TEST BANK ANDERSON’S CARING FOR OLDER ADULTS HOLISTICALLY 6TH EDITION TAMARA R. DAHLKEMPER
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Test Bank: Anderson’s Caring for Older Adults Holistically, 6th Edition, Tamara R. Dahlkemper Chapter Contents: I. Foundations of Care for the Older Adult Chapter 1. Holistic Caring Chapter 2. The Aging Experience Chapter 3. Supporting Life Transitions and Spirituality in the Elderly Chapter 4. The Use of the Nursing Process and Nursing Diagnosis in the Care of the Older Adult Chapter 5. Legal, Ethical, and Financial Considerations Regarding Older Adults Chapter 6. Promoting Wellness Chapter 7. Safety NEW! Chapter 8. Nutrition for Older Adults Chapter 9. Culturally Specific Care Chapter 10. Activity, Rest, and Sleep as Criteria for Health Chapter 11. End -of-Life Issues in Older Adults Chapter 12. Environments of Care Chapter 13. Management and Leadership Role of the Licensed Practical / Vocational Nurse II. Clinical Practice Chapter 14. Infection Chapter 15. Common Medical Diagnoses Chapter 16. Physiological Assessment Chapter 17. Common Clinical Problems: Physiological Chapter 18. Psychological Assessment Chapter 19. Common Clinical Problems: Psychological Chapter 20. Rehabilitation and Restorative Care Chapter 21. Pharmacology and its Significance for Older Adults Chapter 22. Laboratory Values and the Older Adult
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 1: Holistic Caring Multiple Choice Identify the choice that best completes the statement or answers the question. 1. According to the 2010 U.S. Census, approximately how many Americans are older than age 65? 1) 2% 2) 5% 3) 13% 4) 20% 2. What is the average life expectancy today? 1) 70.2 years 2) 75 years 3) 81.1 years for women and 76.3 years for men 4) Longer for men than for women 3. Which statement is NOT true about holistic nursing? 1) Holistic nursing focuses on the specific disease or disorder a person has in order to treat it effectively. 2) Holistic nursing aims to treat the whole person, not just a specific disease or disorder the person may have. 3) Holistic nursing focuses on the individual patient and uses many techniques, such as empathetic listening, music, and imagery, as well as specific clinical skills. 4) Holistic nursing weaves the technical skills of nursing with the social science skills that enhance communication and rapport between the nurse and the person receiving care. 4. The Science of Human Caring theory was developed by 1) Florence Nightingale 2) Clara Barton 3) Jean Watson 4) Savage and Money 5. Which is NOT emphasized in The Science of Human Caring? 1) Providing transpersonal caring 2) Focusing on the person while you are with him or her 3) Ensuring that all nonessential tasks, such as bathing, are given according to a strict schedule 4) Reaching out to the patient, making eye contact, touching if appropriate, speaking softly 6. Which of the following is included as a basic concept of holistic nursing? 1) Using your developed clinical expertise 2) Developing a close relationship with the patient’s family members and significant others 3) Remembering the personal intuition and creativity of patients in your nursing plan 4) All of the above 7. Most elderly people having a heart attack have 1) Pain diffused over the entire chest area 2) No pain 3) Crushing sternal pain
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4) Pain on the left side of the chest and pain that radiates down the left arm 8. Compared with the doses of medication given to a young adult, the doses given to an old-old person are usually 1) Smaller 2) Larger, because the old-old person is probably sicker 3) The same 4) Minimal, because the person is very old and probably near death 9. What communication technique has been developed specifically for dealing with demented elderly persons? 1) Cognitive therapy 2) Validation therapy 3) Geriatric Depression Scale 4) Mini-Mental Status Examination (MMSE) 10. An 82-year-old patient is diagnosed with liver cancer and has long-standing cardiovascular problems. The patient begins screaming and pushes his meal tray away. What would be an appropriate response? 1) Take the meal tray and leave the room without saying anything. 2) Tell him to stop screaming in a loud voice. 3) Calmly ask him what he is upset about and listen carefully to him. 4) Call your supervisor. 11. The nurse is overhead addressing an 87-year-old patient as “honey.” What is this an example of? 1) Beneficence 2) Paternalism 3) Caring 4) Malfeasance 12. The term “elite-old” is used for people 1) 65 to 74 years old 2) 75 to 84 years old 3) 85 to 100 years old 4) Older than 100 years 13. Which is a key concept in holistic nursing? 1) Following physician instructions and follow-up with the physician 2) Developing a relationship with family members of the patient 3) Using what you have learned—your clinical experience 4) All of the above 14. How should the nursing instructor explain the term “gerontology” to a new class of students? 1) It means the use of older medications to treat illnesses. 2) It comes from a Greek word that means “related to old age.” 3) It focuses on the housing needs of people who are underserved. 4) It is a way of explaining health problems of people over age 50. 15. Which term should the nurse use when explaining medical care that an older patient requires? 1) Genetics 2) Geriatrics 3) Gerontology 4) Gentrification
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
16. During lunch a nursing colleague states that she never wants to be assigned to care for an older patient. What behavior is this nurse demonstrating? 1) Ageism 2) Stereotyping 3) Ethnocentricity 4) Personal preference 17. How should a nursing instructor explain the term “baby boomers” to new students? 1) People who have large families 2) People who advocate for the care of infants 3) People who have decided not to have large families 4) People born between 1946 and 1965 after World War II 18. What explains the decline in the elderly black population since 1980? 1) Diabetes 2) Homicides 3) Hypertension 4) Heart disease 19. Why are older people more likely to participate in exercise programs? 1) They have more time to exercise. 2) They are trying to avoid boredom. 3) They initiated the fitness movement. 4) They want to spend time with their grandchildren. 20. What information would be helpful when explaining Social Security to a group of new nursing students? 1) It is a federal and state supported process that provides health care to financially disadvantaged people. 2) It is federal regulation providing health care for individuals older than age 65 or individuals who are permanently disabled. 3) It is a federal benefit check paid to persons older than age 65 or persons with disabilities who are unable to work. 4) It is a federal benefit check paid to retired workers of a specific age, disabled workers of any age, and spouses and minor children of deceased workers. 21. What should be used to describe a nursing philosophy to a new nursing student? 1) It is a personal concept. 2) It defines goals and aspirations. 3) It outlines steps to a successful career. 4) It recognizes the importance of education. 22. Which behavior demonstrates that a nurse is developing a healing relationship with a patient? 1) Answering a call light using the intercom system 2) Telling a patient that there is no time to try something new 3) Sitting down in the patient’s room to discuss the plan of care 4) Reminding a patient that other patients are waiting for the nurse 23. Which skill is essential to promote holistic nursing? 1) Critical thinking 2) Active listening 3) Time management
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4) Care coordination 24. Who should the nurse identify as being members of the holistic health-care team for an older patient? 1) The nurse, doctor, and pharmacist 2) The nurse, dietician, and discharge planner 3) Those who will help meet the patient’s needs 4) The social worker, physical therapist, and nurse 25. Which action demonstrates a safe environment? 1) Telephoning a patient prior to arriving for a home visit 2) Mounting grab bars near the commode and in the shower 3) Ensuring that a patient receives a requested daily newspaper 4) Making sure that the television in the room has adequate volume 26. What action should a nurse take who desires to become a more caring nurse? 1) Become a caring person. 2) Ensure adequate daily rest. 3) Set aside time for personal activities. 4) Consume nutritious meals and exercise. 27. An older patient with heart failure refuses any diagnostic tests and does not want to take any medication because of having limited health insurance. Which action should the nurse take that demonstrates caring? 1) Recommend that the patient be discharged home as soon as possible. 2) Ask family members if they are willing to help pay for the patient’s care. 3) Contact a social worker to talk with the patient about health insurance coverage. 4) Find out if the patient has any resources that can be liquidated to pay for the care. 28. During a home visit, an older patient is planning to have dinner with a close friend and then see a movie. What does this behavior indicate to the nurse? 1) Industry 2) Self-absorption 3) Identity diffusion 4) Gerotranscendence Multiple Response Identify one or more choices that best complete the statement or answer the question. 29. The home health nurse is completing an admission assessment of an older patient. Which health problems should the nurse identify as being leading chronic diseases of older adults? Select all that apply. 1) Cancer 2) Diabetes 3) Heart disease 4) Hypertension 5) Multiple sclerosis 30. What should be identified as reasons for the increased number of older adults in today’s society? Select all that apply. 1) Better nutrition 2) Earlier retirement 3) Increased exercise
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4) Improved health care 5) Consistent sanitation 31. What should the instructor emphasize as being essential elements of a nursing philosophy with beginning students? Select all that apply. 1) Simple 2) Popular 3) Specific 4) Meaningful 5) Inexpensive
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 1: Holistic Caring Answer Section MULTIPLE CHOICE 1. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 7 Heading: Demographics of Aging Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Economics Difficulty: Easy Feedback 1 Individuals 65 years of age or older make up more than 2% of the population. 2 Individuals 65 years of age or older make up more than 5% of the population. 3 Based on the most recent U.S. census completed in 2010, individuals 65 years of age and older make up 13% of the population. There were 23 million women and 17 million men older than age 65. 4 Individuals 65 years of age or older do not make up 20% of the population. PTS: 1 CON: Economics 2. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 7 Heading: Point of Interest Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Economics Difficulty: Easy Feedback 1 The average life expectancy is greater than 70.2 years. 2 The average life expectancy is greater than 75 years. 3 The average life expectancy has increased dramatically in the last 75 years—from 59.7 years in 1930 to 81.1 years for women and 76.3 years for men, according to the latest census information. 4 Women live longer than men. PTS: 1 CON: Economics 3. ANS: 1 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter page reference: 9 Heading: Holistic Nursing Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Nursing Roles Difficulty: Moderate Feedback 1 The word “holism” is derived from the Anglo-Saxon root “hal,” which means “whole” or “to heal.” Holistic nursing focuses on the whole person, not the person’s specific disease or disorder. 2 Holistic nursing treats the whole person and not just a disease or disorder. 3 Holistic nursing uses techniques such as empathetic listening, music, and imagery, as well as specific clinical skills. 4 Holistic nursing uses technical skills in combination with those that enhance communication and rapport. PTS: 1 CON: Nursing Roles 4. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 5. Discuss the theory “The Science of Human Caring” by Dr. Jean Watson as it relates to clinical practice. Chapter page reference: 11 Heading: Human Caring Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Nursing Roles Difficulty: Easy Feedback 1 Florence Nightingale, known as the Mother of Modern Nursing, practiced holistic nursing long before the term was even used. 2 Clara Barton served as an exemplary nurse during the Civil War. 3 The Science of Human Caring is a nursing philosophy developed by Dr. Jean Watson of the University of Colorado. This philosophy is taught worldwide and serves as the basis for teaching and caregiving. 4 Savage and Money have written on the concepts of holistic nursing. PTS: 1 CON: Nursing Roles 5. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 5. Discuss the theory “The Science of Human Caring” by Dr. Jean Watson as it relates to clinical practice. Chapter page reference: 12 Heading: Human Caring Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Coordinated Care
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Cognitive level: Comprehension [Understanding] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Transpersonal caring is the human-to-human relationship, which is a part of The Science of Human Caring. 2 The person is the focus in The Science of Human Caring. 3 It is important that essential tasks, such as giving medications, be done according to schedule, but if a patient is in distress, needs to talk, or needs answers, there should be some flexibility for nonessential tasks. The nurse needs to treat the whole person, not just give out drugs and see to it that certain grooming tasks are performed routinely. 4 Personal contact, eye contact, and speaking softly are parts of The Science of Human Caring. PTS: 1 CON: Nursing Roles 6. ANS: 4 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing. Chapter page reference: 12 Heading: Basic Concepts of Holistic Care Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Nursing Roles Difficulty: Easy Feedback 1 The practice of holistic nursing uses clinical expertise. 2 A close relationship is developed with family members and significant others in holistic nursing. 3 Holistic nursing uses personal intuition and creativity when planning patient care. 4 The practice of holistic nursing includes following physicians’ orders, using your clinical expertise, respecting and drawing on a person’s knowledge of and intuition of his or her own body, and integrating significant others in the patient’s life into his or her care. PTS: 1 CON: Nursing Roles 7. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing. Chapter page reference: 6 Heading: Gerontological Nursing Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Comfort; Perfusion; Nursing Difficulty: Easy Feedback 1 Pain over the chest area is a symptom often found in younger people.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
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Most elderly people who have a heart attack are less likely to have chest pain. Crushing sternal pain is a symptom often found in younger people. Pain over the left side of the chest radiating down the left arm is a symptom often found in younger people.
