Nursing Leadership in Elder Care Exam Questions
Course Introduction
This course explores the principles and practices of effective nursing leadership within the context of elder care. It examines leadership theories, decision-making strategies, and ethical considerations relevant to managing healthcare for older adults. Emphasis is placed on communication, interdisciplinary collaboration, and advocacy to improve the quality of life and care outcomes for elderly populations. Students will analyze case studies, participate in leadership simulations, and develop skills in team management, resource allocation, and policy implementation specific to gerontological nursing settings.
Recommended Textbook
Ebersole and Hess Gerontological Nursing Healthy Aging 4th Edition by Theris A. Touhy
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25 Chapters
426 Verified Questions
426 Flashcards
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Page 2
Chapter 1: Introduction to Healthy Aging
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse plans the care for an older man who has Medicare,lives on Social Security and a small pension,and has type 2 diabetes mellitus.Which aspect(s)of this man should the nurse integrate into a positive approach to his health and well-being?
A) Pays for some diabetic supplies.
B) Enjoys regular physical activity.
C) Practices effective glucose control.
D) Lives alone in a high-rise apartment.
E) Lacks low-cost,reliable transportation.
F)Attends weekly dinner club for diabetics.
Answer: B,C,F
Q2) Which cultural group is predicted to have the fastest growing older adult population in the United States between the years 2010 and 2050?
A) Native Americans
B) African Americans
C) Hispanic Americans
D) Asian/Pacific Island Americans
Answer: C
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Chapter 2: Gerontological Nursing History, Education, and Roles
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Identify the best statement about gerontological nursing.
A) Nurses have only recently become involved in the care of the older adult.
B) Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program.
C) Purposes of gerontological nursing include the promotion of health and support for maximal independence.
D) ANA certification is available only for gerontological nurses in research positions.
Answer: C
Q2) Identify future directions for gerontological nursing research as suggested by Wykle and Tappen.
A) Interdisciplinary practice models
B) Intergenerational caregiving
C) Health disparities
D) Influence of culture on aging
E) Long-term care initiatives
Answer: A,B,C,D
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Chapter 3: Care Across the Continuum
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14 Flashcards
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Sample Questions
Q1) A resident of a long-term care facility has been asking to have the drain in the bathroom sink repaired for 2 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) Right to be free of all forms of abuse
B) Right to be transferred for appropriate reasons
C) Right to voice grievances and have them remedied
D) Right to information about conditions and treatments
Answer: C
Q2) Which home modification interventions are designed to enhance the ability of older adults to remain in their homes?
A) A 36-inch-wide doorway
B) Entryways with less than two steps
C) Electrical outlets at chest level
D) A bathroom on the first floor
Answer: A,D
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Chapter 4: Culture and Aging
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Sample Questions
Q1) The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment.Which question(s)should the nurse ask to follow this model?
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?
E) How long have you experienced the problem?
F)Who,other than me,can make you feel better?
Q2) A nurse caring for older adults must be aware of which consequences of ageism in language?
A) Reduced sense of self
B) Poor nutritional intake
C) Lowered self-esteem
D) Decreased memory performance
Q3) Which health belief system uses treatments to repair a body part?
A) Holistic
B) Biomedical
C) Personalistic
D) Magicoreligious
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Chapter 5: Theories of Aging and Physical Changes
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Sample Questions
Q1) Which age-related change contributes to anorexia and weight loss in the older adult?
A) Excessive saliva
B) Fewer taste buds
C) Wearing dentures
D) Softened tooth enamel
Q2) Which factor(s)associated with aging contribute(s)to the high incidence of type 2 diabetes mellitus in older adults?
A) Fewer T-lymphocytes
B) Less lean muscle mass
C) Decreased thyroid function
D) Decreased physical activity
E) Left ventricular hypertrophy
F)Decreased insulin sensitivity
Q3) Aging ordinarily leads to decreases in which of the following?
A) Creatinine clearance and insulin secretion
B) Blood carbon dioxide and saliva production
C) Left ventricle-wall thickness and skin healing time
D) Serum triiodothyronine (T?) and gastric pepsin
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Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging
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15 Flashcards
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Sample Questions
Q1) Which of the following is a true statement about the theories of aging?
A) Research data support the disengagement theory, activity theory, and continuity theory.
B) Everyone should be able to achieve the three tasks of Peck's model of integrity.
C) The exercise of rights is not a task of aging in Kelly's model.
D) A person may choose to avoid pursuing inner discovery in older age.
Q2) The children in an African-American family attended college because their mother worked two jobs as they were growing up.She never finished high school,the children are grown,and she lives alone in retirement.Which noted weakness of sociological theories on aging explains why the social exchange theory is not applicable to this older adult?
