Nursing Across the Lifespan Review Questions
Course Introduction
Nursing Across the Lifespan explores the principles and practices of nursing care for individuals at every stage of human development, from infancy through old age. This course examines the physiological, psychological, developmental, and social changes that occur throughout life, emphasizing the adaptation of nursing interventions to meet the unique needs of each age group. Students will learn to assess, plan, and implement holistic care strategies that promote health, prevent illness, and address common acute and chronic conditions found across diverse populations. The course integrates evidence-based practice, cultural competence, and ethical considerations essential for delivering effective nursing care throughout the lifespan.
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) The nurse plans care for an older male adult who lives on Old Age Security pension and a small pension after retirement, and has type 2 diabetes mellitus.Which aspect of this man's life should the nurse integrate into a positive approach to his health and well-being?
A)He practises effective glucose control.
B)He lives alone in a high-rise apartment.
C)He lacks low-cost, reliable transportation.
D)He attends weekly lunches at his local diner.
Answer: A
Q2) The nurse develops a community program to promote exercise for older persons.Which of the following should the nurse include in the exercise program?
A)Reinforce the ease of exercising every day.
B)Use exercise to relax any dietary restrictions.
C)Describe ways to resume exercise after lapses.
D)Teach participants that exercise achieves wellness.
Answer: C
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3
Chapter 2: Gerontological Nursing History, Education, and Roles
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Sample Questions
Q1) Which one of the following Canadian Gerontological Nursing Association Standards of Practice recognizes that certain behaviours are not necessarily related to pathology, but instead may be related to the circumstances within the physical or social environment surrounding older persons?
A)Physiological health
B)Relationship care
C)Responsive care
D)Health system
Answer: C
Q2) The gerontological nurse collaborates with the wound care team about an older person who has an ulcer.How is this nurse demonstrating leadership in the care of an older person?
A)The nurse is screening and assessing older persons effectively.
B)The nurse is facilitating access to older person care programs.
C)The nurse is coordinating members of the health care team.
D)The nurse is empowering older persons to manage chronic illness.
Answer: C
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4
Chapter 3: Communicating With Older Persons
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is a good strategy to use for teaching older-person learners?
A)Use printed materials in soft colours.
B)Provide extra time for the learner to respond.
C)Use a pleasant soprano voice in audio materials.
D)Cover a diverse range of topics in each session.
Answer: B
Q2) 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
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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 health belief system uses treatments to repair a body part?
A)Holistic
B)Biomedical
C)Personalistic
D)Magicoreligious
Q2) The nurse is assessing an older person from a culture different from the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment.In keeping with this model, which question should the nurse ask?
A)"How can we negotiate to solve the problem?"
B)"What treatment can improve your condition?"
C)"Should we try my plan first to see if it helps?"
D)"Can we discuss differences in our plans now?"
Q3) The nurse prepares a female older person, who is Polish, for discharge through an interpreter and notes that the older person becomes tense during the instructions about elimination.Which of the following interventions should the nurse implement?
A)Move on to the discussion about medication.
B)Ask the older person how she feels about this topic.
C)Instruct the interpreter to repeat the instructions.
D)Have the older person repeat the instructions for clarity.
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Page 6
Chapter 5: Nursing Documentation
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A 75-year-old adult has been admitted to the surgical unit.You are not assigned to admit the older person; however, you overhear two nurses standing beside the mobile computer in the hallway discussing the admission.Which one of the following outlines rules ensuring privacy for this older person?
A)The Continuing Care Reporting System (CCRS)
B)Personal Health Information Protection Act (PHIPA)
C)Health Insurance Portability and Accountability Act (HIPAA)
D)The Canadian Nurses Association's Code of Ethics
Q2) What is a SOAP note?
A)This is a record of supplies used in patient hygiene.
B)This is a record of an event during a patient's stay, formatted according to the Simple Object Access Protocol (SOAP), so that it can be easily transmitted between computers.
C)This is a form of bar code.
D)This is a record of patient data listing the patient's subjective complaint, objective data recorded by the nurse, the nurse's assessment of the situation, and the nurse's plan of action.
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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) Decreased functioning of which physical structure is likely to result in decreased metabolism in older persons?
A)Kidney
B)Thyroid gland
C)Brain
D)Skeleton
Q2) An older-person male who spray-paints houses for a living has had a myocardial infarction (MI).Which intervention should the nurse implement to prevent adverse health effects from his occupational history?
A)Provide low-cholesterol diet meals.
B)Avoid substances that are hepatotoxic.
C)Promote coughing and deep breathing.
D)Analyze the electrocardiogram's rhythm.