PTS: 1 CON: Comfort | Perfusion | Nursing 8. ANS: 1 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing. Chapter page reference: 7 Heading: Gerontological Nursing Integrated Processes: Nursing Process: Planning Client Need: Physiological Integrity: Pharmacological Therapies Cognitive level: Comprehension [Understanding] Concept: Medication; Nursing Difficulty: Easy Feedback 1 Medication doses for a young or middle-aged person may overwhelm the systems of an elderly person with devastating results. As people age, their metabolism often slows, and there are many changes in body systems that can affect a drug’s absorption and excretion. Older people often require smaller drug dosages. 2 Medication doses are not larger because the patient is sicker. 3 Medication doses are not the same. 4 Medication doses are not being withheld because the patient is old and possibly near death, which is an uncaring belief. PTS: 1 CON: Medication | Nursing 9. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 1. Define gerontological nursing. Chapter page reference: 6 Heading: Gerontological Nursing Integrated Processes: Communication and Documentation Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Cognition Difficulty: Easy Feedback 1 Cognitive therapy, also known as cognitive behavioral therapy, is a method of treating many emotional and psychological problems, including anxiety, depression, and phobias. 2 Validation therapy is a communication technique that has been developed specifically for dealing with demented elderly persons (including persons with Alzheimer’s disease). It focuses on accepting the person’s view of reality and age-appropriate behavior and can be used to calm a pacing, agitated older person. 3 The Geriatric Depression Scale is a tool used in neurological and psychological assessment. 4 The MMSE is a tool used in neurological and psychological assessment.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1 CON: Cognition 10. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 6. Describe five examples of how you, as a novice nurse, can use Watson’s theory as you give nursing care to older adults. Chapter page reference: 15 Heading: Expanding the Concept of the Science of Human Caring Integrated Processes: Communication and Documentation Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Caring Difficulty: Moderate
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Feedback Removing the meal try and leaving the room is uncaring and insulting to the patient. Telling the patient to stop screaming in a loud voice is responding with anger and does not determine the cause of the outburst. The nurse should try to find out what is bothering him and ask specific questions. Remember that the patient has been given a very serious and probably terminal diagnosis, and anger is understandable. There is a reason for every behavior, and the nurse has the responsibility to learn the reason before reacting. If the patient becomes unruly assistance should be obtained, but first try to determine the reason for the outburst and provide comfort if possible.
PTS: 1 CON: Caring 11. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 6. Describe five examples of how you, as a novice nurse, can use Watson’s theory as you give nursing care to older adults. Chapter page reference: 14 Heading: Point of Interest Integrated Processes: Communication and Documentation Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Nursing; Communication Difficulty: Easy Feedback 1 Beneficence is an ethical principle in nursing. Beneficence is to be aimed for. 2 Speaking to patients as if they are children is a form of paternalism. Elderly people should be addressed with respect, usually by Mr. or Mrs., unless they specifically ask you to use their first name. 3 Caring includes respect, and paternalism is not respectful to an older adult. 4 Malfeasance is not an ethical principle in nursing. Malfeasance is to be avoided. PTS: 1 12. ANS: 4
CON: Nursing | Communication
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 7 Heading: Point of Interest Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Nursing: Economics Difficulty: Easy Feedback 1 The term “young-old” is used for people 65 to 74 years old. 2 The term “middle-old” is used for people 75 to 84 years old. 3 The term “old-old” is used for people 85 to 100 years old. 4 The increased numbers of elderly people in the United States has resulted in new definitions. The term “elite-old” is used for people older than 100 years. PTS: 1 CON: Economics 13. ANS: 4 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing. Chapter page reference: 10 Heading: Basic Concepts of Holistic Care Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Nursing Roles Difficulty: Moderate Feedback 1 A key concept in holistic nursing is following the physician’s instructions and following up with the physician. 2 A key concept in holistic nursing is developing a relationship with family members of the patient. 3 A key concept in holistic nursing is using clinical experience. 4 Key concepts in holistic nursing include following the physician’s instructions and communicating with the physician; using clinical experience; respecting the ideas the elderly patient has about his or her own body and how to make it well and incorporating those ideas into the nursing plan, if possible; and involving family members in the care of the elderly patient. PTS: 1 CON: Nursing Roles 14. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 1. Define gerontological nursing. Chapter page reference: 4 Heading: Gerontological Nursing Integrated Processes: Teaching/Learning Client Need: Safe and Effective Care Environment: Coordinated Care
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Cognitive level: Application [Applying] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Gerontology is not the use of older medications to treat illnesses. 2 Gerontology comes from a Greek word that means “related to old age.” 3 Gerontology does not focus on the housing needs of people who are underserved. 4 Gerontology is not a way of explaining health problems of people over age 50. PTS: 1 CON: Nursing Roles 15. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 1. Define gerontological nursing. Chapter page reference: 5 Heading: Gerontological Nursing Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Nursing Difficulty: Moderate Feedback 1 Genetics is the study of heredity. 2 Geriatrics refers to the medical specialty that deals with the diagnosis and treatment of elderly adults. 3 Gerontology refers to the study of human aging. 4 Gentrification is the purchase of properties in communities for the purpose of renovation. PTS: 1 CON: Nursing 16. ANS: 1 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 6 Heading: Gerontological Nursing Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Diversity; Nursing Difficulty: Moderate Feedback 1 Ageism is being prejudiced against older adults. 2 Stereotyping is saying that all members of a group have the same behaviors and characteristics. 3 Ethnocentricity believes that one cultural group is superior to another. 4 Personal preference is selecting one thing over another. PTS: 1 17. ANS: 4
CON: Diversity | Nursing
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 7 Heading: Demographics of Aging Integrated Processes: Teaching/Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Baby boomers are not individuals who have large families. 2 Baby boomers are not individuals who advocate for the care of infants. 3 Baby boomers are not individuals who have decided not to have large families. 4 Baby boomers are people born between 1946 and 1965 after World War II. PTS: 1 CON: Nursing Roles 18. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 8 Heading: Demographics of Aging Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Diversity; Nursing Roles Difficulty: Easy Feedback 1 Diabetes is a leading chronic disease affecting people older than age 65 years. 2 Since the 1980s to the present, the gap in life expectancy between white and black elders has widened because the elderly black population has declined. This decline is attributed to death by homicide. 3 Hypertension is a leading chronic disease affecting people older than age 65 years. 4 Heart disease is a leading chronic disease affecting people older than age 65 years. PTS: 1 CON: Diversity | Nursing Roles 19. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 8 Heading: Demographics of Aging Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing Roles Difficulty: Easy Feedback 1 Older people are not more likely to participate in exercise programs because they have
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
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more time to exercise. Older people are not more likely to participate in exercise programs because they are trying to avoid boredom. Older people are more likely to participate in exercise programs because they initiated the fitness movement. Older people are not more likely to participate in exercise programs because they want to spend more time with their grandchildren.
PTS: 1 CON: Nursing Roles 20. ANS: 4 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 8 Heading: Point of Interest Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Economics Difficulty: Easy Feedback 1 Medicaid is a federal and state supported process that provides health care to financially disadvantaged people. 2 Medicare is a federal regulation providing health care for individuals older than age 65 or individuals who are permanently disabled. 3 Supplemental Social Security is a federal benefit check paid to persons older than age 65 or persons with disabilities who are unable to work. 4 Social Security is a federal benefit check paid to retired workers of a specific age, disabled workers of any age, and spouses and minor children of deceased workers. PTS: 1 CON: Economics 21. ANS: 1 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 3. Write a one-sentence nursing philosophy. Chapter page reference: 8 Heading: Nursing Philosophy Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Nursing Roles Difficulty: Easy Feedback 1 A nursing philosophy is a personal concept that has to come from within. 2 A nursing philosophy does not define goals and aspirations. 3 A nursing philosophy does not outline steps to a successful career. 4 A nursing philosophy is not used to recognize the importance of education. PTS: 1
CON: Nursing Roles
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
22. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing. Chapter page reference: 10 Heading: Basic Concepts of Holistic Care Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Answering a call light using the intercom system does not demonstrate a nurse who is unrushed and truly wants to develop a relationship with the patient. 2 Telling a patient that there is no time to try something new does not demonstrate a healing relationship with the patient. 3 Sitting with a patient to discuss the plan of care indicates an interest in developing a healing relationship with the patient. 4 Reminding a patient that others are waiting for the nurse does not indicate an interest in developing a healing relationship with the patient. PTS: 1 CON: Nursing Roles 23. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing. Chapter page reference: 10 Heading: Basic Concepts of Holistic Care Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Knowledge [Understanding] Concept: Nursing Roles Difficulty: Easy Feedback 1 Critical thinking is not critical to promote holistic care. 2 Listening is critical to promote holistic care. 3 Time management is not critical to promote holistic care. 4 Care coordination is not critical to promote holistic care. PTS: 1 CON: Nursing Roles 24. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing. Chapter page reference: 10 Heading: Holistic Care Is Based on Teamwork Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Nursing; Nursing Roles
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Difficulty: Moderate Feedback 1 Members of the holistic health-care team may or may not include the doctor and pharmacist. 2 Members of the holistic health-care team may or may not include the dietician and discharge planner. 3 Members of the holistic health-care team include those who will help meet the patient’s needs. 4 Members of the holistic health-care team may or may not include the social worker and physical therapist. PTS: 1 CON: Nursing | Nursing Roles 25. ANS: 2 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 5. Discuss the theory “The Science of Human Caring” by Dr. Jean Watson as it relates to clinical practice. Chapter page reference: 13 Heading: Human Caring Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive level: Comprehension [Understanding] Concept: Nursing; Safety Difficulty: Moderate Feedback 1 Telephoning prior to making a home visit respects the patient’s privacy. 2 Mounting grab bars near the commode and in the shower demonstrates environmental safety. 3 Ensuring the delivery of a daily newspaper provides for stimulation. 4 Ensuring adequate volume on the television provides for stimulation. PTS: 1 CON: Nursing | Safety 26. ANS: 1 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 5. Discuss the theory “The Science of Human Caring” by Dr. Jean Watson as it relates to clinical practice. Chapter page reference: 14 Heading: Expanding the Concept of the Science of Human Caring Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing Roles Difficulty: Easy Feedback 1 To become a more caring nurse, the nurse should become a caring person. 2 Adequate rest is not identified as an action to become a more caring nurse. 3 Setting aside time for personal activities is not identified as an action to become a more caring nurse.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
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Consuming nutritious meals and exercising are not identified as actions to become a more caring nurse.
