Healthy Aging
Mock Exam
Course Introduction
Healthy Aging explores the biological, psychological, and social factors that influence the aging process and contribute to the well-being of older adults. The course examines key concepts such as the aging continuum, chronic disease prevention, lifestyle choices, nutrition, physical activity, mental health, and the role of social support systems. Students will learn about common myths and misconceptions surrounding aging, strategies for promoting independence and quality of life, and current best practices for supporting an aging population within diverse communities. The course emphasizes evidence-based approaches and encourages critical thinking about policies and interventions that foster healthy, active, and vibrant aging.
Recommended Textbook
Ebersole and Hess Gerontological Nursing and Healthy Aging in Canada 2nd Edition by Theris A.
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26 Chapters
314 Verified Questions
314 Flashcards
Source URL: https://quizplus.com/study-set/2017
2
Chapter 1: Introduction to Healthy Aging
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/40122
Sample Questions
Q1) Mr.Levesque, 65 years old, has been living on the street and in homeless shelters for the last three years after having lost his job as a maintenance attendant at a local store.He suffers from alcoholism and appears malnourished upon arrival at the hospital, after falling on the sidewalk and injuring his left shoulder.When implementing a primary health care approach, what is the main principle the nurse should consider with this older person?
A)Health promotion
B)Accessibility
C)Primary care
D)Public participation
Answer: A
Q2) Which province or territory is predicted to have the fastest growing older-person population in Canada between the years 2006 and 2031?
A)Ontario
B)British Columbia
C)Yukon
D)Newfoundland
Answer: C
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Page 3
Chapter 2: Gerontological Nursing History, Education, and Roles
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Mrs.Jaciuk, 70 years of age, was admitted to the hospital after a recent fall in her home.Her left cheek is bruised and she complains that her left leg is very sore.After assessment and undergoing a CT scan of her head and an X-ray of her left leg, the physician is ready to discharge her home because there is no evidence of a fracture.Mrs.Jaciuk starts to cry when the nurse enters the room and she begs the nurse to allow her to stay, because she has no one at home and she fears she may fall again.What should the nurse consider when addressing Mrs.Jaciuk?
A)Allow Mrs.Jaciuk to express her feelings.
B)Understand that hospitals are dangerous places for older persons.
C)Speak with the physician and request that Mrs.Jaciuk be allowed to stay another day.
D)Instruct Mrs.Jaciuk about fall prevention, based on the Registered Nurses' Association (RNAO) Best Practice Guideline.
Answer: B
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Page 4
Chapter 3: Communicating With Older Persons
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse needs to obtain information from an older person who has dysarthria.If the nurse experiences difficulty in understanding the older person, which one of the following actions would be the nurse's best response?
A)Allow for several brief conversations.
B)Repeat a part that is not understood.
C)Ask questions using very simple terms.
D)Provide a questionnaire with large type.
Answer: B
Q2) An older person living in long-term care begins to forget where activities occur, so the nurse engages her in reminiscence.Which goal of reminiscence is the most relevant to improve the nurse's communication with this older person?
A)Reminiscence provides cognitive stimulation.
B)Reminiscence helps to obtain information about fears.
C)Reminiscence offers a pleasurable experience.
D)Reminiscence can improve depressive symptoms.
Answer: A
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Chapter 4: Culture, Ethnicity, and Aging
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which of the following statements is true about gerontological nursing for patients of different races and ethnic backgrounds?
A)The fact that a nurse is white has no bearing on the nurse's ability to care for patients who are members of a minority group.
B)An encyclopedic accumulation of details of a particular culture is the best preparation for caring for persons from that culture.
C)A nurse who works in Toronto does not need to be as concerned about sensitivity to multiple cultures as a nurse who works in Vancouver.
D)Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from different ethnicities.
Q2) 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: Nursing Documentation
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) In Canada, advance directives (advanced care planning) falls under which jurisdiction?
A)Federal
B)Provincial/territorial
C)Municipal
D)Health care agency/provider
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)Standardized documentation helps to provide continuity of care.
B)Standardized documentation assists in maintaining confidentiality.
C)Standardized documentation reduces the number of medication errors.
D)Standardized documentation guarantees excellence of care between units.
Q3) Which of the following is a true statement about documentation?
A)Nurses should keep records of patients' wishes.
B)Patients do not have access to their own medical records.
C)The DARE approach is a complete record of the health status of a patient.
