Nursing Care of Older Adults
Exam Solutions
Course Introduction
This course explores the principles and practices of nursing care for older adults, emphasizing the unique physiological, psychological, social, and cultural needs of this population. Students will examine age-related changes, common health issues, and chronic conditions prevalent among older adults, along with evidence-based interventions to promote health, functional ability, and quality of life. The course also covers communication strategies, ethical and legal considerations, end-of-life care, and the role of the nurse in interdisciplinary teams, preparing students to deliver holistic and compassionate care in diverse settings.
Recommended Textbook Ebersole and Hess Toward Healthy Aging Human Needs and Nursing Response 9th Edition by Touhy
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36 Chapters
367 Verified Questions
367 Flashcards
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Chapter 1: Health and Wellness in an Aging Society
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A nurse is planning an education program on wellness in a local senior citizen center. The nurse plans to provide education on the importance of immunizations, annual physical examinations, screening for diabetes, and vision and hearing screening. It is important for the nurse to understand which of the following?
A) Approximately 40% of older adults (ages 65 and older) utilize available preventive services
B) Preventive strategies are more widely used in the 40-64 age group than in the 65 and over age group
C) The research on health promotion strategies in older adults demonstrates that they have low efficacy
D) There is an abundance of research specific to health promotion and aging Answer: A
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Chapter 2: Gerontological Nursing: Past Present and Future
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which of the following are true statements about the current health care workforce? (Select all that apply.)
A) Approximately 10% of registered nurses (RNs) are certified in gerontological nursing
B) The number of geriatricians is expected to increase about 50% over the next 25 years
C) The professions of social work, physical therapy, and psychiatry are demonstrating the same trends as nursing
D) Europe and the developing countries are experiencing similar shortages in health care workers with geriatric expertise as in the United States
E) It is anticipated that there will be a need for approximately 3 million additional direct care and professional health care workers by the year 2030
Answer: C, D, E
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4
Chapter 3: Theories of Aging
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11 Verified Questions
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Sample Questions
Q1) The family member of a patient asks if vitamin C will prevent aging. In formulating an appropriate response, the nurse considers the:
A) free radical theory.
B) autoimmune theory.
C) wear-and-tear theory.
D) continuity theory.
Answer: A
Q2) A married couple retired to a life care community after the husband had heart surgery. The wife has always been physically and socially active and joined an aerobic class, knitting groups, and a book club shortly after moving to the community. She walks on a daily basis and swims twice a week. Her husband spends his days reading and watching television. He was never a social person and enjoys being by himself. Which of the sociological theories of aging best describes the couple?
A) Role theory
B) Disengagement theory
C) Continuity theory
D) Personality theory
Answer: C
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5
Chapter 4: Cross Cultural Caring and Aging
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Ethnocentrism is defined as:
A) an understanding of another's cultural beliefs and practices.
B) a conflict that occurs when an individual interacts with another whose beliefs differ from his own.
C) application of limited knowledge about one person with characteristics specific to another person.
D) a belief that one's ethnic group is superior to that of another.
Q2) Regarding health care disparities, it is true that older adults of color have:
A) equal risk factors for vulnerability as do all older adults.
B) equal risk factors for vulnerability as do the young adults of color.
C) increased risk factors for vulnerability if they are female.
D) an increase in risk factors for vulnerability if care is provided by public facilities.
Q3) An older patient learns that he has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief?
A) Biomedical
B) Magico-religious
C) Naturalistic
D) Ayurvedic
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6
Chapter 5: Cognition and Learning
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) An older female resident of an assisted living facility says the following to a nurse: "I am very frightened about getting dementia. I have read a lot about brain exercises, but I am not sure what I should be doing." The nurse formulates a response based on knowledge of which of the following? (Select all that apply.)
A) Individuals should engage in some type of brain fitness activity a couple of times a week for at least 25 minutes
B) Brain fitness activities are only effective if an individual has not experienced any memory problems at all
C) Brain fitness activities may include computer-based games, memory training, board games, reading, and engaging in conversation
D) Physical activity is important for wellness but is unrelated to brain fitness
E) Individuals should choose brain exercise activities that are unfamiliar, challenging, and fun
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Chapter 6: Communicating with Older Adults
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) When conducting an admissions interview with an older client, the nurse observes that the client pauses for a period of time before responding to the questions. The nurse responds to this client based on the assumption that the client is:
A) exhibiting signs of mild cognitive impairment.