A) Gender
B) Culture
C) Ethnicity
D) Opportunity
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8
Chapter 7: Assessment and Documentation for Optimal Care
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14 Flashcards
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Sample Questions
Q1) The same nursing documentation record is used in every unit of a hospital.Why does a hospital use a standardized form for nursing documentation?
A) Helps provide continuity of care
B) Standardizes patient care parameters
C) Assists in maintaining confidentiality
D) Reduces the number of medication errors
E) Provides the foundation for staffing levels
F)Allows for quality evaluations among units
Q2) What is a SOAP note?
A) Record of supplies used in patient hygiene
B) Record of an event during a patient's stay, formatted according to the Simple Object Access Protocol (SOAP), enabling it to be easily transmitted between computers
C) Form of bar code
D) 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 8: Safe Medication Use
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Sample Questions
Q1) Which of the following is on the list of drugs considered suitable for the older adult?
A) Indomethacin (Indocin)
B) Reserpine (Reserpine)
C) Chlorpheniramine (Chlor-Trimeton)
D) Bupropion (Wellbutrin)
Q2) A health care provider has ordered alendronate (Fosamax)for an older adult who has been admitted for a hip fracture.Which is the best response from the nurse when educating the patient on the new medication?
A) You will need to have your calcium checked monthly while on this medication.
B) If you miss a dose, you will need to take the medication as soon as you remember.
C) Take on an empty stomach.
D) Do not take with alcohol.
Q3) Through which pathway(s)are drugs and their metabolites eliminated?
A) Sweat
B) Saliva
C) Kidneys
D) Spleen
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Chapter 9: Nutrition and Hydration
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Sample Questions
Q1) The nurse is trying to improve the nutritional status of residents in the nursing home.Which recommendations should the nurse implement?
A) Develop a seating chart for the main dining room based on the unit to facilitate a more organized and efficient meal delivery.
B) Replace the fluorescent lighting with candles at every table to create a cozy, restaurant-like atmosphere.
C) Provide nutritious food according to the residents' expressed food preferences with a liberal use of seasonings that do not exceed any sodium restrictions.
D) Distribute "med-pass" nutritional supplements.
Q2) The nursing home staff needs assistance to feed properly the residents who need assistance with feeding.Which of the following should the nurse implement to ensure that the residents are properly fed?
A) Instruct the feeding assistants 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) Assign a small group of nursing assistants to do the feeding.
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11
Chapter 10: Elimination
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Sample Questions
Q1) Which action should be included in all bladder-retraining programs?
A) Toileting at bedtime
B) Using adult incontinence pads
C) Toileting every hour
D) Providing 1000 ml of fluids daily
Q2) A large residual urine volume characterizes what type of incontinence?
A) Urge
B) Stress
C) Overflow
D) Functional
Q3) An older adult who is on bed rest after surgery is prescribed morphine for pain.Which of the following is the nurse's priority for preventive care?
A) Constipation
B) Diarrhea
C) Poor solid food intake
D) Poor liquid intake
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Chapter 11: Rest, Sleep, and Activity
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Sample Questions
Q1) The nurse observes that a male patient is snoring every night.Which should the nurse assess in this patient to diagnose the potential for sleep apnea?
A) Change in appetite
B) Rituals for sleeping
C) Number of daytime naps
D) Headaches in the morning
E) Irritability during the day
F)Awakening during the night
Q2) Exercises are prescribed for older adults as therapy to improve which one of the following qualities?
A) Relative intensity
B) Muscle strength
C) Muscle retraining
D) Body sculpting
Q3) What is the difference between rest and sleep?
A) Sleep occurs with rest.
B) Rest is an extension of sleep.
C) Rest occurs only in brief periods.
D) Sleep is restorative and recuperative.
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Page 13
Chapter 12: Promoting Healthy Skin and Feet
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19 Verified Questions
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Sample Questions
Q1) Although intact skin effectively protects an individual,it functions within physiological limits.Which qualities of healthy skin work synergistically within these limits to absorb,cushion against,deflect,or neutralize potentially harmful forces,as well as protect against potentially harmful substances that might impair skin integrity?
A) Strength
B) Pliability
C) Location
D) Durability
E) Moistness
F)Pigmentation
Q2) Which infection-control practice should the nurse implement when caring for an older adult who has active herpes zoster?
A) Wear a face shield and gown for all patient contact.
B) Instruct the staff and visitors to wear a type of respirator mask.
C) Use a hospital room that has negative airflow circulation.
D) Cover ruptured skin lesions with a nonabsorbent dressing.
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14
Chapter 13: Promoting Safety
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Sample Questions
Q1) An older woman who receives intravenous (IV)fluids is making wide gesticulations with her arms and loudly insulting the nursing staff.Which intervention should the nurse implement to maintain safe,effective nursing care initially?
A) Apply bilateral upper extremity restraints.
B) Administer haloperidol (Haldol) for agitation.