D)The nurse is responsible for completing all of the Minimum Data Set (MDS).
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Chapter 6: Biological Theories and Physical Changes of Aging
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) An older person is reading a large-print magazine and states that reading is difficult for her in the evening.Which following intervention should the nurse implement?
A)Put a high-intensity lamp at the head of her bed.
B)Explain to her that the grey-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.
Q2) Which change in the skin is abnormal in an older person?
A)Thinner and more fragile skin
B)A tear in the skin after being assisted with transferring from the bed
C)Mottled pigmentation and greater number of freckles
D)Loss of hair on the extremities
Q3) Common health promotion advice for older persons is to not smoke, or to stop smoking.What other health teaching should the nurse provide to promote healthy lungs in an older person?
A)Obtain annual influenza immunization.
B)Maintain adequate intake of fluids.
C)Ensure regular intake of vitamin D
D)Maintain a healthy weight.
Page 8
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Chapter 7: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/40128
Sample Questions
Q1) An older male adult with severe knee pain tells the nurse how he lost his job and his home after starting a new business when he was 48 years old.Now he lives alone and relies on welfare.Using Jung's theory, what in this individual's life is the most pivotal in his personality development?
A)Living alone
B)Meagre income
C)Severe knee pain
D)Job loss and home loss
Q2) The nurse plans care for older persons who are in good health but isolated from their families.If the nurse's goal is to move the adults toward gerotranscendence, which of the following interventions should the nurse use in the plan of care?
A)Give a daily tea party for the group.
B)Call each family to encourage visiting.
C)Encourage each person to focus on individual activities.
D)Assist them to resume midlife patterns.
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9
Chapter 8: Nutritional Needs
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse is trying to improve the nutritional status of older persons in a nursing home.Which one of the following recommendations should the nurse implement?
A)Develop a seating chart for the main dining room, based on unit, to facilitate a more organized and efficient meal delivery.
B)Replace the fluorescent lighting with candles at every table, to create a cozier, restaurant-like atmosphere.
C)Provide nutritious food according to the older persons' expressed food preferences, with liberal use of seasonings.
D)Distribute "nutritional liquid supplements" such as Ensure.
Q2) When providing health teaching to an older person, which of the following nutrition information guidelines should be recommended for the older person's daily diet?
A)A daily fibre intake of 15 g
B)No more than 1500 mg/day sodium intake
C)Five servings of meat per day
D)Vitamin D intake of 600 to 800 IU/daily
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Chapter 9: Hydration and Continence
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which type of incontinence is characterized by a large residual urine volume?
A)Urge incontinence
B)Stress incontinence
C)Overflow incontinence
D)Functional incontinence
Q2) Which one of the following increases the risk for chronic dehydration in older persons?
A)Overuse of diuretics
B)Poor cognitive function
C)Dry mucous membranes
D)Fluid loss from vomiting
Q3) The nurse evaluates the urinalysis (UA) of an older female patient who has an indwelling urinary catheter.The UA report shows gross contamination of the urine.Which one of the following actions should the nurse implement first?
A)Provide perineal hygiene.
B)Provide urinary catheter care.
C)Check the duration of catheterization.
D)Obtain a urine specimen from a sterile port.
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Chapter 10: Rest, Sleep, and Activity
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) An older person who is overweight and hypertensive awakens abruptly during the night with gasping and choking.Which action should the nurse implement to manage this patient's signs and symptoms?
A)Obtain a 12-lead electrocardiogram (ECG).
B)Administer an anti-anxiety medication.
C)Raise the head of the patient's bed to 30 degrees.
D)Offer a cool cloth and refresh the patient's bed linens.
Q2) Which of the following should the nurse recommend as a moderate-intensity exercise for older persons who are ambulatory and in good health?
A)Walk 5 to 6 km in 60 minutes.
B)Work in the garden for 50 minutes.
C)Participate in endurance exercises and increase time gradually.
D)Wash and wax the car for 75 minutes.
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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12
Chapter 11: Promoting Healthy Skin and Feet
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) An older-person female patient with mild peripheral vascular disease complains of foot pain from a corn.After assessing the patient's feet, which intervention should the nurse implement to safely alleviate her discomfort?
A)Cut out an oval corn pad to make a U shape.
B)Use a corn pad slightly larger than the corn.
C)Gently remove the corn with a sterile razor blade.
D)Tape the toe with the corn to the other toes.
Q2) Which of the following statements is true about foot care for older persons with diabetes?
