Nursing Management of Chronic Illness Exam Bank
Course Introduction
This course explores the comprehensive nursing management of individuals living with chronic illnesses across the lifespan. Emphasis is placed on understanding the physiological, psychological, social, and economic impacts of chronic conditions on patients, families, and communities. Students will learn strategies for assessment, care planning, patient education, self-management support, and interdisciplinary collaboration aimed at optimizing quality of life and health outcomes. The course integrates evidence-based practice, cultural competence, and ethical considerations in delivering holistic care to diverse populations dealing with long-term health challenges.
Recommended Textbook
Gerontologic Nursing 4th Edition by Sue
E. Meiner
Available Study Resources on Quizplus
31 Chapters
400 Verified Questions
400 Flashcards
Source URL: https://quizplus.com/study-set/1588
Page 2
Chapter 1: Overview of Gerontologic Nursing
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31512
Sample Questions
Q1) In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.The nurse would use these standards to:
A)promote the practice of gerontologic nursing practice within the acute care setting.
B)define the concepts and dimensions of gerontologic nursing practice.
C)elevate the practice of gerontologic nursing.
D)incorporate suggested interventions from others who practice gerontologic nursing.
Answer: D
Q2) When discussing factors that have helped to increase the number of healthy, independent older Americans, the nurse includes the importance of:
A)increased availability of in-home care services.
B)government support of retired citizens.
C)effective antibiotic therapies.
D)the development of life-extending therapies.
Answer: C
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3
Chapter 2: Theories of Aging
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31513
Sample Questions
Q1) Knowing the difference between normal age-related changes and pathologic findings is very important.Which finding should the nurse identify as pathologic in a 72-year-old client?
A)Two hospitalizations in 6 months for respiratory infections
B)Patient reports of sleeping only of 5 to 6 hours each night
C)Thinning hair and brittle nails
D)Dry, tissue-paper-like skin
Answer: A
Q2) A nurse is responsible for the care of 20 older adults in a unit of an assisted living facility.In order to best address the needs and wants of the entire unit's population, the nurse:
A)strictly adhered to facility policies so that all clients will be treated equally.
B)encourages specific age cohorts to gather in the dayroom because they share similar interests.
C)has the unit vote on which television programs will be watched each evening.
D)schedules the clients' bathing times according to their individual preference. Answer: D
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Chapter 3: Legal and Ethical Issues
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31514
Sample Questions
Q1) An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk of sustaining an injury.The nurse's planned interventions to minimize the client's risk for injury is guided by:
A)the client's right to a self-determination.
B)an understanding that nondrug interventions must be ineffective before administering a PRN sedative.
C)the knowledge that application of a vest restraint requires a physician's order.
D)the client's cognitive ability to understand and follow directions.
Answer: B
Q2) A nurse caring for older adult clients shows an understanding of the implementation of standards of care when:
A)dialing the telephone when the client wants to call his daughter.
B)requesting the client's favorite dessert on his birthday.
C)closing the client's door when he is praying.
D)reminding the client to call for assistance before getting out of bed.
Answer: D
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Chapter 4: Gerontologic Assessment
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31515
Sample Questions
Q1) A nurse aide working in the geriatric unit's dining room tells the nurse that a client who was oriented to time and place this morning is now confused about what day it is and why she's "here." The nurse appropriately directs the nurse aide to:
A)take the client back to her room and put her safely in bed.
B)place a falls risk identification bracelet on the client and add the status to the Kardex.
C)immediately take the client's vital signs and report them to her.
D)reorient the client to time and place frequently and document the client's response.
Q2) A 76-year-old postsurgical diabetic client has reported feeling dizzy and clammy.The daily serum glucose level shows the client's levels to be within normal limits.The geriatric nurse shows an understanding of established health norms for the older adult when stating:
A)"This client's normal may not be within the typical lab norms."
B)"I'll ask the lab to re-run the test so we can double check the results."
C)"There must be another reason for the symptoms."
D)"I'll compare the client's baseline lab work with today's results."
