Community Health Nursing Test Questions
Course Introduction
Community Health Nursing is a course that explores the principles and practices of public health and nursing applied to communities and populations. It emphasizes the role of nurses in promoting and protecting the health of groups through assessment, planning, implementation, and evaluation of community-based interventions. The course covers topics such as health promotion, disease prevention, epidemiology, environmental health, vulnerable populations, health education, and collaboration with community organizations. Students develop skills in community assessment, advocacy, program planning, and culturally competent care, preparing them to address health challenges and reduce health disparities within diverse communities.
Recommended Textbook
Ebersole and Hess Toward Healthy Aging Human Needs and Nursing Response 9th Edition by Touhy
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36 Chapters
367 Verified Questions
367 Flashcards
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Chapter 1: Health and Wellness in an Aging Society
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10 Verified Questions
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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) Based on the census reports of 2010, the typical profile of a centenarian in the United States includes which of the following characteristics?
A) A Caucasian woman who lives in an urban area of a Southern state
B) An African American woman who lives in a rural area of a Southern state
C) A Hispanic man who lives in an urban area of a Midwestern state
D) A Caucasian man who lives in a rural area of a Midwestern state
Answer: A
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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) The major goal of the NICHE (Nurses Improving Care for Health System Elders) program includes which of the following?
A) Improve outcomes for hospitalized older adults
B) Increase the number of older adults cared for in hospitals
C) Increase the number of iatrogenic complications that occur in hospitalized older adults
D) Decrease 30-day readmission rates for hospitalized older adults
Answer: A
Q2) 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
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4
Chapter 3: Theories of Aging
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Sample Questions
Q1) Gerotranscendence theory posits that: (Select all that apply.)
A) older adults withdraw from society in order to allow the transfer of power to younger individuals.
B) older adults withdraw from society in order to give the individual an opportunity for self-reflection and self-exploration.
C) time and superficial relationships become less important.
D) material possessions have less meaning.
E) status and value of elders is lost because their contributions are no longer valued.
Answer: B, C, D
Q2) The nurse implements the concepts of the activity theory of aging when instructing the older client with osteoarthritis to:
A) continue her daily walking routine.
B) curtail further increases in physical activity.
C) document preferred end-of-life interventions.
D) avoid exposing herself to crowds.
Answer: A
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5
Chapter 4: Cross Cultural Caring and Aging
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Sample Questions
Q1) An older patient learns that he has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief?
A) Biomedical
B) Magico-religious
C) Naturalistic
D) Ayurvedic
Q2) Regarding health care disparities, it is true that older adults of color have:
A) equal risk factors for vulnerability as do all older adults.
B) equal risk factors for vulnerability as do the young adults of color.
C) increased risk factors for vulnerability if they are female.
D) an increase in risk factors for vulnerability if care is provided by public facilities.
Q3) A paper on culture and illness would be likely to include the statement that:
A) culture is the same as ethnicity.
B) ethnic groups always share common geographic origin and religion.
C) ethnicity involves recognized traditions, symbols, and literature.
D) most members of an ethnic group exhibit identical cultural traits.
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Chapter 5: Cognition and Learning
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Sample Questions
Q1) An older female resident of an assisted living facility says the following to a nurse: "I am very frightened about getting dementia. I have read a lot about brain exercises, but I am not sure what I should be doing." The nurse formulates a response based on knowledge of which of the following? (Select all that apply.)
A) Individuals should engage in some type of brain fitness activity a couple of times a week for at least 25 minutes
B) Brain fitness activities are only effective if an individual has not experienced any memory problems at all
C) Brain fitness activities may include computer-based games, memory training, board games, reading, and engaging in conversation
D) Physical activity is important for wellness but is unrelated to brain fitness
E) Individuals should choose brain exercise activities that are unfamiliar, challenging, and fun
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Chapter 6: Communicating with Older Adults
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Sample Questions
Q1) Which nursing statement shows a true appreciation for an older client's willingness to tell his personal stories about "the war"?
A) "It's so nice to see them excited and engaged as they tell the stories."
B) "It helps their memory so much to retell their stories."
C) "I learn so much about clients when they share their life story with me."