PTS: 1 CON: Nursing Roles 27. ANS: 3 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 6. Describe five examples of how you, as a novice nurse, can use Watson’s theory as you give nursing care to older adults. Chapter page reference: 11 Heading: Expanding the Concept of the Science of Human Caring Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Recommending that the patient be discharged home as soon as possible does not demonstrate caring or meet the patient’s health needs. 2 Asking family members if they are willing to help pay for the patient’s care violates the patient’s privacy. 3 Contacting a social worker to talk with the patient about health insurance coverage demonstrates caring and addresses the patient’s concerns. 4 Finding out if the patient has any resources that can be liquidated to pay for the care violates the patient’s privacy and does not demonstrate caring or meet the patient’s health needs. PTS: 1 CON: Nursing Roles 28. ANS: 4 Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 7. Define the concept of “gerotranscendence.” Chapter page reference: 14 Heading: Gerotranscendence Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Analysis [Analyzing] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Industry is a developmental task of middle childhood. 2 Self-absorption is a part of the adult middle age developmental task. 3 Identity diffusion is a part of the adolescent developmental task. 4 Gerotranscendence means that the older person is satisfied with life and looks forward to living a full life for the rest of his or her days. PTS: 1
CON: Nursing Roles
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
MULTIPLE RESPONSE 29. ANS: 2, 3, 4 Feedback 1. Cancer is not identified as being a leading chronic disease of older adults. 2. Diabetes is identified as being a leading chronic disease of older adults. 3. Heart disease is identified as being a leading chronic disease of older adults. 4. Hypertension is identified as being a leading chronic disease of older adults. 5. Multiple sclerosis is not identified as being a leading chronic disease of older adults. Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 7 Heading: Point of Interest Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying] Concept: Assessment; Nursing Difficulty: Moderate PTS: 1 CON: Assessment | Nursing 30. ANS: 1, 4, 5 Feedback 1. Reasons for the increased number of older persons in our society include better nutrition. 2. Reasons for the increased number of older persons in our society do not include early retirement. 3. Reasons for the increased number of older persons in our society do not include increased exercise. 4. Reasons for the increased number of older persons in our society include improved health care. 5. Reasons for the increased number of older persons in our society include consistent sanitation. Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years. Chapter page reference: 7 Heading: Demographics of Aging Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Assessment; Nursing Difficulty: Easy PTS: 1 CON: Assessment | Nursing 31. ANS: 1, 3, 4 Feedback 1. A characteristic of a valuable nursing philosophy is that it is simple. 2. Popularity is not a characteristic of a valuable nursing philosophy. 3. A characteristic of a valuable nursing philosophy is that it is specific.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4. 5.
A characteristic of a valuable nursing philosophy is that it is meaningful. Cost is not a characteristic of a meaningful nursing philosophy.
Chapter number and title: Chapter 1 Holistic Care Chapter/learning objective: 3. Write a one-sentence nursing philosophy. Chapter page reference: 8 Heading: Nursing Philosophy Integrated Processes: Teaching/Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Nursing; Nursing Roles Difficulty: Easy PTS: 1
CON: Nursing | Nursing Roles
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 2: The Aging Experience Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The fastest growing segment of the population in the United States is 1) Teenagers 2) Babies 3) People older than 85 years of age 4) People between the ages of 20 and 40
2. An 88-year-old retired school principal who lives alone has neighbors who believe his home is dark, dirty, smelly, and without modern conveniences. The neighborhood children think he is a “crazy old man.” What does this describe? 1) Racism 2) Sexism 3) Ageism 4) Patriotism
3. Which statement reflects respect for people who are older? 1) Getting old is a hopeless downward spiral toward death. 2) As people get older, they become very self-centered. 3) Older people maintain unique and individual characteristics. 4) Older people become very rigid and are unable to learn new things.
4. Normal physiological aging is 1) A predictable and uniform process 2) Reflective of individual diversity 3) Accompanied by extreme mood swings and predictable depression 4) Primarily related to chronic disease processes
5. What is LEAST likely to affect the aging process? 1) Life experiences 2) Financial resources 3) Stress management style 4) Social support system
6. The normal aging process is accompanied by 1) Potential problems in functional ability 2) Chronic disease processes 3) Regression from previous social activities 4) A characteristic depression related to multiple losses
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
7. The leading cause of death in older adults is 1) Stroke 2) Heart disorders 3) Cancer 4) Pneumonia
8. Which theory is NOT considered to be a psychological theory of aging? 1) Subcultural theory 2) Wear and tear theory 3) Developmental tasks theory 4) Continuity theory 9. According to Erik Erikson’s eight stages of life theory, the task of old age is 1) Integrity vs. Despair 2) Industry vs. Inferiority 3) Identity vs. Role Confusion 4) Generativist vs. Stagnation
10. Which is NOT a characteristic of physiological theories of aging? 1) Genetics 2) Nutrition 3) Personality 4) Wear and tear of the body
11. What is considered normal aging of the cardiovascular system? 1) Strengthened heart contractions 2) Decreased cardiac output 3) Flaccid and thinned heart valves 4) Dilation of blood vessels
12. What determines an older adult’s ability to function? 1) Driving a car 2) Quality of life 3) Working, driving, shopping, and exercising as usual 4) Performance of activities of daily living (ADLs), instrumental ADLs, and quality of life
13. Which does NOT contribute to increased residual lung volume in an older patient? 1) Kyphosis 2) Decreased elastic recoil 3) Decreased number of functioning alveoli 4) Decreased efficiency of gas exchange in the alveoli
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
14. One of the best ways for the nurse to promote normal respiratory function with older adults is to 1) Encourage daily walks. 2) Encourage frequent naps and rest periods. 3) Discourage strenuous lifting and physical activity. 4) Teach the use of inhalers in case of respiratory emergencies.
15. Which is NOT an expected age-related change affecting the respiratory status of an older patient? 1) Weakened abdominal muscles 2) Elongation of the thoracic spine 3) Increased rigidity of the rib cage 4) Increased thickness of the alveolus capillary membrane
16. Which is NOT considered a common complication of inactivity in an older adult? 1) Decreased energy 2) Decreased bone mass 3) Decreased muscle mass 4) Decreased joint range of motion
17. What effect do age-related changes of the skin have on an older patient? 1) Effects joint mobility 2) Alters temperature regulation 3) Impacts the ability to ambulate 4) Influences clothing style choices
18. Which is one of the most effective ways to minimize the aging changes of the skin? 1) Wash the skin daily with soap. 2) Avoid excessive sun exposure. 3) Use a vitamin E-fortified lotion every day. 4) Use rose milk lotion on the skin every day.
19. What can slow musculoskeletal changes in an older adult? 1) Exercising 2) Restricting calcium intake 3) Napping throughout the day 4) Eating a diet high in carbohydrates
20. What is the best advice for an older person who complains of never being hungry? 1) Try eating six small meals throughout the day. 2) Force yourself to eat at least three meals a day. 3) As people get older, they may need to eat only one meal a day.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4) Avoid eating roughage and drinking large amounts of fluid.
21. Which body system is most highly influenced by previous life patterns and environmental conditions? 1) Circulatory 2) Integumentary 3) Respiratory 4) Gastrointestinal
22. Which statement is most true about enlargement of the prostate gland in older men? 1) It is a normal aging change. 2) It indicates the presence of cancer. 3) It is related to a high incidence of impotence for older men. 4) It decreases the incidence of urinary incontinence for older men.
23. Incontinence is a problem for many older women. The normal aging change that contributes to stress incontinence for older women is 1) Decreased bladder capacity 2) Decreased renal blood flow 3) Reduced glomerular filtration rate 4) Loss of mass and strength of perineal muscles
24. Painful intercourse and vaginal infections can be associated with 1) Loss of pubic hair 2) Urinary incontinence 3) Decreased vaginal secretions 4) Decreased perineal muscle mass
25. What sleep pattern change is most stressful to older adults? 1) Frequent wakening 2) Shorter sleeping time at night 3) Inability to nap during the day 4) Feeling of being less rested after sleeping all night
26. Which are the most common gastrointestinal problems for older adults? 1) Indigestion, diarrhea, and anorexia 2) Constipation, bulimia, and indigestion 3) Indigestion, constipation, and anorexia 4) Flatulence, diarrhea, and intestinal cramps
27. How do older adults adapt to their slowed response time? 1) Giving up activities such as driving
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2) Increasing accuracy of their responses 3) Avoiding situations that require quick responses 4) Using ambulation aids to decrease the chance of falling
28. Decreased tearing of the eyes increases the incidence of 1) Glaucoma 2) Eye infections 3) Corneal abrasions 4) Cataract formation
29. Which is an age-related change in hearing for older adults? 1) Loss of low-frequency tones 2) Loss of high-frequency tones 3) Generalized loss of all frequencies 4) Loss of high-frequency and low-frequency tones
30. What should the nurse do to help an older patient improve hearing? 1) Speak loudly. 2) Speak slowly in a normal tone. 3) Speak slowly with an increased pitch. 4) Mouth words slowly so that the older adult can read lips.
31. Which are the preferred colors to use for signs, curb markings, and stair edgings for older adults? 1) Red and green 2) Blue and green 3) Yellow and red 4) Blue and yellow
32. Which change in the aging eye increases risk of falling? 1) Decreased tearing 2) Yellowing of the lens 3) Increased sensitivity to glare 4) Decreased dark and light accommodation
33. A 78-year-old patient has both ears impacted with cerumen. Why is the incidence of cerumen impaction increased for older adults? 1) Increased keratin in cerumen 2) Increased production of cerumen 3) Decreased bathing because of skin dryness, so ears do not get cleaned as often 4) Older adults are less likely to be in the habit of using cotton-tipped applicators to clean out their ears
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
34. An 84-year-old patient is experiencing decreased reaction time while driving and some dizziness when getting out of his car. What should the nurse realize about this patient’s symptoms? 1) Secondary to diet 2) Indicative of senile dementia 3) Part of the normal aging process 4) Indicative of decreased mental capabilities
35. Which is NOT included during the assessment of ADLs? 1) Eating 2) Moving 3) Cooking 4) Dressing
36. Which would NOT be included when assessing instrumental activities of daily living (IADLs)? 1) Toileting 2) Cleaning 3) Managing finances 4) Taking medications
37. Which are NOT considered to be signs of wear and tear on the body as the result of aging? 1) Slow gait 2) Replaced knees 3) Use of a walker 4) Chronic diseases
38. What information does NOT need to be collected when first interviewing an elderly patient? 1) Nutrition 2) Family history 3) Chronic diseases 4) Number of friends
39. Why is it common for an older adult to feel colder and have decreased diaphoresis, even with an elevated body temperature? 1) Increased body fluid 2) Alterations in appetite 3) Decreased subcutaneous fat 4) Difficulty with bowel elimination
40. An older patient is experiencing skin breakdown. What should the nurse identify as the reason for this health problem? 1) Clustering of melanocytes
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2) Decreased sweat production 3) Decreased subcutaneous fat 4) Dryness and reduced skin elasticity
41. What should the nurse realize is the reason for an older patient to have an increase in blood pressure? 1) Reduced blood volume 2) Increased rigidity of heart valves 3) Increased rigidity of vascular walls 4) Diminished strength of cardiac muscle
42. An older patient is experiencing a drop in blood volume. What should the nurse realize is the age-related reason for this? 1) Decreased physical activity 2) Increased daily urine output 3) Reduced oral intake of fluids 4) Decreased amount of total body water
43. What should the nurse identify as the reason for an older patient to have a decrease in hematocrit and hemoglobin levels? 1) Increased oral fluid intake 2) Decreased rigidity of heart valves 3) Increased rigidity of blood vessels 4) Reduced bone marrow production
44. The nurse is preparing to assess the respiratory status of an older patient. What should the nurse realize about this status in relation to cardiovascular functioning? 1) The degree of changes within both systems will be minimal. 2) The changes within both systems appear suddenly, causing acute health problems. 3) Changes in the respiratory system are gradual and the older patient will compensate. 4) Changes in the cardiovascular system are gradual and the older patient will compensate.
45. An older patient has osteoporosis. What effect should the nurse expect this health problem to have on the patient’s respiratory status? 1) Improved cough reflex 2) Improved lung capacity 3) Reduced lung space and air flow 4) No change to the respiratory status
46. What impact do good nutrition, exercise, and stress control have on longevity according to the genetic theory of aging? 1) Experiencing an early death 2) Adding 15 years to life expectancy
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3) Reducing risk factors for chronic disease 4) Prolonging or improving the quality of life
47. What concept is used to describe today’s nursing homes? 1) Hospice care 2) Palliative care 3) Custodial care 4) Rehabilitative care
48. Which nursing statement takes the concept of ageism into consideration when caring for an 85-year-old patient with renal failure? 1) “Mr. Martin, how are you doing this morning?” 2) “Now, you know you shouldn’t do that, baby doll.” 3) “Hon, how would you like your eggs in the morning?” 4) “You are doing such a good job with dialysis, sweetie.”
