Long-Term Care Nursing Pre-Test Questions
Course Introduction
Long-Term Care Nursing focuses on the comprehensive care of individuals with chronic illnesses, disabilities, or age-related conditions who require extended support in various settings, such as nursing homes, assisted living facilities, and community-based environments. This course explores the principles of holistic, person-centered care, addressing physical, emotional, social, and ethical aspects of long-term management. Emphasis is placed on interdisciplinary collaboration, evidence-based interventions, communication with patients and families, and promotion of quality of life. Students will also examine common health conditions encountered in long-term care, regulatory and legal considerations, and effective strategies for supporting autonomy and dignity among vulnerable populations.
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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Page 2
Chapter 1: Introduction to Healthy Aging
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which are the major factors influencing the experience of aging?
A) Health, history, and sex
B) Self-care needs and culture
C) Self-fulfillment and self-esteem
D) Society, culture, and marital status
Answer: A
Q2) According to researchers,which characteristic will most centenarians share in the future?
A) Female
B) Demented
C) Malnourished
D) Wheelchair bound
Answer: A
Q3) Which approach requires the nurse to integrate and balance all aspects of an individual's life into the plan of care?
A) Holistic nursing
B) Healthy People 2020
C) Maslow's Hierarchy of Human Needs
D) Orem's Self-Care Requirements
Answer: A
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Chapter 2: Gerontological Nursing History, Education, and Roles
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Sample Questions
Q1) 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
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
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Sample Questions
Q1) Which statement is true about residential living for older adults?
A) A residential care facility is the new term for a nursing home.
B) An assisted living facility (ALF) must have an registered nurse (RN) on staff.
C) Administrators are realizing that their duty is to care for the residents as people.
D) A "granny flat" is an apartment in a high-rise building reserved for seniors.
Answer: C
Q2) A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge.
A) Medication reconciliation
B) Providing a list of community resources
C) Contacting a durable medical equipment facility
D) Educating the client on appropriate range-of-motion exercises
Answer: A
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Chapter 4: Culture and Aging
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17 Verified Questions
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Sample Questions
Q1) Which of the following is a true statement about differing health belief systems?
A) Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles.
B) In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals.
C) Ayurvedic medicine is another name for traditional Chinese medicine.
D) The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.
Q2) Which action should the nurse take when addressing older adults?
A) Speak in an exaggerated pitch.
B) Use a lower quality of speech.
C) Use endearing terms such as "Honey."
D) Speak clearly.
Q3) Which factor(s)are associated with the provision of culturally competent care?
A) Cultural awareness
B) Cultural knowledge
C) Cultural skills
D) Cultural connections
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6
Chapter 5: Theories of Aging and Physical Changes
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Sample Questions
Q1) The Healthy People 2020 document identified which goals for immunizations?
A) Increase percentage of persons who receive a seasonal influenza immunization; 65 years of age or over and living in the community
B) Increase percentage of persons who are vaccinated against herpes zoster, 60 years of age or over
C) Increase percentage of persons who are vaccinated against pneumococcal disease; 65 years of age or over and living in the community
D) Increase percentage of persons who are vaccinated against human papillomavirus (HPV); 60 years of age or over
Q2) The latest trends in medicine encourage health care providers to prescribe nutrient-dense foods and exercise to prevent or delay the shortening of telomeres.On which biological theory of aging are these practices based?
A) Genetic research
B) Caloric restriction
C) Pacemaker theory
D) Cross-link theory
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Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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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 neuropsychiatric function in older adults?
A) Overall cognitive abilities are progressively degraded by neuron loss in the cerebral cortex with aging.
B) Improving cognitive functions in an older person calls for sporadic mental activity around ideas the person finds significant and interesting.
C) Nerve cells regenerate in the hippocampus.
D) Mood does not influence an older person ability to remember verbal instructions.
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8
Chapter 7: Assessment and Documentation for Optimal Care
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Sample Questions
Q1) Which option is not a primary reason that documentation is important?
