Nursing Care of Older Adults Practice Exam
Course Introduction
This course provides an in-depth exploration of nursing care specific to older adults, emphasizing the physiological, psychological, and social changes associated with aging. Students will learn to assess the unique health needs of elderly patients, develop individualized care plans, and apply evidence-based practices to promote optimal well-being. Key topics include managing chronic conditions, supporting mental health, fostering functional independence, and advocating for the dignity and rights of older adults within diverse care settings. The course also addresses interprofessional collaboration, ethical considerations, and effective communication strategies with older patients and their families.
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) Which province or territory is predicted to have the fastest growing older-person population in Canada between the years 2006 and 2031?
A)Ontario
B)British Columbia
C)Yukon
D)Newfoundland
Answer: C
Q2) Which statement describes aging in developing countries?
A)Many developing countries have historically had many members live to be centenarians.
B)The biggest problem for older persons will be lack of food.
C)Most of the world's older persons are likely to reside in developing countries.
D)Like fertility, life expectancy is increasing, although at a different rate.
Answer: C
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3
Chapter 2: Gerontological Nursing History, Education, and Roles
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Mrs.Jaciuk, 70 years of age, was admitted to the hospital after a recent fall in her home.Her left cheek is bruised and she complains that her left leg is very sore.After assessment and undergoing a CT scan of her head and an X-ray of her left leg, the physician is ready to discharge her home because there is no evidence of a fracture.Mrs.Jaciuk starts to cry when the nurse enters the room and she begs the nurse to allow her to stay, because she has no one at home and she fears she may fall again.What should the nurse consider when addressing Mrs.Jaciuk?
A)Allow Mrs.Jaciuk to express her feelings.
B)Understand that hospitals are dangerous places for older persons.
C)Speak with the physician and request that Mrs.Jaciuk be allowed to stay another day.
D)Instruct Mrs.Jaciuk about fall prevention, based on the Registered Nurses' Association (RNAO) Best Practice Guideline.
Answer: B
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Page 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) Which chronic condition is the most common sensory impairment in Canadians over the age of 60?
A)Hearing loss
B)Hypertension
C)Visual impairment
D)Type 2 diabetes mellitus
Answer: A
Q3) A patient says, "Peace wing we uh meng meng." What is your response?
A)"I'm sorry, that doesn't make any sense."
B)"Please try to speak more clearly."
C)"Excuse me, I didn't understand that."
D)"What would you like me to bring you?"
Answer: D
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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 of the following statements is true about differing health belief systems?
A)Personalistic or magicoreligious beliefs have been replaced in Western minds by biomedical principles.
B)In most cultures, older persons are likely to treat themselves using traditional methods before turning to biomedical professionals.
C)Ayurvedic medicine is another name for traditional Aboriginal medicine.
D)The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.
Q2) The health care provider discusses the need for surgery with an older person and her family.Which information about the older person's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent?
A)Attitudes about caregiving
B)Process of decision making
C)Rituals for death and dying
D)Experience with discomfort
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Chapter 5: Nursing Documentation
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) In Canada, advance directives (advanced care planning) falls under which jurisdiction?
A)Federal
B)Provincial/territorial
C)Municipal
D)Health care agency/provider
Q2) Which of the following is a true statement about documentation?
A)Nurses should keep records of patients' wishes.
B)Patients do not have access to their own medical records.
C)The DARE approach is a complete record of the health status of a patient.
D)The nurse is responsible for completing all of the Minimum Data Set (MDS).
Q3) Using the Resident Assessment Instrument (RAI), the nurse identifies a trigger from the Minimum Data Set (MDS) for an older person in a nursing home who requires an indwelling urinary catheter.Which should the nurse do next?
A)The nurse should develop a patient-centred plan of care.
B)The nurse should assign suitable nursing interventions.
C)The nurse should use the Resident Assessment Protocols (RAPs).
D)The nurse should institute agency-approved catheter care.
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7
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) The nurse designs a group exercise program at an older-person centre.Which room should the nurse choose for the program?
