Healthy Aging and Wellness Exam Review
Course Introduction
Healthy Aging and Wellness explores the biological, psychological, and social factors that influence the aging process, focusing on strategies to promote physical, mental, and emotional well-being in older adults. The course examines the importance of preventive health measures, nutrition, exercise, cognitive engagement, and social interaction in maintaining quality of life as people age. Students will analyze relevant research, discuss age-related diseases and disorders, and evaluate community and policy approaches to fostering healthy longevity, empowering them to support positive aging experiences for themselves and others.
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) An older man living in an adult community becomes a widower 1 month after retirement.Two months later,he has not resumed a weekly outing with his fishing club.Which should the nurse implement?
A) Ask the older adult why he is not fishing.
B) Have club members visit him at home.
C) Meet with him to assess his interests.
D) Enroll him in a weekly card game.
Answer: C
Q2) In differentiating between health and wellness in health care,which of the following statements is true?
A) Health is a broad term encompassing attitudes and behaviors.
B) The concept of illness prevention was never considered by previous generations.
C) Wellness and self-actualization develop through learning and growth.
D) Wellness is impossible when one's health is compromised.
Answer: A
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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) A nursing home executive interviews RNs to fill a full-time position for direct patient care to maintain the standards of elder care.Which nurse should the nursing home hire?
A) Nurse from a certified college
B) Certified gerontological nurse
C) Nurse with 15 years of experience
D) Gerontological nurse practitioner
Answer: B
Q2) Which had a major influence in shifting the care of older adults away from almshouses and public institutions and stimulated the growth of commercial nursing homes?
A) Medicare
B) Social Security Act
C) Hartford Institute for Geriatric Nursing
D) Health maintenance organizations (HMOs)
Answer: B
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Page 4
Chapter 3: Care Across the Continuum
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A nursing home is converting to a person-centered culture from an institution-centered culture.Which nursing intervention will be suitable in the new culture?
A) Maintain consistent resident assignments.
B) Provide structured activities for the residents.
C) Assign nursing assistants to perform bathing.
D) Determine mealtime on the basis of staffing levels.
Answer: A
Q2) The nurse prepares to transfer an older adult to a long-term care facility and calls the facility to give a report.Which nursing actions are the responsibilities of the transferring nurse and the receiving nurse?
A) Incorporating patient goals into the plan
B) Ensuring the patient is stable for transfer
C) Supplying patient documents for planning
D) Providing continuity of care during the transfer
Answer: D
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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 action should the nurse take when addressing older adults?
A) Speak in an exaggerated pitch.
B) Use a lower quality of speech.
C) Use endearing terms such as "Honey."
D) Speak clearly.
Q2) Which of the following is most likely to be true about caring for an older African-American patient?
A) The patient can expect to find support from his church after discharge.
B) During a physical assessment, an examination of the interior of the patient's mouth with adequate light is important.
C) The patient may follow hot-cold beliefs.
D) African Americans may avoid eye contact when interacting with others.
Q3) Which health belief system uses treatments to repair a body part?
A) Holistic
B) Biomedical
C) Personalistic
D) Magicoreligious
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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) Decreased functioning of which physical structure is likely to result in decreased metabolism in older adults?
A) Kidney
B) Thyroid gland
C) Brain
D) Skeleton
Q2) Which age-related change contributes to anorexia and weight loss in the older adult?
A) Excessive saliva
B) Fewer taste buds
C) Wearing dentures
D) Softened tooth enamel
Q3) During a nursing assessment,an older adult tells the nurse about increasing loss of balance.Further assessment indicates musculoskeletal changes.Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance?
A) Exercise with light weights.
B) Stand on one foot at a time while supported.
C) Train with the use of sit-ups.
D) Work out in a swimming pool.
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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) The children in an African-American family attended college because their mother worked two jobs as they were growing up.She never finished high school,the children are grown,and she lives alone in retirement.Which noted weakness of sociological theories on aging explains why the social exchange theory is not applicable to this older adult?
A) Gender
B) Culture
C) Ethnicity
D) Opportunity
Q2) Which of the following statements is true about social and emotional health of older adults?
A) Contemporary society has strong norms for the behavior of adults older than 80 years.
B) The transition to old age entails a declining level of contribution to others as one becomes increasingly dependent on them.
C) Computers and the Internet have little to contribute to older adults in their need for social support.
D) Nurses are often significant sources of social and emotional support for older adults.
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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) Which mental status assessment tool(s)would be appropriate for use in long-term care facilities?
