Nursing Management of Chronic Illness
Mock Exam
Course Introduction
Nursing Management of Chronic Illness focuses on the comprehensive care of individuals living with long-term health conditions. This course explores evidence-based practices in assessing, planning, implementing, and evaluating nursing interventions to support patients with chronic diseases such as diabetes, heart failure, arthritis, and respiratory disorders. Emphasis is placed on patient education, self-management strategies, interdisciplinary collaboration, and culturally competent care. Students will learn to address the physical, psychological, and social aspects of chronic illness, promote quality of life, and advocate for patients within diverse healthcare settings.
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
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31512
Sample Questions
Q1) The nurse is caring for an older adult who has been admitted to an acute care hospital for treatment of a fractured femur.The nurse's best response to the family's concern about the client's planned transfer to a subacute care facility is:
A)"Acute care facilities generally lack the long-term physical therapy support your dad requires."
B)"Your dad will be much happier being in a more serene, private environment."
C)"This new facility will focus on helping your dad maintain his independence."
D)"Insurance including Medicare will cover only a limited amount of time here."
Answer: C
Q2) In order to best assure both the quality of care and the safety of the older adult client who requires in-home unlicensed assistive personal (UAP) assistance, the geriatric nurse:
A)evaluates the competency of the UAP staff.
B)assumes the roles of case manager and client advocate.
C)arranges for the needed UAP provided services.
D)assesses the client for functional limitations.
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Theories of Aging
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31513
Sample Questions
Q1) The practitioner who believes in the Free Radical Theory of Aging is likely to recommend that the older adult:
A)avoid excessive intake of zinc or magnesium.
B)supplement his or her diet with vitamins C and E.
C)increase intake of complex carbohydrates.
D)avoid the use of alcohol or tobacco.
Answer: B
Q2) The nurse is using the Eight Stages of Life theory to help an older adult client assess the developmental stage of personal ego differentiation.The nurse does this by assisting the client to:
A)determine his feelings regarding the effects of aging on his physical being.
B)describe his feelings regarding what he expects the future to hold for him.
C)identify aspects of his work, recreation, and family life that provide him with a sense of self-worth and pleasure.
D)elaborate on his feeling about the prospect of his personal death.
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Legal and Ethical Issues
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31514
Sample Questions
Q1) The nurse is caring for an unresponsive 67-year-old client who has terminal cancer with a Do Not Resuscitate order in affect.A family member tells the nurse, "I'll sue you and every other nurse here if you don't do everything possible to keep her alive." The nurse understands that protection from legal prosecution in this situation is provided by:
A)legal immunity granted when acting according to the client's expressed wishes.
B)the legal view that the duty to put into effect the client's wishes falls to the physician.
C)knowledge of and compliance with facility policies and procedures regarding end-of-life care.
D)implementing interventions that preserve the client's right to self determination.
Answer: C
Q2) The nurse recognizes that a nursing aide likely to abuse an older client is one who has: ineffective verbal communication skills.
A)little experience working with the older population.
B)poor stress management skills.
C)been a victim of abuse.
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Gerontologic Assessment
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31515
Sample Questions
Q1) The geriatric nurse admitting a client to an assisted living facility recognizes the importance of tools such as the Katz and the Barthel indexes because of the impact they have on:
A)planning the amount of help the client will need with ADLs.
B)the client's ability to be realistic about achieving independence.
C)creating an appropriate, client-specific nursing care plan.
D)appropriate staffing to ensure the safety needs of the clients are met.
Q2) The nurse showing the best understanding of how personal attitude affects the interview process during a health assessment of an older adult client is one who:
A)proceeds with the interview as if the client were not elderly.
B)has incorporated therapeutic communication techniques into the assessment process.
C)treats all clients with respect regardless of age.
D)has self-reflected on his or her own feelings regarding aging.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Cultural Influences
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31516
Sample Questions
Q1) The culturally sensitive nurse will recognize that an older adult client with a high-context ethnic background will appreciate:
A)not having a treatment scheduled during her favorite television program.