B) nervous and having difficulty concentrating on the questions.
C) reluctant to share information with someone with whom he or she has no relationship.
D) sorting through his or her vast life experiences in order to answer appropriately.
Q2) Which technique is most effective when communicating with a client who is positioned in bed?
A) Sitting in a chair at the foot of the bed
B) Standing near the client's head on his or her dominant side
C) Sitting in a chair at the bedside facing the client
D) Standing at the foot of the bed
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8
Chapter 7: Health Assessment
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Sample Questions
Q1) A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence, Confusion, Evidence of falls, and Skin breakdown) to assess an older female patient in the hospital. The nurse notes that the patient has new onset urinary incontinence. The first action by the nurse is to:
A) conduct a more in-depth focused assessment of the urinary incontinence.
B) call the provider and obtain an order for an antibiotic for a suspected urinary tract infection.
C) send a urine specimen for culture and sensitivity.
D) develop a plan of care with the patient to control episodes of incontinence.
Q2) A nurse identifies a need to assess a patient's cognitive status. The nurse chooses to use the MMSE. The nurse knows that the patient must have which of the following abilities? (Select all that apply.)
A) Number fluency
B) Familiarity with analog clocks
C) Ability to hear and see
D) Ability to sit up for 10 minutes
E) Ability to speak English
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Chapter 8: Laboratory Values and Diagnostics
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10 Flashcards
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Sample Questions
Q1) A 78-year-old female patient was recently diagnosed with atrial fibrillation and started on Coumadin (warfarin) for stroke prophylaxis. A nurse provides extensive education on warfarin including the need for routine blood testing. The woman states the following to a nurse: "I understand all that you have taught me, but I do not know what a good number for the INR test is." The nurse bases her response on the knowledge that the recommended INR is:
A) 1.0-2.0.
B) 2.0-3.0.
C) 3.0-4.0.
D) 4.0-5.0.
Q2) The nurse is reviewing the postsurgical laboratory values of an older adult client. The client's erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:
A) asking the client if he or she has been diagnosed with any chronic inflammatory diseases.
B) recognizing that the value is normal for older adults.
C) notifying the client's health care provider immediately.
D) requesting that the laboratory rerun the test.
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10
Chapter 9: Geropharmacology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) What factor is an important contribution to polypharmacy in older adults?
A) Inadequate communication among medical care providers
B) Implementation of Medicare Part D prescription drug benefit
C) Use of generic medications
D) Increasing popularity of dietary and herbal supplements
Q2) When discussing pharmacological considerations, a 68-year-old client asks, "Why do medications seem to act differently than they did when I was younger?" The nurse bases the response on the concept that:
A) age-related changes affect the way drugs are metabolized by older adults.
B) Over-the-counter (OTC) drugs have standardized dosages that are appropriate for all ages.
C) older adults may need larger doses of medication to bring about the desired effects.
D) adverse drug reactions occur with similar frequency in older adults as the general population.
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11
Chapter 10: The Use of Herbs and Supplements
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11 Flashcards
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Sample Questions
Q1) The nurse is confident that the client who chooses to take red rice yeast daily for dyslipidemia has an understanding of its possible side effects when the client:
A) has regular laboratory work to monitor cholesterol levels.
B) shows caution by slowly rising from the chair.
C) states, "If I start noticing muscle pain, I'll stop taking the pills."
D) schedules regular, yearly glaucoma screenings.
Q2) When a client who routinely takes the herb St. John's Wort (SJW) shares that his or her "hay fever is really bad right now," the nurse initially:
A) notifies the primary care provider that the client has been self-medicating for hay fever.
B) compares the client's current blood pressure to his/her baseline blood pressure. C) stresses the need to avoid over-the-counter (OTC) medications containing monoamines.
D) suggests that the client stop taking the herb until the hay fever has improved.
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12
Chapter 11: Vision
10 Flashcards
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Sample Questions
Q1) An older resident in a long-term care facility reports to the nurse that she has been noticing changes in her vision, including the appearance of halos around objects and a yellow tint to most objects. The nurse knows that these complaints are most often associated with:
A) cataracts.
B) glaucoma.
C) diabetic retinopathy.
D) age-related macular degeneration.
Q2) An older adult client shares with the nurse that, "I don't know what it is but it seems that I need more light for reading or even watching television as I get older." The nurse explains that aging may cause this change due to the:
A) slower ability of the pupil to adjust to changes in lighting.