49. The nurse is caring for an 80-year-old patient with lung disease. Which action indicates that the nurse understands the wear and tear theory of aging when caring for this patient? 1) Reviews the importance of a daily intake of adequate calcium 2) Asks the patient at what age the patient’s mother and father passed away 3) Stops and rests for a few seconds when walking with the patient down the hall 4) Suggests that the patient use a wheelchair to reduce the time needed to get to physical therapy
50. An older patient used to be a teacher but after being diagnosed with a health problem the patient began to write educational materials. Which theory explains this patient’s actions? 1) Continuity 2) Subculture 3) Wear and tear 4) Developmental tasks
51. Which statement can be used to define health for an older adult? 1) Expecting to enjoy perfect health until death 2) Realizing that no one leaves this life alive and death occurs to us all 3) Understanding that the body wears out and nothing can be done about it 4) Functioning at the highest potential in the presence of age-related changes
Multiple Response Identify one or more choices that best complete the statement or answer the question. 52. The nurse suspects that an older patient is having difficulty with the developmental task of integrity vs. despair. Which behaviors caused the nurse to make this clinical determination? Select all that apply.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1) 2) 3) 4) 5)
Anger Depression Reading the newspaper Feelings of inadequacy Laughing with grandchildren
53. What should the nurse realize about the normal aging process? Select all that apply. 1) Normal aging does not indicate decline. 2) People become more diverse as they age. 3) Age-related changes are the same in everyone. 4) Normal aging and disease cannot be separated. 5) Adapting to the aging process is accomplished by many adults.
54. An older patient is experiencing shortness of breath with household activities. Which respiratory changes with aging could explain this patient’s symptoms? Select all that apply. 1) Loss of lung elastic recoil 2) Larger and thinner alveoli 3) Increased surface area for gas exchange 4) Thickening of the alveolar-capillary membrane 5) Reduction in the number of functioning alveoli
55. The nurse is concerned that an older patient is experiencing age-related changes to the gastrointestinal system. What findings caused the nurse to have this concern? Select all that apply. 1) Loose teeth 2) Poor appetite 3) Feeling thirsty 4) Weak gag reflex 5) Feeling of fullness
56. An older patient is experiencing functional changes caused by decreased bladder capacity. What should the nurse assess for in this patient? Select all that apply. 1) Nocturia 2) Frequency 3) Incontinence 4) Renal calculi 5) Urinary retention
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 2: The Aging Experience Answer Section MULTIPLE CHOICE 1. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 1. Define the term ageism. Chapter page reference: 21 Heading: Introduction Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Diversity; Nursing Difficulty: Easy Feedback 1 Teenagers are not the fastest growing segment of the U.S. population. 2 Babies are not the fastest growing segment of the U.S. population. 3 People older than 85 years of age are the fastest growing segment of the U.S. population. 4 People between the ages of 20 and 40 are not the fastest growing segment of the U.S. population.
PTS: 1
CON: Diversity | Nursing
2. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 1. Define the term ageism. Chapter page reference: 23 Heading: Ageism Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Analysis [Analyzing] Concept: Diversity; Nursing Difficulty: Moderate Feedback 1 Racism is believing that one race is superior to another. 2 Sexism is believing that one gender is superior to another. 3 Ageism is a systematic stereotyping of and discrimination against people simply because they are old. 4 Patriotism is upholding the rights and responsibilities of being a citizen of a country.
PTS: 1
CON: Diversity | Nursing
3. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 1. Define the term ageism.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter page reference: 24 Heading: Ageism Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Diversity; Nursing Difficulty: Easy Feedback 1 Getting older is not a hopeless spiral toward death. This statement does not respect older people. 2 Believing that older people are self-centered does not respect older people. 3 Older people do have unique and individual characteristics. This statement respects older people. 4 Older people are not rigid and unable to learn new things. This statement does not respect older people.
PTS: 1
CON: Diversity | Nursing
4. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 25 Heading: Normal Aging Process Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing Difficulty: Easy Feedback 1 Individuals age in different ways. 2 Although aging is a universal experience, each individual older person represents a different pattern of aging. 3 Older adults may experience depression, but this is not a normal aging experience. 4 Older adults may experience chronic diseases, but these are not normal aging experiences.
PTS: 1
CON: Nursing
5. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 25 Heading: Physiological Theories of Aging Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Stress; Nursing Difficulty: Easy
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1 2 3 4
Feedback How a person ages depends on life experiences. Aging is not dependent on a person’s financial resources. How a person ages depends on stress management style. How a person ages depends on social support systems.
PTS: 1
CON: Nursing
6. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in body systems. Chapter page reference: 27 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing Difficulty: Easy Feedback 1 Changes in functional ability, or the ability of the older adult to perform activities of daily living, can be influenced by normal aging changes. 2 Many older adults have chronic disease processes, but disease processes are not a normal consequence of aging. 3 Aging is often viewed as a series of losses. The process is gradual, and older adults generally adapt well and maintain their social activities. 4 Older adults are not generally depressed by the aging process.
PTS: 1
CON: Nursing
7. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems. Cardiovascular Chapter page reference: 28 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Knowledge [Remembering] Concept: Cellular Regulation Difficulty: Easy Feedback 1 Cardiovascular diseases leading to strokes used to be a leading cause of death among older adults, but older people have learned to take better care of themselves. 2 Cardiovascular diseases leading to heart disorders used to be a leading cause of death among older adults, but older people have learned to take better care of themselves. 3 Cancer is now the leading cause of death among older adults. 4 Pneumonia is not a leading cause of death, however, it is a serious concern in older adults.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1
CON: Cellular Regulation
8. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 26 Heading: Psychological Theories Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing Difficulty: Easy Feedback 1 The subculture theory of aging describes aging as being a subculture complete with cultural norms, standards, beliefs, and expectations. 2 The wear and tear theory is a physiological theory of aging. 3 Erikson developed the developmental stages theory, which states that people work through various stages of development through life. 4 The continuity theory states that as people age, their basic personalities do not.
PTS: 1
CON: Nursing
9. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 26 Heading: Psychological Theories Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Development; Nursing Difficulty: Easy Feedback 1 The task for old age, according to Erikson, is integrity vs. despair. If older adults can find meaning in the life they have lived and are living, they will have the ego integrity to adjust to the process of aging. 2 Industry vs. inferiority is a task for a school-age person. 3 Identity vs. role confusion is a task for adolescence. 4 Generativity vs. stagnation is a task for a middle-aged adult.
PTS: 1
CON: Development | Nursing
10. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 24
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Heading: Physiological Theories of Aging Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing Difficulty: Easy Feedback 1 One physiological theory of aging focuses on genetics, stating that people are born with a genetic program that predetermines life span. 2 One physiological theory of aging focuses on a person’s nutrition during his or her life span. 3 Personality does not relate to a physiological theory of aging. 4 One physiological theory of aging focuses on the fact that bodies are all fine-tuned machinery and that body parts wear out or become less effective as they are repeatedly used.
PTS: 1
CON: Nursing
11. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Cardiovascular Chapter page reference: 28 Heading: Cardiovascular System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Perfusion Difficulty: Easy Feedback 1 The aging heart is slower and weaker. 2 Cardiac output is decreased as a result of the slowed heart rate and weaker cardiac contractions. This is not usually a noticeable problem unless older persons are exposed to stressors that exceed their reserves. 3 Heart valves in the aging heart are thicker and more rigid. 4 Blood vessels in the aging cardiovascular system thicken and become less elastic.
PTS: 1
CON: Nursing | Perfusion
12. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes to the body systems. Chapter page reference: 28 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Promoting Health Difficulty: Easy
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1 2 3 4
Feedback Driving a car might be an instrumental activity of daily living, however, function is more than performing this one function. Quality of life is one aspect of functioning. The level of functioning may not be as it was when the person was younger. The definition of function is the ability to perform ADLs and instrumental ADLs, taking into consideration quality of life.
PTS: 1
CON: Nursing | Promoting Health
13. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Respiratory Chapter page reference: 29 Heading: Respiratory System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Oxygenation Difficulty: Easy Feedback 1 Kyphosis is a normal change in aging that increases residual lung volume in an older patient. 2 Decreased elastic recoil is a normal change in aging that increases residual lung volume in an older patient. 3 A decreased number of functioning alveoli is a normal change in aging that increases residual lung volume in an older patient. 4 Decreased efficiency of gas exchange in the alveoli affects the efficiency of oxygen availability.
PTS: 1
CON: Nursing | Oxygenation
14. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Respiratory Chapter page reference: 29 Heading: Respiratory System Integrated Processes: Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying] Concept: Nursing; Oxygenation Difficulty: Moderate Feedback 1 Exercise and activity are necessary to promote respiratory health. 2 Frequent naps and rest periods discourage physical activity. 3 Avoiding strenuous lifting and physical activity does not promote respiratory health. 4 The use of inhalers is not a routine intervention to promote respiratory health in an
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
older adult.
PTS: 1
CON: Nursing | Oxygenation
15. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Respiratory Chapter page reference: 29 Heading: Respiratory System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Oxygenation Difficulty: Moderate Feedback 1 In the normal aging process, abdominal muscles weaken, decreasing inspiratory and expiratory efforts. 2 With aging the thoracic spine shortens. 3 In the normal aging process, the rib cage becomes rigid because of calcification of cartilage. 4 In the normal aging process, alveolus capillary membranes thicken, decreasing the surface area for gas exchange
PTS: 1
CON: Nursing | Oxygenation
16. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Musculoskeletal Chapter page reference: 29 Heading: Musculoskeletal System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Mobility Difficulty: Moderate
1 2 3 4
Feedback Exercise would increase an older adult’s energy level, but inactivity does not cause decreased energy. Inactivity decreases bone mass. Inactivity decreases muscle mass. Inactivity decreases joint range of motion.
PTS: 1
CON: Nursing | Mobility
17. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter/learning objective: 3. Identify age-related changes in the following body systems: Integumentary Chapter page reference: 30 Heading: Integumentary System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Thermo-Regulation Difficulty: Moderate Feedback 1 This is a musculoskeletal system change. 2 The decrease in sweat production and loss of the insulating fat layer underlying the skin makes an older adult prone to hyperthermia and hypothermia. 3 This is a musculoskeletal system change. 4 Some older adults who are self-conscious of age spots on their arms may choose not to wear short-sleeved or sleeveless shirts. Older adults may find that because of changes in their muscle mass and fat distribution, their clothing does not fit as well.
PTS: 1
CON: Nursing | Thermo-regulation
18. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Integumentary Chapter page reference: 30 Heading: Integumentary System Integrated Processes: Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying] Concept: Nursing; Skin Integrity Difficulty: Moderate Feedback 1 Washing the skin daily with soap will not guarantee that age changes of the skin will be less. 2 Sun exposure intensifies the normal aging changes and increases an older adult’s risk of developing skin cancer. 3 Using vitamin-E fortified lotion daily will not guarantee that age changes of the skin will be less. 4 Using rose milk lotion daily will not guarantee that age changes of the skin will be less.
PTS: 1
CON: Nursing | Skin Integrity
19. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Musculoskeletal Chapter page reference: 30 Heading: Musculoskeletal System Integrated Processes: Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying]
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Concept: Nursing; Mobility Difficulty: Moderate Feedback 1 Exercise assists in increasing endurance and muscle strength, which affects functional ability. 2 Calcium supplements help prevent porous, brittle bones that are susceptible to fractures; this assists in functional ability. 3 Napping encourages inactivity, which does not contribute to maintaining a healthy musculoskeletal system. 4 A diet rich in carbohydrates would cause weight gain, placing greater strain on joints and bones.
PTS: 1
CON: Nursing | Mobility
20. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Gastrointestinal Chapter page reference: 31 Heading: Gastrointestinal System Integrated Processes: Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying] Concept: Nursing; Digestion Difficulty: Moderate Feedback 1 Slowed gastric emptying may cause an older person to have feelings of fullness and a lack of appetite. Eating smaller, more frequent meals may decrease this discomfort. 2 Forcing oneself to eat is not good nutritional advice. 3 Eating one meal a day is not good nutritional advice. 4 Roughage and fluid are important to promote bowel function.
