Long-Term Care Nursing Exam Preparation Guide
Course Introduction
Long-Term Care Nursing focuses on the specialized principles and practices required to provide comprehensive care to individuals with chronic health conditions, disabilities, or functional limitations, often over extended periods. This course explores the physical, emotional, social, and ethical aspects of caring for aging populations and those requiring continual support, emphasizing evidence-based approaches to promote dignity, autonomy, and quality of life. Students will engage with topics such as care planning, interdisciplinary teamwork, regulatory standards, medication management, end-of-life care, and communication skills essential for effective interaction with patients and their families in various long-term care settings.
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
Source URL: https://quizplus.com/quiz/41175
Sample Questions
Q1) According to Healthy People 2020,older adults have been identified as a priority,with a goal to improve their health,function,and quality of life.Identify the targeted chronic focus areas for improvement.
A) Diabetes
B) Arthritis
C) Congestive heart failure
D) Dementia
E) Cancer
F)Pressure ulcers
Answer: A,B,C,D
Q2) The nurse prepares for the arrival of older adults evacuated from a hurricane to a shelter for short-term care.Which of the following is the priority nursing intervention?
A) Demonstrate that the staff is prepared to meet their needs.
B) Use individual medical records to develop a medication plan.
C) Help older adults display family photographs and memorabilia.
D) Help older adults teach one another a new skill in the shelter.
Answer: B
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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 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
Q2) In which areas have advanced practice nurses demonstrated their skill in improving?
A) Health outcomes
B) Length of stay
C) Cost effectiveness
D) Reimbursement measures
E) Interprofessional communication
Answer: A,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 home modification interventions are designed to enhance the ability of older adults to remain in their homes?
A) A 36-inch-wide doorway
B) Entryways with less than two steps
C) Electrical outlets at chest level
D) A bathroom on the first floor
Answer: A,D
Q2) 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
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Chapter 4: Culture and Aging
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17 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following considerations is most likely to be true when working with an interpreter?
A) An interpreter is never needed if the nurse speaks the same language as the patient.
B) When working with interpreters, the nurse can use technical terms or metaphors.
C) A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient.
D) The nurse should face the patient rather than the interpreter.
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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) Aging ordinarily leads to decreases in which of the following?
A) Creatinine clearance and insulin secretion
B) Blood carbon dioxide and saliva production
C) Left ventricle-wall thickness and skin healing time
D) Serum triiodothyronine (T?) and gastric pepsin
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.
Q3) The nurse cares for an older adult who has a prealbumin level of 10 mg/dl and an infection in a large wound.Which intervention is the nurse's priority?
A) Monitor temperature and leukocytes.
B) Provide assistance with meal planning.
C) Provide high-quality protein in the diet.
D) Maintain oxygen saturation above 95%.
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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 nurse plans care for older adults who are in good health but isolated from their families.If the nurse's goal is to move the adults toward gerotranscendence,which intervention 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) Assist them to resume midlife patterns.
D) Help each person with individual activities.
Q2) Which of the following is a true statement about the theories of aging?
A) Research data support the disengagement theory, activity theory, and continuity theory.
B) Everyone should be able to achieve the three tasks of Peck's model of integrity.
C) The exercise of rights is not a task of aging in Kelly's model.
D) A person may choose to avoid pursuing inner discovery in older age.
Q3) Which statements are true about aging and the brain?
A) Most areas of the brain do not lose brain cells.
B) Memory decline is inevitable as people age.
C) Basic intelligence remains unchanged with age.
D) The brain does not continue to make new brain cells.
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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) An older woman has diabetes mellitus and requires hemodialysis for renal failure.She is discharged to home to recover from a sternal wound infection and coronary artery bypass graft surgery (CABG).A home care nurse will provide wound care.Which of the following is the major justification for the complete and accurate documentation of this older adult's care?
A) Requires complex health care
B) Has needs in multiple settings
C) Is at risk for iatrogenic problems
D) Has significant health care expenses
Q2) Which one of the following is connected with the nursing home reform mandated by a 1987 law?
A) Resident Assessment Instrument (RAI)
B) HIPAA
C) OASIS
D) Fulmer SPICES
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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) Which herbal supplement(s)when taken with an anticoagulant increases the effectiveness of the medication and should be avoided during anticoagulant therapy?
A) Chamomile
B) Garlic
C) Ginkgo
D) Hawthorn
E) Ginseng
F)Green tea
Q2) The nurse prepares to administer diltiazem (Cardizem LA)to an older adult with ischemic heart disease.When is the optimal time to administer this medication to help prevent complications of heart disease associated with rhythmical variations?
A) Midday
B) At bedtime
C) At breakfast
D) Every 4 hours
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Chapter 9: Nutrition and Hydration
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse is feeding an older adult patient with hemiparesis as a result of a stroke.Which intervention by the nurse is most important when feeding this patient?
