Long-Term Care Nursing
Exam Answer Key
Course Introduction
Long-Term Care Nursing focuses on the principles and practices required to provide comprehensive care for individuals with chronic illnesses, disabilities, or age-related conditions who require extended assistance. The course explores the physical, psychological, and social needs of residents in long-term care facilities or community settings, emphasizing person-centered care, interdisciplinary collaboration, and family involvement. Topics include assessment and care planning, promotion of functional independence, management of chronic health conditions, end-of-life care, ethical and legal considerations, and strategies for enhancing quality of life. Students will also develop effective communication, advocacy, and leadership skills essential for the long-term care environment.
Recommended Textbook
Basic Geriatric Nursing 6th Edition by Williams
Available Study Resources on Quizplus
20 Chapters
546 Verified Questions
546 Flashcards
Source URL: https://quizplus.com/study-set/899 Page 2
Chapter 1: Trends and Issues
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/17721
Sample Questions
Q1) The nurse is aware that a person's attitude about aging is influenced mainly by his or her __________. (Select all that apply.)
A) life experiences
B) income level
C) level of education
D) current age
E) occupation
Answer: A,D
Q2) Which of the following facilities would be recommended for a patient who has had a hip replacement and needs physical therapy?
A) Basic care facility
B) Skilled care facility
C) Subacute care facility
D) Assisted-living residence
Answer: B
Q3) The nurse clarifies that the term that refers to the promotion of high-level functioning and supportive care to older adults is __________.
Answer: gerontics
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Theories of Aging
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/17722
Sample Questions
Q1) What is true of the psychosocial theories of aging?
A) They focus on methods to delay the aging process.
B) They are directed at decreasing depression in the older adult.
C) They are organized to enhance the perception of aging.
D) They attempt to explain responses to the aging process.
Answer: D
Q2) Which of the following would be considered positive outcomes of Erikson's "life review"? (Select all that apply.)
A) Wisdom and integrated self-image
B) Comparing self with others
C) Understanding self and relationships
D) Seeking another's opinion of his or her achievement
E) Acceptance of self
Answer: A,C,E
Q3) How does a theory differ from a fact?
A) A theory proves how different influences affect a particular phenomenon.
B) A theory attempts to explain and give some logical order to observations.
C) A theory is a collection of facts about a particular phenomenon.
D) A theory shows a relationship among facts about a particular phenomenon.
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Physiologic Changes
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/17723
Sample Questions
Q1) An 80-year-old extended-care resident comes to the nurse asking for a bandage for a bleeding, dark pigmented mole with irregular shape and border. What does the nurse suspect?
A) Melanoma
B) Basal cell carcinoma
C) Cutaneous papilloma
D) Senile lentigo
Answer: A
Q2) When a 75-year-old male resident in an extended-care facility tells the nurse he wants to build up the muscles in his arms, the nurse recommends a(n) __________ exercise program.
Answer: isotonic
Isotonic exercises such as flexing and extending the arms while holding hand weights build tone and muscle mass.
Q3) What is a cause of pernicious anemia?
A) An iron deficiency
B) A deficiency of vitamin B<sub>12</sub>
C) Low serum potassium level
D) Blood loss
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Health Promotion, Health Maintenance, and
Home Health
Considerations
Available
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/17724
Sample Questions
Q1) Which of the following tasks could not be performed by an unlicensed home health aide?
A) Transfer the patient into a bathtub.
B) Measure or dispense medication.
C) Contact family members independently.
D) Accompany the patient outside the home.
Q2) An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had a tetanus booster when she was 75. The nurse's response will be based on the knowledge that tetanus boosters
A) should be repeated every 5 years.
B) are not necessary for persons older than 70.
C) do little good for the older adult.
D) should be repeated with every injury, regardless of the previous booster.
Q3) A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he should take the vaccination to prevent shingles. What would be the nurse's most helpful response?
A) "No. Persons with impaired immune systems should not take that vaccine."
B) "Yes. It would be a good idea to protect yourself from shingles."
C) "No. That vaccine is only effective in about 10% of the cases."
D) "Yes. The vaccine is very inexpensive and very effective."
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Communicating with Older Adults
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/17725
Sample Questions
Q1) When asked about the severity of pain, the 93-year-old patient does not answer right away. What is the best response by the nurse?
A) Ask rapid questions: "Is it better? Is it worse than yesterday? Is it worse than this morning?"
B) Repeat the question in a louder voice.
C) Say, "You must be feeling better because you're not complaining."
D) Keep eye contact and wait for the answer.