A) Fulmer SPICES
B) Clock Drawing Test
C) The Mini-Cog
D) Mini-Mental State Examination (MMSE)
Q2) Which documentation tool does the nurse use to achieve optimal functional status for a nursing home resident?
A) Narrative patient progress notes
B) Problem-oriented documentation
C) Resource Utilization Group (RUG)
D) Resident Assessment Instrument (RAI)
Q3) Using the RAI,the nurse identifies a trigger for a male nursing home resident who requires an indwelling urinary catheter from the MDS.Which should the nurse do next?
A) Develop an individualized care plan.
B) Assign suitable nursing interventions.
C) Use the RAPs.
D) Institute agency-approved catheter care.
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Chapter 8: Safe Medication Use
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A geriatric nurse practitioner prescribes an antidepressant for a patient.The patient asks,"How long will I have to be on this medication before I feel like my old self?" The nurse recalls that a therapeutic response to an antidepressant medication most often takes which one of the following?
A) 24 hours
B) 2 days
C) 2 weeks
D) 2 months
Q2) A patient receives heparin daily.The nurse should assess for which clinical response that indicates the need to discontinue heparin therapy?
A) International normalized ratio (INR) of 2.5
B) Platelet count of 150,000/mm3
C) Reflux
D) Hematuria
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 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.
Q2) Which combination is suitable for the daily diet of older adults?
A) Vitamin B??, 2.4 mcg; and fiber, 15 g
B) Three 8-oz glasses of fluid; and 1600 calories
C) Vitamin B??, 1.1 mcg; and 40% of daily calories from fat
D) Calcium, 1200 mg; and vitamin D, 600 to 800 units
Q3) The following nursing interventions represent each of the four steps of a nutritional assessment.Rank them in order,beginning with the first step.
A)Measure the midpoint of the upper arm.
B)Obtain blood for serum transferrin level.
C)Examine the lips,gums,and oral cavity.
D)Ask for an up-to-date list of medications.
E)None of the above
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Chapter 10: Elimination
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What is the most important aspect of care for the nurse to maintain when assisting an older patient with urinary incontinence?
A) Availability of protective rubber garments
B) Using indwelling urinary catheters
C) Using smooth muscle relaxants
D) Maintaining an attitude that is respectful and positive about resolving the problem
Q2) The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem.Which recommendation should the nurse implement?
A) Limit oral fluid intake.
B) Provide regular toileting.
C) Apply absorbent undergarment.
D) Encourage frequent rest periods.
Q3) Continuous indwelling catheter use is indicated for which condition(s)?
A) Urethral obstruction
B) Urinary retention
C) Stress incontinence
D) Severely impaired skin integrity
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Chapter 11: Rest, Sleep, and Activity
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following should the nurse recommend for a moderate-intensity exercise for older adults who are ambulatory and in good health?
A) Walk 4 miles in 60 minutes.
B) Work in the garden for 45 minutes.
C) Swim laps in the pool for 20 minutes.
D) Wash and wax the car for 75 minutes.
Q2) A nurse will be conducting an education session at the local senior citizens center on the importance of physical activity.Which activities should the nurse include as an example of moderate-intensity aerobic activity?
A) Biking
B) Range of motion (ROM)
C) Weight lifting
D) Dancing
Q3) What is the difference between rest and sleep?
A) Sleep occurs with rest.
B) Rest is an extension of sleep.
C) Rest occurs only in brief periods.
D) Sleep is restorative and recuperative.
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Chapter 12: Promoting Healthy Skin and Feet
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse plans care to protect the skin covering an older adult's greater trochanter.Which of the following interventions is the nurse's priority when the older adult is positioned on the side?
A) Implement a turning schedule.
B) Place a cushion between the knees.
C) Keep the skin clean and dry.
D) Use the Sims' position.
Q2) 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.
Q3) A nurse will be conducting an educational session on preventing skin cancer at a local senior citizens center.Which should the nurse include in the session?
A) Squamous cell cancer may appear similar to a wart.
B) Basal cell carcinoma is more common in women.
C) Actinic keratosis begins as a pearly papule.
D) Melanoma is characterized by rough, scaly patches.
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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 is caring for an older adult who has dementia.The patient has just returned from recovery after a percutaneous endoscopic gastrostomy (PEG)tube placement.Which intervention(s)should the nurse implement?
A) Place IV tubing behind the patient.
B) Hang the IV bag behind the patient's field of vision.
C) Cover the PEG tube with an abdominal binder.
D) Use wrist restraints.
Q2) The nurse will be educating a group of senior citizens on adaptations for safer driving.Which adaptation(s)should the nurse include?