A) Allow time to empty the mouth between bites.
B) Provide foods that require chewing.
C) Offer small sips of fluids with each bite.
D) Serve pureed foods only.
Q3) An older adult who is on bed rest has tachycardia and dry mucous membranes after surgery.Which of the following is the nurse's priority for preventive care because of the patient's fluid volume status?
A) Bowel obstruction
B) Delirious behavior
C) Thromboembolic events
D) Delayed wound healing
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Chapter 10: Elimination
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) An older adult who is on bed rest after surgery is prescribed morphine for pain.Which of the following is the nurse's priority for preventive care?
A) Constipation
B) Diarrhea
C) Poor solid food intake
D) Poor liquid intake
Q2) 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) Which option is part of a program that addresses bowel incontinence in an older adult patient?
A) Ensuring that a toilet or commode is readily accessible to the patient
B) Encouraging the intake of 1 liter of water each day
C) Expecting a rapid and full recovery
D) Toileting the patient 10 to 15 minutes after meals
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Page 12
Chapter 11: Rest, Sleep, and Activity
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse observes that a male patient is snoring every night.Which should the nurse assess in this patient to diagnose the potential for sleep apnea?
A) Change in appetite
B) Rituals for sleeping
C) Number of daytime naps
D) Headaches in the morning
E) Irritability during the day
F)Awakening during the night
Q2) Residents of a nursing home taking which of the following medication(s)are at risk for sleep disturbances as an adverse effect of the medication?
A) Celecoxib (Celebrex)
B) Diltiazem (Cardizem)
C) Venlafaxine (Effexor)
D) Ipratropium (Atrovent)
E) Oxycodone (Oxycontin)
F)Guaifenesin (Robitussin)
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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) 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.
Q2) 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.
Q3) Which of the following is a true statement about skin care for older adults?
A) A licensed practical nurse is qualified to care for the feet of a patient with diabetes.
B) Onychomycosis is quickly eradicated with antifungal creams or powders.
C) A ram's-horn nail should be cut to give a smooth, rounded edge.
D) Maintaining oral hydration may reduce the incidence of xerosis.
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Chapter 13: Promoting Safety
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) An older man was oriented and responded appropriately in the hospital,but he is now disoriented and confused in his home after discharge.Which of the following issues is the first that the home nurse should examine to determine whether an environmental issue is contributing to the patient's condition at home?
A) Complaints of shivering
B) Temperature of household
C) Types of food preparation
D) Presence of radon
Q2) Which of the following is(are)assessed in a fall prevention assessment of an older adult?
A) Environment
B) Physical status
C) Financial status
D) Functional status
E) Medical history
F)Occupational history
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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 woman has diabetes mellitus.Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?
A) Has an amputation of two toes.
B) Lives at home with her husband.
C) Frequently self-checks her blood sugar.
D) Changes the battery in her glucometer.
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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) Each of the following is a nonpharmacological intervention for pain except which one?
A) Acupuncture treatments
B) Adjuvant therapy
C) Lidocaine patch
D) Capsaicin
Q2) 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.
Q3) Which of the following statements is true about analgesic medications for older adults?
A) Opioids are less effective in older patients than in younger patients.
B) Stool softeners and laxatives should be used with opioids.
C) Over-the-counter NSAIDs are generally harmless.
D) The dose limit for acetaminophen is difficult to reach for older adults.
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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) An older man who has tinnitus complains to the nurse that it is very annoying.Which should the nurse implement to alleviate the stress he is experiencing from tinnitus?
A) Irrigate the bilateral Eustachian tubes.
B) Assess for modifiable risk factors.
C) Propose a hearing aid and a masker.
D) Use white noise to override the tinnitus.
Q2) The nurse is teaching older adults about maintaining health and wellness.Which recommendation should the nurse include in the teaching to maintain optimal vision?
A) Take 50,000 units of vitamin A daily.
B) Wear sunglasses that block sun rays.
C) Read in good light to avoid eye strain.
D) Visit the ophthalmologist every 5 years.
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) An older woman who has diabetes mellitus takes glipizide (Glucotrol)and tells the nurse that her blood sugar levels have been higher than normal since she began using a vaginal cream for hot flashes.Which one of the following interventions is the best for the nurse to implement?
A) Ask the patient if she has had a fever or infection recently.
B) Verify the expiration date of the medication.
C) Review her diet for increased carbohydrates.
D) Ascertain whether the vaginal cream contains estrogen.
Q2) An older man with diabetes mellitus complains to the nurse that his feet feel like they are burning.Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort?
A) Wear well-fitting, leather shoes
B) Wear knee-high nylon stockings
C) Soak the feet in warm water
D) Apply antifungal powder on the feet
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Chapter 18: Bone and Joint Problems
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Sample Questions
Q1) 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.
Q2) The nurse prepares an older man who has OA for discharge.Which instruction does the nurse include in patient teaching to maintain safety for this man?