Q2) What would the nurse be conveying when using touch as a form of communication? (Select all that apply.)
A) Affection
B) Understanding
C) Concern
D) Apathy
E) Acknowledgment
Q3) Which of the following best defines therapeutic communication?
A) Has a specific intent or purpose
B) Is the only form of professional communication
C) Should never be used in a social setting
D) Requires no special skills, just a willingness to listen
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Maintaining Fluid Balance and Meeting
Nutritional Needs
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/17726
Sample Questions
Q1) Older adults plagued with chronic health problems may become undernourished because they __________. (Select all that apply.)
A) are too fatigued to prepare meals
B) become frustrated when attempting to open packaging
C) may be unable to carry groceries any distance
D) have no interest in eating out due to health issues
E) lack stamina to shop for groceries
Q2) The nurse recommends that the older patient eat chicken and fish because they contain complete proteins. What is present in complete proteins?
A) Molecules of carbohydrate
B) All the essential amino acids
C) A high fat content
D) A soluble fiber
Q3) What factors influence nutritional needs? (Select all that apply.)
A) Bone density
B) Gender
C) Climate
D) Presence of illness
E) Body temperature
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Medications and Older Adults
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/17727
Sample Questions
Q1) Why is self-medication with over-the-counter (OTC) drugs hazardous to the older adult? (Select all that apply.)
A) OTC drugs can increase the effect of a prescribed drug.
B) OTC drugs can interfere with the efficacy of a prescribed drug.
C) OTC drugs can mask significant symptoms of primary disease.
D) OTC drugs are easily obtained.
E) OTC drugs can lead to overdose because they are not considered to be "real drugs."
Q2) What factors increase the risk of medication-related problems in the older adult? (Select all that apply.)
A) Drug-testing methodology
B) Age-related changes
C) Polypharmacy
D) Cognitive and sensory changes
E) Lack of adequate medical follow-up
Q3) What is a symptom of theophylline overdose?
A) Tachycardia
B) Confusion
C) Hypotension
D) Constipation
To view all questions and flashcards with answers, click on the resource link above.
Page 9
Chapter 8: Health Assessment for Older Adults
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17728
Sample Questions
Q1) What type of thermometer would be the best choice when assessing the temperature of an older adult?
A) Electronic thermometer, because it only takes a few seconds to assess temperature
B) Oral thermometer, because the presence of dry mucous membranes gives a more valid temperature
C) Axillary thermometer, because its position is nearer the heart
D) Rectal thermometer, because it is the best indicator of the body core temperature
Q2) What would be included in a list of the five techniques of health assessment? (Select all that apply.)
A) Inspection
B) Palpation
C) Interview
D) Auscultation
E) Percussion
Q3) The nurse explains that the tool that allows the evaluation of core function in a resident in a long-term facility is the __________ __________ __________.
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: Meeting Safety Needs of Older Adults
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17729
Sample Questions
Q1) What is an expected assessment finding in an older adult suffering from hyperthermia?
A) Excessive perspiration
B) Bradycardia
C) Temperature of 100° F
D) Leg cramps
Q2) The daughter of a home health patient is concerned about her 92-year-old father who continues to drive regularly. Which observations would indicate deteriorated driving skills? (Select all that apply.)
A) Paint scrapes on the mailbox at the curb
B) Friends calling him to get rides to the grocery store
C) Choosing not to drive at night because of night blindness
D) Difficulty turning his head
E) Carefully planning routes to avoid heavy traffic
Q3) Which of the following may be a thermoregulation risk in the older adult?
A) Inactivity
B) Eating highly spiced foods
C) Being overweight
D) Mental illness
To view all questions and flashcards with answers, click on the resource link above.
Page 11
Chapter 10: Cognition and Perception
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17730
Sample Questions
Q1) In what ways can a nurse help a demented person maintain orientation? (Select all that apply.)
A) Consistently calling the patient by name, usually the first name
B) Referring the patient to a calendar to note special events
C) Reminding the patient about the time of day by pointing to the clock
D) Calmly taking the patient to an appointment without explanation
E) Reminding the patient of her or his whereabouts frequently
Q2) The person who is unable to identify time, place, or person to the point that he or she is unable to make appropriate decisions is described as __________.
Q3) The nurse explains that the term that describes the ability to make judgments quickly on the basis of unfamiliar stimuli is __________ __________.
Q4) An 84-year-old female resident with dementia in an extended-care facility rapidly paces the halls and the common areas from right after breakfast to bedtime. What should be included in the nursing plan of care?
