Gerontological Nursing Review Questions
Course Introduction
Gerontological Nursing focuses on the specialized care of older adults, addressing their unique physiological, psychological, and social needs. This course explores the aging process, health promotion, and prevention strategies to support healthy aging. Students will learn to assess, plan, and implement evidence-based nursing interventions for older adults across diverse settings, including acute care, long-term care, and community environments. Emphasis is placed on interdisciplinary collaboration, ethical and legal considerations, chronic disease management, end-of-life care, and the promotion of independence and quality of life for elderly patients.
Recommended Textbook
Ebersole and Hess Gerontological Nursing Healthy Aging 4th Edition by Theris A. Touhy
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25 Chapters
426 Verified Questions
426 Flashcards
Source URL: https://quizplus.com/study-set/2070 Page 2
Chapter 1: Introduction to Healthy Aging
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/41175
Sample Questions
Q1) The nurse develops a community program to promote exercise for older adults.Which should the nurse include in the exercise program?
A) Reinforce the ease of exercising every day.
B) Use exercise to relax any dietary restrictions.
C) Describe ways to resume exercise after lapses.
D) Participate because exercise achieves wellness.
Answer: C
Q2) Which nursing intervention is a holistic approach to an older adult?
A) Performs glucose testing during the weekly worship service.
B) Wheels ambulatory adults to exercise when running late.
C) Assigns female nurses to older women who are Islamic.
D) Allows older adults in a nursing home to eat meals alone.
Answer: C
Q3) Which statement describes aging in developing countries?
A) Aged dependence is likely to improve from 1:4 to 1:2.
B) The biggest problem for older adults will be the lack of food.
C) Most older adults are likely to reside in these countries.
D) Similar to fertility, life expectancy is increasing, although at a different rate.
Answer: C
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Page 3
Chapter 2: Gerontological Nursing History, Education, and Roles
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which gerontological nursing organization welcomes nurses from all educational backgrounds?
A) The National Gerontological Nursing Association (NGNA)
B) The National Conference of Gerontological Nurse Practitioners (NCGNP)
C) The National Association of Directors of Nursing Administration in Long-Term Care (NADONA/LTC)
D) The American Society on Aging (ASA)
Answer: A
Q2) Which was the first formal action the ANA took in relation to gerontological nursing?
A) Established a national geriatric nursing group
B) Defined educational standards for gerontology
C) Created the ANA Division of Geriatric Nursing
D) Formed the Council of Long Term Care Nurses
Answer: A
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4
Chapter 3: Care Across the Continuum
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) An elder-friendly community includes components that:
A) Address basic needs
B) Optimize physical health
C) Provide financial assistance
D) Maximize independence
E) Provide social engagement
Answer: A,B,D,E
Q2) A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge.
A) Medication reconciliation
B) Providing a list of community resources
C) Contacting a durable medical equipment facility
D) Educating the client on appropriate range-of-motion exercises
Answer: A
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Chapter 4: Culture and Aging
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following considerations is most likely to be true when working with an interpreter?
A) An interpreter is never needed if the nurse speaks the same language as the patient.
B) When working with interpreters, the nurse can use technical terms or metaphors.
C) A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient.
D) The nurse should face the patient rather than the interpreter.
Q2) Which of the following is a true statement about differing health belief systems?
A) Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles.
B) In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals.
C) Ayurvedic medicine is another name for traditional Chinese medicine.
D) The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.
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Chapter 5: Theories of Aging and Physical Changes
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) When caring for an older man patient,the nurse is aware that which changes are associated with the male reproductive system and aging?
A) Testes soften
B) Seminiferous tubules thicken
C) Sperm count decreases
D) Ejaculation is slower
Q2) The nurse administers an antibiotic and naproxen to an older woman.Which laboratory test result should the nurse monitor to gauge the older adult's response to the medication?
A) Urine creatinine
B) Indirect bilirubin
C) Serum creatinine
D) Total hemoglobin
Q3) Which change in the skin is abnormal in an older person?
A) Thinner and more fragile skin
B) Red, swollen 3-day-old wound
C) Greater number of freckles
D) Loss of hair on the extremities
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Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which role is most likely to have a significant effect on the type of aging process experienced by the older adult?