Q3) 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
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Chapter 7: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) In which context are members of a cohort described when using the age-stratification theory to explain the effect of similar events, conditions, and circumstances?
A)Historical context
B)Biological context
C)Sociological context
D)Chronological context
Q2) The nurse at a nursing home wants to help decrease the risk of Alzheimer's disease among the residents.Which of the following should the nurse do to implement this goal?
A)Assist residents with ambulation to meals.
B)Offer beads for the residents to string on yarn.
C)Show movies that the residents choose.
D)Keep the curtains open in the residents' rooms.
Q3) Which physiological change in the brain is the reason the nurse allows more time for older persons to answer questions?
A)Increased secretion of acetylcholine
B)Decreased secretion of neurotransmitters such as dopamine
C)Loss of brainstem neurons
D)Atrophy of dendrites in the cerebral cortex
Page 9
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Chapter 8: Nutritional Needs
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The health care aides working at a long-term care facility need help to properly feed residents who require assistance with feeding.Which of the following plans should the nurse implement to ensure that the residents are fed properly?
A)Instruct the health care aides to feed four people at a time.
B)Draw on the availability of family members who are able to follow instructions.
C)Ask some residents to self-feed for part of the mealtime.
D)Feed the residents at different times (e.g., feed one group lunch at 1100 hours, and feed a second group lunch at 1200 hours).
Q2) Which of the following is a true statement about dental health in older persons?
A)Most people can expect to lose most of their teeth by old age.
B)Excessive saliva production is a common problem among older persons.
C)Functional and cognitive limitations may contribute to poor oral hygiene.
D)A little blood on the toothbrush is normal.
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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) An older female adult tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence.Which recommendation should the nurse implement?
A)Tell her to eliminate the use of caffeinated beverages.
B)Coordinate a family conference with the older person.
C)Recommend exercises to strengthen the pelvic floor.
D)Schedule voiding for every two hours around the clock.
Q2) An older person who is on bedrest has tachycardia and dry mucous membranes, and decreased urinary output after surgery.Which of the following situations is the nurse's priority for preventive care because of the patient's fluid volume status?
A)Bowel obstruction
B)Delirious behaviour
C)Thromboembolic events
D)Delayed wound healing
Q3) Which type of incontinence is characterized by a large residual urine volume?
A)Urge incontinence
B)Stress incontinence
C)Overflow incontinence
D)Functional incontinence
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Page 11
Chapter 10: Rest, Sleep, and Activity
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) An older man has Alzheimer's disease, and his wife says he is up and wandering around the house at night.Which intervention should the nurse implement to increase the older man's duration of sleep?
A)Instruct the wife to increase her husband's daily physical activity.
B)Collaborate with the health care provider to administer a hypnotic.
C)Teach the wife how to apply a vest restraint during sleep.
D)Help the wife plan daily periods for napping and activity.
Q2) Which factor contributes to sleep problems in older persons?
A)Excessive napping
B)Daily exercise
C)Lethargy
D)Rapid eye movement (REM)
Q3) Which of the following are benefits of exercise for nonambulatory older persons?
A)Muscle weakness and atrophy may be reversed.
B)Incontinence problems will be resolved.
C)Memory issues may improve.
D)Ambulation will develop.
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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) The nurse cares for an older male adult 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 application of sunscreen at his neighbourhood health fair.
C)Tell him to schedule all outdoor activities after 1600 hours daily.
D)Instruct him to wear sun-protective clothing and a hat at all times.
Q2) Which infection-control practice should the nurse implement when caring for an older person who has active herpes zoster?
A)Wear a face shield and gown for all patient contact.
B)Instruct staff and visitors to wear a mask of the respirator type.
C)Use a hospital room that has negative airflow circulation.
D)Cover ruptured skin lesions with a nonabsorbent dressing.
Q3) The nurse monitors for which of the following clinical indicators when an older person complains of pruritus?
A)Dry, flaky skin
B)Brown macule
C)Brownish skin
D)Regional edema
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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) 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.
Q2) The overall temperature in your gerontological unit is 17°C (62°F) during the evening shift.In documenting this concern to administration, which factor is the most important for the health and well-being of older persons?
A)It is not fair for older persons to have to deal with an uncomfortable environment.
B)Some of the residents are wearing blankets around their shoulders to keep warm.
C)An ambient temperature of 17°C (62° F) is unsuitable for older people because they have impaired thermoregulation.
D)It feels much warmer in the administration wing than out in the patient care areas.
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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 tool is used to assess an older person's functional capability?
A)ADL
B)MMSE
C)OBRA
D)FIM
Q2) The nurse assesses an older male adult who has Alzheimer's disease and his caregiver.Which information from the caregiver warrants further investigation by the nurse to assess the caregiver for strain?