A)A room with a beautiful hardwood floor tastefully appointed with throw rugs
B)A spacious room with no windows but with fluorescent lighting and a natural stone floor
C)A room with an old hardwood floor and large windows overlooking a garden area
D)An end room with a linoleum floor and a fan for ventilation to compensate for the room's broken air conditioner
Q2) The nurse cares for an older person who appears to be malnourished and short of breath and has an infection in a large wound on his coccyx.Which intervention is the nurse's priority?
A)Monitor temperature and leukocytes.
B)Provide assistance with meal planning.
C)Provide high-quality protein in the diet.
D)Maintain oxygen saturation above 95%.
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Chapter 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) The nurse plans care for older persons who are in good health but isolated from their families.If the nurse's goal is to move the adults toward gerotranscendence, which of the following interventions 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)Encourage each person to focus on individual activities.
D)Assist them to resume midlife patterns.
Q2) Which of the following statements is true about sociological theories of aging?
A)Disengagement theory, activity theory, and continuity theory are supported by data.
B)Everyone should be able to achieve the three tasks of Peck's model of integrity.
C)The exercising of rights is not a task of aging in Kelly's model.
D)A person may choose to avoid pursuing inner discovery in old age.
Q3) Crystallized intelligence consists of:
A)Memories created more than 20 years ago.
B)Knowledge and abilities that the person acquires through education and life.
C)Skills that are biologically determined.
D)Education acquired through post-secondary education.
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Page 9
Chapter 8: Nutritional Needs
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The following nursing interventions represent the four steps of a nutritional assessment.Which one would be the final step in the nutritional assessment?
A)Measure the midpoint of the upper arm.
B)Obtain blood for biochemical serum examination.
C)Examine the lips, gums, oral cavity, and skin turgor.
D)Obtain a detailed weight history.
Q2) 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).
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Chapter 9: Hydration and Continence
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12 Flashcards
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Sample Questions
Q1) Which of the following is a true statement about dehydration in an older person?
A)Urine flow gradually decreases in an older person.
B)Older persons generally need less fluid than younger people, because of their lower body water content.
C)Urine specific gravity and skin turgor can be used to diagnose dehydration in older persons and in younger people.
D)Multiple physiological changes of aging place older persons at greater risk of dehydration than middle-aged persons or children.
Q2) The most important aspect of care for the nurse to maintain when assisting an older person with urinary incontinence is which one of the following?
A)Ensure the availability of protective rubber garments.
B)Use indwelling urinary catheters.
C)Use smooth muscle relaxants.
D)Maintain a respectful and positive attitude about resolving the underlying problem.
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Chapter 10: Rest, Sleep, and Activity
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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) 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.
Q2) The nurse plans care to protect the skin covering an immobile older person's greater trochanter.What is the nurse's priority intervention when the older person is positioned on the side?
A)Turn the patient at least once every hour.
B)Place a cushion between the patient's knees.
C)Keep the patient's skin clean and dry.
D)Use the Sims' position.
Q3) Which of the following is an important consideration regarding the skin of an older person?
A)Generous amounts of soap should be used for cleansing.
B)Sweat glands increase in activity.
C)The skin becomes more vulnerable to damage.
D)The skin becomes darker in unexposed areas.
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Page 13
Chapter 12: Maintaining Mobility and Environmental Safety
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Sample Questions
Q1) The nurse wants to encourage an older female adult who lost her balance and fell to include daily exercise as a means of improving her balance and strength.What recommendation and intervention according to the RNAO Best Practice Guideline (BPG): Prevention of Falls and Fall Injuries in the Older Adult is appropriate for the older person?
A)Tell the older person to use an assistive device until her balance and strength improve.
B)Implement a multifactorial fall prevention intervention to prevent future falls.
C)Help the older person to learn how to exercise the core group of muscles.
D)Instruct the older person to enroll in an exercise program for eight weeks.
Q2) The nurse is assessing an older person in order to plan for fall screening prevention.What information should the nurse gather for the plan of care?
A)Information about the environment in hospital and at home
B)The patient's emotional status
C)The patient's financial status
D)The patient's occupational history
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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) Which question or command is a part of the Geriatric Depression Scale (GDS)?
A)"Do you have the coordination, balance, and strength to participate in day-to-day life?"
B)"How often does your family provide support for you?"
C)"Do you prefer to stay at home rather than go out and do things?"
D)"Please repeat the three words I asked you to remember."