A) Grandparent
B) Spouse
C) Friend
D) Parent
Q2) An older patient who was just diagnosed with a terminal disease states,"All my life I attended church,but I am still worried about what will happen after death." The nurse's best response is which of the following?
A) "The unknown may be frightening. Do you want to talk about this?"
B) "Religious people know that God is a good God."
C) "People that have had near death experiences say it is peaceful."
D) "You must feel good about attending church most of your life."
Q3) Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults?
A) Increased secretion of cholinesterase
B) Decreased secretion of neurotransmitters
C) Loss of spinal cord and brainstem neurons
D) Atrophy of dendrites in the cerebral cortex
Page 8
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Chapter 7: Assessment and Documentation for Optimal Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The OASIS was implemented to provide the format for a comprehensive assessment in the home health care setting.How is this assessment tool used?
A) To improve the quality of care
B) To improve the communication about the individual
C) To serve as a guide for reimbursement
D) To evaluate the level of patient disability
Q2) An older woman has diabetes mellitus and requires hemodialysis for renal failure.She is discharged to home to recover from a sternal wound infection and coronary artery bypass graft surgery (CABG).A home care nurse will provide wound care.Which of the following is the major justification for the complete and accurate documentation of this older adult's care?
A) Requires complex health care
B) Has needs in multiple settings
C) Is at risk for iatrogenic problems
D) Has significant health care expenses
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9
Chapter 8: Safe Medication Use
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following is on the list of drugs considered suitable for the older adult?
A) Indomethacin (Indocin)
B) Reserpine (Reserpine)
C) Chlorpheniramine (Chlor-Trimeton)
D) Bupropion (Wellbutrin)
Q2) An older woman who takes escitalopram (Lexapro)10 mg by mouth daily states she does not feel better after 1 week of treatment.Rank the interventions in order,starting with the first intervention the nurse should implement to facilitate patient compliance with therapy.
A) Tell her that the beneficial effects can take 4 to 6 weeks to appear.
B) Instruct her to take the medication as prescribed without stopping.
C) Suggest hard candy, ice chips, and sips of water for a dry mouth.
D) Collaborate with the health care provider to provide an increased dose.
E) None of the above
Q3) Through which pathway(s)are drugs and their metabolites eliminated?
A) Sweat
B) Saliva
C) Kidneys
D) Spleen
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Page 10
Chapter 9: Nutrition and Hydration
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which of the following is a true statement about dental health in older adults?
A) Most people can expect to lose most of their teeth by old age.
B) Excessive saliva production is a common problem among older adults.
C) Dentures should be cleaned once a day by brushing and soaking in a cleaning solution.
D) A little blood on the toothbrush is normal.
Q2) An older adult who is on bed rest has tachycardia and dry mucous membranes after surgery.Which of the following is the nurse's priority for preventive care because of the patient's fluid volume status?
A) Bowel obstruction
B) Delirious behavior
C) Thromboembolic events
D) Delayed wound healing
Q3) Which of the following is a true statement about fluid intake for older adults?
A) Daily total volume should be 1500 ml to 2000 ml.
B) Coffee is a suitable beverage for maintaining hydration.
C) Caffeinated beverages are sometimes preferable to water.
D) Total daily fluid intake should be approximately 10 ml per kg of body weight.
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11
Chapter 10: Elimination
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) An older adult who is on bed rest after surgery is prescribed morphine for pain.Which of the following is the nurse's priority for preventive care?
A) Constipation
B) Diarrhea
C) Poor solid food intake
D) Poor liquid intake
Q2) An older adult is in the hospital because of heart failure and has become incontinent of urine.Which evidence-based resource should the nurse use to guide continence care for this patient?
A) Nursing Standard Practice Protocol
B) The Borun Center training modules
C) Toolkit from the American Geriatrics Society
D) The Centers for Medicare and Medicaid Services
Q3) The nurse is caring for a patient who has recently had an indwelling catheter placed.The nurse should assess the patient for:
A) An increase in oral fluid intake
B) A change in mental status
C) Upper back pain
D) A decrease in activity
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Page 12
Chapter 11: Rest, Sleep, and Activity
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse completes an admission assessment on an older adult patient.The nurse identifies which factor that may contribute to sleep problems?