A) Wide rear-view mirrors
B) Pedal extensions
C) Global positioning system (GPS) devices
D) Antiroll bars
Q3) Which of the following is a true statement about assistive devices to aid older adults with impaired mobility?
A) A walker can be used when climbing stairs.
B) Cane tips should be smooth.
C) Older adults save money by adapting assistive devices from their friends.
D) A cane is most useful for unilateral disabilities but not bilateral problems.
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Page 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 female patient is diagnosed with a chronic illness.Which of the following principles should the nurse apply when answering her questions?
A) The most prevalent form of disease in the United States is acute illness.
B) Usually, chronic disease has a negligible impact on the family.
C) Chronic illness is unending, and coping can be influenced by the perception of uncertainty.
D) Older adults successfully cope with chronic disease by learning about the disease.
Q2) An older man with myasthenia gravis lives with his wife.Which patient characteristics should the nurse use to identify areas for nursing care in the disability assessment of this man?
A) Successfully manages his finances.
B) Lives in an adults-only community.
C) Walks around the house for exercise.
D) Health care is provided through Medicare.
E) Has a history of peptic ulcer disease.
F)Wife is in good health but has poor eyesight.
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16
Chapter 15: Pain and Comfort
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse admits an older man who had abdominal surgery.Admission vital signs are heart rate (pulse)(P),73 beats per minute (bpm); respiration rate (R),20 breaths per minute; blood pressure (BP),136/84 mm Hg.He is receiving intravenous (IV)fluids but has not requested pain medication since surgery.Seven hours later,his vital signs are P,98 bpm; R,26 breaths per minute; and BP,164/90 mm Hg; and he denies pain.Which intervention should the nurse implement?
A) Administer an opioid medication by IV route.
B) Check the surgical dressing for bleeding.
C) Report the vital signs to the health care provider.
D) Ask if he has about discomfort at the surgical site or any other location.
Q2) The safest opioid analgesic choice for an older patient who has severe acute pain is which of the following?
A) Meperidine (Demerol)
B) Pentazocine (Talwin)
C) Morphine sulfate (Morphine)
D) Safe opioids do not exist.
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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) A medical illustration shows a man with the blunt end of a tuning fork pressed to the center of his forehead.The man is being tested for which of the following?
A) Sensorineural hearing loss
B) Presbycusis
C) Tinnitus
D) Unilateral conductive hearing loss
Q2) Persons with normal age-related sensory changes are likely to have the most difficulty distinguishing which of the following?
A) Spoken pairs of phrases like "she's praised" and "fees raised"
B) Orange towel hanging on a beige wall
C) "Go" and "to" in lowercase letters in fine print
D) Spoken word pairs like "cupful" and "capful"
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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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) Which laboratory results are goals for reducing a person's risk for diabetes and heart disease?
A) Triglycerides over 150 mg/dl
B) Cholesterol 250 mg/dl
C) High-density lipoprotein (HDL) over 40 mg/d
D) Fasting blood glucose under 150 mg/dl
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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Chapter 18: Bone and Joint Problems
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/41192
Sample Questions
Q1) Which of the following is a true statement about joints in older adults?
A) OA is an inflammatory joint disorder.
B) Surgical joint replacement can cure OA.
C) Joint damage in OA is reversed with medication.
D) Very old patients should avoid joint replacement surgery.
Q2) Which assessment is typical for a patient with OA?
A) Narrow joint spaces with crepitus
B) Effects in symmetrical joints
C) Morning stiffness for at least an hour
D) Swelling from excess synovial fluid
Q3) Which of the following characteristics of RA are unlike those of OA?
A) Myalgia and stiffness
B) Joint pain that is curable
C) Crepitus and instability
D) Systemic and symmetrical
Q4) The nurse identifies which risk factor(s)for OA?
A) Men
B) African Americans
C) Old age
D) Steroid use
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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) Which of the following is a true statement about tuberculosis (TB)in older adults?
A) The principal threat from TB is its highly contagious nature.
B) The tuberculin purified protein derivative (PPD) is a conclusive test for TB.
C) Antimicrobial drugs have made TB an infection of the past.
D) Older persons, particularly those in nursing homes, are at risk for TB.
Q2) Which of the following is a true statement about heart disease in older men and women?
A) More women than men die from MIs.
B) Cardiac care for men and women is equally aggressive.
C) Cardiac medications have been tested on men and women equally.
D) Women generally receive less aggressive treatment than men do.
Q3) Which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of HF in older adults who have HF?
A) Control fluid balance.
B) Control blood pressure.
C) Prevent deconditioning.
D) Maintain patient safety.
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Chapter 20: Neurological Disorders
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following are common side effects of PD and the medications used to treat it?