B)both a written and verbal explanation describing how to monitor her blood sugar levels.
C)a concise explanation as to why her physical therapy appointment has been canceled.
D)having a conversation about her grandchildren while her dressing is changed.
Q2) In an attempt to be sensitive to varying cultural responses to touch, before shaking a client's hand, the nurse will:
A)offer the client his or her upturned palm.
B)wait until the client extends his hand.
C)establish eye contact.
D)address the client by his or her full name.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Family Influences
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31517
Sample Questions
Q1) The family member caring for a dependent older client tells the nurse that she feels his care is "so out of my control." In order to best assist the caregiver in achieving a sense of confidence, the nurse:
A)encourages the caregiver to regularly attend the meeting of a local support group.
B)identifies the skills and resources that the caregiver needs to provide for the client.
C)arranges for in-home support services to assist with care as needed.
D)explores reasons why the caregiver feels such a lack of control.
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?"
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Socioeconomic and Environmental Influences
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31518
Sample Questions
Q1) The nurse is addressing a senior citizens group that is comprised of members who are 75 years of age and older.The nurse expects that the group will be primarily:
A)widows who have never worked outside of their homes.
B)widowers with at least one chronic illness.
C)females who have part time jobs.
D)males with pensions to supplement monthly Social Security benefit income.
Q2) A nurse volunteers at a facility that provides free lunches for older adults.To best minimize the tendency of these clients to withdraw socially, the nurse:
A)frequently reinforces that everyone is welcome to have lunch with the group.
B)makes every effort to engage them in conversation during the meal.
C)encourages them to make friends with the other clients.
D)asks if they would assist those who need help with getting their food.
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Health Promotion and Illnessdisability
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31519
Sample Questions
Q1) When assessing the older adult for bowel health, the nurse is most effective in obtaining subjective data when asking:
A)"Would you describe your bowel movements as usually normal?"
B)"Do you have a problem with constipation?"
C)"How often do you usually have a bowel movement?"
D)"Have your bowel movements changed recently?"
Q2) When assessing a client's ability to manage existing health problems, the nurse displays an understanding of effective questioning by asking the diabetic client:
A)"Can you tell me why it's important to test your blood glucose level at least daily?"
B)"What were the results of your most recent A1C blood test?"
C)"Which pharmacy do you use when your insulin prescription needs to be refilled?"
D)"Have you been experiencing pain in your feet?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Health Care Delivery Settings and Older Adults
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31520
Sample Questions
Q1) The nurse on a medical acute care unit is preparing for the admission of an 84-year-old client with several diagnosed chronic illnesses.The nurse begins the plan of care for this client based on the understanding that the older adult is likely to:
A)develop hospital induced delirium.
B)require special attention related to visual and acuity deficits.
C)need a social services consult.
D)present with a need for a high level of nursing care.
Q2) The nurse caring for a 90-year-old client is concerned when the client begins experiencing mild confusion.The nurse notes that the vital signs are all within normal limits for this client.In order to best assess related symptoms, the nurse initially:
A)asks the client to "Squeeze my hand as hard as you can."
B)reviews charting regarding how the client has been eating over the last 48 hours.
C)reviews the client's medication for possible adverse reactions.
D)asks the client's daughter if her mother has ever been confused before.
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Nutrition
Available Study Resources on Quizplus for this Chatper 10
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 conducting a food recall assessment on an older adult client shows an understanding of the requirements of the process when:
A)having the client identify any existing food allergies.
B)assisting the client to remove his shoes before being weighed.
C)asking how the food being discussed was prepared.
D)observing the hair pattern on the client's head.
To view all questions and flashcards with answers, click on the resource link above.
12
Chapter 11: Sleep and Activity
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31522
Sample Questions
Q1) An older client being treated for symptoms of seasonal allergies reports to the nurse that although she is very careful about her caffeine intake she been having trouble getting to sleep at night.The nurse responds most appropriately to this client when stating:
A)"Allergy reactions such as nasal stuffiness can cause sleep problems."
B)"If you are using over-the-counter nasal decongestants that could be the problem."