A) Exposure to sunlight
B) Polypharmacy
C) Use of a sleep aid
D) Decreased fluid intake
Q2) A nursing home resident who has type 1 diabetes mellitus is gradually requiring more and more insulin on an as-needed (PRN)basis to treat hyperglycemia.Which of the following should the nurse assess to plan care for improving this individual's glucose metabolism?
A) New-onset urinary tract infection
B) Trends over time in activity level
C) Sudden increase in caloric intake
D) Big change in diabetic medication use
Q3) Which of the following is a true statement about sleep in older adults?
A) The time spent in bed increases, but the time spent asleep decreases.
B) The amount of leg movement during sleep remains steady throughout life.
C) Rapid-eye-movement (REM) sleep becomes more unevenly distributed with age.
D) The amount of stage III sleep increases steadily throughout life.
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Page 13
Chapter 12: Promoting Healthy Skin and Feet
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which infection-control practice should the nurse implement when caring for an older adult who has active herpes zoster?
A) Wear a face shield and gown for all patient contact.
B) Instruct the staff and visitors to wear a type of respirator mask.
C) Use a hospital room that has negative airflow circulation.
D) Cover ruptured skin lesions with a nonabsorbent dressing.
Q2) Which of the following is a true statement about impaired skin integrity?
A) Stage III pressure ulcer cannot regress to stage II because the subcutaneous tissues regenerate.
B) Stasis ulcer is another term for pressure ulcer.
C) Muscle and fat cannot regenerate.
D) Weight reduction is recommended to help prevent pressure ulcers.
Q3) An older patient complains of dry skin and asks for advice.Which advice should the nurse offer for improving dry skin?
A) Add oil to the bath water to keep skin soft.
B) Use tepid bath water.
C) Move to a climate with lower humidity.
D) Vigorously dry skin with a rough towel after bathing.
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Page 14
Chapter 13: Promoting Safety
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse determines that an older adult who has chronic bronchitis is at high risk for falls,but he repeatedly tries to ambulate without assistance.Which alternative measure to restraints is contraindicated for this older adult?
A) Inform the staff about his risk for falls.
B) Place a concave mattress on the bed.
C) Provide frequent walks in the hallway.
D) Help him learn to use an assistive device.
Q2) The nurse plans care to prevent a dangerous thermal environment for an older man who lives in a northern climate of the United States.Which patient assessment data does the nurse recognize that can contribute to his risk of hypothermia?
A) Has a history of a cerebrovascular accident (CVA)
B) Has a history of diabetes mellitus
C) Builds miniature cars for a hobby
D) Bathes three to four times a week
E) Gets heat from a boiler in the cellar
F)Becomes diaphoretic on warm days
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15
Chapter 14: Living With Chronic Illness
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) An older woman has severe osteoporosis in the long bones,impaired mobility,and chronic pain.Which acute illness or condition is this woman most likely to experience as a result of osteoporosis?
A) Peripheral neuropathy
B) Chronic stable depression
C) Intertrochanteric fracture
D) Opioid analgesic addiction
Q2) Acute illness is to chronic illness as to which of the following comparisons?
A) An emergency department is to a nursing home
B) A hospital staff nurse is to a nurse practitioner
C) Health insurance is to Medicare for older adults
D) Inpatient surgical care is to outpatient medical care
Q3) Which of the following types of phases are included in the chronic illness trajectory (CIT)?
A) Caring
B) Plateau
C) Instability
D) Bargaining
E) Deterioration
F)Rehabilitation
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Chapter 15: Pain and Comfort
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Each of the following is a nonpharmacological intervention for pain except which one?
A) Acupuncture treatments
B) Adjuvant therapy
C) Lidocaine patch
D) Capsaicin
Q2) Compared with acute pain,which of the following statements is true of persistent pain?
A) Leads to significantly altered vital signs.
B) Is usually described as a burning pain.
C) Is generally gone within 4 months.
D) Can bring about long term changes in lifestyle.
Q3) Which of the following statement(s)is(are)true about pain in older adults?
A) Pain is not a normal aging process.
B) Pain sensitivity decreases with age.
C) If patients do not complain, they do not have pain.
D) Opioid analgesics are often the best treatment for persistent pain.
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Chapter 16: Diseases Affecting Vision and Hearing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/41190
Sample Questions
Q1) An older adult complains about experiencing dry eyes daily.Which of the following should the nurse assess to help determine the cause of the patient's complaint?
