Community Health Nursing Review Questions
Course Introduction
Community Health Nursing focuses on promoting and protecting the health of populations through education, prevention, and community-based care. This course explores the principles and practices of public health nursing, emphasizing the role of the nurse in assessing community needs, planning and implementing health programs, and advocating for vulnerable groups. Students will learn about epidemiology, health promotion, disease prevention, and the social determinants of health. The course also covers strategies for collaborating with community partners and delivering culturally sensitive care to diverse populations, preparing students to address complex health challenges within communities.
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
Source URL: https://quizplus.com/study-set/413
Page 2
Chapter 1: Gerontological Nursing and an Aging Society
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/7226
Sample Questions
Q1) A group of nursing students conducts a small research project examining the most effective means to deliver medication education to older adults.Their sample consists of 100 adults from ages 55 to 101 who live in the same community.The students conclude that individuals from ages 55 to 64 prefer computerized instructions,and individuals from ages 65 to 100+ prefer typewritten instructions.What is a potential problem with this study?
A) The sample size of 100 is too small to draw any conclusions.
B) The older adults ranging in age from 65 to 100+ were grouped into one category.
C) It has been proven that older adults are not computer literate.
D) The study design is not a randomized,controlled trial.
Answer: B
Q2) The country with the oldest population,both in terms of median population and the number of persons older than age 60,is:
A) Japan.
B) Sweden.
C) China.
D) Ireland.
Answer: A
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Chapter 2: Theories of Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) You are caring for a 90-year-old resident of an assisted living facility.He seems sad and depressed and frequently talks about how his health has declined during the past few years.He talks about all of the things he planned to do once he retired,but was not able to due to a recent stroke.You respond to him by helping him understand that changes in health are often a challenge that older adults must cope with and adapt to in order to age successfully.This response is based on what type of aging theory?
A) Biological
B) Psychological
C) Social
D) Spiritual
Answer: B
Q2) The theory of aging that suggests the basis for aging results from decreased weight of the thymus and decreased ability to produce T-cell differentiation is known as: A) cross-link theory.
B) free radical theory.
C) stochastic theory.
D) immunity theory.
Answer: D
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4
Chapter 3: Health and Wellness
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) You are on a performance improvement committee at your hospital.The committee selects a project related to influenza vaccination.What is the guideline for influenza vaccination for individuals older than age 65?
A) Annually for individuals older than age 65 with a compromised immune system,or with a respiratory or cardiac condition
B) Annually for all individuals older than age 65,whether they are well or have chronic conditions
C) Once in persons age 65 or older,with boosters given as needed every 5 years
D) Every 2 to 5 years
Answer: B
Q2) 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
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Chapter 4: Physiological Changes with Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) In implementing care for an elderly bedridden client,which nursing intervention reflects appropriate action to compensate for normal changes of aging to her immunological system?
A) Turning her every 2 hours to maintain intact skin integrity
B) Administering prophylactic antibiotics
C) Inserting multiple intravenous lines in case fluid resuscitation becomes necessary rapidly
D) Drawing daily laboratory values for complete blood count with differential to analyze for "shift to the left"
Q2) You are caring for an 89-year-old woman who was admitted to the hospital for weakness and a cough.In her assessment,the client describes that she has to go to the bathroom frequently and manages this by monitoring her fluid intake,especially before going to bed.She has no pain or discomfort with voiding.The nurse knows:
A) that this is normal for a woman her age.
B) that this is indicative of a urinary tract infection.
C) that this is a sign of diabetes.
D) that the patient is drinking too many fluids.
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Chapter 5: Laboratory Values and Diagnostics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A 69-year-old patient in the geriatric clinic has his annual physical examination,and a complete blood count and serum electrolytes are drawn.His laboratory results show an elevated blood urea nitrogen (BUN).What is the next action of the nurse?
A) Assume that the laboratory result was a false-positive because the patient did not exhibit any symptoms of renal failure.
B) Look at his medication list because an elevated BUN may be the result of specific medications.
C) Instruct him on collecting a 24-hour urine specimen for protein analysis.
D) Tell him that an elevated BUN is normal in older adults.
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
7 Flashcards
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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) You are a nurse on a medical unit in a large academic medical center and you care primarily for older adults.Your unit manager introduced the Fulmer SPICES assessment tool to the unit.This tool assesses all except: A) sleep.
B) incontinence.