PTS: 1
CON: Nursing | Digestion
21. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Integumentary Chapter page reference: 30 Heading: Integumentary System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Skin Integrity Difficulty: Moderate Feedback 1 The circulatory system is not the most influenced by previous life patterns and environmental conditions. 2 Exposure to sun, earlier health practices regarding diet, grooming, physical activity,
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3 4
genetic factors, and biochemical and environmental factors affect the integumentary system. The respiratory system is not the most influenced by previous life patterns and environmental conditions. The gastrointestinal system is not the most influenced by previous life patterns and environmental conditions.
PTS: 1
CON: Nursing | Skin Integrity
22. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Genitourinary Chapter page reference: 31 Heading: Genitourinary System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Urinary Elimination Difficulty: Easy Feedback 1 Benign enlargement of the prostate is a normal aging change. 2 Prostate enlargement is not always related to the presence of cancer. 3 Prostate enlargement is not related to impotence. 4 Enlargement of the prostate can cause urethral obstruction and is the primary cause of overflow incontinence and urinary dribbling.
PTS: 1
CON: Nursing | Urinary Elimination
23. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Genitourinary Chapter page reference: 31 Heading: Genitourinary System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Urinary Elimination Difficulty: Easy Feedback 1 Decreased bladder capacity is a normal age-related change of the urinary system, but it does not affect stress incontinence. 2 Decreased renal blood flow is a normal age-related change of the urinary system, but it does not affect stress incontinence. 3 Reduced glomerular filtration rate is a normal age-related change of the urinary system, but it does not affect stress incontinence. 4 Stress incontinence, or loss of urine when intra-abdominal pressure is increased, can be increased with weak pelvic floor muscles.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1
CON: Nursing | Urinary Elimination
24. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Genitourinary Chapter page reference: 32 Heading: Genitourinary System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Female Reproduction Difficulty: Easy Feedback 1 Loss of pubic hair is not related to painful intercourse and vaginal infections. 2 Urinary incontinence can increase the incidence of vaginal infections. 3 Decreased vaginal secretions decrease the natural lubrication of the vagina, which can cause painful intercourse and increase the potential for vaginal infections. 4 Decreased perineal muscle mass is not related to painful intercourse and vaginal infections.
PTS: 1
CON: Nursing | Female Reproduction
25. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Neurological Chapter page reference: 32 Heading: Nervous System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Analysis [Analyzing] Concept: Nursing; Neurological Regulation Difficulty: Moderate Feedback 1 Frequent wakening is annoying, but not the most stressful to older adults. 2 Shorter sleeping time at night is annoying, but not the most stressful to older adults. 3 Older adults rarely complain of not being able to nap during the day. 4 Waking in the morning and still feeling tired is related to the decrease in REM and stage IV sleep.
PTS: 1
CON: Nursing | Neurological Regulation
26. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Gastrointestinal Chapter page reference: 31 Heading: Gastrointestinal System
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Digestion Difficulty: Easy Feedback 1 Diarrhea is not a common gastrointestinal problem for an older adult. 2 Bulimia is not a common gastrointestinal problem for an older adult. 3 Decreased peristalsis, caused by the decrease in smooth muscle tone, delays gastric emptying, leading to indigestion and decreased appetite. Decreased peristalsis also allows more water absorption in the large intestine, creating constipation. 4 Flatulence, diarrhea, and intestinal cramps are not common gastrointestinal problems for older adults.
PTS: 1
CON: Nursing | Digestion
27. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Neurological Chapter page reference: 32 Heading: Nervous System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Neurological Regulation Difficulty: Easy Feedback 1 Older adults may choose to quit driving, but this is not a general reaction to increased reaction time. 2 Studies have shown that older adults compensate for increased reaction times by increasing the accuracy of their responses. 3 Older adults may avoid situations that require quick responses, but this is not a general reaction to increased reaction time. 4 Older adults may use ambulation aids to decrease the risk of falling, but this is not a general reaction to increased reaction time.
PTS: 1
CON: Nursing | Neurological Regulation
28. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Special senses Chapter page reference: 33 Heading: Special Sense Organs Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Sensory Perception Difficulty: Easy
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1 2 3 4
Feedback Glaucoma is not related to eye dryness. Dryness of the eyes can lead to irritation and eye infections. Eye dryness is usually not severe enough to cause corneal abrasions. The development of cataracts is not related to eye dryness.
PTS: 1
CON: Nursing | Sensory Perception
29. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Special senses Chapter page reference: 33 Heading: Special Sense Organs Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Sensory Perception Difficulty: Easy Feedback 1 The loss of low-frequency tones is not an age-related change in hearing. 2 Presbycusis, or loss of high-frequency tones, is the characteristic hearing loss of normal aging. 3 Generalized loss of hearing in all frequencies is not an age-related change in hearing. 4 Loss of high and low-frequency tones is not an age-related change in hearing.
PTS: 1
CON: Nursing | Sensory Perception
30. ANS: 2 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Special senses Chapter page reference: 33 Heading: Special Sense Organs Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Nursing; Sensory Perception Difficulty: Easy Feedback 1 Speaking loudly raises the frequency to a level that the older patient may not be able to hear. 2 Older adults can hear a normally pitched, clearly articulated voice. 3 Increasing the pitch moves the voice into the high-frequency range that is difficult for an older adult to hear. 4 Mouthing words so the patient reads lips is an inappropriate strategy.
PTS: 1
CON: Nursing | Sensory Perception
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
31. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Special senses Chapter page reference: 33 Heading: Special Sense Organs Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive level: Comprehension [Understanding] Concept: Nursing; Sensory Perception Difficulty: Easy Feedback 1 Older adults have difficulty seeing the color green because of yellowing of the eye lens. 2 Older adults have difficulty seeing the colors blue and green because of yellowing of the eye lens. 3 Because of yellowing of the lens of the eye with normal aging, older adults have difficulty seeing and differentiating low tone colors, such as blue, green, purple, and brown. Yellow and red are the colors of choice for signs and safety markings. 4 Older adults have difficulty seeing the color blue because of yellowing of the eye lens.
PTS: 1
CON: Nursing | Sensory Perception
32. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Special senses Chapter page reference: 33 Heading: Special Sense Organs Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive level: Comprehension [Understanding] Concept: Nursing; Sensory Perception Difficulty: Easy Feedback 1 Decreased tearing does not increase the risk of falling in an older adult. 2 Yellowing of the lens does not increase the risk of falling in an older adult. 3 Increased sensitivity to glare does not increase the risk of falling in an older adult. 4 The change in accommodation to light and dark takes longer and increases the incidence of falls for older adults.
PTS: 1
CON: Nursing | Sensory Perception
33. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Special senses Chapter page reference: 33 Heading: Special Sense Organs Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Cognitive level: Comprehension [Understanding] Concept: Nursing; Sensory Perception Difficulty: Easy Feedback 1 The increased keratin in the cerumen makes it drier and increases the likelihood of it impacting in the ear canal. 2 There is no documentation of an increased cerumen production with aging. 3 Bathing and washing the external canal does not affect the production of cerumen or prevent the development of cerumen impaction. 4 Older adults frequently use cotton-tipped applicators. This practice is not advisable because there is a tendency to push impacted cerumen deeper into the ear canal.
PTS: 1
CON: Nursing | Sensory Perception
34. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Neurological Chapter page reference: 32 Heading: Nervous System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Neurological Regulation Difficulty: Moderate Feedback 1 The diet does not reduce reaction time while driving or create dizziness when getting out of a car. 2 Senile dementia does not reduce reaction time while driving or create dizziness when getting out of a car. 3 As motor neurons work less efficiently, reaction time and the ability to respond to stimuli decrease. Older adults frequently have the potential for hypotensive episodes, with position change secondary to decreased blood volume. 4 Decreased mental capabilities do not reduce reaction time while driving or create dizziness when getting out of a car.
PTS: 1
CON: Nursing | Neurological Regulation
35. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Neurological Chapter page reference: 29 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Mobility Difficulty: Easy Feedback
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1 2 3 4
Eating is a basic personal need included in ADLs. Moving is a basic personal need included in ADLs. Cooking requires a greater level of independence. Dressing is a basic personal need included in ADLs.
PTS: 1
CON: Nursing | Mobility
36. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Neurological Chapter page reference: 29 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Mobility Difficulty: Easy Feedback 1 Toileting is a basic task. 2 IADLs are the ability to live independently in the community. Cleaning requires a greater level of independence. 3 IADLs are the ability to live independently in the community. Managing finances requires a greater level of independence. 4 IADLs are the ability to live independently in the community. Taking medication requires a greater level of independence.
PTS: 1
CON: Nursing | Mobility
37. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 25 Heading: Physiological Theories of Aging Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension {Understanding] Concept: Nursing; Mobility Difficulty: Easy Feedback 1 As part of the normal aging process, the body shows signs of use—wear and tear. Among these signs is slower movement. 2 As part of the normal aging process, the body shows signs of use—wear and tear. Among these signs is decreased cartilage, causing the need for knee replacement. 3 As part of the normal aging process, the body shows signs of use—wear and tear. Among these signs is possible use of a walker because of decreased bone mass and reduced muscle strength. 4 Many older people do not have chronic diseases and chronic diseases are not inevitable
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
with age.
PTS: 1
CON: Nursing | Mobility
38. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 25 Heading: Physiological Theories of Aging Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Assessment; Nursing Difficulty: Easy Feedback 1 The nutritional status of the person can play a role in the development of certain diseases and in life span. 2 Family history can play a role in the development of certain diseases and in life span 3 The presence of any chronic diseases can play a role in the development of certain diseases and in life span. 4 The number of friends may or may not play a role in the development of certain diseases and life span.
PTS: 1
CON: Assessment | Nursing
39. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Integumentary Chapter page reference: 30 Heading: Integumentary System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Thermo-Regulation Difficulty: Easy Feedback 1 Increased body fluid does not cause an older person to feel colder or have decreased diaphoresis with an elevated body temperature. 2 Alterations in appetite do not cause an older person to feel colder or have decreased diaphoresis with an elevated body temperature. 3 A normal age-related change is a reduction in subcutaneous fat, often leading an older adult to feel cold and ask for sweaters. This reduction in subcutaneous fat and decreased sweat production may also cause an older adult not to exhibit diaphoresis even with a fever. 4 Difficulty with bowel elimination does not cause an older person to feel colder or have decreased diaphoresis with an elevated body temperature.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1
CON: Nursing | Thermo-regulation
40. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Integumentary Chapter page reference: 30 Heading: Integumentary System Integrated Processes: Nursing Process: Assessment Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive level: Analysis [Analyzing] Concept: Nursing; Skin Integrity Difficulty: Moderate Feedback 1 Clustering of melanocytes contributes to the development of age spots. 2 Decreased sweat production causes an older person to not experience diaphoresis with a fever. 3 A decrease in subcutaneous fat causes an older person to feel cold. 4 Age-related skin dryness and decreased elasticity increase the risk of skin breakdown and skin tears, leading to increased potential for injury and infection.
PTS: 1
CON: Nursing | Skin Integrity
41. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems. Cardiovascular Chapter page reference: 28 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Knowledge [Remembering] Concept: Perfusion; Nursing Difficulty: Easy Feedback 1 Reduced blood volume would cause a drop in blood pressure. 2 Increased rigidity of heart valves contributes to changes in cardiac output and the development of heart murmurs. 3 During the aging process, the walls of the blood vessels thicken and become less elastic, often leading to increases in blood pressure. 4 Decreased strength of cardiac muscle contributes to changes in cardiac output.
PTS: 1
CON: Perfusion | Nursing
42. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems. Cardiovascular Chapter page reference: 28 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Knowledge [Remembering] Concept: Perfusion; Nursing Difficulty: Easy Feedback 1 Decreased blood volume with aging is not caused by decreased physical activity. 2 Decreased blood volume with aging is not caused by increased daily urine output. 3 Decreased blood volume with aging is not caused by reduced oral intake of fluids. 4 Blood volume is decreased in an older adult because of decreased total body water.