D) "They are so proud of the things they have accomplished in their life."
Q2) Which technique is most effective when communicating with a client who is positioned in bed?
A) Sitting in a chair at the foot of the bed
B) Standing near the client's head on his or her dominant side
C) Sitting in a chair at the bedside facing the client
D) Standing at the foot of the bed
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Chapter 7: Health Assessment
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Sample Questions
Q1) A nurse identifies a need to assess a patient's cognitive status. The nurse chooses to use the MMSE. The nurse knows that the patient must have which of the following abilities? (Select all that apply.)
A) Number fluency
B) Familiarity with analog clocks
C) Ability to hear and see
D) Ability to sit up for 10 minutes
E) Ability to speak English
Q2) 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.
Q3) A limitation of the Katz Index of activities of daily living (ADLs) is that:
A) completion of the tool requires the joint efforts of the interdisciplinary team.
B) all ADLs are weighted equally.
C) it puts a heavier weight on the cognitive abilities necessary to perform ADLs.
D) it provides a range of performance for each task.
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Chapter 8: Laboratory Values and Diagnostics
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Sample Questions
Q1) A 69-year-old patient in the geriatric clinic has an annual physical examination and a complete blood count and serum electrolytes are drawn. While the physical examination was uneventful, the laboratory results show an elevated blood urea nitrogen (BUN). The nurse will then:
A) ask that the test be rerun since the client showed no physical signs of renal failure.
B) review the client's medication list since BUN can be affected by many specific medications.
C) instruct the client on collecting a 24-hour urine specimen for a more detailed analysis.
D) assure the client that an elevated BUN is normal in older adults.
Q2) When a client asks, "What could be causing my triglycerides to be so low; I'm really careful about my diet?" the nurse responds by asking the client: (Select all that apply.)
A) "Is your type 2 diabetes well managed?"
B) "Have you ever been diagnosed with renal failure?"
C) "Do you have a history of pancreatitis?"
D) "Are you on medication for hyperthyroidism?"
E) "Could you tell me how you are careful about your diet?"
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Page 10
Chapter 9: Geropharmacology
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Sample Questions
Q1) When performing the initial assessment on a new client in a geriatric outpatients practice, the most effective method the nurse can implement to elicit an accurate medication assessment is to ask that the client:
A) make a list of all her current medications.
B) work with a family member to make a list of her medications.
C) bring in all of the medications that she is currently taking.
D) allow her previous primary care provider to provide a list of medications.
Q2) The Beers Criteria is an effective tool for health care professionals prescribing and/or managing the medication therapy of older adults since it identifies medications that for this population:
A) are not typically covered by drug benefit plans.
B) have a higher than usual risk for injury.
C) are likely to be abused.
D) generally cause allergic reactions.
Q3) 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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Page 11
Chapter 10: The Use of Herbs and Supplements
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Sample Questions
Q1) An older adult client is being seen for the first time at the outpatient geriatric clinic. As a component of the nursing admission history, the nurse inquires about the use of herbs and other supplements. The basis for this inquiry is that such herbal therapy:
A) may interact with prescription medications.
B) is hazardous when used by older adults.
C) replaces the need for prescription medications.
D) causes excessive sedation in older adults.
Q2) When a nursing interview identifies that a client is daily taking doses of herbal supplements, the nurse's priority is to:
A) evaluate the effectiveness of the herbal supplement self-treatment.
B) determine why the client feels the need to take the herbal supplements.
C) identify when the herbal supplementation began.
D) discuss the client's knowledge regarding the herbal supplements' side effects.
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Chapter 11: Vision
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Sample Questions
Q1) A nurse is providing glaucoma education for a group of older adults in a senior center. The nurse knows that the following groups are most likely to develop glaucoma. (Select all that apply.)
A) African Americans
B) Mexican Americans
C) Individuals with a family history of glaucoma
D) Individuals with diabetes
E) Asian Americans
Q2) 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
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Chapter 12: Hearing
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Sample Questions
Q1) A nurse in an assisted living community notes that one of the residents who has hearing impairment and new bilateral hearing aids frequently does not wear the hearing aids. The nurse knows that which of the following factors contribute to low hearing aid use after purchase? (Select all that apply.)