A) Documentation enables the team to provide care to meet a resident's individual needs.
B) Documentation helps defend the nurse in the event of a possible lawsuit.
C) Documentation enables a patient to receive consistent care from one shift to the next.
D) Documentation is the basis for reimbursement to the facility.
Q2) The nurse scans an older man's identification band in preparation for medication administration.Which step should the nurse implement next?
A) Ask the patient to state his name.
B) Check for allergies to the medication.
C) Document the medication as given.
D) Administer the patient's medication.
Q3) Which mental status assessment tool(s)would be appropriate for use in long-term care facilities?
A) Fulmer SPICES
B) Clock Drawing Test
C) The Mini-Cog
D) Mini-Mental State Examination (MMSE)
Page 9
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Chapter 8: Safe Medication Use
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Sample Questions
Q1) Through which pathway(s)are drugs and their metabolites eliminated?
A) Sweat
B) Saliva
C) Kidneys
D) Spleen
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
Q3) The nurse provides instruction about medication safety to older adults.Which instruction should the nurse provide?
A) Nausea and vomiting are common, harmless drug side effects.
B) Keep a supply of medications at the bedside for convenience.
C) Ask the health care provider to describe the purpose of therapy.
D) Take your daily medications on an empty stomach with water.
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10
Chapter 9: Nutrition and Hydration
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Sample Questions
Q1) To avoid trauma to the mouth from hot food being served to a patient diagnosed with dementia,the nurse should:
A) Set hot food aside to allow it to cool slightly.
B) Mix the hot food item with a cold food item.
C) Touch the food to check the temperature before serving.
D) Request a patient menu that includes several cold foods.
Q2) Which of the following is a true statement about dental health in older adults?
A) Most people can expect to lose most of their teeth by old age.
B) Excessive saliva production is a common problem among older adults.
C) Dentures should be cleaned once a day by brushing and soaking in a cleaning solution.
D) A little blood on the toothbrush is normal.
Q3) Which of the following is a true statement about fluid intake for older adults?
A) Daily total volume should be 1500 ml to 2000 ml.
B) Coffee is a suitable beverage for maintaining hydration.
C) Caffeinated beverages are sometimes preferable to water.
D) Total daily fluid intake should be approximately 10 ml per kg of body weight.
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Chapter 10: Elimination
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16 Verified Questions
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Sample Questions
Q1) A large residual urine volume characterizes what type of incontinence?
A) Urge
B) Stress
C) Overflow
D) Functional
Q2) Which action should be included in all bladder-retraining programs?
A) Toileting at bedtime
B) Using adult incontinence pads
C) Toileting every hour
D) Providing 1000 ml of fluids daily
Q3) The nurse is caring for a patient who has recently had an indwelling catheter placed.The nurse should assess the patient for:
A) An increase in oral fluid intake
B) A change in mental status
C) Upper back pain
D) A decrease in activity
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Chapter 11: Rest, Sleep, and Activity
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18 Verified Questions
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Sample Questions
Q1) A nursing home resident who has type 1 diabetes mellitus is gradually requiring more and more insulin on an as-needed (PRN)basis to treat hyperglycemia.Which of the following should the nurse assess to plan care for improving this individual's glucose metabolism?
A) New-onset urinary tract infection
B) Trends over time in activity level
C) Sudden increase in caloric intake
D) Big change in diabetic medication use
Q2) The nurse should encourage which of the following exercise(s)to assist with balance for a patient who is at high risk for falls?
A) Tai chi
B) Use of resistance bands
C) ROM activities
D) Walking heel to toe
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) The nurse determines the risk for a pressure ulcer in an older adult who is 6 feet tall and weighs 155 pounds.Which patient information should the nurse use in planning care to reduce this individual's risk for a pressure ulcer?
A) Osteoarthritis of neck
B) Dry mucous membranes
C) Prealbumin level 7 mg/dl
D) Fasting glucose 140 mg/dl
E) Serum sodium 135 mEq/dl
F)Uses food stamps to get food
Q2) The nurse cares for an older man who has a malignant melanoma.Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?