A) Restrain the resident from pacing.
B) Apply a bracelet that sounds an alarm if the resident leaves the building.
C) Encourage rest by asking her to sit and have a glass of juice or a snack.
D) Pace with her and engage her in conversations.
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Self Perception and Self-Concept
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17731
Sample Questions
Q1) What forms an individual's self-identity? (Select all that apply.)
A) Values
B) Ambition
C) Interaction with others
D) Self-esteem
E) Ability to control his or her life
Q2) The 70-year-old woman who had a stroke 3 months ago has a body image disturbance related to her spastic right arm and contracted fingers of the right hand. How can the nurse assist the patient in improving her body image?
A) Teach her to write with her left hand.
B) Place articles within easy reach of her left hand.
C) Help her select colorful scarves or accessories to cover her right arm.
D) Show her massage techniques to increase circulation in her right arm.
Q3) What would cause the most damage to the self-concept of an older adult who lives in a long-term care facility?
A) Being perceived as a single group rather than an individual
B) Having individual needs that are not met
C) Losing many personal belongings
D) Losing social contact
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Roles and Relationships
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17732
Sample Questions
Q1) The nurse assesses that although the college professor has retired, he still perceives himself as an educator and retains his academic title and professional association membership. How could the change in employment status be reflected in the professor?
A) Altered self-image
B) Neglect of his family
C) Identity crisis
D) Habitual professional behavior
Q2) A society that has numerous subcultures with different or conflicting expectations is said to be a(n) __________ society.
Q3) A man has roles of father, husband, professional businessman, son, and community leader. What may he be at risk of experiencing?
A) Role confusion
B) Isolation
C) Internal role conflict
D) Diminished self-esteem
Q4) The nurse uses a diagram to depict __________, which is a term for interaction between different roles.
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Coping and Stress
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17733
Sample Questions
Q1) A woman is in the emergency department after a car wreck. She is breathing rapidly and complains of dizziness and tingling in her extremities. She says, "I think I'm having a heart attack!" The nurse is aware that the symptoms may be related to which of the following?
A) A transient ischemic attack
B) Hyperventilation
C) Hypotension
D) Asthma
Q2) When are older adults at a greater risk for stress-related problems? (Select all that apply.)
A) When there is a chronic illness
B) When they have suffered the loss of a spouse
C) When they have relocated
D) When their income is reduced
E) When they have general adaptation syndrome
Q3) How does the body respond physically to stress?
A) Decreased heart rate
B) Decreased production of digestive enzymes
C) Decreased blood glucose levels
D) Decreased blood pressure
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Values and Beliefs
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/17734
Sample Questions
Q1) What does the "R" remind the nurse to assess when using the spiritual assessment prompt SPIRIT?
A) Rituals
B) Religious objects
C) Rosary
D) Religious reading materials
Q2) Who does the home health nurse expect her 85-year-old Hispanic patient will seek health advice from?
A) Local pharmacist for prescription drugs
B) Folk healer (curandero)
C) Priest of her church
D) Close family members
Q3) What would an 80-year-old African-American woman most likely believe would aid in improving her health?
A) Eating fresh fruits and vegetables
B) Daily exercise
C) A visit from her pastor to pray for her recovery
D) The close attendance of her family
Q4) The nurse explains that Muslims have a great reverence for their holy book, called the __________.
Page 16
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: End-of-Life Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/17735
Sample Questions
Q1) What can caregivers do for a dying patient who suffers from diminished vision?
A) Keep lights bright to increase visual acuity.
B) Stand slightly away from the bed and identify themselves before speaking.
C) Keep all lights on in the room, day and night.
D) Come close to the bed and stand directly in front of the patient.
Q2) Which patient would be a candidate for hospice care?
A) The patient with a life expectancy of only 12 months.
B) The patient who agrees to life support.
C) The patient who agrees to palliative measures.
D) The patient who has a treatable illness.
Q3) Why is end-of-life planning often neglected? (Select all that apply.)
A) There is a clear procedure to follow.
B) People are uncomfortable talking about death.
C) Young people do not see the need for end-of-life planning.
D) End-of-life planning is a relatively new concept.
E) Many persons are not really sure what they want to do.
Q4) The hospice nurse explains that dying in peace without pain and with dignity in a supportive care environment is defined as a(n) _________ death.
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Sexuality and Aging
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/17736
Sample Questions
Q1) What drugs can contribute to erectile dysfunction? (Select all that apply.)