A)A health care aide is qualified to care for the feet of a diabetic patient, including trimming the patient's nails.
B)Onychomycosis is eradicated quickly with antifungal creams or powders.
C)Toenails should be cut to give a smooth, rounded edge.
D)Tinea pedis is treated with topical application of antifungal powders.
Q3) Which of the following topical agents is safe to apply?
A)Corn starch, to absorb moisture in the groin area
B)Betadine, to disinfect a healing pressure ulcer
C)An over-the-counter preparation, to dissolve a corn
D)Zinc oxide ointment to an area of excoriation
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Page 13
Chapter 12: Maintaining Mobility and Environmental Safety
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which statement is true about assistive devices to aid older persons with impaired mobility?
A)When using a walker, armless chairs provide more ease when moving from sitting to standing.
B)Assistive devices do not contribute to falls and injuries.
C)Older persons should receive assistance in learning how to use the assistive device from a specialist in occupational or physiotherapy.
D)A walker is most useful for unilateral disabilities, but not for bilateral problems.
Q2) The nurse can place an older person into one of four patient rooms.Which one of the following is a suitable room for an older person?
A)A brightly lit, blue room with cozy throw rugs.
B)A room with orange carpeting and soft lighting.
C)A brightly lit, blue room with waxed vinyl floors.
D)A room for television and crafts.
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14
Chapter 13: Assessment Tools in Gerontological Nursing
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which type of assessment tool gives the most reliable results for an older person?
A)Medical history
B)Self-report
C)Observational
D)Report-by-proxy
Q2) Which of the following does the nurse do when preparing to perform a skilled and detailed assessment of an older person that is not usually required when assessing a younger individual?
A)Provide for adequate privacy.
B)Allow more time for assessing.
C)Gather all needed supplies.
D)Complete the evaluation in one sitting.
Q3) The nurse assesses an older female adult in midmorning and, in a normal-toned voice, asks her, "Do you walk to the library to borrow books?" How should this nurse improve an assessment of an older person?
A)Assess her earlier in the day.
B)Get this data from the family.
C)Use a soft voice for questions.
D)Ask her how she obtains books.
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Page 15
Chapter 14: Safe Medication Use for Older Persons
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Mr.Perrault, 75 years of age, was diagnosed with Parkinson's disease two years ago.Over the last 24 hours, he appears to have become more confused and agitated.Which of the following should the nurse consider as a possible cause of these symptoms, knowing that Mr.Perrault is receiving medication to alleviate some of his Parkinson's disease symptoms?
A)Delirium and dementia
B)Adverse drug reaction and delirium
C)Dementia and adverse drug reaction
D)Worsening of dementia
Q2) Which of the following processes is not increased in the early morning?
A)Fibrinolytic activity
B)Osteoarthritis pain
C)Asthma symptoms
D)Rheumatoid arthritis pain
Q3) Which of the following medications correctly matches the older-person condition given, according to current medical knowledge?
A)Alprazolam (Xanax) for depression at bedtime
B)Buspirone (BuSpar) for chronic anxiety states
C)Amitriptyline (Elavil) for depression in the morning
D)Haloperidol (Haldol) long-term for psychotic behavior
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Chapter 15: Living With Chronic Illness
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/40136
Sample Questions
Q1) An older male adult 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 the right arm.
B)Collaborate with occupational therapy.
C)Promote plaque-reversing strategies.
D)Support effective coping mechanisms.
Q2) Which statement is true about rehabilitation and restorative care for older persons?
A)The purpose is to regain specific abilities lost because of a condition.
B)Rehabilitation consists primarily of regular physiotherapy 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.
Q3) Which of the following qualities does the nurse need to provide caring?
A)Sensitivity to the needs of other nurses
B)Longing to help others live a healthy life
C)Desire to have a stable career and income
D)Ability to create a trusting environment
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17
Chapter 16: Pain and Comfort
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12 Verified Questions
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Sample Questions
Q1) An older male adult 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 he can perform?
A)Encourage pain medication around the clock.
B)Instruct him to rest until the pain disappears.
C)Suggest taking pain medication before walking.
D)Collaborate with the health care provider to get him a walker.
Q2) Compared with acute pain, which of the following statements is true of persistent pain?
A)It leads to markedly altered vital signs.
B)It is usually described as a burning pain.
C)It is generally gone within four months.
D)It can bring about changes in lifestyle.