C) falls.
D) social support.
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Chapter 7: Managing Basic Physiological Needs
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) 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.
Q2) You are a nurse on the Acute Care for the Elderly unit in a large academic medical center.One of the performance improvement projects of your unit is to implement a protocol to decrease the use of indwelling urinary catheters.The major reason for the choice of this project is that:
A) urinary catheters are very costly.
B) long-term catheter use increases the risk of urinary tract infections.
C) long-term catheter use causes pain in older adults.
D) intermittent catheterization is very time consuming.
Q3) Older adults with sleep apnea:
A) experience excessive deep sleep.
B) are often slim and underweight.
C) have an increased risk for sudden death and stroke.
D) experience excessive tension in the muscles of the throat and soft palate.
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Chapter 8: Biological Maintenance Needs
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) 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.
Q2) 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.
Q3) A basal cell carcinoma is characterized by:
A) a persistent red lesion with a poorly defined base and an adherent yellow-white scale.
B) a slightly raised discolored patch that may be tan,blue,red,black,or white.
C) an open sore that bleeds,oozes,or crusts and remains for 3 weeks or more.
D) rough,scaly,sandpaper-like patches.
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Chapter 9: Nutritional Needs
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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.
Q2) The following are important in the management of diabetes in older adults except: A) diet.
B) physical activity.
C) eliminating all sugars from the diet.
D) testing blood sugar regularly.
Q3) The following are reliable methods to evaluate obesity except: A) BMI (body mass index).
B) WHR (waist-hip ratio).
C) weight and height evaluation using a table of desirable weight.
D) weight greater than 150% of ideal body weight.
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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) Type 2 diabetes mellitus is often difficult to diagnoses in older adults because:
A) presenting symptoms occur very quickly.
B) it rarely occurs in older adults.
C) the classic symptoms may not be present in older adults.
D) there are no recognizable symptoms; it is a "silent killer."
Q2) A 79-year-old male client with chronic obstructive pulmonary disease (COPD)is seen in the respiratory clinic.What intervention is most important when developing his plan of care to address the long-term goal of promoting healthy respiratory aging?
A) Annual tuberculosis (TB)skin testing
B) Teaching the patient to use alternative modalities such as meditation in order to relax
C) Annual influenza immunization
D) Consuming a high-protein,high-calorie diet
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
Source URL: https://quizplus.com/quiz/7236
Sample Questions
Q1) A 72-year-old patient is started on an analgesic regimen with opioids to treat persistent pain.What assessment is most important for the nurse to perform for all older patients on opioid analgesic regimens?
A) Integumentary
B) Genitourinary
C) Gastrointestinal
D) Cardiac
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.
Q3) Compared with acute pain,persistent pain:
A) leads to markedly altered vital signs.
B) is usually described as a burning pain.
C) is generally gone within 4 months.
D) can lead to lifestyle changes.
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13
Chapter 12: Geropharmacology
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/7237
Sample Questions
Q1) 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.
Q2) 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
Q3) You are developing a teaching plan for your newly diagnosed elderly diabetic client.When discussing his oral hypoglycemic medications,what strategy would be most effective?
A) Providing the package insert from the medication
B) Providing the client with the website address for the American Diabetes Association
C) Providing oral explanations and sending the client home with a written copy
D) Presenting the information in paragraph form as opposed to numbered line fashion
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Page 14
Chapter 13: The Use of Herbs and Supplements in Late Life
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5 Verified Questions
5 Flashcards
Source URL: https://quizplus.com/quiz/7238
Sample Questions
Q1) A patient is admitted to a medical nursing unit.On his admission interview,he tells the nurse that he takes ginkgo biloba daily.As a nurse,you understand that this herbal supplement can cause:
A) depression with paranoia.
B) gastrointestinal (GI)upset and headache.
C) impotence and sterility.
D) pneumonia and bronchitis.
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
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15
Chapter 14: Sensory Function
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7239
Sample Questions
Q1) Your client describes an alteration she has recently experienced in her eyesight.She says "It's fuzzy in the middle,but everything else looks sharp like always." You arrange for her to visit an ophthalmologist,realizing that the disorder she is describing may be:
A) cataract development.
B) retinal detachment.
C) glaucoma.
D) macular degeneration.
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
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Chapter 15: Mobility
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/7240
Sample Questions
Q1) In planning your discharge teaching for a client with osteoporosis,which precautions should you encourage her to take?