B) impact arcus senilis has on visual acuity
C) flattening and thinning of the cornea.
D) retinal changes that begin to occur with aging.
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Chapter 12: Hearing
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A nurse in an assisted living community notes that one of the residents who has hearing impairment and new bilateral hearing aids frequently does not wear the hearing aids. The nurse knows that which of the following factors contribute to low hearing aid use after purchase? (Select all that apply.)
A) Difficulty placing hearing aid properly in the ear
B) Stigma associated with wearing a hearing aid
C) Difficulty changing the batteries in the hearing aid
D) Ineffectiveness of hearing aids for individuals with age-related hearing loss
E) Hearing annoying loud noises
Q2) An older patient asks a nurse, "My doctor referred me to a hearing specialist who thinks that surgery for a cochlear implant may be beneficial for me. Can you tell me how one of those things works?" The nurse formulates a response based on the knowledge that:
A) a cochlear implant is permanent, surgically-implanted hearing aid.
B) a cochlear implant speeds up the conduction of sound to the auditory nerve.
C) a cochlear implant functions as an artificial auditory nerve.
D) a cochlear implant directly stimulates the auditory nerve.
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Page 14
Chapter 13: Skin Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) An older patient tells a nurse. "The nurse practitioner told me that these ugly purple bruises on my arms are called purpura and are due to fragile blood vessels. I still don't understand why this happens to me." The nurse responds based on the knowledge that: (Select all that apply.)
A) purpura is due to normal age-related changes.
B) the incidence of purpura increases with age.
C) purpura is a precancerous skin condition.
D) individuals who take blood thinners are especially prone to purpura.
E) individuals prone to purpura should make sure that affected areas are open to the air.
Q2) A nurse is educating a group of nursing assistants in long-term care on the prevention of skin tears. Which of the following interventions should the nurse include in the education? (Select all that apply.)
A) Lubricate the resident's skin with moisturizers twice daily
B) Ensure that the resident has adequate nutrition and hydration
C) Bathe the resident in hot soapy water
D) Avoid the use of lifting shifts when transferring the resident
E) Dress the resident in long sleeves and long pants to protect the extremities
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Chapter 14: Nutrition
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Sample Questions
Q1) A hospitalized older adult who recently had surgery and a wound infection postoperatively is noted to be losing weight despite consuming his meal trays and snacks. One reason that this might be occurring is:
A) an injury may trigger inflammatory mediators that increase metabolic rate and impair nutrient utilization.
B) an injury may cause malabsorption of nutrients.
C) most hospitalized older patients do not consume adequate amounts of micro- and macronutrients.
D) most hospitalized patients do not have accurate weights recorded upon admission.
Q2) An older adult who is within a normal weight range asks a nurse, "I have heard that it is important to limit the amount of fats in my diet, but I don't know how much I should be taking in daily. Can you help me?" The best response by the nurse is:
A) "Someone of your age needs to limit fats."
B) "Since you are at your ideal weight, you should limit your daily fat grams to half your weight."
C) "Fat intake will depend on the presence of any cardiac issues."
D) "Read food labels well and focus your diet on low-fat foods."
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Page 16
Chapter 15: Hydration and Oral Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which of the following are age-related changes that affect hydration status? (Select all that apply.)
A) Decrease in thirst sensation
B) Decrease in total body water
C) Decrease in ability of kidneys to maximally concentrate urine
D) Decrease in bone marrow mass
E) Decrease in bladder capacity
Q2) In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include:
A) speaking to the client sternly and instructing the client to open the mouth and cooperate immediately.
B) having another nurse aide assist in holding the client's mouth open with a tongue depressor.
C) involving the client in the process of oral hygiene, such as using the hand over hand technique to brush the client's teeth.
D) quickly performing oral hygiene without explanation since the client is uncooperative.
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Chapter 16: Elimination
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Sample Questions
Q1) A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to facilitate the restoration of the patient's bladder function? (Select all that apply.)
A) Assess the patient's recent voiding pattern.
B) Request an order for an indwelling catheter from the patient's physician.
C) Teach the patient how to meet hydration needs while still limiting fluid intake.
D) Assist the patient to use the bathroom.
E) Request an order for medication to decrease bladder spasms.