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6
Chapter 5: Cultural Influences
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31516
Sample Questions
Q1) When attempting to provide culturally sensitive care according to the Explanatory Model, the nurse asks the client:
A)"Who will be able to help you when you go home?"
B)"Do you think the treatment is helping?"
C)"When did you first notice the problem?"
D)"Has this illness changed your life?"
Q2) The nurse is caring for an older adult client in need of hospitalization.The nurse is aware that he is a member of an ethnic group that holds a collectivist perspective on community.The nurse best addresses the client's medical needs by:
A)calling in an interpreter to assure the client is making an informed decision about the hospitalization.
B)assuring the client that arrangements will be made to have his spiritual advisor meet him at the hospital.
C)arranging for the client to be admitted to a hospital that is familiar with this client's ethnic culture.
D)offering to telephone the client's family and ask them to come to the clinic to discuss the hospitalization.
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Page 7
Chapter 6: Family Influences
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31517
Sample Questions
Q1) Adult children of a client beginning to show early signs of cognitive decline, share with the nurse they are reluctant to discuss financial issues because, "Dad was always private about money matters." The nurse responds most therapeutically when suggesting:
A)"Maybe it would less threatening to your father if a lawyer spoke to him about the matter."
B)"Start the conversation off assuring your dad you are only interested in making the financial arrangements he wants."
C)"A social Services representative can discuss the financial aspects of long-term care with your dad."
D)"This is a conversation that has to occur in order to assure your father receives appropriate care."
Q2) When discussing stressors with the wife/primary caregiver of an 83-year-old client, the nurse explores the issue of dissolving familiar social boundaries when asking:
A)"Has it been a problem taking over the role of head of the family?"
B)"What do you do to help relax and revitalize yourself?"
C)"Do you find it difficult to ask for help when you need it?"
D)"Are there any physical care tasks that you find difficult to complete?"
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Page 8
Chapter 7: Socioeconomic and Environmental Influences
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31518
Sample Questions
Q1) Before becoming an effective advocate for the older adult client, the nurse must:
A)be familiar with the physical and mental effects of aging.
B)gain insight into the client's world by talking with and listening to them.
C)learn the details of the client's medical and social histories.
D)be a member of the client's formal support system.
Q2) When preparing an educational program focused on chronic illnesses that at least a third of the older adult population is likely to experience, the nurse includes information on which of the following? Select all that apply.
A)The benefit of aquatic exercise
B)Signs and symptoms of cataracts
C)Ways to control sodium intake
D)Latest technologic interventions for hearing loss.
E)The effects of exercise on cardiovascular health
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9
Chapter 8: Health Promotion and Illnessdisability
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31519
Sample Questions
Q1) The nurse admitting an 89-year-old client to an assisted living facility notes that the client is currently taking numerous prescribed and over-the-counter medications.The nurse's initial intervention is to:
A)confirm with the client's physician that all of the medications are required.
B)evaluate the client's understanding of why he is taking each medication.
C)explain to the client that dangers of taking so many different medications.
D)review the listed medications for possible interactions.
Q2) A nurse planning primary disease prevention interventions for a 64-year-old client includes which of the following? Select all that apply.
A)Giving an influenza vaccination in early autumn of each year
B)Suggesting the client attend "Cooking to Manage Hypertension" classes taught by a registered dietician
C)Giving a pneumococcal vaccination to celebrate the client's 65th birthday
D)Identifying several local smoking cessation support groups
E)Providing the client with a take-home occult stool screening kit
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Page 10
Chapter 9: Health Care Delivery Settings and Older Adults
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31520
Sample Questions
Q1) A 70-year-old client covered by Medicare is being admitted for stabilization of type 2 diabetes.When asked by the family why their parent's care is being comanaged by a geriatric nurse practitioner and a physician, the best explanation is that:
A)the geriatric nurse practitioner is specially trained to work with older adult clients.
B)research has shown that this care model often results in shorter hospital stays.
C)the physician will focus on the medical care while the geriatric nurse practitioner addresses the nursing care needs.
D)this team concept of client care is encouraged by Medicare.