A) Place posters about sunscreen in the halls of his apartment building.
B) Promote the application of a sunscreen at his neighborhood health fair.
C) Tell him to schedule all outdoor activities after 4 PM daily.
D) Instruct him to wear sun-protective clothing and a hat at all times.
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Chapter 13: Promoting Safety
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Sample Questions
Q1) The nurse determines that an older adult who has chronic bronchitis is at high risk for falls,but he repeatedly tries to ambulate without assistance.Which alternative measure to restraints is contraindicated for this older adult?
A) Inform the staff about his risk for falls.
B) Place a concave mattress on the bed.
C) Provide frequent walks in the hallway.
D) Help him learn to use an assistive device.
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
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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) The CIT includes eight phases.List the phases in order,beginning with the first phase.
A.Crisis
B.Unstable
C.Downward
D.Dying
E.Stable
F.Acute
G.Trajectory onset
H.Pretrajectory
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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Page 16
Chapter 15: Pain and Comfort
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Sample Questions
Q1) Which of the following statement(s)is(are)true about pain in older adults?
A) Pain is not a normal aging process.
B) Pain sensitivity decreases with age.
C) If patients do not complain, they do not have pain.
D) Opioid analgesics are often the best treatment for persistent pain.
Q2) An older woman had hip replacement surgery 1 day ago,and the nurse thinks that the woman also has dementia.Which patient assessment does the nurse use to determine whether this woman is experiencing pain?
A) Holds abdomen tightly.
B) Has stable vital signs.
C) Is not verbalizing.
D) Moves during sleep.
Q3) Which of the following pain sensation(s)is(are)associated with neuropathic pain?
A) Infection
B) Obstruction
C) Inflammation
D) Postamputation
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17
Chapter 16: Diseases Affecting Vision and Hearing
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15 Verified Questions
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Sample Questions
Q1) The nurse recognized which of the following as symptoms of wet age-related macular degeneration (AMD)?
A) Rarely causes severe visual impairment
B) Yellow deposits under the retina
C) Decrease in central vision
D) Visual distortion
Q2) An older adult complains about experiencing dry eyes daily.Which of the following should the nurse assess to help determine the cause of the patient's complaint?
A) Vitamin B deficiency
B) Use of humidifier at home
C) History of diabetes mellitus
D) Prescription antihistamine use
Q3) Which of the following is used to treat the most common cause of impairment to an older person's hearing?
A) Hearing aids
B) Cochlear implants
C) Ear canal irrigation
D) Sign language
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18
Chapter 17: Metabolic Disorders
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Sample Questions
Q1) 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
Q2) An older man who is a non-Hispanic Caucasian has a fasting blood sugar level above 130 mg/dl.Which patient assessment does the nurse use to confirm a high risk for diabetes mellitus in this man?
A) 68 years of age
B) 120/80 mm Hg
C) Palpable peripheral pulses
D) Total cholesterol 198 mg/dl
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Chapter 18: Bone and Joint Problems
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Sample Questions
Q1) An older man who has chronic obstructive lung disease has muscle wasting and poor skin integrity as a result of a long-term therapeutic regimen.Which patient teaching should the nurse use to help reduce his risk of falls?
A) Take calcium carbonate (Caltrate) 600 mg with meals.
B) Take omeprazole (Prilosec) before breakfast.
C) Participate in a progressive regular exercise program.
D) Avoid crowds and people with contagious illnesses.
E) Consume a well-balanced diet that is high in calories.
F)Perform gentle skin cleansing with an emollient lotion.
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.
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20
Chapter 19: Cardiovascular and Respiratory Disorders
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Sample Questions
Q1) The exercise tolerance of an older adult is impaired after a MI because of a low ejection fraction.Rank the following interventions that the nurse should use to assist this individual to restore baseline functional status in order of importance,beginning with the first intervention.
A)Provide a well-balanced diet.