Q2) The nurse interviewing an older adult for a nursing history recognizes that the client is experiencing symptomology inconsistent with normal aging of the urinary tract when the client reports: (Select all that apply.)
A) finding it more difficult in the last few months to start voiding.
B) having two bladder infections in the last 4 years.
C) getting up once or twice each night to urinate.
D) occasionally experiencing pain when urinating.
E) needing to urinate at least every 2 hours during the day.
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Page 18
Chapter 17: Sleep
9 Verified Questions
9 Flashcards
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Sample Questions
Q1) A nurse in a long-term care facility notes that an older resident with Alzheimer's disease awakens frequently at night and is restless and agitated. Which of the following interventions will be most effective to help manage this resident's sleep problems?
A) Taking the resident outside in the garden for 45 minutes daily
B) Limiting fluid intake for the resident
C) Educating the resident on the association between Alzheimer's Disease and insomnia
D) Administering a mild sedative hypnotic at bedtime
Q2) When an older adult client is diagnosed with restless leg syndrome (RLS), the nurse is confident that client education on the condition's contributing factors has been effective when the client states:
A) "A warm bath at night instead of in the morning is my new routine."
B) "Eating a banana at breakfast assures me the potassium I need."
C) "I've cut way back on my caffeinated coffee, teas, and sodas."
D) "I elevate my legs on a pillow so as to improve circulation."
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Chapter 18: Physical Activity and Exercise
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Sample Questions
Q1) A 75-year-old female asks a nurse "I know I should be moving, but how much is the right amount of exercise for me?" The best response of the nurse is:
A) "You need to engage in 30 minutes of moderate intensity exercise on at least 5 days a week."
B) "You need to engage in at least 30 minutes of moderate intensity exercise every day of the week."
C) "Since you are 75, the recommendations are 30 minutes of moderate exercise three times a week."
D) "There are no specific recommendations for someone of your age; just keep moving."
Q2) A nurse is discussing the importance of exercise with a 78-year-old female who states: "I know I should be exercising, but I have arthritis in my knees and it is painful. Can you recommend a type of exercise that would be beneficial and cause me less pain?"
Which of the following exercises should the nurse recommend?
A) Tennis
B) Swimming
C) Dancing
D) Use of a treadmill and elliptical machine in the gym
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Page 20
Chapter 19: Falls and Fall Risk Reduction
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Sample Questions
Q1) A home health nurse is making a home visit to an older patient. A nurse conducts a home safety assessment and screens the environment for potential hazards for falls. Which of the following are hazards in the home? (Select all that apply.)
A) The absence of railings on the stairway
B) Night-lights in all rooms
C) Clutter throughout the home
D) A small throw rug outside of the shower stall
E) Grab bars in bathroom beside toilet
Q2) An 88-year-old woman is admitted to the hospital with a diagnosis of pneumonia. She has a history of hypertension and congestive heart failure and is on a total of five different medications for these chronic conditions. The nurse caring for the woman develops a care plan that includes the diagnosis Risk for Falls. A priority nursing intervention for this client is to:
A) perform a fall assessment.
B) keep all of the side rails up on the client's bed at nighttime.
C) place the client on bed rest so that she does not fall.
D) assess the client's dietary intake for calcium adequacy.
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Chapter 20: Safety and Security
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Sample Questions
Q1) The benefits of telehealth include that it: (Select all that apply.)
A) promotes self-management of illness in rural and underserved areas.
B) facilitates remote physical assessment and monitoring of chronic conditions.
C) decreases costs by replacing the role of the nurse with technology.
D) decreases costs by reducing hospital readmissions.
E) is reimbursed by all health care insurances.
Q2) Which precaution would be beneficial in minimizing an older adult's risk of being a victim of fraud? (Select all that apply.)
A) Do not allow uninvited salespersons into your home.
B) Never provide personal information to telephone sales solicitors.
C) Rely on the advice of people who only friends have recommended.
D) Contact the local Medicare or Medicaid service office for information when needed.
E) Keep your bank account and credit card numbers with you at all times.
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Chapter 21: Living Well with Chronic Illness
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Sample Questions
Q1) A nurse is caring for an older adult who is in the pre-trajectory phase of the Chronic Illness Trajectory. The nurse knows that this phase is characterized by which of the following:
A) The absence of signs or symptoms of the illness
B) Diagnostic testing being conducted
C) A progressive decline in physical and or mental status
D) A period of temporary remission from the crisis
Q2) A nurse is planning health education on chronic illnesses for a group of seniors in the community. When deciding upon which illnesses to focus upon, the nurse knows that which of the following are the most common diseases in the United States? (Select all that apply.)