C)"Many different foods contain hidden caffeine."
D)"There are many different causes of sleep disturbances besides caffeine intake."
Q2) An older cognitively impaired adult client has been hospitalized for the stabilization of a chronic cardiac problem that requires both antihypertensive and diuretic therapies.He is admitted into a semiprivate room near the nursing station.The nurse best minimizes the client's risk of disturbed sleep by:
A)keeping the privacy curtain drawn between his and his roommate's beds.
B)organizing his care to minimize the number of times he is awakened.
C)administering his medications at least 4 hours before bedtime.
D)offering to toilet him whenever he is awake during the night.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Safety
Available Study Resources on Quizplus for this Chatper
12 Flashcards
Source URL: https://quizplus.com/quiz/31523
Sample Questions
Q1) Which nursing intervention best demonstrates the understanding that older adults are at increased risk for falls because of normal age-related changes?
A)Speaking in a loud voice when warning the client about safety hazards
B)Turning on bright lights in the room so the client can see objects such as furniture
C)Encouraging the client to rise from a supine position slowly
D)Advising the client to avoid exercising painful joints
Q2) The nurse identifies the older adult client at the greatest risk for a fall-related injury as the:
A)male with a history of a vitamin deficiency.
B)female with a diagnosis of osteoporosis.
C)male with a cognitive deficient.
D)female with a history of depression.
Q3) When appropriately addressing safety issues, the geriatric nurse plans the client's care plan directed by the standard of care that requires:
A)promotion of both health and wellness by assuring safety.
B)minimizing the client's risk for physical injury while preserving autonomy.
C)identification of safety from injury as a client right.
D)emphasizing beneficence as a an ethical standard of nursing care.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Intimacy and Sexuality
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31524
Sample Questions
Q1) An older adult female client who has multiple sexual partners asks the nurse if the risk for contracting HIV really does increase as we age.The nurse shows the best understanding of this risk when responding:
A)"Any time one engages in sex with multiple partners, the risk for contracting HIV increases."
B)"Changes in vaginal tissue and immune function increase the risk, especially if sex is unprotected."
C)"Unless you are engaging in unprotected oral sex, your risk does not increase substantially."
D)"Yes, your risk of contracting an STD including HIV dramatically increases as you age."
Q2) The charge nurse on an extended care unit recognizes an immediate need for additional unit education regarding sexuality and the older adult when overhearing a staff member state:
A)"I've had to tell her to stop touching my breasts twice today."
B)"Someone needs to tell him to keep his pants zippered."
C)"I realize they have needs but I'm not sure how to handle that."
D)"It's sad that Alzheimer's disease causes them to become sexual perverts."
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Mental Health
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31525
Sample Questions
Q1) A 65-year-old adult who recently lost his spouse is admitted to the hospital after a failed suicide attempt.He presents with a sad affect and is reluctant to interact within the milieu.The nursing diagnosis with priority is:
A)Ineffective coping related to recent loss.
B)Hopelessness related to death of spouse.
C)Risk for loneliness related to loss of spouse.
D)Risk for self-directed violence related to depression.
Q2) The nurse familiar with the old adult population will recognize that the client who has the greatest potential for successfully committing suicide is the:
A)63-year-old Asian female who has been diagnosed with advanced breast cancer.
B)86-year-old Caucasian male who recently lost his wife of 62 years.
C)76-year-old Hispanic female who is divorced after 40 years of marriage.
D)67-year-old African-American male who has lost his entire retirement savings.
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Pain
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31526
Sample Questions
Q1) When planning nursing care for an older adult who is experiencing chronic pain, the nurse includes which of the following interventions? Select all that apply.
A)Maintain mobility.
B)Promote autonomy.
C)Manage any chronically painful condition.
D)Provide economical sensitive pain relief.
E)Support the client's right to be pain-free.
Q2) The nurse caring for an older cognitively impaired client with osteoarthritis in both hands assesses the client for hand pain by:
A)observing for facial grimacing when the client uses a fork to eat.