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) An older person who has an albumin level of 25 g/L takes aspirin and phenytoin (Dilantin) by mouth daily.Which adverse effect of these medications does the nurse expect because of the older person's nutritional status?
A)Depressed mood
B)Clay-coloured stools
C)Increased heart rate
D)Gingival hyperplasia
Q2) The nurse provides instruction about medication safety to older persons.Which of the following instructions should the nurse provide?
A)Nausea and vomiting are common, harmless medication side effects.
B)Keep a supply of medications at the bedside for convenience.
C)Ask the health care provider to describe the purpose of the medication therapy.
D)Take your daily medications on an empty stomach with water.
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) An older female adult is diagnosed with a chronic illness.Which principle should the nurse apply when answering her questions?
A)The most prevalent form of disease in Canada is acute illness.
B)Usually, chronic disease has a negligible impact on the family.
C)Chronic illness is unending, and coping can be influenced by the perception of uncertainty.
D)Older persons cope successfully with chronic disease by learning about the disease.
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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Sample Questions
Q1) Which one of the following pain management techniques is an example of a cognitive behavioural approach?
A)Bio
B)Opioid medication
C)Massage
D)Anxiety medication
Q2) The nurse uses comfort measures to enhance an older person's pharmacological pain management.Which should the nurse use to identify relationships between comfort measures, pharmacotherapy, and the older person's pain level?
A)Older person's self-report
B)Older person's pain diary
C)Visual Analogue Scale
D)Pain medication frequency
Q3) Compared with acute pain, which of the following statements is true of persistent pain?
A)It leads to markedly altered vital signs.
B)It is usually described as a burning pain.
C)It is generally gone within four months.
D)It can bring about changes in lifestyle.
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Page 18
Chapter 17: Diabetes Mellitus
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Sample Questions
Q1) Which one of the following is the most important goal when planning nursing care for an older patient with diabetes mellitus?
A)Stabilize the serum glucose.
B)Prevent disease progression.
C)Set walking distance goals.
D)Plan for consistent exercise.
Q2) An older person with type 2 diabetes mellitus has a sensory impairment and unstable blood sugars.Which alteration in sensory function does the nurse address in the plan of care for stabilizing his blood sugar?
A)The older person requires reading glasses at 2.0 strength.
B)The older person has difficulty hearing in crowded rooms.
C)The older person enjoys spicy food more than bland food.
D)The older person awakens with periodic left-foot numbness.
Q3) Which of the following is a true statement about diabetes mellitus?
A)Type 2 diabetes results from a failure of the pancreas to produce insulin.
B)Diabetes is diagnosed after two fasting plasma glucose readings over 4.4-6.1 mmol/L (82-110 mg/dL).
C)Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes.
D)The incidence of diabetes mellitus does not increase with age.
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Page 19
Chapter 18: Bone and Joint Health
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Sample Questions
Q1) Which of the following represents characteristics of rheumatoid arthritis (RA) that are unlike osteoarthritis (OA)?
A)RA involves myalgia and stiffness.
B)RA involves joint pain, and it is curable.
C)RA involves crepitus and instability.
D)RA is systemic and symmetrical.
Q2) 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.
Q3) Which one of the following is a suitable nursing intervention for an older person who has gout?
A)Vitamin D 400-1000 international units (IU)
B)Liquid paraffin hand baths and disease-modifying antirheumatic drugs
C)A diet low in purines
D)Aspirin 500 mg daily
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Page 20
Chapter 19: Visual and Auditory Changes
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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) The etiology of glaucoma is variable and often unknown.Which type of glaucoma in the older person is the most urgent and requires medical attention?
A)Primary open-angle glaucoma
B)Acute angle-closure glaucoma
C)Low tension glaucoma
D)Normal tension glaucoma
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) The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual at 110-120 beats per minute.What should the nurse do to eliminate pneumonia as a potential cause of the change in this resident's status?
A)Obtain a specimen for aerobic blood cultures.
B)Send the resident for a chest X-ray exam promptly.
C)Analyze sputum for colour, texture, and volume.
D)Compare tympanic temperature to the baseline.
Q2) An older male adult in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity, and two minutes later, he passes out but regains consciousness quickly.Which of the following instructions does the nurse include in patient teaching to reinforce to this older person the importance of cooling down after exercise?