A)The patient wants to stay home.
B)The patient sleeps on two pillows.
C)The patient sits in the chair all day.
D)The patient does not like to be alone.
Q3) 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.
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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 pharmacokinetic parameter is affected most by decreased intestinal motility related to the aging process?
A)Absorption
B)Distribution
C)Metabolism
D)Excretion
Q3) 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
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Chapter 15: Living With Chronic Illness
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Sample Questions
Q1) Which statement is the most suitable for establishing goals when teaching an older person with a chronic illness about potential changes in the health maintenance regimen?
A)Management of the patient's chronic disease rests on the patient and caregiver, so goals should be set collaboratively.
B)The patient will be able to make needed changes in his life if you provide accurate, written instructions.
C)Psychological functioning is usually impaired only to a small extent in a patient with a chronic illness.
D)The patient's values, culture, and beliefs will have little to do with the types of changes he will be able to make.
Q2) An older female adult has diabetes mellitus.Which of the following validates the nurse's conclusion that this patient's illness is in the foreground perspective of the Shifting Perspectives Model of Chronic Illness?
A)The older person has an amputation of two toes.
B)The older person lives at home with her husband.
C)The older person self-checks blood sugar frequently.
D)The older person changes the battery in her glucometer.
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Chapter 16: Pain and Comfort
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12 Verified Questions
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Sample Questions
Q1) 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
Q2) Which statement is true about analgesic medications for older persons?
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 nonsteroidal anti-inflammatory drugs (NSAIDs) are generally harmless.
D)The dose limit for acetaminophen is difficult to reach for older persons.
Q3) An older male adult who does not understand or speak English very well denies having pain, but he had knee replacement surgery two days before.Which is the best pain assessment tool for the nurse to apply when assessing the older person's pain?
A)Numeric Rating Scale
B)Verbal Descriptor Scale
C)PAINAD assessment tool
D)Visual Analogue Scale
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Page 18
Chapter 17: Diabetes Mellitus
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Sample Questions
Q1) An older male adult comes to a primary care setting, and his reason for seeking health care is to get a prescription for sildenafil (Viagra).Which laboratory report can help to explain why this individual needs sildenafil?
A)Serum potassium 4.5 mEq/L
B)Prothrombin time 13 seconds
C)Hemoglobin 140-180 g/L (14.0-18.0 g/dL)
D)Glycosylated hemoglobin (Hgb A1c) over 8%
Q2) The nurse assists an older male adult with type 2 diabetes mellitus to improve his glucose control.What does the nurse instruct this individual to do when he plans to walk more than usual in one day?
A)Omit antidiabetic medication.
B)Wear sturdy open-toed shoes.
C)Supplement his caloric intake.
D)Prepare to administer insulin.
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Chapter 18: Bone and Joint Health
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Sample Questions
Q1) After living with osteoporosis for two years, an older female adult's bone density scan shows no improvement.Which intervention should the nurse implement to reduce bone loss for this older person?
A)Add tai chi or yoga exercises.
B)Instruct her to drink fortified milk.
C)Increase weight-bearing exercise.
D)Review her daily nutritional habits.
Q2) An osteoporosis-related fall necessitated hip-replacement surgery for an older female adult who is entering a rehabilitation facility.Which of the following goals is the nurse's priority during this woman's rehabilitation?
A)Tell the patient to eat whole grains, fruits, and vegetables.
B)Recapture the patient's preoperative mobility status.
C)Keep the patient's surgical wound clean and dry.
D)Tell the patient to take two steps into the walker.
Q3) Which of the following statements about osteoporosis is true?
A)Osteoporosis is indicative of an underlying health problem.
B)The most common site for osteoporosis fractures is in the long bones.
C)Women who are of African descent have the highest risk for osteoporosis.
D)A high risk of death follows an osteoporosis-related hip fracture.
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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) Management of glaucoma involves medications (oral or topical eye drops) to decrease intraocular pressure (IOP).Which of the following medications would be prescribed to the older person to control and reduce the IOP in acute angle-closure glaucoma?
A)Antihistamines
B)Vasodilators
C)Beta blockers
D)Bronchodilators
Q2) 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
Q3) 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
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Page 21
Chapter 20: Cardio-Vascular and Respiratory Disorders
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Sample Questions
Q1) An older female adult who has chronic obstructive pulmonary disease (COPD) wants to perform self-care activities.Which instruction should the nurse include in patient teaching to help this older person achieve this goal?
A)Bathe and eat slowly, with periodic rest.
B)Walk short distances without oxygen.