B)being alert for signs of agitation when washing the client's hands.
C)listening to detect moaning when client makes a fist.
D)watching for signs that the client is reluctant to shake hands.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Infection
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31527
Sample Questions
Q1) The nurse preparing an educational facts sheet on human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome AIDS for older adults includes reference to which of the following? Select all that apply.
A)Tainted blood transfusions are the greatest risk factor.
B)Delayed recognition of HIV contributes to its poor prognosis.
C)Twenty-five percent of AIDS cases in the United States are in persons older than 60 years of age.
D)There is a short interval from HIV infection to AIDS in older adults.
E)HIV and AIDS cases in this age cohort have stabilized in the last 15 years.
Q2) 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.
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Chronic Illness and Rehabilitation
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31528
Sample Questions
Q1) The nurse impacts the trajectory of a client's type 2 insulin-dependent diabetes best by:
A)evaluating the client's ability to administer insulin appropriately.
B)providing the client with a written copy of her treatment plan.
C)explaining to the client the importance of serum glucose control.
D)providing the client with research based nursing care.
Q2) The nurse is preparing an older widowed client with several chronic illnesses for discharge to home.The nurse addresses the primary nursing outcome for this client when:
A)assuring the client that social services will arrange for help with medical expenses.
B)arranging for in-home assistance in areas of ADLs and nursing care as needed.
C)educating the client regarding the safety risks caused by these conditions.
D)identifying barriers to ensure adherence to the prescribed drug therapies.
Q3) To best assist an older adult client to cope with a diagnosis of chronic renal failure, the nurse:
A)asks the client to describe her usual coping strategies.
B)provides the client with descriptions of new coping strategies.
C)initiates discussions with the client to explain the disease.
D)offers to arrange a meeting with another client with the diagnosis.
To view all questions and flashcards with answers, click on the resource link above.
Page 19
Chapter 18: Substance Abuse
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31529
Sample Questions
Q1) Since diagnosing substance abuse in the older adult client can be difficult because symptoms can be subtle and atypical, the nurse is particular interested in determining the cause of a client's:
A)acute abdominal pain.
B)recurring insomnia.
C)extensive history of falls.
D)chlordiazepoxide (Librium) prescription.
Q2) The nurse is caring for an older adult who reports severe chronic pain.To best assess age-related physiologic changes that could influence plans for initiating an appropriate drug regimen, the nurse prepares the client for which laboratory evaluation?
A)White blood count
B)Glomerular filtration rate
C)Serum complement level
D)Electroencephalogram
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Cancer
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31530
Sample Questions
Q1) The nurse is preparing discharge education for an older client and his family.The client's hematocrit is currently 24% as a result of cancer treatment therapy.To best address the client's hematology status, the nurse includes instructions to do what? Select all that apply.
A)Include eggs or egg substitute into the daily diet.
B)Avoid strenuous exercise until hematocrit improves.
C)Regularly take both a mid-morning and mid-afternoon nap.
D)Have a handful of raisins as an evening snack.
E)Check for bruising to the extremities and the gums.
Q2) The nurse suspects the older adult client will require further diagnostic testing for possible lung cancer when the client does which of the following? Select all that apply.
A)Reports smoking two packs of cigarettes daily
B)Reports severe chest pain
C)Loses 10 pounds in 1 month
D)Takes several naps daily
E)Locates a palpable lump on the left lateral chest
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Loss and End-Of-Life Issues
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31531
Sample Questions
Q1) A 68-year-old client who has recently lost his wife of 50 years shares with the nurse that he'll, "never get over missing her." The nurse is most therapeutic when responding:
A)"We are here to help you anyway we can."
B)"Focus on the beautiful memories you have of her and your life together."
C)"Time will help you adjust to your loss."
D)"You'll never get over your loss but you can learn to live with it."
Q2) The nurse evaluates how an older adult client will react to the death of a spouse based on how he:
A)expressed concern for his wife during her prolonged illness.
B)reacted when his beloved dog was sent to live with his son.
C)demonstrates his philosophy of health and happiness.