PTS: 1
CON: Perfusion | Nursing
43. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems. Cardiovascular Chapter page reference: 28 Heading: Normal Physiological Changes According to Body Systems Integrated Processes: Nursing Process: Assessment Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Application [Applying] Concept: Perfusion; Nursing Difficulty: Moderate Feedback 1 Decreased hemoglobin and hematocrit levels in an older person are not because of increased oral fluid intake. 2 Decreased hemoglobin and hematocrit levels in an older person are not because of decreased rigidity of heart valves. 3 Decreased hemoglobin and hematocrit levels in an older person are not because of increased rigidity of blood vessels. 4 Red blood cells (RBCs) carrying hemoglobin are produced in the bone marrow; a decrease in bone marrow production frequently leads to a decrease in levels of RBCs, hemoglobin, and hematocrit.
PTS: 1
CON: Perfusion | Nursing
44. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Respiratory Chapter page reference: 29 Heading: Respiratory System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying] Concept: Nursing; Oxygenation Difficulty: Moderate Feedback 1 The degree of changes within both systems cannot be predicted.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2 3 4
Changes appear slower in the respiratory system than the cardiovascular system. The age-related changes affecting the respiratory system are so gradual that most older adults compensate well. Changes in the cardiovascular system are more sudden than those appearing in the respiratory system.
PTS: 1
CON: Nursing | Oxygenation
45. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Respiratory Chapter page reference: 29 Heading: Respiratory System Integrated Processes: Nursing Process: Assessment Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Comprehension [Understanding] Concept: Nursing; Oxygenation Difficulty: Moderate Feedback 1 Osteoporosis will not improve the patient’s cough reflex. 2 Osteoporosis will not improve the patient’s lung capacity. 3 Osteoporosis often causes compression of the vertebral column, leading to a bent-over or stooped posture. This posture allows less space for lung expansion and air flow. 4 Osteoporosis leads to a stooped posture, which reduces lung space for expansion and air flow.
PTS: 1
CON: Nursing | Oxygenation
46. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 25 Heading: Physiological Theories of Aging Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Knowledge [Remembering] Concept: Stress; Nursing Difficulty: Moderate Feedback 1 Good nutrition, exercise, and stress control will not cause an early death. 2 There is no way to predict the number of years that can be added to a person’s life if good nutrition, exercise, and stress control are practiced. 3 Although it is believed that good nutrition, exercise, and stress control can impact chronic illnesses, there is no way of knowing if these approaches will reduce the risk factors for chronic disease. 4 Although the genetic theory of aging claims that humans are born with a genetic program that predetermines their life span, a healthy diet, exercise, and stress control
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
support a higher quality of life, if not adding to longevity.
PTS: 1
CON: Nursing
47. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 1. Define the term ageism. Chapter page reference: 24 Heading: Ageism Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Nursing Difficulty: Easy Feedback 1 Hospice care is provided to a person with a terminal illness with 6 months or less time to live. 2 Palliative care is given to a person to ensure comfort while managing a chronic illness. 3 Custodial care is given to maintain a person’s life without impacting chronic illnesses or improving the health status. 4 Today’s nursing home is characterized by a concept of rehabilitative, not custodial, care. Rehabilitative care supports the highest possible level of independence despite physical and cognitive limitations.
PTS: 1
CON: Nursing
48. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 1. Define the term ageism. Chapter page reference: 24 Heading: Ageism Integrated Processes: Nursing Process: Evaluation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Analysis [Analyzing] Concept: Diversity; Nursing Difficulty: Moderate Feedback 1 Addressing the older patient with respect honors the uniqueness of the older individual. 2 Calling an older patient “baby doll” is demeaning and fosters dependence. 3 Calling an older patient “hon” is demeaning. 4 Calling an older patient “sweetie” is demeaning.
PTS: 1
CON: Diversity | Nursing
49. ANS: 3 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter page reference: 25 Heading: Wear and Tear Integrated Processes: Nursing Process: Evaluation Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Analysis [Analyzing] Concept: Nursing Difficulty: Moderate Feedback 1 Reviewing the intake of calcium is focusing on the nutrient theory of aging. 2 Asking about the death of parents focuses on the genetic theory of aging. 3 By stopping and resting for a few seconds while ambulating an older patient the nurse understands that the patient’s body parts might be worn out. With lung disease, the need to rest while walking would be necessary. 4 Suggesting that the patient use a wheelchair to reduce the time to get somewhere is not taking the wear and tear theory of aging into consideration.
PTS: 1
CON: Nursing
50. ANS: 1 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 26 Heading: Psychological Theories Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Self; Nursing Difficulty: Easy Feedback 1 The continuity theory states that as people change, their basic personalities and behavioral patterns do not change. Because the older patient was unable to teach, writing was the other avenue used to continue to instruct others. 2 According to the subculture theory older people have their own cultural norms and standards. This does not explain the patient’s actions. 3 The wear and tear theory explains the effect of living on the human body parts and organs. 4 Developmental task theory states that older people have the task to achieve integrity vs. despair in old age. This does not explain the actions of this older patient.
PTS: 1
CON: Self | Nursing
51. ANS: 4 Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes to the body systems. Chapter page reference: 28 Heading: Normal Aging Process Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Cognitive level: Comprehension [Understanding] Concept: Nursing; Health Promotion Difficulty: Easy
1 2 3 4
Feedback Expecting to enjoy perfect health until death would be everyone’s wish, but is not being realistic. Realizing that everyone dies is a negative view of health for an older adult. Understanding that the body wears out and that nothing can be done about it is a negative view of health. Health for older adults might be defined as the ability to function at an individual’s highest potential despite the presence of age-related changes and risk factors.
PTS: 1
CON: Nursing | Health Promotion
MULTIPLE RESPONSE 52. ANS: 1, 2, 4 Feedback 1. The task for old age, according to Erikson, is integrity vs. despair. If older people can find meaning in the life lived, then they will have the ego integrity to adjust and manage the process of aging. If they do not have integrity, they will be angry. 2. The task for old age, according to Erikson, is integrity vs. despair. If older people can find meaning in the life lived, then they will have the ego integrity to adjust and manage the process of aging. If they do not have integrity, they will be depressed. 3. Reading the newspaper does not indicate that the older patient is having difficulty with the developmental task of integrity vs. despair. 4. The task for old age, according to Erikson, is integrity vs. despair. If older people can find meaning in the life lived, then they will have the ego integrity to adjust and manage the process of aging. If they do not have integrity, they will feel despair. 5. Laughing with grandchildren indicates ego integrity to adjust to aging. Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 2. Discuss six common theories of aging. Chapter page reference: 26 Heading: Psychological Theories Integrated Processes: Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive level: Analysis [Analyzing] Concept: Nursing; Development Difficulty: Moderate PTS: 1
CON: Nursing | Development
53. ANS: 1, 2, 5 Feedback 1. Normal aging includes gains and losses and does not indicate decline. 2. As individuals age they become more diverse and not alike.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3. 4. 5.
Age-related changes develop in each individual in a unique way. Normal aging and disease are separate entities. Successful adaptation to the aging process is accomplished by most older adults.
Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes to the body systems. Chapter page reference: 28 Heading: Normal Aging Process Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Nursing; Health Promotion Difficulty: Easy PTS: 1
CON: Nursing | Health Promotion
54. ANS: 1, 2, 4, 5 Feedback 1. Lung elastic recoil is progressively lost with advancing age. 2. Alveoli enlarge and become thin with aging. 3. The surface area for gas exchange is reduced. 4. The alveolus-capillary membrane thickens. 5. The number of functioning alveoli decreases overall. Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Respiratory Chapter page reference: 29 Heading: Respiratory System Integrated Processes: Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive level: Analysis [Analyzing] Concept: Oxygenation; Nursing Difficulty: Moderate PTS: 1
CON: Oxygenation | Nursing
55. ANS: 1, 2, 4, 5 Feedback 1. An age-related change in the oral cavity is loose teeth. 2. Delayed gastric emptying time can reduce the appetite. 3. Feelings of thirst are not age-related changes of the gastrointestinal system. 4. A weak gag reflex is an age-related change in the older person’s esophagus. 5. Feeling full is caused by delayed gastric emptying. Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Gastrointestinal Chapter page reference: 31 Heading: Gastrointestinal System Integrated Processes: Nursing Process: Assessment
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Analysis [Analyzing] Concept: Digestion; Nursing Difficulty: Moderate PTS: 1
CON: Digestion | Nursing
56. ANS: 1, 2, 3, 5 Feedback 1. Functional impairments caused by decreased bladder capacity can lead to nocturia. 2. Functional impairments caused by decreased bladder capacity can lead to frequency. 3. Functional impairments caused by decreased bladder capacity can lead to incontinence. 4. Renal calculi is not identified as being caused by functional impairments in bladder capacity. 5. Functional impairments caused by decreased bladder capacity can lead to urinary retention. Chapter number and title: Chapter 2 The Aging Experience Chapter/learning objective: 3. Identify age-related changes in the following body systems: Genitourinary Chapter page reference: 31 Heading: Genitourinary System Integrated Processes: Nursing Process: Assessment Client Need: Physiological Integrity: Physiological Adaptation Cognitive level: Application [Applying] Concept: Urinary Elimination; Nursing Difficulty: Moderate PTS: 1
CON: Urinary Elimination | Nursing
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Which statement is LEAST true about life transitions? 1)
A person usually experiences only one transition in a lifetime.
2)
Sometimes there is more than one transition occurring at the same time in a person’s life.
3)
Challenging experiences that accompany aging may require life transitions.
4)
Each loss or change requires transitional effort from the person experiencing it.
2. A 76-year-old patient recovering from hip replacement surgery is upset and does not feel at peace because of her inability to attend church as a result of the injury. What is the best response by the nurse? 1)
Encourage her to read a book, magazine, or newspaper.
2)
Suggest that she watch television to keep her mind distracted.
3)
Offer to call the hospital’s chaplain or clergyman to come pray with her.
4)
Tell her to sleep so that her body can heal and return to a state of peacefulness.
3. Which would NOT be considered a transitional event? 1)
Marriage
2)
Losing a job
3)
Moving to a new home
4)
Visiting an amusement park
4. Which is NOT an identified feature of a transition? 1)
A stage of denial
2)
A phase of turmoil
3)
An altered time perspective
4)
A disturbance in body function
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
5. The nurse respects an older patient’s decision and right to refuse treatment and returns at a later time to offer previously refused medication. Which factor influencing transitional outcomes applies to this patient’s situation? 1)
Degree of choice
2)
Perception of change
3)
Preparation for the change
4)
Extent or degree of change
6. Which action would LEAST likely support the degree of change that an older person has to make when preparing to move? 1)
Selecting a home that meets the physical needs of the person
2)
Ensuring the new home is located near a senior citizen’s center
3)
Choosing a smaller apartment so the person has fewer items to move
4)
Finding a home with a grocery store within walking distance
7. Which approach is LEAST appropriate when helping patients prepare for transitions? 1)
Avoid discussing difficult topics with patients.
2)
Repeat all necessary information about the transition.
3)
Involve family members when discussing future transitions.
4)
Talk to patients and residents about changes to be anticipated.
8. Which characteristics should be considered when a person is transitioning? 1)
Gender
2)
Vital signs
3)
Past experiences
4)
Height and weight
9. What aspects of the environment in a hospital room would most likely allow for smooth transitioning?
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1)
Warm and dark
2)
Clean and colorful
3)
Restrictive and demanding
4)
Cheerful and relaxing
10. Which is NOT a common transition for an older adult? 1)
Marriage
2)
Health changes
3)
Family role changes
4)
Job changes and retirement
11. A 68-year-old patient has just been admitted to the oncology unit with a new diagnosis of lung cancer. This is the patient’s first hospital admission and she knows very little about the diagnosis. Which action should the nurse take to make this patient’s transition easier? 1)
Administer an antianxiety agent to keep her calm.