C) Close the door to her room to reduce the noise.
D) Determine the patients needs.
Q2) Which one of the following is a true statement about mobility and safety for older adults?
A) Use of restraints on older patients helps prevent injuries from falls.
B) Falls that do not cause physical injury are not significant.
C) The get-up-and-go test provides a measure of a patient's energy and initiative.
D) Lowering the bed and fluorescent tapes are interventions to increase safety.
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Chapter 14: Living With Chronic Illness
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Sample Questions
Q1) Which of the following statements is the most suitable for establishing goals when teaching an older adult 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 the caregiver; therefore the goals should be collaboratively set.
B) The patient will be able to make needed changes in his or her life if the nurse provides 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 or she will be able to make.
Q2) An older man who has osteoarthritis (OA)tells the nurse that he has experienced fatigue for the past 2 weeks.Which nursing intervention should the nurse implement to help him manage his fatigue?
A) Recommend an antidepressant.
B) Help him plan exercise and rest.
C) Plan two or three naps every day.
D) Tell him the fatigue is due to his OA.
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Chapter 15: Pain and Comfort
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Sample Questions
Q1) Each of the following is a nonpharmacological intervention for pain except which one?
A) Acupuncture treatments
B) Adjuvant therapy
C) Lidocaine patch
D) Capsaicin
Q2) Which of the following statement(s)is(are)true about pain in older adults?
A) Pain is not a normal aging process.
B) Pain sensitivity decreases with age.
C) If patients do not complain, they do not have pain.
D) Opioid analgesics are often the best treatment for persistent pain.
Q3) Which type of pain tends to occur persistently along a well-defined path in a region of the body?
A) Unrelenting pain
B) Osteoarthritic pain
C) Postoperative pain
D) Postherpetic pain
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Chapter 16: Diseases Affecting Vision and Hearing
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Sample Questions
Q1) The nurse recognized which of the following as symptoms of wet age-related macular degeneration (AMD)?
A) Rarely causes severe visual impairment
B) Yellow deposits under the retina
C) Decrease in central vision
D) Visual distortion
Q2) The most detrimental illness or condition that an older adult with deafness that occurred at birth can experience is which one of the following?
A) Aphasia
B) Cataracts
C) Glaucoma
D) Osteoarthritis
Q3) Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina?
A) Glaucoma
B) Presbyopia
C) Cataract
D) Macular degeneration
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18
Chapter 17: Metabolic Disorders
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Sample Questions
Q1) Which of the following statements is true about medications taken by individuals with diabetes mellitus?
A) Sitagliptin (Januvia) is indicated to treat type 1 diabetes mellitus.
B) Nateglinide (Starlix) increases the secretion of insulin.
C) Metformin (Glucophage) increases the secretion of insulin.
D) Rosiglitazone (Avandia) decreases glucose absorption.
Q2) Which is the best 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.
Q3) The older adult who has type 2 diabetes mellitus has a sensory impairment and unstable blood sugar levels.Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar?
A) Requires reading glasses at 2.0 strength.
B) Has difficulty hearing in crowded rooms.
C) Enjoys spicy food more than bland food.
D) Awakens with periodic left-foot numbness.
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Page 19
Chapter 18: Bone and Joint Problems
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Sample Questions
Q1) An older woman seeks advice from the nurse about preventing further bone loss after being diagnosed with osteopenia.To achieve the woman's goal,which of the following patient teachings should the nurse provide to enhance the activity of the osteoblasts?
A) Limit sodium intake.
B) Refrain from alcohol use.
C) Eat high-fiber foods.
D) Exercise with weights.
Q2) Which of the following is a true statement about osteoporosis (OA)?
A) OA is indicative of an underlying health problem.
B) The most common site for OA fractures is in long bones.
C) African-American women have the highest risk for OA.
D) A high risk of death follows an OA-related fracture.
Q3) The nurse is educating an older woman on foods high in calcium.Which foods should the nurse include?
A) Chinese cabbage
B) Soy milk
C) Cheese pizza
D) Whole wheat
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Page 20
Chapter 19: Cardiovascular and Respiratory Disorders
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Sample Questions
Q1) An older woman who has COPD wants to perform self-care activities.Which instruction should the nurse include in patient teaching to help her 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) and then rest.
D) Bathe right after eating, and then rest.
Q2) After noticing an older man's extremities are cool and the cardiac monitor is showing a heart rate of 120 bpm,the nurse determines that these findings warrant further investigation.Rank the patient' parameters the nurse should examine to assess cardiac output in order of importance,beginning with the first assessment the nurse should complete.
A)Hypoxemia
B)Hypotension
C)Irregular rhythm
D)Low urine output
E)None of the above
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21
Chapter 20: Neurological Disorders
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Sample Questions
Q1) A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA).During the assessment,the patient begins to complain of a severe headache and numbness in his left arm.Which action should the nurse take next?