D)expresses how his wife's illness has impacted their life together.
Q3) A novice hospice nurse shows the best understanding of the nursing role related to an older adult client's mourning over the loss of her son when stating:
A)"I see mourning as a very individualized process."
B)"Her coping skills need to be assessed regularly."
C)"She needs all the help I can give her to get better."
D)"Hopefully she will be in a healthy mental state soon."
To view all questions and flashcards with answers, click on the resource link above. Page 22
Chapter 21: Laboratory and Diagnostic Tests
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31532
Sample Questions
Q1) A 71-year-old client has a cholesterol level of 182 mg/dL.The nurse anticipates a(n):
A)elevated A1C level.
B)elevated troponin level.
C)similar triglyceride level.
D)similar blood urea nitrogen level.
Q2) 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>
Q3) A 66-year-old client has a decreased calcium level.The nurse anticipates a(n):
A)elevated sodium level.
B)elevated phosphorus level.
C)decreased magnesium level.
D)decreased serum glucose level.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Pharmacologic Management
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31533
Sample Questions
Q1) 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.
Q2) A 72-year-old client with a history of diabetes and hypothyroidism is being admitted to an assisted living facility.During the admission assessment the client reports difficulty falling asleep.The nurse shows an understanding of sleep dysfunction and the older client when asking:
A)"Have you ever been prescribed a sleeping medication?"
B)"How do you feel about leaving your home to live here?"
C)"How long have you been a diabetic?"
D)"Are you taking medication for your thyroid problem?
To view all questions and flashcards with answers, click on the resource link above.
Chapter 23: Cardiovascular Function
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31534
Sample Questions
Q1) 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.
Q2) When preparing information concerning cardiovascular risk factors for a group of older adults, the nurse stresses that cigarette smokers are four times more likely to die of sudden cardiac death than nonsmokers because smoking:
A)interferes with the development of collateral coronary vessels.
B)produces coronary artery stricture.
C)results in carbon monoxide poisoning.
D)increases platelet aggregation.
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 25
Chapter 24: Respiratory Function
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31535
Sample Questions
Q1) 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
Q2) The nurse is concerned about an older adult client developing toxic levels of the prescribed theophylline when it is determined that the client has a(n):
A)one-pack a day smoking habit.
B)elevated serum potassium level.
C)history of chronic bronchitis.
D)chronic, nonproductive cough.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Endocrine Function
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31536
Sample Questions
Q1) The nurse is preparing to provide an older newly diagnosed diabetic client with information regarding type 2 diabetes.The nurse initially:
A)asks the client whether they would prefer to watch a video or read a pamphlet.
B)invites the client's spouse to be present during the instruction.
C)selects a quiet, well-lighted space for the class.
D)ensures that the client is pain-free and comfortably seated.
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) Aware that older adult clients often present with nonclassic symptoms of type 2 diabetes mellitus, the nurse is particularly suspicious of a client reporting:
A)bouts of diarrhea alternating with periods of constipation.
B)recent problems reading and an infected sore on his toe that won't heal.
C)periods of depression and severe indigestion after eating.
D)dizziness when getting up too quickly and a red rash on the hands.
To view all questions and flashcards with answers, click on the resource link above.
27
Chapter 26: Gastrointestinal Function
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31537
Sample Questions
Q1) An older client is being taught about oral gingivitis.The nurse has included instruction about maintaining an oral hygiene program, signs and symptoms of oral infection, and the importance of maintaining regular professional dental care.What important teaching has been missed?
A)information about when to have teeth removed and dentures made.
B)the necessity of using a hard-bristled toothbrush to maintain cleanliness.
C)the importance of avoiding meat and caffeine-containing products.
D)the importance of adequate nutrition for maintaining oral health.
Q2) A 68-year-old client is reporting symptoms that suggest a peptic ulcer.The nurse shows an understanding of the risk factors for this condition when asking whether:
A)the pain is exacerbated when he eats fatty food.
B)there is a family history of peptic ulcers.
C)he smokes either cigars or cigarettes.