A) Take ibuprofen (Motrin) rather than opioid analgesics.
B) Increase rest periods to slow disease progression.
C) Report joint instability to the health care provider.
D) Avoid stretching the affected joint during exercise.
Q3) Which of the following statements is true about RA?
A) Strikes unilaterally.
B) Affects more men than women.
C) Can affect body systems other than the joints.
D) Glucosamine can be helpful for patients in the first 2 years of RA.
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Page 20
Chapter 19: Cardiovascular and Respiratory Disorders
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which is(are)potential result(s)of end-organ damage from chronic hypertension?
A) Carotid stenosis
B) Diabetes mellitus
C) Renal insufficiency
D) Coronary artery disease
E) Isolated systolic hypertension
F)Familial hypercholesterolemia
Q2) After an acute exacerbation of COPD,the nurse prepares an older adult for discharge to home.Which is the most important patient teaching for the nurse to include for the prevention of hospitalizations for exacerbations of COPD?
A) Ease breathing by sitting upright.
B) Use low-flow oxygen for dyspnea.
C) Avoid sick people and wash hands.
D) Eat nutrient- and calorie-dense foods.
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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Page 21
Chapter 20: Neurological Disorders
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15 Flashcards
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Sample Questions
Q1) An older adult arrives at the emergency department with a probable diagnosis of a hemorrhagic stroke.The nurse understands,based on the patient's age,that the most likely cause is which one of the following?
A) Intracranial hemorrhage
B) Decreased cardiac output
C) Thrombosis
D) Uncontrolled hypertension
Q2) _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).
Q3) 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
Q4) Persons with _____________ _______________ usually understand others but speak very slowly and use a minimal number of words.
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Chapter 21: Cognitive Impairment
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Sample Questions
Q1) When differentiating the characteristics of depression,delirium,and dementia,the nurse recognized which of the following as an indicator of delirium?
A) Sudden onset
B) Recent loss
C) Insidious
D) Life change
Q2) The nurse working in a long-term care facility completes her morning assessment on a new postoperative patient and notes a change in cognitive status from the previous day? The nurse recognizes which of the following as a precipitating factor for delirium?
A) Major medical treatment
B) Poor sleep habits
C) Admission to long-term care
D) Pharmacological agents
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23
Chapter 22: Mental Health
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Sample Questions
Q1) An older man who had radical surgery for oral cancer is refusing to see visitors and is losing weight,despite aggressive nutrition therapy.The nurse assesses this man for ineffective coping,related to dysfunctional grieving.Which of the following patient outcomes of nursing care is the most important to implement in response to his mental health status?
A) Is able to discuss how his coping mechanisms are overwhelmed.
B) Performs daily self-feedings through a gastrostomy tube.
C) Effectively uses nonverbal forms of communication.
D) Exhibits self-confidence in regaining a sense of control.
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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Page 24
Chapter 23: Economic and Legal Issues
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Sample Questions
Q1) Which of the following statements is true about conservators?
A) A conservatorship entails control over property, whereas a guardianship entails control over the person.
B) The most legally restricting way individuals and property can be handled are through conservatorships and guardianships.
C) Conservators cannot be members of the conservatee's (patient's) family.
D) Because a conservatorship is the least restrictive alternative, a court hearing is not required.
Q2) The nurse distrusts the male caregiver,the son of an older woman,and collaborates with social services about potential resources for abused older adults.Which characteristics of the caregiver does the nurse report to social services as indicators of potential elder abuse?
A) Collects unemployment benefits.
B) Finds fault with any nursing care.
C) Takes frequent breaks for smoking.
D) Lives in the same house as his mother.
E) Makes demands on assistive personnel.
F)Sits at his mother's bedside for hours daily.
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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 not true of older adult relationships?
A) After 50 years of marriage, a couple can face new and severe challenges to their relationship.
B) Older adults often hold their families together by arranging get-togethers and documenting the family's history and rituals.
C) Losing a brother or sister brings an older adult face-to-face with his or her own death.
D) For older adults, friends can never take the place of family.
Q3) Which population(s)is(are)most at risk for developing HIV?
A) Those over the age of 50 years
B) Women
C) Those who are cognitively impaired
D) Those who are sexually active
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Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) After the loss and burial of a beloved pet,an older man loses weight because he eats very little.Three months later,he starts to paint pictures of the pet and his appetite slowly improves.Describe this individual's mourning for his pet.
A) Weight loss from inadequate intake
B) Pet's burial and painting pictures of the pet
C) Loss of his appetite resulting in weight loss
D) Increased food intake after painting begins
Q2) An older patient who has end-stage pulmonary disease decides to accept care from the palliative care nurse.This older adult will most likely benefit from the palliative care nurse in which patient needs of Weisman's six needs for the dying?
A) Closure
B) Control
C) Composure
D) Cohesiveness
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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