A) Digitalis
B) Pancreatic enzyme replacement
C) Antihistamines
D) Antiparkinson drugs
E) Antidepressants
Q2) What questions would be appropriate for the nurse to ask in order to assess sexual function? (Select all that apply.)
A) "How many alcoholic beverages do you drink a day?"
B) "What over-the-counter and prescription medications do you take?"
C) "How often do you engage in sexual activity?"
D) "Have you had any recent health problems?"
E) "When do you see your significant other?"
Q3) What medical condition is known to contribute to erectile dysfunction?
A) Diabetes
B) Irritable bowel syndrome
C) Chronic pancreatitis
D) Osteoarthritis
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Care of Aging Skin and Mucous Membranes
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17737
Sample Questions
Q1) The long-term care facility resident who has not worn his dentures for several months complains that the dentures no longer fit. Why do the dentures no longer fit?
A) The gums have hypertrophied.
B) The gums have receded.
C) The jaw shape has altered.
D) The dentures have warped from disuse.
Q2) What preventative action can be taken to prevent skin trauma from shearing force?
A) Slide the patient across the bed linens to change position.
B) Apply generous amounts of lotion to the patient's skin.
C) Lift the patient on draw sheets when pulling up in bed.
D) Give the patient frequent tub baths to soften the skin.
Q3) The nurse instructs a group of older adults on how to maintain intact skin. What would be included in the teaching plan? (Select all that apply.)
A) Altering their body position every 30 minutes while sitting in the chair
B) Changing incontinent products when they become soiled
C) Using a pressure-relieving device like the "donut" to sit on
D) Routinely checking their feet for redness and indentations
E) Patting the skin dry after a shower or bath
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Elimination
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/17738
Sample Questions
Q1) Which of the following complaints would indicate a possible fecal impaction in an older adult? (Select all that apply.)
A) Cramping
B) Rectal pain
C) Abdominal distention
D) Anorexia
E) Passing large amounts of liquid stool
Q2) What statement by the patient would indicate stress incontinence?
A) "Lifting my grandchild makes me wet my pants."
B) "I frequently wet myself because I just can't get to the bathroom in time."
C) "My arthritis makes me so clumsy that I can't get my pants down in time."
D) "Every time I have a urinary infection, I experience incontinence."
Q3) What can the nurse implement to reduce episodes of bowel incontinence?
A) Encourage intake of foods that cause mild constipation.
B) Use appropriate disposable garments, pads, and bed covering.
C) Establish a toileting schedule.
D) Coach the patient in Kegel exercises.
Q4) The nurse is aware that the urge to defecate is increased peristalsis stimulated by the defecation reflex and the __________ reflex.
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Activity and Exercise
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/17739
Sample Questions
Q1) At least how many minutes of daily activity is recommended for a 75-year-old woman?
A) 15
B) 90
C) 30
D) 45
Q2) The nurse directs an 80-year-old recovering from a fractured pelvis to participate in several isometric exercises to maintain muscle strength, such as
A) alternately tightening and relaxing the abdominal muscles.
B) lifting the body up off the bed using an overhead trapeze.
C) pushing against the bed to lift the buttocks off the bed a few inches.
D) pressing the sole of the foot against a footboard.
Q3) How can the nurse demonstrate a positive attitude toward care planning? (Select all that apply.)
A) Acknowledge the impact of a traumatic amputation on therapy.
B) Encourage the resident's input on the care plan.
C) Invite the resident and family member to attend the care plan meetings.
D) Make a list of questions for the resident to ask at the care plan meeting.
E) Help the resident to perform all activities of daily living (ADLs).
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter 20: Sleep and Rest
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/17740
Sample Questions
Q1) What are reasons that most long-term care residents go to sleep early and awaken early? (Select all that apply.)
A) Increased blood pressure
B) Drop in core temperature
C) Diminished food intake
D) Diminished hormone production
E) Decreased exposure to light
Q2) The 80-year-old man complains that when he goes to bed and cannot fall asleep, he becomes very upset. What would be an appropriate suggestion for when he has not fallen asleep within 30 minutes?
A) Take two tablets of a sedative medication.
B) Get up and do a mild stretching exercise for 15 minutes.
C) Remain in bed with his eyes closed.
D) Get up and read until he feels sleepy and then return to bed.
Q3) What does decreasing fluid intake in the late evening prevent?
A) Increased digestive processes in the bowel
B) Episodes of nocturia
C) Gastroesophageal reflux
D) Changes in body temperature
To view all questions and flashcards with answers, click on the resource link above.
Page 22