A) Difficulty placing hearing aid properly in the ear
B) Stigma associated with wearing a hearing aid
C) Difficulty changing the batteries in the hearing aid
D) Ineffectiveness of hearing aids for individuals with age-related hearing loss
E) Hearing annoying loud noises
Q2) An older person reports hearing whistling in both ears when no external sounds are present and is diagnosed with tinnitus. Which of the following are causes of tinnitus? (Select all that apply.)
A) Exposure to loud noises
B) Use of a hearing aid
C) Cerumen buildup
D) Side effects of medications
E) Age-related changes in the middle and inner ear
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14
Chapter 13: Skin Care
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Sample Questions
Q1) An older person is admitted to the hospital with an exacerbation of congestive heart failure. The nurse notes that the patient complains of severe itching at night and has a red rash on her torso. The patient is diagnosed with scabies. The patient asks the nurse, "How did I get something like this?" The best response by the nurse is:
A) "Scabies is highly contagious and spreads easily through physical contact."
B) "Scabies is commonly seen in older adults due to normal age-related changes in the skin."
C) "Scabies is only seen in older adults who have multiple chronic illnesses."
D) "Certain medications can make you more susceptible to contracting scabies."
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) 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.
Q2) An older adult asks a nurse, "I hear a lot about limiting the amount of fat in my diet and eating a balanced diet. It is confusing. Can you help me understand what a balanced diet for me would be?" The nurse bases a response on which of the following?
A) 10-15% of total calories should be from fat, 30-40% from carbohydrates, and 35-75% from protein
B) 20-35% of total calories should be from fat, 45-65% from carbohydrates, and 10-35% from protein
C) 45-65% of total calories should be from fat, 20-35% from carbohydrates, and 10-35% from protein
D) 20-35% of total calories should be from fat, 10-25% from carbohydrates, and 50-75% from protein
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Chapter 15: Hydration and Oral Care
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Sample Questions
Q1) A nurse administers hypodermoclysis (HDC) to an older nursing home resident. The purpose of hypodermoclysis is:
A) to rehydrate an individual with severe dehydration.
B) to quickly administer 4-5 L of fluid within a 24-hour period.
C) to rehydrate an individual with mild to moderate dehydration.
D) as a supplement to IV hydration to expedite rehydration.
Q2) A nurse is caring for an older adult who has a gastrostomy tube. The nurse is developing a care plan related to oral care. Which of the following should the nurse consider for this patient? (Select all that apply.)
A) Oral care should be provided every four hours.
B) Teeth should be brushed with a toothbrush after each tube-feeding.
C) Lemon glycerin swabs should be used in between feedings to keep the mouth moist.
D) Foam swabs should be used in place of a toothbrush to clean the teeth after each tube-feeding.
E) Oral care should be provided only twice daily if the older adult is edentulous.
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17
Chapter 16: Elimination
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Sample Questions
Q1) A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to facilitate the restoration of the patient's bladder function? (Select all that apply.)
A) Assess the patient's recent voiding pattern.
B) Request an order for an indwelling catheter from the patient's physician.
C) Teach the patient how to meet hydration needs while still limiting fluid intake.
D) Assist the patient to use the bathroom.
E) Request an order for medication to decrease bladder spasms.
Q2) The nurse interviewing an older adult for a nursing history recognizes that the client is experiencing symptomology inconsistent with normal aging of the urinary tract when the client reports: (Select all that apply.)
A) finding it more difficult in the last few months to start voiding.
B) having two bladder infections in the last 4 years.
C) getting up once or twice each night to urinate.
D) occasionally experiencing pain when urinating.
E) needing to urinate at least every 2 hours during the day.
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Page 18
Chapter 17: Sleep
9 Verified Questions
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Sample Questions
Q1) An older adult tells a nurse that he is experiencing difficulty falling asleep, he routinely gets into bed at 8:30 PM and watches his favorite television shows until 11:00 PM, and often lies awake for hours after. Which of the following suggestions are appropriate for the nurse to give to this patient? (Select all that apply.)
A) Go to bed only when sleepy.
B) If unable to sleep within a reasonable time (15-20 minutes), get out of bed and pursue relaxing activities.