C)Perform all activities of daily living (ADLs) together, and then rest.
D)Bathe right after eating and then rest.
Q2) Clinical heart failure (HF) is categorized as left-sided, right-sided, or both-sided (biventricular) failure.Mrs.Poulin, 80 years of age, lives in a long-term care (LTC) facility and has been diagnosed as having Class II mild heart failure.She is comfortable at rest and occasionally dyspneic after completing her own morning care.Which atypical exacerbation of congestive heart failure (CHF) should the nurse be alerted to when caring for Mrs.Poulin?
A)Weight gain of 1 kg in one week
B)Swelling of lower extremities after sitting for two hours
C)Malaise and diminished desire to participate in activities
D)Nonproductive cough
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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) An older female adult is recovering in the intensive care unit from a bowel resection, but remains intubated and on a mechanical ventilator.Using the Hospital Elder Life Program (HELP), what should the nurse implement to help prevent delirium in this older person?
A)Assess cognition with Mini-Mental State Exam.
B)Provide uninterrupted periods of rest and sleep.
C)Maintain adequate sedation and pain management.
D)Cover her eyes with protective ophthalmic ointment.
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Page 23
Chapter 22: Economic and Legal Issues
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Sample Questions
Q1) The nurse distrusts the male caregiver, the son of an older female adult, and collaborates with social services about potential resources for abused older persons.Which characteristics of the caregiver does the nurse report to social services as indicators of potential elder abuse?
A)The caregiver collects unemployment benefits.
B)The caregiver keeps his mother isolated from other family members and services.
C)The caregiver takes frequent breaks for smoking.
D)The caregiver sits at the patient's bedside for hours daily.
Q2) The National Advisory Committee on Aging (NACA) has raised an important issue of "under-subscription," that is, people who are eligible for the GIS, the Allowance, Old Age Security (OAS), or the Allowance for the Survivor, but who do not receive it because they have not applied or reapplied for the benefits.Which of the following groups constitutes the majority of those who do not subscribe or apply for OAS benefits?
A)Canadians who do not speak English or French, or who have low literacy
B)Canadians who live in remote regions
C)Canadians who are homeless
D)Canadians who are older women
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Chapter 23: Relationships, Roles, and Transitions
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Sample Questions
Q1) The World Health Organization defines sexual health as a state of physical, emotional, mental, and social well-being related to sexuality.What is the most common reason for sexual inactivity among older persons who have a partner?
A)Sexual prowess and desire wane as the individual ages.
B)Sexual inactivity is related to the male partner, who has poor health.
C)Sex is not as important as it was when a couple was trying to have children.
D)Social and cultural rules determine sexual inactivity in older persons.
Q2) The children of an older female adult ask the nurse for advice about helping their mother heal after her husband's death.Which strategy should the nurse share with the family?
A)Appoint one family member to take the mother on outings.
B)Coordinate family expressions of care and concern.
C)Have each child plan a long trip with their mother's assistance.
D)Take the mother to community events to meet other people.
Q3) 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.
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Page 25
Chapter 24: Mental Health and Wellness in Later Life
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Sample Questions
Q1) 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.
Q2) An older female adult with dementia exhibits new behaviours, including crying and verbalizing the same phrase repeatedly; furthermore, the behaviour has increased over two days.Which intervention should the nurse implement in response to this behaviour?
A)The nurse tells the older person that he will remember what she says if she stops crying.
B)The nurse attributes these findings to deterioration in cognitive function.
C)The nurse checks the medication administration record for missed doses or drug interactions.
D)The nurse presents probing questions to the patient about her behaviour.
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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) Advance care planning is the process of planning for a time when older persons may not have the mental capacity to make decisions about their health care.Mrs.Jaworski, 75 years of age, has designated her daughter as her substitute decision maker if she is unable to speak for herself.Mrs.Jaworski is admitted to hospice care after a lengthy illness.What is the nurse's role in assisting this patient with advance care planning?
A)Require Mrs.Jaworski to complete an advance directive.
B)Provide legal information to Mrs.Jaworski and then help complete the advance directive.
C)Complete the advance directive and have Mrs.Jaworski sign the document before she loses consciousness.
D)Serve as a resource person ready to answer questions Mrs.Jaworski may have about end-of-life decision making.
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Chapter 26: Care Across the Continuum
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Sample Questions
Q1) Nurses are concerned with assessing the impact of relocation on older persons, and determining methods to mitigate any negative reactions.Which characteristic of relocation stress syndrome in a resident being transferred from acute care to a long-term care facility should the nurse be aware of?
A)Agitation
B)Feelings of loss of control
C)Presence of a caring family
D)Hallucinations
Q2) 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
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