A) Vitamin B deficiency
B) Use of humidifier at home
C) History of diabetes mellitus
D) Prescription antihistamine use
Q2) The nurse recognized which of the following as symptoms of wet age-related macular degeneration (AMD)?
A) Rarely causes severe visual impairment
B) Yellow deposits under the retina
C) Decrease in central vision
D) Visual distortion
Q3) The most detrimental illness or condition that an older adult with deafness that occurred at birth can experience is which one of the following?
A) Aphasia
B) Cataracts
C) Glaucoma
D) Osteoarthritis
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18
Chapter 17: Metabolic Disorders
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which is the best goal when planning nursing care for an older patient with diabetes mellitus?
A) Stabilize the serum glucose.
B) Prevent disease progression.
C) Set walking distance goals.
D) Plan for consistent exercise.
Q2) When teaching a patient about foods that do not increase blood glucose,which should the nurse include?
A) White bread
B) Baked beans
C) Broccoli
D) Corn
Q3) Which of the following statements is true about medications taken by individuals with diabetes mellitus?
A) Sitagliptin (Januvia) is indicated to treat type 1 diabetes mellitus.
B) Nateglinide (Starlix) increases the secretion of insulin.
C) Metformin (Glucophage) increases the secretion of insulin.
D) Rosiglitazone (Avandia) decreases glucose absorption.
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19
Chapter 18: Bone and Joint Problems
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17 Verified Questions
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Sample Questions
Q1) An older woman seeks advice from the nurse about preventing further bone loss after being diagnosed with osteopenia.To achieve the woman's goal,which of the following patient teachings should the nurse provide to enhance the activity of the osteoblasts?
A) Limit sodium intake.
B) Refrain from alcohol use.
C) Eat high-fiber foods.
D) Exercise with weights.
Q2) Which of the following is a true statement about osteoporosis (OA)?
A) OA is indicative of an underlying health problem.
B) The most common site for OA fractures is in long bones.
C) African-American women have the highest risk for OA.
D) A high risk of death follows an OA-related fracture.
Q3) Which of the following nursing interventions are suitable for a patient who has gout?
A) Nonsteroidal antiinflammatory drugs (NSAIDs)
B) Liquid paraffin hand baths
C) Colchicine (Colsalide) by mouth
D) Hyaluronic acid injections
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Chapter 19: Cardiovascular and Respiratory Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/41193
Sample Questions
Q1) After noticing an older man's extremities are cool and the cardiac monitor is showing a heart rate of 120 bpm,the nurse determines that these findings warrant further investigation.Rank the patient' parameters the nurse should examine to assess cardiac output in order of importance,beginning with the first assessment the nurse should complete.
A)Hypoxemia
B)Hypotension
C)Irregular rhythm
D)Low urine output
E)None of the above
Q2) An African-American 58-year-old man in good health has a blood pressure at 120/73 mm Hg at his annual physical examination.Which of the following is the best goal for the nurse to use to assist him in maintaining his health and wellness into older age?
A) Alter modifiable risk factors.
B) Prevent cardiovascular disease.
C) Recognize disease in early stage.
D) Maintain tight glycemic control.
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Chapter 20: Neurological Disorders
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Sample Questions
Q1) A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA).During the assessment,the patient begins to complain of a severe headache and numbness in his left arm.Which action should the nurse take next?
A) Instruct the patient to take Tylenol.
B) Ask whether patient suffers from migraine headaches.
C) Reschedule the visit.
D) Call 9-1-1.
Q2) The nurse in a rehabilitation center is caring for a patient who has new-onset stroke with right-side hemiparesis.Which intervention should the nurse implement when caring for this patient?
A) Orders a two-person assist with a transfer.
B) May need to incorporate repetition.
C) Gives the patient a dry erase board.
D) Raises all four side rails.
Q3) _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).
Q4) Persons with _____________ _______________ usually understand others but speak very slowly and use a minimal number of words.
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Chapter 21: Cognitive Impairment
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which of the following approaches to hygienic care is beneficial for a patient with dementia?
A) Schedule the patient's full shower at 7 AM, three mornings every week.
B) Have a team give the bath with each member washing a different body area.