A) Heart disease
B) Hypertension
C) Asthma
D) Osteoarthritis
E) Diabetes
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Chapter 22: Cardiovascular and Cerebrovascular Health and Illness
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Sample Questions
Q1) A homecare nurse visits an older female adult at home who has peripheral vascular disease to monitor her status. The nurse determines that the client needs additional teaching when the client states which of the following? (Select all that apply.)
A) "I need to try and elevate my legs above the level of my heart every time I sit down and all night."
B) "I really need to try and avoid sitting in one position for a long period of time."
C) "I know that I need to wear these compression stockings 24 hours a day."
D) "I will wash my feet and legs with strong antibacterial soap twice daily."
E) "I need to examine my feet daily for any cuts, sores, or openings."
Q2) A nurse assesses the lower extremities of an older adult and notes a small ulcer between the person's great toe and second toe. The ulcer has well-defined edges and there is no bleeding; however, there is a small amount of necrotic tissue present. This wound is most likely a(n):
A) venous ulcer.
B) arterial ulcer.
C) pressure ulcer
D) surgical wound.
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Page 24
Chapter 23: Neurodegenerative Disorders
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Sample Questions
Q1) An older adult is diagnosed with Alzheimer's Disease. The nurse knows that this diagnosis is made on the presence of which of the following? (Select all that apply.)
A) A decline from a previous level of functioning
B) Fluctuation of symptoms over the course of a 24-hour period
C) An insidious onset
D) A gradual decline in cognitive abilities
E) The cognitive changes worsen in the evening hours
Q2) An older adult is referred to a geriatric nurse practitioner because of changes in memory and reports by family members that "there is something different about her." The nurse practitioner evaluates the older adult for potentially reversible causes for the changes, which include: (Select all that apply.)
A) depression.
B) delirium.
C) osteoporosis.
D) rheumatoid arthritis.
E) medication side effects.
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Chapter 24: Endocrine and Immune Disorders
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Sample Questions
Q1) A nurse is caring for an older adult who has metabolic syndrome. The nurse knows that the following conditions are common in persons with metabolic syndrome: (Select all that apply.)
A) Glucose levels that are higher than normal
B) Increased waist circumference
C) Blood pressure that is lower than normal
D) Increased blood cholesterol levels
E) Decreased triglyceride levels
Q2) A nurse is educating an older adult with diabetes on glucose self-monitoring. When developing the teaching plan, the nurse includes which of the following goals in the teaching plan? The patient will: (Select all that apply.)
A) demonstrate the technique for obtaining a blood sample.
B) verbalize actions to take when results indicate an error on the machine.
C) state the correct timing of blood glucose monitoring.
D) state the signs and symptoms of both hyperglycemia and hypoglycemia.
E) demonstrate technique for storing and transporting insulin correctly.
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Chapter 25: Respiratory Health and Illness
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Sample Questions
Q1) Asthma is often underdiagnosed in older adults because:
A) older adults frequently do not have any of the classic signs and symptoms.
B) symptoms of asthma are often attributed to normal age-related changes.
C) asthma is very uncommon in older adults.
D) asthma symptoms are usually very mild in older adults.
Q2) A nurse assesses an older patient's blood gases. The patient is 70 years old. The nurse knows that this patient's maximum PO is:
A) 69.
B) 79.
C) 89.
D) 99.
Q3) A nurse is planning education for a group of older adults at a senior center on promoting respiratory health. Which of the following should the nurse include in the education? (Select all that apply.)
A) Annual influenza immunization
B) Pneumococcal pneumonia immunization
C) Smoking cessation
D) Weight reduction
E) Benefits of low-sodium low-fat diets
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Page 27
Chapter 26: Common Musculoskeletal Concerns
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Sample Questions
Q1) A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the following should the nurse include in the teaching? (Select all that apply.)
A) Rest the joint during the acute gout attack.
B) Take acetylsalicylic acid (aspirin, or ASA) to relieve pain.
C) Increase fluid intake to 2 L/day.
D) Avoid foods high in purine.
E) Avoid alcoholic beverages.
Q2) After first managing the pain being experienced by the client with gout, the treatment focuses on:
A) strengthening the affected joints through a controlled exercise plan.