A) Instruct the patient to take Tylenol.
B) Ask whether patient suffers from migraine headaches.
C) Reschedule the visit.
D) Call 9-1-1.
Q2) Which of the following statements is true about Parkinson disease (PD)?
A) Drinking large amounts of alcohol can relieve symptoms of essential tremor.
B) Motor tremors and slow movement accompany severe cognitive impairment.
C) Lewy body dementia (LBD) is the most common form of dementia.
D) Older adults taking rasagiline (Azilect) must avoid eating foods containing tyramine.
Q3) _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).
Q4) _______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.
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Chapter 21: Cognitive Impairment
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Sample Questions
Q1) At 10 PM,an older male resident attempts to climb over the bedrails.Which intervention should the nurse implement first?
A) Talk to the resident about his behavior.
B) Call the physician, and ask for a sedative.
C) Apply a vest restraint on the resident.
D) Get a companion to keep him in the bed.
Q2) Which of the following statements is true about cognitive impairments in older adults?
A) Loss or interruption of sleep can lead to delirium.
B) Confusion is a normal and unavoidable consequence of aging.
C) Older patients who are agitated often have a lower cognitive status than those who are quietly sitting.
D) The Mini-Mental State Examination-2nd edition (MMSE-2) should be administered on admission to detect delirium.
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23
Chapter 22: Mental Health
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Sample Questions
Q1) Although the older man who was forced to retire from law enforcement has multiple physical complaints,the primary care health care provider finds nothing abnormal.After the man tells the nurse that his girlfriend just left him,which of the following is the priority nursing intervention to complete before the older adult leaves?
A) Ask him how he plans to cope with his loss.
B) Use direct questions about access to firearms.
C) Collaborate with his provider for antidepressants.
D) Allow him to express himself by intently listening.
Q2) Which older adult is most likely to have normal mental health?
A) The older adult who grieves over the loss of a spouse for 2 years but is traveling again
B) The older adult who exhibits long periods of depression with occasional manic episodes
C) The older adult who has lost two friends in a war, has had three failed marriages, and is bankrupt
D) The older adult who has been treated for chronic depression and whose brother killed himself 1 year ago
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Chapter 23: Economic and Legal Issues
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Q1) Which of the following statements is true about case management and care management for older adults?
A) A case manager works for a health care system to save time and money.
B) Care managers are usually paid from public agencies such as the Area Agency on Aging (AAA).
C) One nurse can only perform care management.
D) The Outcomes-Based Quality Improvement system is designed to evaluate the expected benefit of a procedure.
Q2) The nurse understands which of the following indicator(s)describe(s)the profile of an abused older adult?
A) Resides in safe housing.
B) Is from a lower socioeducational level.
C) Is a woman who lives with an abuser and is socially isolated.
D) Has nonwhite ethnicity.
Q3) Which is the fundamental difference between Medicare Part A and Medicare Part B?
A) Hospice care
B) Health care setting
C) Home care services
D) Invasive procedures
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Page 25
Chapter 24: Relationships, Roles, and Transitions
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Q1) Which of the following statements is true about relationships of older adults?
A) Loneliness is evidence of self-centeredness and an unwillingness to love.
B) A person may be lonely even when surrounded by other people.
C) Hostile behavior indicates that a person prefers to be left alone.
D) A pet cannot substitute for human attention.
Q2) Which of the following statements is not true of older adult relationships?
A) After 50 years of marriage, a couple can face new and severe challenges to their relationship.
B) Older adults often hold their families together by arranging get-togethers and documenting the family's history and rituals.
C) Losing a brother or sister brings an older adult face-to-face with his or her own death.
D) For older adults, friends can never take the place of family.
Q3) Which is the most important element for older adults to have for enhancing the transition into retirement?
A) Good health
B) Private pension
C) 401k retirement plan
D) Preretirement planning
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26
Chapter 25: Loss, Death, and Palliative Care
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Sample Questions
Q1) Which of the following statements is true about loss in older adulthood?
A) A person experiences each stage of grief once, and then grieving is resolved.
B) Antianxiety agents are frequently recommended for reducing the pain of grief.
C) The loss response model is concerned with the effect of loss on an individual.
D) Referring to the deceased in the past tense can acknowledge the death's reality.
Q2) After the loss and burial of a beloved pet,an older man loses weight because he eats very little.Three months later,he starts to paint pictures of the pet and his appetite slowly improves.Describe this individual's mourning for his pet.
A) Weight loss from inadequate intake
B) Pet's burial and painting pictures of the pet
C) Loss of his appetite resulting in weight loss
D) Increased food intake after painting begins
Q3) Those who cope less effectively may exhibit which of the following?
A) Avoids avoidance
B) Confronts reality
C) Is demanding
D) Is rigid
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