C) Engage in moderate exercise to induce fatigue.
D) Do not watch television or work in bed.
E) If unable to sleep, engage in enjoyable activities on the computer.
Q2) An older adult's diagnosis of sleep apnea is supported by nursing assessment and history data that include: (Select all that apply.)
A) followed a vegetarian diet for last 28 years.
B) male gender.
C) a smoking history of 1 pack a day for 45 years.
D) 30 pounds over ideal weight.
E) history of Crohn's disease.
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Page 19
Chapter 18: Physical Activity and Exercise
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Sample Questions
Q1) A nurse caring for an older hospitalized woman is concerned about promoting functional status. Which of the following interventions should the nurse include in this patient's plan of care? (Select all that apply.)
A) Conduct a baseline functional status assessment of the patient
B) Request a physical therapy referral
C) Make sure that the patient has all activities of daily living performed for her
D) Progressive mobility interventions
E) Encouraging the patient to feed herself
Q2) A nurse is discussing the importance of exercise with a 78-year-old female who states: "I know I should be exercising, but I have arthritis in my knees and it is painful. Can you recommend a type of exercise that would be beneficial and cause me less pain?" Which of the following exercises should the nurse recommend?
A) Tennis
B) Swimming
C) Dancing
D) Use of a treadmill and elliptical machine in the gym
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20
Chapter 19: Falls and Fall Risk Reduction
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Sample Questions
Q1) A group of older women in an assisted living facility are talking about one of the residents who fell and fractured her hip. The women ask a nurse the following: "It seems like so many of us fall and break our hips, and then it is downhill from there. Is this really true?" In formulating a response, the nurse considers which of the following? (Select all that apply.)
A) Hip fractures are a leading cause of hospitalization for older people.
B) The major cause of hip fractures is falls.
C) Women have significantly higher mortality rates from hip fractures than do men.
D) Nearly all older patients who sustain a hip fracture will regain prefracture mobility status within 1 year.
E) Hip fractures are associated with very high morbidity and mortality.
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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Chapter 20: Safety and Security
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Sample Questions
Q1) Which precaution would be beneficial in minimizing an older adult's risk of being a victim of fraud? (Select all that apply.)
A) Do not allow uninvited salespersons into your home.
B) Never provide personal information to telephone sales solicitors.
C) Rely on the advice of people who only friends have recommended.
D) Contact the local Medicare or Medicaid service office for information when needed.
E) Keep your bank account and credit card numbers with you at all times.
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) A nurse is caring for an older adult who is in the pre-trajectory phase of the Chronic Illness Trajectory. The nurse knows that this phase is characterized by which of the following:
A) The absence of signs or symptoms of the illness
B) Diagnostic testing being conducted
C) A progressive decline in physical and or mental status
D) A period of temporary remission from the crisis
Q2) A nurse is planning health education on chronic illnesses for a group of seniors in the community. When deciding upon which illnesses to focus upon, the nurse knows that which of the following are the most common diseases in the United States? (Select all that apply.)
A) Heart disease
B) Hypertension
C) Asthma
D) Osteoarthritis
E) Diabetes
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Chapter 22: Cardiovascular and Cerebrovascular Health and Illness
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Sample Questions
Q1) An older person has sudden onset of a severe headache, left-sided facial drooping, and left arm numbness. The person's daughter calls 911 and the person is transported to the emergency department. The first diagnostic test that will likely be performed is a(n):
A) electrocardiogram (ECG) to assess for atrial fibrillation
B) computed axial tomography (CAT) scan to differentiate hemorrhagic from ischemic stroke.
C) international normalized ratio to determine level of anticoagulation.
D) lumbar puncture to assess for infection.
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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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) While the older African American is at the highest risk for developing Alzheimer's disease, the nurse demonstrates an understanding of this disease process's risk factors when assessing this population's:
A) weight and elimination patterns.
B) heart rate and capillary refill status.
C) blood pressure and serum lipid levels.
D) muscle strength and reflex times.
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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 is educating an older adult with diabetes on glucose self-monitoring. When developing the teaching plan, the nurse includes which of the following goals in the teaching plan? The patient will: (Select all that apply.)
