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Healthy Aging Exam Materials - 426 Verified Questions

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Healthy Aging

Exam Materials

Course Introduction

Healthy Aging explores the biological, psychological, and social processes involved in aging, emphasizing factors that contribute to wellbeing and quality of life in later years. The course examines the impact of lifestyle choices, nutrition, physical activity, preventative health care, and social engagement on aging, as well as common myths and misconceptions about older adulthood. Students will learn about age-related changes in the body and mind, strategies for promoting independence and active living, and the role of community and healthcare systems in supporting healthy aging.

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

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Chapter 1: Introduction to Healthy Aging

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) The nurse plans activities for older women born between 1920 and 1930 and who reside in an assisted-living facility.Which is the best intervention for the nurse to implement?

A) Have them bake cookies twice a week.

B) Conduct interviews for specific interests.

C) Arrange dog and cat visits from volunteers.

D) Take them to the library for guest speakers.

Answer: B

Q2) Which describes the older man who is likely to experience the best overall health and well-being?

A) Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight

B) Resides alone, was moved to a new city recently by his family members for their convenience, has osteoarthritis

C) Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family

D) Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends

Answer: D

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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 organization had a significant influence on the care of older adults?

A) American Association of Retired Persons (AARP)

B) John Hartford Foundation

C) Medicare

D) Mutual of Omaha Insurance

Answer: B

Q2) Which is an accurate statement regarding gerontological nursing education?

A) Gerontological nursing content has long been integrated into the curriculum of the typical school of nursing.

B) Undergraduate nursing programs extensively cover gerontological nursing in dedicated courses, comparable with the coverage of psychiatric nursing.

C) When content is integrated throughout a curriculum, less than 25% is devoted to geriatric care.

D) Accreditation of a nursing program guarantees that appropriate amounts of gerontological nursing content are included in the curriculum.

Answer: C

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Chapter 3: Care Across the Continuum

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) Which is characteristic of relocation stress syndrome in a resident of a long-term care facility?

A) Agitation

B) Apprehension

C) Caring family

D) Hallucinations

Answer: B

Q2) As the nurse admits an older woman to a long-term care facility from her home of 50 years,she mistakes the nurse for her daughter.Which diagnosis does the nurse use to plan care for this woman?

A) Hypoxia as a result of chronic disease

B) Relocation stress syndrome

C) Alzheimer disease (AD)

D) Attention-seeking behavior

Answer: B

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5

Chapter 4: Culture and Aging

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Sample Questions

Q1) The nurse plans care for an older African American adult who is from Jamaica and resides in New York City.Which should the nurse include in planning care?

A) Attribute his illness to breaking a voodoo.

B) Help him improve social relationships.

C) Maintain blood pressure below 120/70 mm Hg.

D) Review the principles of the magicoreligious system.

Q2) Which cultural group is more likely to distrust the health care system than other cultural groups in the United States?

A) African Americans

B) Chinese Americans

C) Mexican Americans

D) Lebanese Americans

Q3) The nurse is aware that cultural competence means having the skills to put cultural knowledge to use in all of the following except:

A) Assessment

B) Communication

C) Intervention

D) Collaboration

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6

Chapter 5: Theories of Aging and Physical Changes

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) During a walk,an older man suffers a laceration from a broken tree branch.Rank the nurse's interventions in order,beginning with the most important intervention.

A) Flush and cleanse the wound well.

B) Investigate a possible safety hazard.

C) Instruct him to keep the wound covered.

D) Verify a current tetanus immunization.

E) none of the above

Q2) An older female patient is reading a large-print magazine and states that reading is difficult for her in the evening.Which intervention should the nurse implement?

A) Put a high-intensity lamp at the head of her bed.

B) Explain to her that the gray-yellow ring around her cornea, arcus senilis, is interfering with visual acuity.

C) Put more powerful tubes in the fluorescent room lights.

D) Examine her retinas for signs of damage.

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Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging

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Sample Questions

Q1) 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.

Q2) The nurse provides opportunities for nursing home residents to read aloud to others.Which cognitive skill is this nursing intervention most likely to improve?