Q3) Which one of the following interventions would provide comfort, reduce anxiety and distress, and alleviate pain?
A)Acupuncture treatments
B)Adjuvant therapy
C)Transcutaneous electrical nerve stimulation
D)Touch
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Page 18
Chapter 17: Diabetes Mellitus
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Sample Questions
Q1) Which comorbidity commonly associated with type 2 diabetes mellitus enhances the development of the microvascular complications of diabetes mellitus?
A)Dyslipidemia
B)Hypothyroidism
C)Venous insufficiency
D)Chronic constipation
Q2) Which of the following is a true statement about diabetes mellitus?
A)Type 2 diabetes results from a failure of the pancreas to produce insulin.
B)Diabetes is diagnosed after two fasting plasma glucose readings over 4.4-6.1 mmol/L (82-110 mg/dL).
C)Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes.
D)The incidence of diabetes mellitus does not increase with age.
Q3) Which of the following laboratory results is a goal for reducing a person's risk for diabetes and heart disease?
A)Triglycerides over 1.69 mmol/L (150 mg/dL)
B)Cholesterol over 5.18 mmol/L (200 mg/dL)
C)High-density lipoprotein under 1.03 mmol/L (40 mg/dL)
D)Fasting blood glucose under 7.0 mmol/L (126 mg/dL)
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Chapter 18: Bone and Joint Health
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Sample Questions
Q1) Which of the following assessments is typical for an older person with osteoarthritis (OA)?
A)Narrow joint spaces with crepitus
B)Effects occurring in symmetrical joints
C)Morning stiffness for at least an hour
D)Swelling from excess synovial fluid
Q2) Which statement about joints in older persons is true?
A)Osteoarthritis is an inflammatory joint disorder.
B)Surgical joint replacement can cure osteoarthritis.
C)Joint damage in osteoarthritis is reversed with medication.
D)Very old persons should avoid joint replacement surgery.
Q3) Which statement about rheumatoid arthritis (RA) is true?
A)Rheumatoid arthritis strikes different parts of the body unilaterally.
B)Patients with rheumatoid arthritis have no remissions and exacerbations.
C)Rheumatoid arthritis affects only joints.
D)It is considered an autoimmune disease, in which products from the inflamed lining of the joint invade and destroy the cartilage and bone within the joint.
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Page 20
Chapter 19: Visual and Auditory Changes
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10 Verified Questions
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Sample Questions
Q1) According to the Canadian National Institute for the Blind (CNIB), age-related macular degeneration (AMD) is the leading cause of severe vision loss in older persons in Canada.The CNIB suggests that older persons can change several modifiable risk factors to reduce or prevent AMD.Which of the following demonstrates modification of a risk factor for AMD?
A)Consume few or no alcoholic beverages.
B)Stop smoking.
C)Avoid direct sunlight.
D)Consume foods high in vitamin C.
Q2) Which of the following factors may exacerbate tinnitus?
A)Hearing aids
B)A diet high in calcium
C)Alcohol and cigarettes
D)History of brain injury
Q3) Which disease creates pressure within the eye and potential optic nerve damage in the older person?
A)Glaucoma
B)Presbyopia
C)Cataract
D)Macular degeneration
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Chapter 20: Cardio-Vascular and Respiratory Disorders
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11 Verified Questions
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Sample Questions
Q1) What is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF) in older persons who have HF?
A)Control fluid balance.
B)Control blood pressure.
C)Prevent deconditioning.
D)Maintain patient safety.
Q2) The exercise tolerance of an older person is impaired after a myocardial infarction (MI) because of a low ejection fraction.Which of the following primary interventions should the nurse use to assist this individual to restore baseline functional status?
A)Provide a well-balanced diet.
B)Assist with range of motion.
C)Instruct the older person to sit up in a chair four times daily.
D)Keep O2 saturation above 95%.
Q3) Which of the following statements about heart disease in older persons is true?
A)More women than men die from myocardial infarctions.
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.
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Page 22
Chapter 21: Cognitive Impairment and Neurological Disorders
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Sample Questions
Q1) Which of the following is a beneficial approach to hygienic care for an older person with dementia?
A)Schedule the older person's full shower at 0700 hours for three mornings every week.
B)Have a team give the older person a bath together, with each member washing a different body area.
C)Wash the older person's perineal region first, to remove potentially infectious material.
D)Explain each step as you go, and keep the older-person patient covered as much as possible while bathing.