B)Assist with range of motion.
C)Sit in chair four times daily.
D)Keep arterial oxygen saturation (SaO?)above 95%.
E) None of the above
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.
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Chapter 20: Neurological Disorders
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Sample Questions
Q1) The nurse in a rehabilitation center is caring for a patient who has new-onset stroke with right-side hemiparesis.Which intervention should the nurse implement when caring for this patient?
A) Orders a two-person assist with a transfer.
B) May need to incorporate repetition.
C) Gives the patient a dry erase board.
D) Raises all four side rails.
Q2) A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA).During the assessment,the patient begins to complain of a severe headache and numbness in his left arm.Which action should the nurse take next?
A) Instruct the patient to take Tylenol.
B) Ask whether patient suffers from migraine headaches.
C) Reschedule the visit.
D) Call 9-1-1.
Q3) _______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.
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) A man who is 60 years of age and lives in the British Isles develops dementia.Which qualities of dementia does the nurse assess to prevent patient injury related to the type of dementia this man most likely has?
A) Visual hallucinations
B) Unilateral tremors
C) Visuospatial problems
D) Clumsy movements
Q2) Which of the following statements is true about cognitive impairments in older adults?
A) Loss or interruption of sleep can lead to delirium.
B) Confusion is a normal and unavoidable consequence of aging.
C) Older patients who are agitated often have a lower cognitive status than those who are quietly sitting.
D) The Mini-Mental State Examination-2nd edition (MMSE-2) should be administered on admission to detect delirium.
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23
Chapter 22: Mental Health
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Sample Questions
Q1) An older woman with dementia exhibits new behaviors including crying and repeatedly verbalizing the same phrase; further,the behavior has increased over 2 days.Which intervention should the nurse implement in response to this behavior?
A) Tell her you will remember what she says if she stops crying.
B) Attribute these findings to a deterioration in cognitive function.
C) Check the medication administration record for missed doses.
D) Present probing questions to the patient about her behavior.
Q2) 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
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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24
Chapter 23: Economic and Legal Issues
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Sample Questions
Q1) The nurse understands which of the following indicator(s)describe(s)the profile of an abused older adult?
A) Resides in safe housing.
B) Is from a lower socioeducational level.
C) Is a woman who lives with an abuser and is socially isolated.
D) Has nonwhite ethnicity.
Q2) Which of the following statements describes one of the standards of case management during hospitalization?
A) Begin discharge planning on the first day of hospitalization.
B) Keep an older adult in the hospital as long as necessary.
C) Accept the hospital discharge planner's (HDP) proposal for discharge.
D) Assist hospital personnel to focus on the admission complaint.
Q3) Managed care systems are most effective for an older adult who does which of the following?
A) Avoids using the system until it is really needed in an emergency.
B) Avoids seeing generalists and seeks health care only from specialists.
C) Uses high-tech treatments to reduce expenses over the long term.
D) Seeks regular primary care and preventive strategies to maintain health.
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25
Chapter 24: Relationships, Roles, and Transitions
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Sample Questions
Q1) Which of the following statements is true about the role of grandparents?
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.
Q2) The nurse should suggest which of the following to a spouse of a patient with dementia who has displayed inappropriate sexual behavior to decrease the occurrence?
A) Intimate relations
B) Hug
C) Kiss
D) Touch
Q3) Which is the most important element for older adults to have for enhancing the transition into retirement?
A) Good health
B) Private pension
C) 401k retirement plan
D) Preretirement planning
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Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) Those who cope less effectively may exhibit which of the following?
A) Avoids avoidance
B) Confronts reality
C) Is demanding
D) Is rigid
Q2) Which of the following characteristics are associated with acute grief?
A) Preoccupation with the loss of a loved one
B) Waves of grief or distressing emotion
C) Prolonged inability to sleep after a loss
D) Exacerbations of grief on specific dates
E) Change in attitude toward the future loss
F)Inability to perform simple self-care tasks
Q3) 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
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