A) Verbal fluency

B) Logical analysis

C) Object naming

D) Visuospatial skills

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Chapter 7: Assessment and Documentation for Optimal Care

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Sample Questions

Q1) The nurse must inform an older adult who does not speak English about patient rights.In addition,the nurse must have the adult sign the document about information access.Which intervention should the nurse use to maintain the confidentiality of this older adult?

A) Present the patient with a Spanish version of the information access document.

B) Have an English-speaking family member explain the document to the patient.

C) Explain the document to the patient using an interpreter to ensure understanding.

D) Instruct an interpreter to read the information access document to the resident privately.

Q2) The same nursing documentation record is used in every unit of a hospital.Why does a hospital use a standardized form for nursing documentation?

A) Helps provide continuity of care

B) Standardizes patient care parameters

C) Assists in maintaining confidentiality

D) Reduces the number of medication errors

E) Provides the foundation for staffing levels

F)Allows for quality evaluations among units

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Chapter 8: Safe Medication Use

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Sample Questions

Q1) An older man is taking aripiprazole (Abilify)for agitation.Which patient assessment is the nurse's priority to prevent catastrophic effects of the medication?

A) Oral and facial dyskinesia

B) Mask facies, shuffling gait

C) Muscle spasms of the face

D) Repetitive aimless walking

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

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Chapter 9: Nutrition and Hydration

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Sample Questions

Q1) Which intervention should the nurse use to decrease the risk of burns during mealtime in patients with mental and physical impairments?

A) Wait until the drink has cooled.

B) Assist patients with warm drinks.

C) Use plastic mugs instead of ceramic.

D) Serve only cold beverages to patients at risk.

Q2) Which intervention(s)can be used to improve intake for individuals with dementia?

A) Serve soup in a plastic bowl.

B) Cut up foods before serving.

C) Use clear cups to serve drinks.

D) Provide one utensil at a time.

Q3) An older adult with a gastrostomy tube has difficulty using the dominant hand.Which of the following should the nurse provide to prevent complications of the gastrostomy tube?

A) Use foam swabs to brush the teeth.

B) Provide oral care every 4 hours.

C) Supply a soft tooth brush and floss.

D) Position the patient at 90 degrees for tube feedings.

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11

Chapter 10: Elimination

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Sample Questions

Q1) 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.

Q2) The nurse evaluates the urinalysis (UA)of a female patient with an indwelling urinary catheter.The UA report shows gross contamination of the urine.Rank the nursing interventions in order,beginning with the first intervention the nurse should implement.

A)Provide perineal hygiene.

B)Provide urinary catheter care.

C)Check the duration of catheterization.

D)Obtain a urine specimen from a sterile port.

E) None of the above

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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) During the night,an older woman complains to the nurse that she has not slept more than 2 hours since admission to the hospital.Which intervention should the nurse implement to increase the duration of this woman's sleep?

A) Inquire about her sleep habits used at home.

B) Suggest that she avoid napping during the day.

C) Tell her that sleep is fragmented in older people.

D) Offer a book to her or suggest watching a movie.

Q2) The older adult residents of an assisted-living facility are preparing for a 14-day trip to Europe.Which is the most important exercise for the nurse to recommend for the group?

A) Practice standing on one foot for 30 seconds.

B) Move light weights in a rowing motion eight times.

C) Stretch the hips by pulling the knee to the chest.

D) Swim laps in the pool for 10 minutes continuously.

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) 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.

Q2) 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.

Q3) Which nursing intervention is most likely to prevent the creation of an environment conducive to fungal growth?

A) Provide oral care with soft-bristled brush.

B) Apply nystatin powder to reddened tissue.

C) Use mild skin cleansing agents and blot dry.

D) Apply gauze soaked with antifungal lotion.

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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 overall temperature in your gerontological unit is 62° F during the evening shift.In documenting this concern to the administration,which factor is the most important for the health and well-being of older adults?

A) It is not fair for older adults to have to deal with an uncomfortable environment.

B) Some of the residents are wearing blankets around their shoulders to keep warm.