A) demonstrate the technique for obtaining a blood sample.
B) verbalize actions to take when results indicate an error on the machine.
C) state the correct timing of blood glucose monitoring.
D) state the signs and symptoms of both hyperglycemia and hypoglycemia.
E) demonstrate technique for storing and transporting insulin correctly.
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Chapter 25: Respiratory Health and Illness
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Sample Questions
Q1) 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.
Q2) A nurse is assessing an older adult's respiratory status. Which of the following are normal age-related changes in the respiratory system? (Select all that apply.)
A) Diminished cough reflex
B) Stiffening of the chest wall
C) Increased resistance to airflow
D) Decreased respiratory rate
E) Loss of elastic recoil
Q3) The most significant etiology for chronic obstructive pulmonary disease (COPD) is:
A) tobacco use.
B) chronic bronchitis.
C) exposure to carcinogens in the workplace.
D) emphysema.
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Chapter 26: Common Musculoskeletal Concerns
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Sample Questions
Q1) A nurse plans for the discharge of a 75-year-old patient who has the diagnosis of osteoporosis. Which of these actions would the nurse consider first?
A) Avoid stressful situations.
B) Schedule an annual DXA/DEXA scan.
C) Remove clutter from the floors of the home.
D) Encourage consumption of a high-protein diet.
Q2) 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.
Q3) Kyphosis in the older adult can be a result of which of the following?
A) Osteoarthritis
B) Rheumatoid arthritis
C) Osteoporosis
D) Gout
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28
Chapter 27: Pain and Comfort
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Sample Questions
Q1) When performing a pain assessment on a client who is aphasic, the nurse should consider:
A) reports from the family or staff at the nursing home about changes in functional status.
B) that the patient is lying quietly in bed so she is not likely to be experiencing pain.
C) that the patient's previous stroke interrupted pain pathways so she does not feel pain.
D) that older adults do not tolerate opioid analgesics well and may exhibit side effects.
Q2) An older adult is being treated for severe pain resulting from a history of osteoarthritis. In her discharge teaching, which information is most important to relay for the successful management of the pain?
A) Check for incompatibilities before taking any new medications.
B) Arrange to take a dose of analgesic prior to physical activity.
C) Take the analgesic around-the-clock as prescribed.
D) Be alert for the signs of overdose toxicity.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Mental Health
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/15293
Sample Questions
Q1) In order to focus on the older population with the greatest risk for suicide, the nurse would conduct a depression screening that targets:
A) African American men.
B) white men.
C) white women.
D) African American women.
Q2) A nurse who is caring for an older patient with bipolar disorder knows that the patient needs additional education when the patient states:
A) "Bipolar disorder often results in 'a leveling out' of symptoms as one ages."
B) "Relapses in bipolar disorder tend to be precipitated by medical problems."
C) "Older adults with bipolar disorder tend to be 'rapid cyclers'."
D) "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults."
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 29: Care of Individuals with Neurocognitive Disorders
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/15294
Sample Questions
Q1) A nurse is caring for a patient with a diagnosis of delirium. Which of the following is an expected assessment finding for this patient?
A) Normal attention span
B) Fluctuation in symptoms
C) Normal sleep cycle
D) Increased appetite
Q2) Which information will the nurse manager include when discussing the major differentiation between delirium and dementia with novice nurses? (Select all that apply.)
A) The delirious client learns to make up answers to hide his or her confusion.
B) Delirium requires increased monitoring at night.
C) The client diagnosed with dementia generally looks frightened.
D) Dementia results in a steady decline in cognitive abilities.
E) Delirium is characterized by fluctuations in alertness.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Economics and Health Care in Later Life
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/15295
Sample Questions
Q1) An older adult asks a nurse, "I saw an advertisement and went to a free breakfast to hear about Medicare Advantage Plans. They sound really good, but I am not sure. Are there benefits to joining one?" The nurse relies on which of the following information when formulating a response? (Select all that apply.)
A) All Medicare advantage plans have prescription drug coverage.
B) Medicare advantage plans must cover all services traditionally covered by Medicare Parts A and B.
C) There are no deductibles in Medicare Advantage plans.