Q2) The nurse at an assisted living facility is caring for a 73-year-old cognitively impaired client who has recently been admitted.The nurse creates a care plan that strives to help maintain the client's independence by including:
A)sufficient time for the client to complete self-care.
B)encouraging the client to make personal decisions regarding self-care.
C)regular assessment to determine the client's ability to provide self-care.
D)regular cueing by staff to direct client self-care.
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11
Chapter 10: Nutrition
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31521
Sample Questions
Q1) In order to best minimize the negative effects that a newly widowed client who lives alone has begun to experience regarding her nutritional status, the nurse suggests to her grown children that they:
A)help identify possible barriers to their mother achieving good nutritional health.
B)ensure that the client has an adequate supply of healthy, easily prepared foods available.
C)contact a food delivery service to provide one nutritiously sound meal a day.
D)arrange a schedule that allows someone to have dinner with her each evening.
Q2) The nurse is caring for four postsurgical clients who have experienced similar abdominal procedures and are all 68 years of age.The nurse anticipates that the client with the greatest risk for complications resulting in an extended hospitalization has:
A)a history of Crohn's disease.
B)developed mild confusion.
C)an allergy to latex.
D)experienced severe nausea and vomiting from the anesthesia.
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Chapter 11: Sleep and Activity
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31522
Sample Questions
Q1) An older frail adult client has begun displaying symptoms of sleep disturbance while being hospitalized for bilateral fractured ulnas.Since these symptoms were observed, the nurse has a bed alarm put in place because:
A)lack of adequate sleep can result in delirium in this cohort.
B)the client has difficulty using the call bell.
C)lack of sleep and a fractured ulna make the client at risk for falls.
D)the alarm will remind the client not to get out of bed without help.
Q2) The daughter of an older cognitively impaired client responds to the nurse's suggestion to keep her father physically active by stating, "Dad is so easily agitated it would be a major battle to take him on a walk." The nurse's initial response is based on the understanding that:
A)caregivers are often overwhelmed by the challenges of caring for such clients.
B)physical exercise has been proven helpful in managing anger in such clients.
C)exercise such as walking is likely to appeal to clients such as her father.
D)her father's general health and wellness will be positively affected by walking.
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Page 13
Chapter 12: Safety
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31523
Sample Questions
Q1) An older adult has been diagnosed with presbyopia.In order to help minimize the client's risk for falls, the nurse suggests:
A)that the edges of steps be painted a contrasting color.
B)using sunglasses when driving.
C)wearing a wide-brimmed hat when spending time outdoors.
D)hanging blinds over sunny windows.
Q2) An older adult's risk for fall related injury is directly correlated to their ability to regain their balance.In order to evaluate this ability, the nurse assesses the client's:
A)inner ear for possible fluid buildup.
B)musculoskeletal hip, ankle, and shoulder strength.
C)large muscle strength in thighs and upper arms.
D)gait for steadiness.
Q3) The geriatric nurse bases the decision to identify a specific client as a falls risk primarily on the:
A)presence of visual deficiencies and musculoskeletal weakness.
B)results determined by cognitive and physiological assessment tools.
C)degree of frailty and functional limitation observed.
D)inability to following instructions and communicate effectively.
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Chapter 13: Intimacy and Sexuality
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31524
Sample Questions
Q1) A 70-year-old female client shares with the nurse that she has been concerned that recently it takes more time to achieve an organism.The nurse responds most therapeutically when solve
A)"You've described a common result of aging for both men and women."
B)"If you start to experience difficulty achieving orgasms, I'd suggest discussing that with your doctor."
C)"As you get older, your body produces fewer sex hormones, resulting in a need for more stimulation to reach a climax."
D)"I understand your concern. Let's talk more about the changes you've noticed."
Q2) An older adult client recovering from a radical prostatectomy is discussing his postsurgical care plan with the nurse when he expresses concern about long-term impotence.The nurse initially responds:
A)"I'd suggest a consult with a sexuality counselor for you and your partner."