C) An ambient temperature of 62° F is unsuitable for older people because they have impaired thermoregulation.

D) It feels much warmer in the administration wing than out in the patient care areas.

Q2) The nurse assesses the quality of which of the following patient characteristics when applying the Get-Up-and-Go test from the Hendrich II Fall Risk Model?

A) Stride

B) Speed

C) Balance

D) Flexibility

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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) Which factor(s)is(are)modifiable health risk behaviors for chronic illness?

A) Physical activity

B) Prescription medication use

C) Poor nutrition

D) Tobacco use

Q2) An older man who is right-handed works as a carpenter,but he has been left with a flaccid right arm after a thrombus occluded a cerebral artery.Which is the most important goal for the plan of care to help this man achieve his optimal state of health and wellness?

A) Maintain skin integrity of right arm.

B) Collaborate with occupational therapy (OT).

C) Promote plaque-reversing strategies.

D) Support effective coping mechanisms.

Q3) Which of the following statements is true about rehabilitation and restorative care for older adults?

A) The purpose of rehabilitation and restorative care is to regain specific abilities lost because of a condition.

B) Rehabilitation consists primarily of regular physical therapy sessions.

C) A person can learn skills and gain abilities that enable functioning.

D) The patient's capabilities are recognized at the time of admission.

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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) An older man who had a gastric resection states that he wants to ambulate but the osteoarthritis (OA)in his knees causes too much pain.Which intervention should the nurse implement to increase the amount of walking this man can perform?

A) Encourage the patient to keep his leg elevated.

B) Instruct him to rest until the pain disappears.

C) Suggest taking pain medication before walking.

D) Collaborate with the health care provider to make a walker available.

Q2) An older Hispanic man states that he is not having pain,but he had knee replacement surgery 2 days ago.Which is the best pain assessment tool as recommended by the Hartford Institute for Geriatric Nursing (HIGN)from "Try This" for the nurse to apply for this man?

A) Numeric Rating Scale

B) Verbal Descriptor Scale

C) Iowa Pain Thermometer

D) Faces Pain Scale-revised (FPS-R)

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Chapter 16: Diseases Affecting Vision and Hearing

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) When preparing a patient teaching session on retinopathy,the nurse should include which intervention(s)when discussing treatments for slowing the progression of the disease?

A) Glucose control

B) Blood pressure control

C) Laser therapy

D) Cornea transplant

Q2) Which population groups are most at risk for developing macular degeneration?

A) African American

B) Asian American

C) Caucasian

D) Hispanic

Q3) 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

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18

Chapter 17: Metabolic Disorders

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Sample Questions

Q1) Which co-morbidity commonly associated with type 2 diabetes mellitus enhances the development of the microvascular complications of diabetes mellitus?

A) Hyperlipidemia

B) Hypothyroidism

C) Venous insufficiency

D) Chronic constipation

Q2) The nurse teaches an older adult who has diabetes mellitus and takes metoprolol (Lopressor)to recognize clinical indicators of hypoglycemia.Which clinical indicators of hypoglycemia does the nurse include in patient teaching as the indicators this man is most likely to detect?

A) Shaking

B) Dizziness

C) Weakness

D) Diaphoresis

E) Tachycardia

F)Impaired vision

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Chapter 18: Bone and Joint Problems

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Sample Questions

Q1) 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

Q2) The nurse is educating an older woman on foods high in calcium.Which foods should the nurse include?

A) Chinese cabbage

B) Soy milk

C) Cheese pizza

D) Whole wheat

Q3) An older adult who has OA receives a prescription for alendronate (Fosamax).Which instruction should the nurse include in patient teaching?

A) Use with a bisphosphonate medication.

B) Is available for oral use.

C) Take this medication for up to 2 years.

D) Consume up to 600 mg of calcium daily.

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Chapter 19: Cardiovascular and Respiratory Disorders

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Sample Questions

Q1) 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.

Q2) The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual.Which should the nurse do to determine if pneumonia is a potential cause of the change in her status?