B) minimizing joint disfigurement by using therapeutic splinting.
C) preventing systemic involvement by altering the client's diet.
D) managing chronic pain by taking regular doses of salicylates.
Q3) Kyphosis in the older adult can be a result of which of the following?
A) Osteoarthritis
B) Rheumatoid arthritis
C) Osteoporosis
D) Gout
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28
Chapter 27: Pain and Comfort
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Sample Questions
Q1) An older client who was recently admitted to the subacute setting after having a knee replacement is very anxious and refuses to get out of bed, stating that it is too painful. Which intervention will the nurse implement?
A) Share with the patient that it's important to get out of bed and that there is pain medication available if it does hurt.
B) Use the Hoyer lift to get her out of bed so that the knee will not experience much movement and so there will be little pain.
C) Offer pain medication, administer the medication, and wait 20 minutes before getting her out of bed.
D) Allow the patient to remain in bed, but share that getting up will be required at least twice a day starting the next morning.
Q2) Compared with acute pain, persistent pain requires the nurse to:
A) monitor vital signs more frequently.
B) document the character of the pain as burning.
C) administer analgesics at least every 4 hours.
D) educate the client to the benefit of specific lifestyle changes.
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Chapter 28: Mental Health
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Sample Questions
Q1) An older client in an adult day care program tells the nurse, "I'm very stressed because another neighbor passed away." The most therapeutic response by the nurse is:
A) "What do you mean by 'stressed'?"
B) "Tell me what you did when your other neighbor passed away."
C) "Are you worrying about your own death?"
D) "Let's get involved in some activities and not think about sad things."
Q2) In order to focus on the older population with the greatest risk for suicide, the nurse would conduct a depression screening that targets:
A) African American men.
B) white men.
C) white women.
D) African American women.
Q3) The nurse preparing educational information on common mental health disorders among the older adult population should include:
A) methods for reducing anxiety.
B) a written depression screening tool.
C) local schizophrenia support groups.
D) signs and symptoms of alcoholism.
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Chapter 29: Care of Individuals with Neurocognitive Disorders
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Sample Questions
Q1) A nurse in a long term care facility is concerned that a 94-year-old resident with dementia is losing weight. Upon assessment, the nurse notes that the resident, who is able to feed herself independently, consumes less than 50% of each of her meal trays. Which of the following strategies can the nurse utilize to improve this resident's intake? (Select all that apply.)
A) Assign a nursing assistant to feed the resident.
B) Assign a nursing assistant to sit with the resident as the resident eats.
C) Serve the resident finger foods.
D) Serve the resident one dish at a time.
E) Alter the dining ambience to reduce distractions.
Q2) A nurse is assessing an older patient with new onset confusion using the Confusion Assessment Method (CAM). The nurse understands that in order to have a diagnosis of delirium when using the CAM, the patient must exhibit which of the following? (Select all that apply.)
A) Acute onset of symptoms or fluctuating course
B) Inattention
C) Disorganized thinking
D) Altered level of consciousness
E) Alteration in level of physical activity
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Chapter 30: Economics and Health Care in Later Life
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Sample Questions
Q1) When educating an older adult about Medicare Part D, which information will be included? (Select all that apply.)
A) It is an elective prescription drug plan with associated out-of-pocket premiums.
B) All persons with either Medicare Part A or B can voluntarily purchase a Medicare Part D prescription drug plan.
C) The plan covers all costs of drugs after a deductible is paid.
D) The plan is not available for individuals who are receive both Medicaid and Medicare.
E) This prescription drug plan requires client co-payments.
Q2) The original intent of Social Security was to:
A) provide a hospital insurance plan.
B) minimize the dependency of older members on younger members of society.
C) provide the blind, older adult, or disabled with adequate financial support.
D) penalize women financially for numerous zero wage years while raising children.
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Chapter 31: Common Legal and Ethical Issues
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Sample Questions
Q1) Which of the following statements made by a family caregiver would a nurse consider most indicative of elder abuse?
A) "I get so frustrated because my father used to be so competent and now cannot even feed himself."
B) "Mom cannot pay her own bills anymore. We went to the bank and arranged for me to have access to her checking account and help her pay the bills."
C) "My dad wanders at night and I can't be bothered with him. I mix sleeping pills in his dinner so that he will fall asleep."
D) "Mom asks me to do everything for her, but I think it is better if she keeps on doing as much as she is capable of."