B)"When you've healed sufficiently, we can discuss prosthetic devices that help."
C)"There are medications called phosphodiesterase inhibitors that minimize that problem."
D)"While postsurgical erectile dysfunction is likely, it is generally temporary."
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Page 15
Chapter 14: Mental Health
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31525
Sample Questions
Q1) While collecting a health history for an older adult client, the nurse learns that he had been prescribed Elavil 3 weeks ago and wants to stop taking it because, "It didn't make me feel any better." In response to this information, the nurse shares with the client that:
A)sudden withdrawal is likely to cause a hypertensive crisis.
B)depression seldom improves without medication.
C)realistically it will take longer for improvement to be felt.
D)in time, people adjust to the side effects.
Q2) When planning care for the older adult being treated for depression, the nurse addresses the client's tertiary intervention needs by:
A)assisting the client to identify the early symptoms of depression.
B)helping the client deal with the physical symptoms of depression.
C)discussing with the client how to implement new coping skills.
D)educating the client to the importance of being drug compliant.
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16
Chapter 15: Pain
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31526
Sample Questions
Q1) An older adult who injured her knee several years ago tells the nurse that she has been managing the resulting intermittent pain with a prescription for propoxyphene (Darvon).The nurse is concerned with this treatment plan, primarily because:
A)there are less expensive alternative analgesics available.
B)this medication can cause renal damage when used long term.
C)aspirin would likely be as effective in managing the pain.
D)the knee should not still be causing pain for the client.
Q2) The nurse caring for an older adult client experiencing carpal tunnel syndrome anticipates the client will best achieve pain control when prescribed a(n):
A)narcotic (e.g., fentanyl).
B)opioid (e.g., oxycodone).
C)tricyclic antidepressant (e.g., amitriptyline [Elavil]).
D)nonpharmacologic strategy (e.g., wrist bracing).
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Chapter 16: Infection
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31527
Sample Questions
Q1) A client who is currently being treated for rheumatoid arthritis exhibits symptoms suspicious of tuberculosis ( TB ).The nurse anticipates that:
A)the symptoms are a result of the client's rheumatoid arthritis.
B)the symptoms are actually side effects of corticosteroid therapy.
C)a chest radiograph will definitively confirm a diagnosis of TB.
D)a purified protein derivative ( PPD ) skin test will likely be negative.
Q2) To educate clients on health promotion measures to minimize the effect of normal age-related changes in immunity, the geriatric nurse:
A)describes the effects of low-dosage antibiotic therapy on opportunistic infections.
B)reinforces the usefulness of lymphocyte counts to detect new infections.
C)discusses the need for yearly flu immunization.
D)stresses the importance of maintaining intact skin and mucous membranes.
Q3) The geriatric nurse identifies the client with the greatest risk of immunosuppression as:
A)having a roommate infected with MRSA.
B)having numerous oral mucosal ulcers.
C)receiving treatment for rheumatoid arthritis.
D)being cognitively impaired.
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Chapter 17: Chronic Illness and Rehabilitation
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31528
Sample Questions
Q1) The nurse is caring for an older client who recently immigrated to the United States from Asia.In order to best address the client's apparent resistance to the medical and nursing plan of care, the nurse:
A)discusses the client's behavior with Asian staff members.
B)researches the client's cultural views on health care.
C)requests a cultural consult from social services.
D)asks family members to discuss the client's views on health care.
Q2) A 73-year-old client has been diagnosed with congested heart failure (CHF).The nurse provides the greatest support for this client's positive view of self-wellness by presenting information regarding:
A)how to minimize the exacerbation of symptoms.
B)locally available supportive services.
C)the importance of adherence to medical treatment.
D)the need to report symptoms promptly.
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Chapter 18: Substance Abuse
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31529
Sample Questions
Q1) An older adult client is being assessed for possible alcohol abuse.To best assess the client's risk potential, the nurse asks:
A)"Have you ever experienced a memory loss as a result of consuming alcohol?"
B)"Would you drink to relax after a particularly stressful day?"
C)"Do you ever drink when you are alone?"