A)Cardiac output diminishes with age.
B)Mobility capacity decreases with age.
C)Baroreceptor function diminishes with age.
D)Sensory perception diminishes with age.
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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) Classic signs of Parkinson's disease (PD) in an older person include tremors at rest, rigidity (stiff muscles), akinesia (poverty of movement), and postural abnormalities.Which of the following is the most conspicuous sign of PD?
A)Tremor
B)Rigidity
C)Akinesia
D)Postural abnormalities
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23
Chapter 22: Economic and Legal Issues
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Sample Questions
Q1) Social security retirement income programs are designed to minimize the chances of retirees and older people living in poverty in Canada.Which of the following individuals over the age of 65 years would encounter the most challenges in accessing the social security retirement income programs, which include Old Age Security (OAS), Guaranteed Income Supplement (GIS), Allowance for the Survivor, and the Canada Pension Plan (CPP)?
A)Mrs.Perez, who has been living in Canada for eight years as a sponsored immigrant
B)Ms.Soznicki, who has been a common-law partner for ten years
C)Mrs.Haas, who is the widow of an old age security pensioner
D)Mr.Naipal, who has been a same-sex partner for 15 years
Q2) 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.
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Chapter 23: Relationships, Roles, and Transitions
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Q1) The community health nurse delivers a program about retirement planning to middle-aged adults, and wants to them to choose the year of their retirement.On which of the following areas should participants focus to ease their transition into retirement?
A)The kind of legacy they want to leave behind
B)The type of setting they prefer for their personal residence
C)The location of convenient health care services
D)The ability to maintain a stable standard of living
Q2) Which of the following statements about the role of grandparents is true?
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.
Q3) What is the most important element for older persons to have to enhance their transition into retirement?
A)Good health
B)A private pension
C)A registered retirement savings plan (RRSP)
D)Preretirement planning
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25
Chapter 24: Mental Health and Wellness in Later Life
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Sample Questions
Q1) Which statement is true about the mental health of older persons?
A)Nurses should discourage denial and regression so older persons can face underlying causes of anxiety directly.
B)Anxiety is easily distinguished from depression, dementia, and the effects of disease or medication.
C)Compulsive rituals surrounding toileting and sleep are signs of a serious mental disorder.
D)The nurse avoids anti-anxiety medications without an assessment for factors associated with anxiety.
Q2) An older female adult fell at home while trying to get to the bathroom in time to prevent urinary leakage.What is the priority nursing intervention to prevent patient injury at home in the future?
A)Discharge the patient to home while she is attending an alcohol prevention program.
B)Perform a home safety inspection to identify modifiable safety hazards.
C)Instruct the patient on pelvic floor exercises and other incontinence strategies.
D)Explore and assess for depression, alcohol abuse, and physiological contributors to falls.
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Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) Jean Smithers, 80 years of age, is grieving the loss of her husband, Adam, who died last month at the age of 82.They had been life partners for 60 years.She cries all the time and complains of feeling distracted and restless.She says that deciding what to wear seems too complex a task and she is "at loose ends." What type of grief is Jean Smithers experiencing?
A)Anticipatory grief
B)Persistent grief
C)Acute grief
D)Disenfranchised grief
Q2) When an older female adult who is close to death asks the family to leave after short visits and acts withdrawn in their presence; the family becomes distraught.What does the nurse include in family teaching to explain the patient's behaviour?
A)The patient is preoccupied with her own death.
B)The patient must have unresolved family issues.
C)The patient can be experiencing anticipatory grief.
D)The patient's body prepares for death in this manner.
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Chapter 26: Care Across the Continuum
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Q1) The nurse assesses an older person who was transferred yesterday from an acute care hospital.What should the nurse assess to determine if this individual is under stress from the transfer?
A)The nurse should find out the length of the resident's stay in the acute care facility.
B)The nurse should determine the resident's options and input into relocation.
C)The nurse should question the older person about the presence of familiar people throughout the transfer.
D)The nurse should determine whether a tour of the new facility was completed shortly after the transfer.
Q2) Architects are designing homes for younger adults that allow these individuals to age safely in their homes.What is this type of design called?
A)Aging-in-place
B)Residential care
C)Transgenerational
D)Safe haven homes
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