A) Obtain a specimen for aerobic blood cultures.

B) Promptly send the resident for a chest x-ray examination.

C) Analyze sputum for color, texture, and volume.

D) Compare tympanic temperature to the baseline.

Q3) The nurse understands that heart disease risk factors are which of the following?

A) Age

B) Hypertension

C) Diabetes

D) Macular degeneration

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21

Chapter 20: Neurological Disorders

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Sample Questions

Q1) Persons with _____________ _______________ usually understand others but speak very slowly and use a minimal number of words.

Q2) _______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.

Q3) 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.

Q4) An older man comes to the emergency department after falling at home,and he reports that he cannot walk without losing his balance.Which steps should the nurse implement for this patient?

A) Arrange to transfer him immediately to the radiology department.

B) Determine symptom onset or when he fell at home.

C) Organize the reperfusion tissue plasminogen activator (tPA) infusion.

D) Perform a comprehensive neurologic assessment.

Q5) _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).

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Chapter 21: Cognitive Impairment

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Sample Questions

Q1) Which medication administered for delirium under a controlled environment can reduce the duration and severity of delirium for high-risk patients?

A) Haloperidol (Haldol)

B) Thioridazine (Mellaril)

C) Fluphenazine (Prolixin)

D) Chlorpromazine (Thorazine)

Q2) An older woman has a wound infection 5 days after a below-the-knee amputation brought about by diabetes mellitus.Which of the following is the nurse's priority intervention to prevent cognitive dysfunction and postoperative complications in this older adult?

A) Remove invasive devices as soon as possible.

B) Minimize the administration of opioid analgesics.

C) Allow for self-care and independent activities.

D) Administer short-acting benzodiazepines as needed.

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23

Chapter 22: Mental Health

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20 Flashcards

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Sample Questions

Q1) When planning care for a patient that has a history of alcohol abuse,the nurse recognizes which of the following medication(s)will interact with alcohol?

A) Analgesics

B) Antibiotics

C) Antidepressants

D) Antipyretics

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.

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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Chapter 23: Economic and Legal Issues

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Sample Questions

Q1) An older woman is resisting her son's help to make her money last longer.He wants to have her declared incapacitated so he can manage her finances.Which nursing assessment can be used by the court to declare incapacitation?

A) Prepares very few meals and avoids cleaning the house.

B) Ambulates around her local community without difficulty.

C) Balances her checkbook weekly and pays her bills on time.

D) Resists medical advice to remove a stage I malignant tumor.

Q2) 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.

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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Chapter 24: Relationships, Roles, and Transitions

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Sample Questions

Q1) Which one of the following older adults is most likely to need preretirement counseling to avoid significant concerns in retirement?

A) African-American woman who is a certified public accountant

B) Mexican-American woman who receives cash for cleaning services

C) Middle-aged man who has a history of type 1 diabetes mellitus

D) Older male clerk who works for the Department of Homeland Security

Q2) In a retirement planning program,the community health nurse wants to help participants avoid disappointment in retirement.The nurse's program emphasizes which of the following elements that must be adequate to meet postretirement expectations?

A) Financial planning

B) Company-sponsored benefits

C) Company-sponsored health care

D) Government-sponsored benefits

E) Ability to maintain a personal residence

F)Safety and security of a personal residence

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Chapter 25: Loss, Death, and Palliative Care

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Sample Questions

Q1) The primary difference between the Loss Response Model (LRM)and the Worden model of grief is which of the following?

A) In the Worden model, those grieving pass through stages in order.

B) The LRM uses a systems approach that acts to uphold stability.

C) In the Worden model, the system helps maintain equilibrium.

D) In the LRM model, those who are grieving transition through several stages.

Q2) Which of the following statements is true about end-of-life care?

A) The physician is the ultimate authority in the decision to use or not to use life-sustaining medical treatment.

B) The proxy appointed in a living will cannot speak for the testator in health care matters other than terminal illness.

C) A patient with dementia cannot be capable of making personal wishes known about life-sustaining treatment.

D) The American Nurses Association encourages nurses to participate in assisted suicide.

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