D)he uses aspirin to manage his minor pain.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Musculoskeletal Function
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31538
Sample Questions
Q1) An older adult is diagnosed with rheumatoid arthritis.When discussing exercise with the client, the nurse makes the greatest positive impact on the client's quality of life when stating:
A)"Exercising will be important to the flexibility of your joints."
B)"It seems to help if you have someone to exercise with."
C)"I'll provide you with a list of gyms where you can exercise."
D)"Let's discuss ways for you to exercise your joints."
Q2) An effective nursing activity to reduce the risk of hip dislocation after hip replacement surgery in the older adult client is for the nurse to:
A)instruct staff to use a fracture pan when the client needs to toilet.
B)administer ordered pain medication prior to turning.
C)elevate the client's knee on the affected side with a pillow.
D)apply an abduction splint while the client is in bed.
Q3) The nurse caring for an older client diagnosed with spinal stenosis encourages the client to notify his physician if he experiences:
A)sharp pain when turning his neck side-to-side.
B)stabbing pain in his lower back.
C)a cramping sensation in his feet.
D)a burning sensation in either one or both legs.
To view all questions and flashcards with answers, click on the resource link above.
Page 29
Chapter 28: Urinary Function
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31539
Sample Questions
Q1) When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of:
A)urinary incontinence.
B)low-grade bladder infection.
C)nocturia.
D)urinary residual volume.
Q2) The nurse is completing an admission assessment on an older client who has been diagnosed with benign prostate hyperplasia.The nurse's priority questioning focuses on:
A)family history of prostate disorders.
B)onset of symptoms.
C)psychosocial impact of the diagnosis.
D)typical urinary voiding patterns.
Q3) When assessing the client for urinary incontinence, which client symptom best supports the nursing diagnosis of overflow incontinence?
A)"I have small accidents ever since I developed a cystocele."
B)"It burns so badly after I urinate that I hold it as long as I can."
C)"I can't make it to the toilet when I feel the need to urinate."
D)"I dribble urine almost constantly."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Cognitive and Neurologic Function
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31540
Sample Questions
Q1) 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.
Q2) An 89-year-old diagnosed with dementia was until recently responding well to cognitive cueing techniques.The nurse shows an understanding of dementia when sharing with staff that:
A)"We will implement new interventions that address the disease's progression."
B)"It's important that we frequently re-cue the client to improve his quality of life."
C)"The client's family needs to be made aware of this decline."
D)"This poor response to cueing is likely a result of advanced aging."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Integumentary Function
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31541
Sample Questions
Q1) An 87-year-old client developed herpes zoster after surgical repair of a hip fracture.The priority nursing diagnosis is:
A)Impaired skin integrity related to immunologic deficit.
B)Self-care deficit related to severe pain and fatigue.
C)Risk for infection related to impaired skin integrity.
D)Pain related to inadequate pain relief from analgesia.
Q2) An older adult client newly diagnosed with peripheral vascular disease is being educated on the possibility of developing a foot ulcer.The nurse describes the possible lesion as being:
A)deep, necrotic, and painless.
B)shiny, dry, with cyanotic skin.
C)shallow, crusty with warm skin.
D)dull, oozing and painful.
Q3) When assessing for squamous cell cancer, a home health nurse is particularly concerned about a suspicious lesion on the:
A)leg of a 60-year-old Asian female.
B)neck of a 73-year-old Hispanic female.
C)Lower lip of a 70-year-old African-American male.
D)back of a 90-year-old Caucasian male.
To view all questions and flashcards with answers, click on the resource link above.
Page 32
Chapter 31: Sensory Function
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31542
Sample Questions
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 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
Q3) Your 88-year-old client is hospitalized for a retinal detachment.He is on bed rest, and both eyes are covered with patches.Which nursing diagnosis takes priority at this time?
A)Self-esteem disturbance related to decreased independence
B)High risk for altered thought processes related to visual impairment
C)High risk for injury related to altered sensory perception
D)Impaired social interaction related to visual deficit
To view all questions and flashcards with answers, click on the resource link above.
Page 33