Q2) Pharmacological interventions should not replace thoughtful and careful evaluation and management of the underlying causes of delirium.Which medication administered for delirium in 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)
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Chapter 22: Economic and Legal Issues
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Sample Questions
Q1) A health care provider asks the nurse about an older male adult's power of attorney because consent is needed for a medically necessary invasive procedure; the patient has end-stage disease, is intubated, and is on mechanical ventilation.Which one of the following steps should the nurse implement?
A)Refer to the patient's advance directive for a name.
B)Assist with obtaining informed consent from the patient.
C)Use an oral test to measure the patient's cognitive function.
D)Apply the Confusion Assessment Method for critical care.
Q2) Social security retirement income programs are designed to minimize the chances of retirees and older people living in poverty in Canada.Which of the following individuals over the age of 65 years would encounter the most challenges in accessing the social security retirement income programs, which include Old Age Security (OAS), Guaranteed Income Supplement (GIS), Allowance for the Survivor, and the Canada Pension Plan (CPP)?
A)Mrs.Perez, who has been living in Canada for eight years as a sponsored immigrant
B)Ms.Soznicki, who has been a common-law partner for ten years
C)Mrs.Haas, who is the widow of an old age security pensioner
D)Mr.Naipal, who has been a same-sex partner for 15 years
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Chapter 23: Relationships, Roles, and Transitions
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Sample Questions
Q1) Which statement is true about the relationships of older persons?
A)Loneliness is evidence of self-centredness and unwillingness to love.
B)A person may be lonely even when surrounded by other people.
C)Hostile behaviour indicates that a person prefers to be left alone.
D)A pet cannot substitute for human attention.
Q2) Which of the following statements about the role of grandparents is true?
A)The usefulness of grandparents declined with the advent of the industrial age.
B)Today, many grandparents are the primary caregivers of their grandchildren.
C)The value of grandparents is to provide gifts to younger family members.
D)Traditionally, parents are subordinate to the grandparents in caregiving.
Q3) Which of the following statements is true about caregiving?
A)Dementia in an older person can cause grief in the caregiver, comparable to the grief from the older person's death.
B)Middle-aged adults and older parents reverse lifelong caregiving roles with increasing age.
C)Older persons 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.
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Page 25
Chapter 24: Mental Health and Wellness in Later Life
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Sample Questions
Q1) An older female adult fell at home while trying to get to the bathroom in time to prevent urinary leakage.What is the priority nursing intervention to prevent patient injury at home in the future?
A)Discharge the patient to home while she is attending an alcohol prevention program.
B)Perform a home safety inspection to identify modifiable safety hazards.
C)Instruct the patient on pelvic floor exercises and other incontinence strategies.
D)Explore and assess for depression, alcohol abuse, and physiological contributors to falls.
Q2) Which of the following statements about suicide among older persons is true?
A)Older persons and young adults manifest suicidal intent in similar ways.
B)Older female adults have the highest risk of suicide.
C)Ethics require that the nurse respect a person's intent to terminate his or her own life.
D)Depression and other mental health problems contribute to the risk of suicide.
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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 to maintain the equilibrium.
D)In the LRM model, those grieving transition through several stages.
Q2) After an older person dies, his brother, who has a history of alcohol abuse, upsets the family by going on a drinking binge instead of attending the funeral.What is the best description of the brother's behaviour?
A)The brother has a personality disorder.
B)The brother is displaying a disrespectful attitude.
C)The brother is experiencing disenfranchised grief.
D)The brother is experiencing chronic grief.
Q3) Which of the following statements about loss in older adulthood is true?
A)A person experiences each stage of grief once and then grieving is resolved.
B)Anti-anxiety 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.
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27
Chapter 26: Care Across the Continuum
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Source URL: https://quizplus.com/quiz/40147
Sample Questions
Q1) A resident of a long-term care facility in Ontario has been asking to have the drain in the bathroom sink repaired for two months.The nurse responds by saying that when they move to the new building, the sinks will work very well.Which right of a resident of a long-term care facility has the nurse violated?
A)The right to be free of all forms of abuse
B)The right to be transferred for appropriate reasons
C)The right to voice concerns or recommend changes in policies and services and have them remedied
D)The right to information about conditions and treatments
Q2) Architects are designing homes for younger adults that allow these individuals to age safely in their homes.What is this type of design called?
A)Aging-in-place
B)Residential care
C)Transgenerational
D)Safe haven homes
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