2)
Leave a printout about lung cancer at her bedside.
3)
Talk with her about her fears, questions, or concerns.
4)
Tell her a physician will be in to explain what is going on.
12. Spirituality is defined as 1)
The service and worship of God or the supernatural
2)
The organized practice of one’s belief in a higher power
3)
Formal worship involving prescribed actions or practices
4)
A feeling from within that communicates a higher power at work
13. Which is the LEAST likely way to assess a patient’s spiritual needs? 1)
Looking for any religious books in the patient’s room
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2)
Identifying the patient’s religious preference from the chart
3)
Asking the patient’s neighbor if he or she has heard the patient praying
4)
Looking for identifying jewelry or artifacts in the patient’s personal belongings
14. A 73-year-old patient recovering from coronary artery bypass surgery is depressed and is continuously asking, “Why is God doing this to me?” The best response by the nurse is to 1)
Ask the patient if he has any specific spiritual needs to be addressed.
2)
Call for a psychiatric consultation to screen the patient for depression.
3)
Reassure the patient that he did nothing wrong and everything is okay.
4)
Tell the patient that sadness usually occurs after undergoing heart surgery.
15. A patient asks the nurse to pray with her, however, the nurse does not usually pray. Which approach would be the LEAST supportive of the patient’s needs? 1)
Hold the patient’s hands while she prays.
2)
Sit near the patient and be reverent during the prayer.
3)
Tell the patient to find someone else who will pray with her.
4)
Find a coworker who would be willing to pray with the patient.
16. Achieving gerotranscendence allows for an older person to 1)
Live life without regret and die well.
2)
Withdraw and disengage from life’s many hardships.
3)
Become more involved with the self rather than others.
4)
Reach a state of wealth and superfluous social interaction.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
17. Which is the LEAST likely reason to perform a life review? 1)
To reflect on all the great accomplishments of one’s life
2)
To identify strengths that can assist with current transitions
3)
To assist older people to review their lives and appreciate them
4)
To help older people prepare for life insurance and funeral expenses
18. One of the purposes of a creating a life story is to 1)
Ensure the patient’s memory is intact.
2)
Publish it as a book and sell it for profit.
3)
Keep the patient busy for long periods of time.
4)
Share the life story with children and grandchildren.
19. When working with older people it is important for the nurse to employ holistic nursing care by embracing the body, mind, and spirit of the patient. Which action does NOT represent embracing the body, mind, or spirit? 1)
Meeting spiritual needs
2)
Following the medical plan of care
3)
Addressing transitional stress needs
4)
Delivering a mechanistic form of care
20. What role does spirituality have with transitions? 1)
Estimates the number of transitions to expect in the future
2)
Summarizes approaches to speed up the transition process
3)
Helps explain how long the transition will take to complete
4)
Provides a method to understand the losses being experienced
21. Which phrase best describes a transitional moment?
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1)
Stress provoked by the change
2)
Letting go of previous practices
3)
Realizing that a change has to occur
4)
Accepting new ways of doing things
22. A nursing instructor has spinal fusion surgery and learns afterward that performing cardiopulmonary resuscitation and walking for long periods of time will be contraindicated in the future after recovery. What is the transitional moment for this instructor? 1)
Having surgery
2)
Recovering from surgery
3)
Teaching nursing students
4)
Learning that certain activities are not permitted to be performed
23. What is interconnected with a transition? 1)
Cost
2)
Growth
3)
Relocation
4)
Change in vocation
24. A middle-aged adult is having difficulty with losing one parent and then the other 5 months later. What should the nurse do to help this adult with the transition of losing both parents in a short period of time? 1)
Remind the person that the parents had long lives.
2)
Assure the person that the parents are in a better place now.
3)
Encourage the person to move forward and resume routine activities.
4)
Ask how the transition of losing a spouse a few years ago was handled.
25. What is the average length of a transitional period? 1)
Decades
2)
A few days
3)
A few hours
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4)
Weeks to months
26. One member of an older couple is unable to walk independently and needs hemodialysis treatments three times a week. The couple is discussing the need for an extended care facility. What should be done to facilitate the ill spouse’s free choice with a transition? 1)
Identify the facilities with hemodialysis treatment centers.
2)
Explain how it is safer for an extended care facility admission to occur.
3)
Remind the couple that as they age they should expect health problems
4)
Review the importance of receiving quality care to improve physical status.
27. What strategy should be used to learn how an older person perceives a transition? 1)
Listen to the person talk.
2)
Observe how the person lives.
3)
Plan to share a meal with the person.
4)
Analyze the person’s living situation and clothing.
28. What is the major premise of the progressively lowered stress threshold? 1)
Identify the cause of stress.
2)
Strategize approaches to limit distractions.
3)
Reduce the number of decisions a person has to make.
4)
Provide the individual with as much control as possible.
29. The aging parents of a middle-aged adult have both recently passed away. What transition will the middleaged adult be facing? 1)
Role crisis
2)
Loss of identity
3)
Change in employment
4)
Unpreparedness for the future
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
30. An older adult is having difficulty adjusting to needing a cane to safely ambulate. With which transitions is the person having difficulty? 1)
Role crisis
2)
Body image
3)
Loss of identity
4)
Lack of social interaction
31. During a home visit, the adult daughter of an aging couple asks her father to not tell the story about “the time you were in the war and had to use sheets to cover a wound” again. What should the nurse realize that the older parent is demonstrating? 1)
Delirium
2)
Dementia
3)
Confusion
4)
Life review
32. An older married couple spent a few weeks going through all photos and placing them in albums to present to their adult children. What behavior did the older couple demonstrate? 1)
Creativity
2)
Motivation
3)
Life review
4)
Storytelling
33. During a community picnic, the nurse observes a middle-aged adult sitting alone on a bench. This adult is reflecting on the times spent with parents and friends and does not want to forget the memories. What should the nurse suggest to this person? 1)
Write a life story.
2)
Learn a new hobby.
3)
Spend less time alone.
4)
Share the memories with children.
Multiple Response Identify one or more choices that best complete the statement or answer the question. 34. What characteristics should be considered when assisting an older person with a transition? Select all that apply.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1)
Finances
2)
Nutrition
3)
Personality
4)
Coping skills
5)
Past experiences
35. What behaviors indicate that an older person is experiencing unresolved stress? Select all that apply. 1)
Punching an orderly
2)
Criticizing the meals
3)
Sitting in a dark room
4)
Arguing with the staff
5)
Yelling at a family member
36. What should be identified as potentially causing stress in an older patient? Select all that apply. 1)
Waiting over an hour for a pain pill
2)
Watching a horror movie on television
3)
Having a different nurse scheduled for the day shift
4)
Hearing a jackhammer breaking up concrete on the street
5)
Being awakened every 2 hours during the night for blood work
37. Which observation indicates that a recently retired older person is having difficulty with the transition? Select all that apply. 1)
Losing weight
2)
Meeting with friends
3)
Downloading ebooks
4)
Babysitting grandchildren
5)
Skipping medication doses
Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Answer Section MULTIPLE CHOICE
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 1. Discuss the significance of transitions and spirituality in the lives of elderly people. Chapter page reference: 39 Heading: Significance of Transitions and Spirituality Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Self; Nursing Difficulty: Easy Feedback 1
Life is full of transitions. A person does not experience just one transition during a lifetime.
2
More than one transition can be occurring at the same time.
3
Experiences of aging may be challenging and may require life transitions.
4
A loss or change does require transitional effort for the person experiencing it.
PTS: 1
CON: Self | Nursing
2. ANS: 3 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 1. Discuss the significance of transitions and spirituality in the lives of elderly people. Chapter page reference: 39 Heading: Significance of Transitions and Spirituality Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Spirituality Difficulty: Moderate Feedback 1
This is a distraction and does not resolve the patient’s underlying spiritual need.
2
This is a distraction and does not resolve the patient’s underlying spiritual need.
3
Calling the hospital’s chaplain or clergyman to pray with the patient would help meet
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
spiritual needs and aid in recovery and healing. 4
PTS: 1
Sleep is an important component of recovery, but it does not replace the power of spirituality.
CON: Spirituality
3. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 2. Describe what a transition is and the impact it has on people. Chapter page reference: 39 Heading: Understanding Transitions Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Self; Nursing Difficulty: Easy Feedback 1
Marriage marks the beginning of a new phase of life.
2
Losing a job marks the end of a phase of life.
3
Moving to a new home marks the beginning of a new phase of life.
4
Visiting an amusement park is entertainment and not a transitional event.
PTS: 1
CON: Self | Nursing
4. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 2. Describe what a transition is and the impact it has on people. Chapter page reference: 41 Heading: Understanding Transitions Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Self; Nursing Difficulty: Easy Feedback 1
A stage of denial is not a common feature of transitions.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2
A phase of turmoil is a common feature of transitions.
3
An altered time perspective is a common feature of transitions.
4
A disturbance in body function is a common feature of transitions.
PTS: 1
CON: Self | Nursing
5. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 41 Heading: How to Influence a Transitional Outcome Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Self; Nursing; Nursing Roles Difficulty: Easy Feedback 1
People who believe they have chosen the transition are more likely to embrace the transition, and this represents degree of choice.
2
This is a factor that influences transitional outcomes but does not explain this patient’s situation.
3
This is a factor that influences transitional outcomes but would not apply to this patient’s situation.
4
This is a factor that influences transitional outcomes but would not explain this patient’s situation.
PTS: 1
CON: Self | Nursing | Nursing Roles
6. ANS: 3 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 43 Heading: How to Influence a Transitional Outcome
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Integrated Processes: Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Self; Nursing; Nursing Roles Difficulty: Easy Feedback 1
This is a humanistic approach to caring and would make the transition of moving into a new home easier.
2
This is a humanistic approach to caring and would make the transition of moving into a new home easier.
3
This is a mechanistic approach to caring and would require the person to discard items that may be desired. This would make the transition more difficult.
4
This is a humanistic approach and demonstrates caring to make the transition of moving into a new home easier.
PTS: 1
CON: Self | Nursing | Nursing Roles
7. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 43 Heading: How to Influence a Transitional Outcome Integrated Processes: Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Self; Nursing; Nursing Roles Difficulty: Easy Feedback 1
Avoiding the discussion of difficult topics fails to prepare patients for future transitions.
2
Repeating all necessary information about the transition is a technique to prepare for a future transition.
3
Involving family members when discussing future transitions is an appropriate technique.
4
Talking to patients and residents about changes to be anticipated is an appropriate
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
technique when preparing for a transition.
PTS: 1
CON: Self | Nursing | Nursing Roles
8. ANS: 3 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 43 Heading: How to Influence a Transitional Outcome Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Self; Nursing; Nursing Roles Difficulty: Easy Feedback 1
Gender does not characterize the person’s ability to transition.
2
Vital signs do not characterize the person’s ability to transition.
3
A person’s personality, past experiences, and coping skills all are important factors to consider for transitioning.
4
Height and weight do not characterize the person’s ability to transition.
PTS: 1
CON: Self | Nursing | Nursing Roles
9. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 44 Heading: How to Influence a Transitional Outcome Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Self; Nursing; Nursing Roles Difficulty: Easy Feedback 1
Warm and dark environments may hinder transitioning.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2
Clean and comfortable environments may play a role in healing, but not necessarily ensure satisfactory transitioning.
3
Restrictive and demanding environments may hinder transitioning.
4
Environments that are cheerful, relaxed, nurturing, and respectful allow for proper healing.
PTS: 1
CON: Self | Nursing | Nursing Roles
10. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 5. Recommend three transitions common to older adults. Chapter page reference: 47 Heading: Common Transitions for Older Adults Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Self; Nursing; Nursing Roles Difficulty: Easy Feedback 1
Although marriage is considered to be a transition, it is most often seen in early to middle adulthood.
2
Health changes are common transitions for an older adult because of the frequency of their occurrence during the aging process.
3
Family role changes are common transitions for an older adult because of the frequency of their occurrence during the aging process.
4
Job changes and retirement are common transitions for an older adult because of the frequency of their occurrence during the aging process.
