farm pension programs.
D) automatically eligible for government assistance for home care programs regardless of specific needs.
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Chapter 23: Cognition and Caring for Persons with Cognitive Impairment
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Sample Questions
Q1) Interventions to manage wandering in clients in a long-term care facility include the following except:
A) environmental modifications such as camouflaging doorways and providing enclosed pathways.
B) close observation to identify the person's individual patterns.
C) engaging the person in social interactions.
D) using physical restraints to prevent wandering and maintain safety.
Q2) An 87-year-old client is being discharged from the subacute facility to home with a sterile dressing on her right leg.You are her nurse and are responsible to teach her how to change the dressing.The following are important concepts to consider except:
A) assessing client readiness to learn.
B) teaching a family member because older adults are usually not able to learn new tasks.
C) providing enough time to respond because older adults' reaction times are often slower than younger adults.
D) using audio,visual,and tactile clues to reinforce learning.
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Chapter 24: Stress,Crises,and Health in Aging
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Sample Questions
Q1) A 90-year-old client in an adult day care program tells the nurse that she is very stressed because her neighbor passed away.The most therapeutic response is:
A) "Let's think of happy things."
B) "Tell me what you did and how you managed when your other neighbor passed away last year."
C) "You should count your blessings and not dwell on sad things."
D) "Let's get involved in some activities and not think about sad things."
Q2) What is a true statement about coping strategies in older adults?
A) Older adults are often less able to cope with stress due to decreased adaptive capacity.
B) Older adults are less able to cope with stress due to cognitive declines.
C) Coping strategies used in earlier life are ineffective in later life.
D) Older adults use coping strategies directed at avoiding the problem.
Q3) What is a true statement regarding crises and stress?
A) Stress always precipitates a crisis.
B) Crises always create stress.
C) Personal perception of an event is less significant than the event's magnitude.
D) Stress is time limited.
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26
Chapter 25: Emotional Health in Late Life
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Sample Questions
Q1) A 77-year-old man is brought to the emergency department after falling and sustaining a laceration on his forehead that required suturing.He has an elevated blood alcohol level and says to the nurse,"I don't know why I can't handle booze like I used to when I was younger.I only had two beers; I used to have five when I was young." The nurse knows 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 filtration 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.
Q2) The goals of treatment for a depressed elderly client include the following except:
A) decreasing symptoms
B) reducing risk of relapse.
C) increasing quality of life.
D) increasing medication use.
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Chapter 26: Loss,Death,and Dying in Late Life
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Sample Questions
Q1) The Oregon State Death with Dignity Law:
A) enables an Oregon resident who is terminally ill and mentally competent to obtain the assistance of a physician for the purpose of a dignified death at a time and manner of his or her choosing.
B) enables an Oregon resident who is terminally ill to appoint another individual to communicate his wishes related to health care in the event that he or she is not able to do so.
C) enables an Oregon resident who is terminally ill to have active euthanasia.
D) has resulted in Oregon residents experiencing a deterioration in end-of-life care.
Q2) A woman is terminally ill.Although it has never been discussed in the family nor stated outright by her physician,she suspects that she will die because of her illness.This situation is:
A) closed awareness.
B) suspected awareness.
C) mutual pretense.
D) open awareness.
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Chapter 27: Self-Actualization,Spirituality,and Transcendence
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7252
Sample Questions
Q1) You are the nurse manager of the geriatric unit in a large teaching hospital.You partner with the nurse manager of the pediatric unit to arrange an intergenerational holiday party.Your rationale for doing this includes the following except:
A) intergenerational activities can help older adults establish new relationships.
B) intergenerational activities are required by state and local regulatory agencies.
C) intergenerational activities can increase self-esteem of the younger people.
D) intergenerational activities are beneficial for older adults because they can decrease isolation and foster a sense of meaning and purpose.
Q2) Which refers to the highest level of human functioning,according to Maslow?
A) Biological or physiological integrity
B) Safety and security
C) Self-esteem
D) Self-actualization
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