C) Wash the perineal region first to remove potentially infectious material.
D) Explain each step as you go, and keep the patient covered as much as possible while bathing.
Q2) The nurse working in a long-term care facility completes her morning assessment on a new postoperative patient and notes a change in cognitive status from the previous day? The nurse recognizes which of the following as a precipitating factor for delirium?
A) Major medical treatment
B) Poor sleep habits
C) Admission to long-term care
D) Pharmacological agents
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Chapter 22: Mental Health
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Sample Questions
Q1) An older man,who has activity intolerance as a result pulmonary fibrosis,barks orders and commands at the nursing staff when he cannot help himself.Which of the following is the nurse's first priority patient outcome for planning care to resolve this problem?
A) Verbalizes requests in a calm, respectful, and appreciative manner.
B) Identifies potential triggers of anger, and positively redirects energy.
C) Expresses an understanding of the need to balance rest and exercise.
D) Resolves the pulmonary fibrosis to restore baseline activity tolerance.
Q2) To help older adults maintain a healthy mental state,the nurse plans activities at a community center to promote the developmental stages of older adulthood.Which nursing intervention is suitable for the nurse's plan?
A) Screen for communicable diseases common among older adults.
B) Participate at a soup kitchen for other people who are homeless.
C) Plan a safety program about falls, fire safety, and home security.
D) Have speakers emphasize the need for isolated self-exploration.
Q3) Alcohol diminishes the effects of what type(s)of medications?
A) Oral hypoglycemic
B) Anticoagulant
C) Anticonvulsants
D) Tricyclic antidepressants
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Page 24
Chapter 23: Economic and Legal Issues
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Sample Questions
Q1) Managed care systems are most effective for an older adult who does which of the following?
A) Avoids using the system until it is really needed in an emergency.
B) Avoids seeing generalists and seeks health care only from specialists.
C) Uses high-tech treatments to reduce expenses over the long term.
D) Seeks regular primary care and preventive strategies to maintain health.
Q2) The wife of an older man who has diabetes mellitus brings him to primary care.He has severe bilateral infections forming black rings around each ankle.He tells the nurse it is caused by tight shoes.Which intervention should the nurse implement first to investigate this individual's health care regimen?
A) Examine his health insurance coverage.
B) Question the man without the wife present.
C) Consult with social services about neglect.
D) Analyze his glycosylated hemoglobin level.
Q3) Which is the fundamental difference between Medicare Part A and Medicare Part B?
A) Hospice care
B) Health care setting
C) Home care services
D) Invasive procedures
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Page 25
Chapter 24: Relationships, Roles, and Transitions
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Sample Questions
Q1) Which disease has become known as the "great imitator?"
A) Human immunodeficiency virus (HIV)
B) Acquired immunodeficiency syndrome (AIDS)
C) Alzheimer disease
D) Schizophrenia
Q2) What makes nursing support of caregivers so important for health care in the United States?
A) Family members providing care in the home are the best caregivers.
B) Eighty percent of caregiving takes place in the home of the older adult.
C) The health care system reimburses families for caregiving from Medicare.
D) Informal caregiving saves the health care system enormous sums of money.
Q3) The children of an older woman ask the nurse for advice about helping their mother heal after her husband's (their father's)death.Which strategy should the nurse share with the family?
A) Appoint one family member to take her on outings.
B) Coordinate family expressions of care and concern.
C) Have each child plan a long trip with her assistance.
D) Take her to community events to meet other people.
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Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) After the loss and burial of a beloved pet,an older man loses weight because he eats very little.Three months later,he starts to paint pictures of the pet and his appetite slowly improves.Describe this individual's mourning for his pet.
A) Weight loss from inadequate intake
B) Pet's burial and painting pictures of the pet
C) Loss of his appetite resulting in weight loss
D) Increased food intake after painting begins
Q2) The health care provider believes an older woman has approximately 6 weeks to live.After 2 months,the family remains at the bedside but,in the last few days,are becoming increasingly impatient and irritable.This pattern is least indicative of which of the following statements?
A) Family is experiencing anticipatory grief for the older adult.
B) Family desires that the patient be relieved of her misery.
C) Anticipatory grieving can fail to attenuate acute grief upon death.
D) Grievers deal more easily with known losses at known times.
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