A) Avoid stressful situations.
B) Schedule monthly bone density studies with your physician.
C) Remove clutter from your home.
D) Consume a high-protein diet.
Q2) An elderly patient is being discharged from the hospital after an acute exacerbation of gout.The nurse reviews instructions for allopurinol (Zyloprim)with him.The nurse knows that this medication:
A) blocks the excretion of uric acid.
B) neutralizes uric acid.
C) lowers the formation of uric acid.
D) increases the excretion of uric acid.
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 Verified Questions
5 Flashcards
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Sample Questions
Q1) You are a home care nurse in an area of the country that is prone to tornadoes.When you make your first home visit,you routinely discuss disaster preparedness.The rationale for this includes the following except:
A) older adults are less likely to seek formal and informal help than are younger people during disasters.
B) older adults are more likely to bring litigation against the home care agency.
C) older adults have special needs that need to be addressed.
D) older adults may not get as much assistance as younger adults during a disaster.
Q2) 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.
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18
Chapter 17: Economic,Residential,and Legal Issues
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7242
Sample Questions
Q1) When an older adult is considering long-term care insurance (LTCI),what is an important consideration?
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.
Q2) All are true statements about Medicare Part D except that:
A) it is an elective prescription drug plan with associated out-of-pocket premiums and co-payments.
B) all persons with either Medicare Part A or B can voluntarily purchase a Medicare Part D prescription drug plan.
C) it covers all costs of drugs after a deductible is paid.
D) the plan is not voluntary for individuals who are eligible for Medicaid and Medicare.
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Chapter 18: Frailty,Vulnerability,and Elder Mistreatment
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/7243
Sample Questions
Q1) A nurse suspects that her next door neighbor,an elderly woman,is a victim of elder abuse by her daughter.The best action of the nurse is to:
A) not get involved because the neighbor is not one of the nurse's patients.
B) plan to visit the neighbor frequently and then confront the family with her suspicions. C) complete a confidential report with the adult protective services in the area.
D) ask the neighbor if she is being abused.
Q2) You observe an older man in the community who lives alone and has not bathed or changed his clothing for several days.You make a confidential report to Adult Protective Services,and an investigator visits and completes a report.This is an example of:
A) physical abuse.
B) financial exploitation.
C) psychological abuse.
D) self-neglect.
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Chapter 19: Intimacy and Sexuality in Late Life
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) Acquired immunodeficiency syndrome (AIDS)is frequently underreported in older adults because:
A) it is often not recognized due to its low incidence in older adults.
B) many of the classic symptoms are also common to other conditions common in older adults.
C) presenting symptoms are markedly different than in younger adults.
D) AIDS progresses much slower in older adults so symptoms are not recognized easily.
Q2) A 77-year-old resident of a long-term care facility has dementia.He is nonverbal and requires assistance with all activities of daily living.The nurse aide reports that she observed the resident in the day room and he was masturbating.What is the first action of the nurse?
A) Remove the resident from the day room and complete an assessment of his behavior.
B) Cover the resident with a blanket and leave him in the day room.
C) Counsel the resident,telling him that his behavior is inappropriate.
D) Contact the resident's daughter to report his behavior.
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21
Chapter 20: Relationships,Roles,and Transitions
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A married couple lives in a retirement community.The husband is 76 and the wife is 73.When she attends her Tai Chi class,she shares the following with the nurse: "I expected to enjoy retirement with my husband.These were supposed to be our golden years.I am so stressed out.All I do is spend my time taking care of him; he has so many things wrong with him." The nurse bases her response on the understanding that:
A) The woman's comments are atypical of older married adults and reflect severe depression.
B) The woman's comments are typical and reflect the many stressors faced by older married couples.
C) The woman's comments are typical and reflect the financial strain faced by older married couples.
D) The woman's comments are atypical and reflect a conflict situation between her and her children.
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Chapter 21: Culture,Gender,and Aging
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5 Verified Questions
5 Flashcards
Source URL: https://quizplus.com/quiz/7246
Sample Questions
Q1) Select the true statement regarding cohort effect:
A) Birth cohort is important in understanding how one experiences a world event.
B) Each individual within a cohort experiences events in a similar way.
C) An example of applying the knowledge of cohort effect would be treating an elderly client exactly how your own grandfather would expect to be treated.