D) Medicare advantage plans may provide a cost savings to the member.
E) Members must obtain a referral to see a specialist from an assigned primary care provider.
Q2) The original intent of Social Security was to:
A) provide a hospital insurance plan.
B) minimize the dependency of older members on younger members of society.
C) provide the blind, older adult, or disabled with adequate financial support.
D) penalize women financially for numerous zero wage years while raising children.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Common Legal and Ethical Issues
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/15296
Sample Questions
Q1) A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation?
A) Because the neighbor is not a patient, the nurse should not get involved.
B) Visit the neighbor frequently to confirm the suspicions.
C) Complete a confidential report with the adult protective services in the area.
D) Ask the neighbor herself if she is being abused.
Q2) Which option is an example of elder exploitation?
A) A homebound client is left alone for days at a time by the caregiver.
B) An older client is smacked if he doesn't eat all of his food.
C) A client diagnosed with Alzheimer's disease is bathed only twice a month.
D) A homebound client can only get groceries by agreeing to pay for her neighbor's groceries, too.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 32: Long-Term Care
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/15297
Sample Questions
Q1) Which intervention addresses a right guaranteed a long-term care facility resident?
A) Ethnic foods are made available to culturally diverse residents who would like them.
B) Each resident has access to a telephone in his or her room.
C) Family members are welcome at any time.
D) A professional hairdresser is available 3 days a week.
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.
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 33: Intimacy and Sexuality
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/15298
Sample Questions
Q1) An older man who recently had a myocardial infarction is being discharged home from the hospital. He tells a nurse, "I am really worried about having sex with my wife. I am afraid that I am going to have another heart attack." The best response by the nurse includes which of the following? (Select all that apply.)
A) "If you are able to engage in mild to moderate physical activity without symptoms, you can resume sexual activity."
B) "You really should not engage in sexual activity until 3 months have passed post heart attack."
C) "It is best if you avoid eating a large meal for several hours before you have sexual relations."
D) "If you have chest pain while having sex, stop and rest, and take your nitroglycerin."
E) "You might want to consider some alternate positions that avoid strain."
Q2) Which intervention has priority before touching a client's consent zone?
A) Draping the area to minimize exposure
B) Having another nurse present
C) Explaining why the area will be touched while asking permission
D) Assuring the client that the touch is absolutely necessary
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 34: Relationships, Roles, and Transitions
Source URL: https://quizplus.com/quiz/15299
Sample Questions
Q1) 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
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) A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority when preparing the grandmother for long-term success in this new role?
A) Reviewing the developmental milestones of childhood
B) Identifying local sources of child counseling services
C) Discussing the common challenges of parenting a 6-year-old
D) Teaching stress management and relaxation techniques
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 35: Loss, Death, and Palliative Care
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/15300
Sample Questions
Q1) A patient tells a nurse that she has prepared a living will (LW). The nurse understands that a living will: (Select all that apply.)
A) is an advanced directive that is used in the situation of a person who is unable to speak for herself or himself.
B) is a legally binding document in all states and territories of the United States.
C) appoints a proxy to uphold the patient's wishes.
D) includes the provision that the patient's next of kin have more authority than the appointed proxy.
E) can be revoked by the patient at any time in either writing or verbally.
Q2) A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to best address the client and family, the nurse should:
A) explain the family's concern to the client.
B) educate the family that this is normal behavior in this situation.
C) contact the physician for an order for enteral feeding.
D) contact the dietitian for feeding supplements.
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Chapter 36: Self-Actualization, Spirituality, and Transcendence
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11 Verified Questions
11 Flashcards
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) Which statement best demonstrates an older adult's success at achieving self-actualization?
A) "My father was an alcoholic, but he did love us."
B) "I always feel safe when my son is visiting."
C) "My heart problems are better since I had the surgery."
D) "I've been elected president of my service organization again."
Q3) What is the role of the nurse in assisting older adults with travel interests?
A) Suggesting that they travel with a seniors' group
B) Addressing arrangements to have medical care, if needed, during their travels
C) Providing information regarding pet care services for their beloved dog
D) Reassuring the client that their concerns about safety are unfounded
To view all questions and flashcards with answers, click on the resource link above.
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