D)"How many alcoholic drinks do you consume each week?"
Q2) An older adult client shares with the admitting nurse that she drinks "one shot" of whiskey nightly to help her sleep.The nurse documents the need to:
A)assess the client for slurred speech, lack of coordination, and nystagmus.
B)address the effects of alcohol abuse with the client.
C)provide the client with an alcohol substitute.
D)assess the client for signs of agitation, as well as anxiety and seizures.
Q3) The nurse explains to ancillary staff that caffeine abuse is difficult to diagnose in the older adult client because caffeine intoxication symptoms:
A)can be confused with normal effects of aging.
B)often mimic those of some cardiac disorders.
C)produce fewer symptoms in older adults than in younger adults.
D)resemble the side effects of several antihypertensive drugs.
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Chapter 19: Cancer
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31530
Sample Questions
Q1) The family of an older adult diagnosed with cancer asks the nurse to explain how gene therapy might benefit their father.The nurse responds:
A)"The treatment decreases blood flow to the tumor and it dies."
B)"A virus is injected into the tumor and then it can't grow."
C)"The cancer cell's nucleus is destroyed and the cell shrivels."
D)"Photosensitizers are introduced into the cells so lasers can kill them."
Q2) The nurse observes a suspicious mole on the back of an older adult who is undergoing palliative radiotherapy for brain metastasis.The nurse suspects that the mole:
A)is a result of the palliative radiation.
B)is a secondary cancer.
C)will not be screened.
D)was the primary cancer.
Q3) When obtaining a health history, the nurse recognizes that an older adult client has a risk factor for colorectal cancer when he reports:
A)that he is a vegetarian who eats soy products.
B)that he often uses a laxative.
C)a history of inflammatory bowel disease.
D)that he has diarrhea at least monthly.
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Page 21
Chapter 20: Loss and End-Of-Life Issues
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31531
Sample Questions
Q1) The nurse documents that a newly widowed older adult client is likely experiencing physical grief responses when she:
A)becomes hypotensive.
B)has difficulty getting up from the chair.
C)reports having difficulty swallowing.
D)develops a red rash over her upper chest and back.
Q2) When a 66-year-old client dies as a result of surgical complications, the nurse begins to facilitate the family's acceptance of their loss by:
A)preparing each family member sufficiently prior to viewing the body of their loved one.
B)presenting the body of their loved one in an appropriate, respectful manner.
C)assuring them that the client received the best possible care post surgery.
D)providing them with an effective explanation of the problems that caused the client's death.
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22
Chapter 21: Laboratory and Diagnostic Tests
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31532
Sample Questions
Q1) The nurse helps minimize an older adult client's risk of developing pernicious anemia by:
A)suggesting supplementing vitamin A.
B)encouraging regular intake of citrus.
C)identifying iron rich foods.
D)suggesting supplementing vitamin B<sub>12</sub>
Q2) A 91-year-old client learns that his urine protein is 8.2 mg/100 mL.When asked to explain the significance of the result, the nurse replies:
A)"It may be elevated because of a urinary tract infection."
B)"The result is not significant since it's within normal limits."
C)"The level is usually elevated in people your age."
D)"Mild chronic renal failure causes a decrease in urine protein."
Q3) On assessing the laboratory data of your older adult client, the nurse notes that his serum potassium level is 5.3 mmol/L.Based on this information, the nurse:
A)asks whether he has been using a nonsteroidal antiinflammatory drug.
B)determines whether he is receiving a diuretic that promotes potassium loss.
C)suggests several potassium-rich foods to supplement his potassium intake.
D)monitors his urinary output for possible fluid retention.
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Chapter 22: Pharmacologic Management
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31533
Sample Questions
Q1) An older adult diabetic client is mildly hypertensive.The nurse prepares to educate the client regarding angiotensin II-blocking agents since these drugs are especially useful in older adults because they:
A)protect the kidney's function.
B)have a well-defined therapeutic window.
C)are more effective than other drugs in the same class.
D)can be given when liver function is compromised.