D) All generations share a similar perspective on life events.
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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6 Verified Questions
6 Flashcards
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Sample Questions
Q1) 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.
Q2) An older adult lives in a community of 4800 people.The nearest city is 90 minutes away.The prominent features of a rural area are:
A) easy access to urban facilities,industrialized,and densely populated.
B) low population size and density,physical remoteness,and in an ecologically natural area.
C) physical remoteness,moderate population,and some industry presence.
D) in an ecologically natural area,culturally diverse population,and access to full health services.
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Chapter 23: Cognition and Caring for Persons with Cognitive Impairment
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Sample Questions
Q1) You are caring for a client with delirium.Which assessment finding would be expected in this client throughout your shift?
A) Fluctuation in symptoms
B) Normal attention span
C) Unlimited duration
D) Unchanged sleep-wake cycle
Q2) In evaluating the plan of care for an older adult with the nursing diagnosis Risk for Injury related to delirium,which evaluative statement would best suggest that the problem is resolving?
A) Client attempted to climb over the side rails.
B) Client manipulated intravenous pump,stating "I can't get this transformer to work."
C) Client correctly stated year and month but not date.
D) Client stated,"If we don't hurry,I'll miss the bus."
Q3) The Mini-Mental State Exam (MMSE)is a tool used to:
A) diagnose Alzheimer's disease.
B) provide a baseline mental status measurement and track changes.
C) diagnose delirium in hospitalized older adults.
D) predict the progression of cognitive changes.
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Chapter 24: Stress,Crises,and Health in Aging
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/7249
Sample Questions
Q1) A 68-year-old man recently suffered a left-sided cerebrovascular accident (CVA)and is now in an acute rehabilitation setting.He is easily frustrated due to his physical deficits.During his morning bath,the nurse instructs the certified nursing assistant (CNA)to give the patient a washcloth and let him wash his face and as much of his upper body as possible.The primary reason for this is to:
A) allow the patient to establish some control and preserve self-esteem.
B) exercise the patient's left arm.
C) save time so the CNA can assist other patients.
D) allow the CNA to establish control over the situation.
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.
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Chapter 25: Emotional Health in Late Life
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/7250
Sample Questions
Q1) Your elderly client is being discharged to a nursing home.In the past she has lived independently and is now expressing displeasure at her inability to be discharged home.What intervention would best serve to help her avoid experiencing an adjustment disorder?
A) Carefully review any options and alternatives available to her.
B) Make the move quickly.
C) Convince her why this is really the best way.
D) Talk to the physician regarding prescribing her an antianxiety agent.
Q2) The highest suicide rate in the elderly population in the United States is in which of the following groups?
A) Black men
B) White men
C) White women
D) Black women
Q3) One goal of reminiscence is to:
A) provide cognitive stimulation.
B) divert the individual's attention from the problem.
C) eliminate painful memories.
D) educate the individual on proper communication strategies.
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Chapter 26: Loss,Death,and Dying in Late Life
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7251
Sample Questions
Q1) When working with a bereaved individual,the goal of nursing interventions is to:
A) assist the individual to go through the stages of grief work in the optimal order.
B) assist the individual to attain a healthy adjustment to the loss experience.
C) encourage the individual to talk about his or her feelings about the deceased individual.
D) offer support and advice about grief work.
Q2) An 80-year-old woman has been admitted to your acute care facility.She is unconscious and unable to speak for herself,but she had prepared an advance directive stating that her son should make medical decisions on her behalf.You recognize this type of advance directive as:
A) a Patient Self-Determination Act (PSDA).
B) a living will.
C) a directive to physician.
D) a durable power of attorney for health care (DPAHC).
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Chapter 27: Self-Actualization,Spirituality,and Transcendence
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A 92-year-old client of an adult day care center has Alzheimer's disease.The recreation therapist recommends a painting class for the client.Her daughter attends a team meeting and begins to laugh when she hears that her mother is attending a painting class and states: "Are you talking about my mother? Did you forget that she has Alzheimer's disease?" The nurse bases her response on the knowledge that:
A) creative activities are not limited to cognitively intact elders; even individuals with dementia can benefit from creative activities.
B) individuals with dementia who have rational language skills can benefit from creative activities.
C) cognitively impaired elders cannot benefit from creative activities due to altered brain processes.
D) cognitively impaired elders are usually too agitated to participate in creative arts.
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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Page 29