A) Skin irritation
B) Dyskinesias
C) Dystonia
D) Nausea
Q2) The nurse is caring for a patient who has had a stroke.The nurse is concerned the patient will develop contractures.Which intervention should the nurse implement?
A) Use tennis shoes while in bed.
B) Turn the patient onto the affected side, resting on the shoulder.
C) Use paraffin wax for hand soaks.
D) Conduct passive range-of-motion movements to the affected extremities.
Q3) _______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.
Q4) Which of the following statements is true about dysarthria?
A) Does not affect intelligence.
B) Stems from severe rheumatoid arthritis.
C) Physical therapy can be beneficial.
D) Can affect the balance.
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Chapter 21: Cognitive Impairment
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A definitive diagnosis of Alzheimer disease (AD)can be made by detecting or using which one of the following methods?
A) Clinical observation of dementia
B) Inability to speak with relevance
C) Development of neurofibrillary tangles
D) Computed axial tomographic (CAT) scan
Q2) The nurse recognizes which of the following displays may indicate hyperactive delirium?
A) Lethargy
B) Withdrawn behavior
C) Nonpurposeful repetitive movements
D) Decreased psychoactive activity
Q3) Which of the following is(are)the risk factors for vascular dementia (VaD)after a stroke?
A) Smoking
B) Male sex
C) Hypertension
D) Advancing age
E) Hyperlipidemia
F)African American
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Chapter 22: Mental Health
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20 Flashcards
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Sample Questions
Q1) Which older adult is most likely to have normal mental health?
A) The older adult who grieves over the loss of a spouse for 2 years but is traveling again
B) The older adult who exhibits long periods of depression with occasional manic episodes
C) The older adult who has lost two friends in a war, has had three failed marriages, and is bankrupt
D) The older adult who has been treated for chronic depression and whose brother killed himself 1 year ago
Q2) An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.Which ideas should the nurse include in the response to this individual?
A) The staff receives training in ethics.
B) Validate the woman's impression.
C) Avoid suspicious, paranoid thinking.
D) Use the call bell if she becomes frightened.
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Chapter 23: Economic and Legal Issues
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Sample Questions
Q1) When an older adult is considering long-term care insurance (LTCI),which is an important consideration?
A) Carefully scrutinize all exclusions before enrolling.
B) Apply at the oldest age possible for lower rates.
C) Avoid purchasing LTCI through a group policy.
D) Delay application until the government sponsors LTCI.
Q2) Which of the following statements describes one of the standards of case management during hospitalization?
A) Begin discharge planning on the first day of hospitalization.
B) Keep an older adult in the hospital as long as necessary.
C) Accept the hospital discharge planner's (HDP) proposal for discharge.
D) Assist hospital personnel to focus on the admission complaint.
Q3) The older adult wants to appoint an attorney-in-fact with DPA for a specific period around a forthcoming surgery.Which should the nurse implement?
A) Help the patient find a qualified attorney.
B) Explain the legal rights and responsibilities of an attorney-in-fact with a DPA.
C) Suggest using a guardian for the surgical period.
D) Offer to act as the patient's guardian during surgery.
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Chapter 24: Relationships, Roles, and Transitions
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Sample Questions
Q1) Which of the following statements is true about relationships of older adults?
A) Loneliness is evidence of self-centeredness and an unwillingness to love.
B) A person may be lonely even when surrounded by other people.
C) Hostile behavior indicates that a person prefers to be left alone.
D) A pet cannot substitute for human attention.
Q2) Which of the following statements is true about caregiving?
A) Dementia in an older adult can cause grief in the caregiver, comparable with the grief from the older adult's death.
B) Middle-aged adults and older parents reverse life-long caregiving roles with increasing age.
C) Older adults should relocate to the caregiver's home when long distances separate the two.
D) Increasing numbers of adult children who are developmentally disabled become caregivers for their older parents.
Q3) Which disease has become known as the "great imitator?"
A) Human immunodeficiency virus (HIV)
B) Acquired immunodeficiency syndrome (AIDS)
C) Alzheimer disease
D) Schizophrenia
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Page 26
Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) Which of the following statements is true about loss in older adulthood?
A) A person experiences each stage of grief once, and then grieving is resolved.
B) Antianxiety agents are frequently recommended for reducing the pain of grief.
C) The loss response model is concerned with the effect of loss on an individual.
D) Referring to the deceased in the past tense can acknowledge the death's reality.
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.
Q3) Those who cope less effectively may exhibit which of the following?
A) Avoids avoidance
B) Confronts reality
C) Is demanding
D) Is rigid
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