Q2) The nurse responsible for administering medications to the residence of a long-term care facility shows an understanding of the risk of injury this population experiences when:
A)confirming the client's identity prior to providing the medication.
B)assessing the client for a history of drug related allergies.
C)implementing the 5 Rights of medication administration routinely.
D)educating the client to the purpose and side efforts of their medications.
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24
Chapter 23: Cardiovascular Function
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31534
Sample Questions
Q1) The nurse recognizes that the symptoms that have priority for care are:
A)acute confusion observed in a 78-year-old female.
B)epigastric pain reported by a 70-year-old male.
C)severe left shoulder pain in a 68-year-old male.
D)persistent indigestion reported by a 69-year-old female.
Q2) A novice nurse is aware that normal aging can result in changes in the ECG of a 73-year-old client.The experienced geriatric nurse explains that these changes may include which of the following? Select all that apply.
A)An inverted T wave
B)A notched P wave
C)A prolonged PR interval
D)Decreased amplitude of the QRS complex
E)A slurred T wave
Q3) The nurse educates the obese older adult client that the single most important outcome that will affect cardiac health is:
A)compliance with antihypertensive drug therapy.
B)adherence to the DASH diet.
C)inclusion of 20 minutes of low impact exercise daily.
D)a 10% reduction in weight.
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Page 25
Chapter 24: Respiratory Function
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31535
Sample Questions
Q1) The nurse caring for an older adult prescribed corticosteroids for asthma educates the client that the medication is safe and well tolerated when:
A)taken just before retiring for the night.
B)reserved for acute attacks only.
C)used exactly as prescribed.
D)taken in the inhalant form.
Q2) The nurse evaluating the effectiveness of an older client's self management of asthmatic symptoms is particularly interested in which of the following? Select all that apply.
A)How many times a week a rescue inhaler treatment is needed
B)How well the client is able to avoid the known triggers
C)Whether the client experience frequent respiratory infections
D)Whether the client requires rest periods during the day
E)Whether the client believes he has the support of his family and friends
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Chapter 25: Endocrine Function
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31536
Sample Questions
Q1) The nurse caring for an older adult with type 2 diabetes mellitus places importance on assessing the client for:
A)painful nodules on the fingers and toes.
B)reddened rash and brittle nails on the hands.
C)heartburn and flatus after meals.
D)skin temperature and hair growth pattern on the legs.
Q2) The nurse shows an understanding of the effective assessment of an older adult diabetic client's cardiac status when documenting:
A)radial pulse: 88 and regular.
B)carotid pulses equal and strong.
C)BP 126/78 recumbent and 122/78 sitting.
D)nail beds pale in color.
Q3) The nurse teaching a 79-year-old with type 2 diabetes about the importance of regular exercise suggests that the client:
A)swim 10 laps in the community center pool three times a week.
B)enroll in a daily lunch time aerobics class at the senior center.
C)lift 5 pound weights in a routine of 10 repetitions in each arm.
D)walk on the treadmill each morning for 30 minutes.
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Chapter 26: Gastrointestinal Function
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31537
Sample Questions
Q1) An 82-year-old client with a history of chronic heart and respiratory problems asks the nurse, "What can I do to keep my hemorrhoids from acting up?" Which of the following responses made by the nurse are appropriate? Select all that apply.
A)Ask if he experiences constipation with any regularity.
B)Encourage him to increase his fluid intake to 2000 mL daily.
C)Suggest he eat more whole grains and fresh fruits.
D)Discuss how should include a walk into his daily routine.
E)Question him if there is a history of rectal bleeding.
Q2) The daughter of a dependent older client reports to the nurse that her mother requires regular soapsuds enemas to manage her chronic constipation.The nurse responds that:
A)an alternative management technique should be discussed.
B)enemas are generally the most effective interventions for the older adult.
C)chronic constipation is best managed with oral medications.
D)her mother's diet is the most likely cause of the constipation.
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28
Chapter 27: Musculoskeletal Function
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12 Verified Questions
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Q1) When caring for the older adult client who underwent knee replacement surgery 8 days ago, the nurse assesses for symptoms of the complication that the client is at greatest risk for when:
A)determining whether the client can "feel me touching your foot."