Q2) A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation?
A) Because the neighbor is not a patient, the nurse should not get involved.
B) Visit the neighbor frequently to confirm the suspicions.
C) Complete a confidential report with the adult protective services in the area.
D) Ask the neighbor herself if she is being abused.
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Page 33
Chapter 32: Long-Term Care
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Sample Questions
Q1) A nurse is discharging an older patient after a hospitalization for a hip fracture. The patient is a participant in a Program for All Inclusive Care for the Elderly (PACE). The nurse understands that a PACE program: (Select all that apply.)
A) provides services to older people who would otherwise need a nursing home level of care.
B) does not provide services to participants who reside in a nursing home.
C) is only available to individuals who have both Medicare and Medicaid.
D) provides medications, eyeglasses, and transportation to care.
E) provides urgent and preventive care.
Q2) Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Bill of Rights for Long-Term Care Residents?
A) "It's so nice to have my hometown newspaper available here."
B) "Going out to the theater with the other residents is a nice social activity."
C) "I was told that if I didn't want to change rooms, I didn't have to."
D) "The whole place was decorated so beautifully for the holidays."
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Chapter 33: Intimacy and Sexuality
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Q1) Symptoms of HIV are often under-recognized in older adults because:
A) there is a very low incidence of HIV in older adults.
B) many of the classic symptoms are also common to other conditions common in older adults.
C) presenting symptoms are markedly different from those in younger adults.
D) AIDS progresses much slower in older adults so symptoms are not recognized easily.
Q2) Which outcome regarding the effects of touch on the skin is not supported by current research?
A) Brings about sensory stimulation
B) Helps relieves physical and psychosocial pain
C) Is known to reduce anxiety and tension
D) Improves skin integrity
Q3) Which question has priority when assessing a client for risk factors related to the use of sildenafil (Viagra)?
A) "How old are you?"
B) "Are you currently being treated for hypertension?"
C) "Do you have a history of respiratory infections?"
D) "Have you ever been told you have prostate problems?"
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35
Chapter 34: Relationships, Roles, and Transitions
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Sample Questions
Q1) Which of the following reactions to the loss of a spouse or long-term partner is a unique example of older adult male bereavement?
A) Withdrawing from friends and family
B) Remarrying within months of the loss
C) Focusing on "doing" rather than "feeling"
D) Experiencing moderate to severe depression
Q2) Which nursing intervention best addresses the need for social support demonstrated by an older adult couple who will be assuming responsibility for the raising of two grandchildren?
A) Facilitating a support group for children being raised by grandparents
B) Helping the grandparents express their feeling regarding this unexpected role change
C) Offering a monthly parenting class for this cohort of grandparents
D) Suggesting couple's therapy to assist in managing any new stress on their marriage
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Chapter 35: Loss, Death, and Palliative Care
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Q1) Which intervention is an example of countercoping for a client who has recently received a terminal diagnosis of cancer? (Select all that apply.)
A) Answering the client's questions regarding the trajectory of his or her illness
B) Offering to pray with the client and family
C) Scheduling a meeting with the client and family to identify alternative end-of-life plans
D) Assessing the client frequently for depression and risk of self-harm
E) Being available to just listen to the client talk about dying
Q2) A woman is terminally ill. Although it has never been discussed in the family or stated outright by her physician, she is growing to believe that she will die because of her illness. Upon which concept will the nurse base therapeutic intervention on?
A) Closed awareness
B) Suspected awareness
C) Mutual pretense
D) Open awareness
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Chapter 36: Self-Actualization, Spirituality, and Transcendence
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Source URL: https://quizplus.com/quiz/15301
Sample Questions
Q1) Which description would be most characteristic of a self-actualized individual?
A) An economically disadvantaged older black man who regularly checks out books from the local library to read to neighborhood children
B) A wealthy white older woman who is constantly searching for a better laxative
C) A middle-class white man who was forced into an early retirement and is living in fear of being evicted from his apartment
D) The older wife of a famous celebrity who travels the world but starves herself and seeks plastic surgery in her quest to fight the physical signs of aging
Q2) What is the role of the nurse in assisting older adults with travel interests?
A) Suggesting that they travel with a seniors' group
B) Addressing arrangements to have medical care, if needed, during their travels
C) Providing information regarding pet care services for their beloved dog
D) Reassuring the client that their concerns about safety are unfounded
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