B)asking the client to rate his current pain.
C)observing the incision site.
D)monitoring the pedal pulse on the affected leg.
Q2) To assist in the diagnosing of osteoarthritis in an older adult client, the nurse assesses for symptoms when asking which of the following questions? Select all that apply.
A)"Do you have pain in your finger joints?"
B)"Do your knees crackle when you bend down?"
C)"Does your neck hurt when you turn your head?"
D)"Does it hurt when you get up from a chair?"
E)"Does your back creak when you bend over?"
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Chapter 28: Urinary Function
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Q1) An older adult client is hospitalized for surgery to treat injuries he received in an automobile accident.The nurse recognizes symptoms suggestive of an upper urinary tract infection when the client:
A)voids 100 mL of urine over a 3-hour period of time.
B)is not able to state where he is or what day it is.
C)has an elevated red blood cell ( RBC ) count.
D)reports burning when he urinates.
Q2) When preparing educational information regarding benign prostatic hyperplasia (BPH) for a group of older male clients, the nurse includes which of the following? Select all that apply.
A)Eighty percent of males experience the symptoms by age 80.
B)Diabetes mellitus is a risk factor.
C)It is only as the prostate enlarges that symptoms occur.
D)The resulting urinary retention can cause urinary tract infections.
E)Symptoms are a result of urethral obstruction.
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Chapter 29: Cognitive and Neurologic Function
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Q1) A nurse caring for an older client diagnosed with acute depression shows an understanding of the client's risk for developing delirium when:
A)frequently reorienting the client to the day, time and place.
B)physically being present to help the client with eating meals.
C)providing the client with opportunities to discuss the cause of the depression.
D)administering antidepressive medication as prescribed.
Q2) The son of a 78-year-old suspected of experiencing Alzheimer's disease ( AD ) asks the nurse if there is a diagnostic test that can confirm the diagnosis.The nurse responds that:
A)an electroencephalogram is often very useful in diagnosing AD.
B)a positron emission tomography ( PET ) scan is a cheap but dependable tool.
C)magnetic resonance imaging ( MRI ) is often ordered for that purpose.
D)postmortem autopsy is the only definitive diagnostic tool.
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Chapter 30: Integumentary Function
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Q1) The nurse of a bedridden 74-year-old woman is evaluating whether the family members understand how to position the client correctly.The nurse is confident the family is capable of effective positioning when it is observed that the client's:
A)arms and legs are supported on two pillows.
B)position is changed at least every 2 hours.
C)neck is hyperflexed.
D)elbows rest on the bed.
Q2) An older adult client has an open, draining wound on the medial aspect of his right leg.The skin surrounding the wound is reddish-brown with surrounding erythema and edema.Based on this information, the nurse edits the client's care plan to include Impaired skin integrity:
A)related to altered venous circulation.
B)peripheral related to arterial insufficiency.
C)related to diabetic neuropathy.
D)open wound related to pressure ulcer.
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Chapter 31: Sensory Function
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Q1) A 96-year-old client reports symptoms xerostomia.The nurse attempts to minimize the effects of the condition by:
A)providing appropriate fluids with the client's meals.
B)cutting the client's meat into small bite-size pieces.
C)elevating the head of the client's bed at meal times.
D)assisting the client with oral care before each meal.
Q2) An older adult's chart documents that she has been diagnosed with macular disequilibrium.Based on an understanding of this condition and the resulting vertigo, the nurse suggests that the client:
A)turn her head very slowly when looking from right to left.
B)dangle her legs at the bedside before getting out of bed.
C)use the wall for stabilization when ambulating in the hallway.
D)be careful to be seated when flexing or hyperextending her neck.
Q3) An older adult client reports "ringing" in her ears.What additional data should the nurse gather to help determine the cause of the client's problem?
A)History of ear surgery
B)Use of prescription medications
C)Exercise and sleep patterns
D)Nutritional status, especially protein intake
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