PTS: 1
CON: Self | Nursing | Nursing Roles
11. ANS: 3 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 5. Recommend three transitions common to older adults. Chapter page reference: 48 Heading: Common Transitions for Older Adults
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Self; Nursing; Nursing Roles Difficulty: Moderate Feedback 1
An antianxiety agent may help the patient remain calm but does not resolve underlying concerns.
2
This may provide supplemental information about the health problem but does not replace the role of the nurse to listen and address the patient’s concerns.
3
Talking with the patient about fears and concerns is a critical aspect of giving caring and holistic nursing care.
4
The physician may be able to provide information about the health problem but does not help the patient with cares and concerns.
PTS: 1
CON: Self | Nursing | Nursing Roles
12. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 49 Heading: Significance of Spirituality Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive level: Remembering [Knowledge] Concept: Spirituality Difficulty: Easy Feedback 1
The service and worship of God or the supernatural explains religion.
2
The organized practice of one’s belief in a higher power is a definition of religion.
3
Formal worship involving prescribed actions or practices is a characteristic of religion.
4
Spirituality is a feeling from within.
PTS: 1
CON: Spirituality
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
13. ANS: 3 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 49 Heading: Significance of Spirituality Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Spirituality; Assessment Difficulty: Easy Feedback 1
Looking for religious books is one way to assess for spiritual needs.
2
Identifying the patient’s religious preference from the chart is one way to assess for spiritual needs.
3
Involving the patient’s neighbor may be a violation of the patient’s right to privacy.
4
Looking for identifying jewelry or artifacts in the patient’s personal belongings is one way to assess for spiritual needs.
PTS: 1
CON: Spirituality | Assessment
14. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 50 Heading: Significance of Spirituality Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Spirituality Difficulty: Moderate Feedback 1
Feelings of sadness or depression and comments of despair are expressions of unmet spiritual needs or spiritual distress.
2
Calling for a psychiatric consultation to screen the patient for depression might be considered after the nurse addresses any unmet spiritual needs.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3
Reassuring the patient that he did nothing wrong and everything is okay is an inappropriate response.
4
Telling the patient that sadness usually occurs after undergoing heart surgery is not correct information.
PTS: 1
CON: Spirituality
15. ANS: 3 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 50 Heading: Significance of Spirituality Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Spirituality Difficulty: Moderate Feedback 1
Holding the patient’s hands while she prays will meet the patient’s needs.
2
Sitting near the patient and being reverent during the prayer will meet the patient’s needs.
3
It is the nurse’s role to support a person with unmet spiritual needs so the patient can achieve management of the illness or problems being faced. Telling the patient to find someone else to pray with does not meet the patient’s needs.
4
Finding a coworker who would be willing to pray with the patient will meet the patient’s needs.
PTS: 1
CON: Spirituality
16. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 51 Heading: Resolving Transitional Problems Integrated Processes: Nursing Process: Planning
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Development; Nursing Difficulty: Easy Feedback 1
Gerotranscendence allows an older person to have no regrets and die well.
2
Withdrawing and disengaging from life’s many hardships is the opposite of gerotranscendence.
3
Becoming more involved with the self rather than others is the opposite of gerotranscendence.
4
Reaching a state of wealth and superfluous social interaction is the opposite of gerotranscendence.
PTS: 1
CON: Development | Nursing
17. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 51 Heading: Resolving Transitional Problems Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Development; Nursing Difficulty: Easy Feedback 1
A life review allows for older people to reflect on accomplishments throughout life.
2
A life review allows for older people to identify strengths to help with current transitions.
3
A life review allows for older people to review their lives and appreciate them.
4
A life review is not done to prepare for life insurance and funeral expenses.
PTS: 1
CON: Development | Nursing
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
18. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 52 Heading: Resolving Transitional Problems Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Development; Nursing Difficulty: Easy Feedback 1
Creating a life story is not done to ensure the patient’s memory is intact.
2
Creating a life story is not done to publish it as a book and sell it for profit.
3
Creating a life story is not done to keep the patient busy for long periods of time.
4
A copy of a life story could be shared with children, grandchildren, friends, family members, and staff members so that they could get to know the patient better.
PTS: 1
CON: Development | Nursing
19. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 53 Heading: Resolving Transitional Problems Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing; Nursing Roles Difficulty: Moderate Feedback 1
Meeting spiritual needs embraces the spirit.
2
Following the medical plan of care embraces the body.
3
Addressing transitional stress needs embraces the mind.
4
Holistic nursing care involves a humanistic approach, not simply mechanistic care.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1
CON: Development | Nursing
20. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 1. Discuss the significance of transitions and spirituality in the lives of elderly people. Chapter page reference: 49 Heading: Significance of Transitions and Spirituality Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Spirituality Difficulty: Easy Feedback 1
Spirituality does not help estimate the number of transitions to expect in the future.
2
Spirituality does not provide approaches to speed up the transition process.
3
Spirituality does not help explain how long the transition will take to complete.
4
Spirituality is comforting and can provide many people with a method for understanding the losses that are being experienced.
PTS: 1
CON: Spirituality
21. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 1. Discuss the significance of transitions and spirituality in the lives of elderly people. Chapter page reference: 41 Heading: Significance of Transitions and Spirituality Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Stress Difficulty: Easy Feedback 1
The time of the unknown, which is usually marked by the stress provoked by the change, is the transitional moment.
2
Letting go of previous practices is not the transitional moment.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3
Realizing that a change has to occur is not the transitional moment.
4
Accepting new ways of doing things is not the transitional moment.
PTS: 1
CON: Stress
22. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 1. Discuss the significance of transitions and spirituality in the lives of elderly people. Chapter page reference: 41 Heading: Significance of Transitions and Spirituality Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Analysis [Analyzing] Concept: Stress Difficulty: Moderate Feedback 1
Although surgery is stressful, this is not the transitional moment.
2
Although recovering from surgery can be stressful, this is not the transitional moment.
3
Although teaching nursing students can be stressful, this is not the transitional moment.
4
Learning that certain activities can no longer be performed creates stress, which is the transitional moment.
PTS: 1
CON: Stress
23. ANS: 2 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 2. Describe what a transition is and the impact it has on people. Chapter page reference: 40 Heading: Understanding Transitions Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge; Remembering Concept: Development; Stress Difficulty: Easy Feedback
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1
Cost is not necessarily interconnected with a transition.
2
Transitions are interconnected with the growth of the person.
3
Relocation is not necessarily interconnected with a transition.
4
Change in vocation is not necessarily interconnected with a transition.
PTS: 1
CON: Development | Stress
24. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 2. Describe what a transition is and the impact it has on people. Chapter page reference: 40 Heading: Understanding Transitions Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Development; Stress Difficulty: Moderate Feedback 1
Reminding the person that the parents had long lives will not help the adult deal with the transition of losing both parents within a short period of time.
2
Assuring the person that the parents are in a better place will not help the adult deal with the transition of losing both parents within a short period of time.
3
Encouraging the person to move forward and resume routine activities will not help the adult deal with the transition of losing both parents within a short period of time.
4
Most people have experienced a critical transition. By helping the person remember the behaviors that were helpful in the past, these same behaviors can be used to help with the current transition.
PTS: 1
CON: Development | Stress
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
25. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 2. Describe what a transition is and the impact it has on people. Chapter page reference: 41 Heading: Understanding Transitions Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Development; Stress Difficulty: Easy Feedback 1
A transitional period is not identified as lasting decades.
2
A transitional period will be longer than a few days.
3
A transitional period will be longer than a few hours.
4
A transitional period can last weeks or months.
PTS: 1
CON: Development | Stress
26. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 42 Heading: How to Influence a Transitional Outcome Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Development; Stress Difficulty: Moderate Feedback 1
People who think they have freely chosen the transition are more likely to embrace it or own it. Providing a list of facilities with hemodialysis treatment centers will offer the couple, and specifically the ill member, an opportunity to choose where to be admitted for care and treatment.
2
Explaining safety issues does not provide the ill member with a choice.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3
Reminding the couple that they are older in age and should expect health problems does not provide either of them with a choice.
4
Reviewing the importance of receiving quality care to improve physical status does not address free choice.
PTS: 1
CON: Development | Stress
27. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 43 Heading: How to Influence a Transitional Outcome Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Development; Stress Difficulty: Moderate Feedback 1
Communication skills should be used to listen to how a person perceives a transition and gain insight into the unique meanings that are attached to it for the person.
2
Observing how a person lives will not necessarily determine how the person will perceive a transition.
3
Sharing a meal with a person will not necessarily determine how the person will perceive a transition.
4
Analyzing the living situation and clothing will not necessarily determine how the person will perceive a transition.
PTS: 1
CON: Development | Stress
28. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 4. Define how the “progressively lowered stress threshold” concept can assist in the management of negative behaviors in older adults. Chapter page reference: 44 Heading: Progressively Lowered Stress Threshold
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Knowledge [Remembering] Concept: Stress Difficulty: Easy Feedback 1
Identifying the cause of stress is not the major premise of the progressively lowered stress threshold.
2
Strategizing approaches to limit distractions is not the major premise of the progressively lowered stress threshold.
3
Reducing the number of decisions a person has to make could encourage stress.
4
The major premise of the progressively lowered stress threshold is that personal freedom and control are threatened.
PTS: 1
CON: Stress
29. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 5. Recommend three transitions common to older adults. Chapter page reference: 48 Heading: Common Transitions for Older Adults Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Stress Difficulty: Easy Feedback 1
A person who is a member of the sandwich generation may experience role crisis after the individuals for whom the person is caring for have left or died.
2
Loss of identity is associated with job change or retirement.
3
Change in employment is associated with job change or retirement.
4
Unpreparedness for the future is associated with job change or retirement.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1
CON: Stress
30. ANS: 2 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 5. Recommend three transitions common to older adults. Chapter page reference: 48 Heading: Common Transitions for Older Adults Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Stress Difficulty: Easy Feedback 1
A role crisis occurs when the person’s place in the family and expectations have changed.
2
The use of a cane may cause the older person to have an altered self-image or lowered selfesteem.
3
Loss of identity is associated with job change and retirement.
4
Lack of social interaction is associated with job change and retirement.
PTS: 1
CON: Stress
31. ANS: 4 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 51 Heading: Resolving Transitional Problems Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Development Difficulty: Easy Feedback 1
Repeating the same story is not demonstrating delirium.
2
Repeating the same story is not demonstrating dementia.
3
Repeating the same story is not demonstrating confusion.
4
Storytelling is essential for the older person to
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
achieve integrity and should be supported and encouraged.
PTS: 1
CON: Development
32. ANS: 3 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 52 Heading: Resolving Transitional Problems Integrated Processes: Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Development Difficulty: Easy Feedback 1
Coordinating photographs is not necessarily demonstrating creativity.
2
The older couple may have needed to be motivated to perform the task.
3
Collecting and organizing photographs is a form of a life review.
4
Storytelling is verbally reviewing or reliving events in one’s life as a method of validation and integrity.
PTS: 1
CON: Development
33. ANS: 1 Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 6. Compare and contrast spirituality and religion. Chapter page reference: 52 Heading: Resolving Transitional Problems Integrated Processes: Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Development Difficulty: Easy Feedback 1
Writing a life story is a method of recording life events for the purpose of sharing or having a personal record.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2
Learning a new hobby does not support the person’s need to store the memories.
3
Spending less time alone does not support the person’s need to store the memories.
4
Sharing the memories with children may not be sufficient. The children may forget the stories and the memories will be lost in the years ahead.
PTS: 1
CON: Development
MULTIPLE RESPONSE 34. ANS: 2, 3, 4, 5 Feedback 1.
Finances are not important to consider when helping a person through a transition.
2.
Adequate nutrition is an important factor to consider when helping a person through a transition.
3.
A person’s personality is an important factor to consider when helping a person through a transition.
4.
A person’s coping skills are important factors to consider when helping a person through a transition.
5.
A person’s past experiences are important factors to consider when helping a person through a transition.
Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 3. List four to six activities the nurse can perform that will facilitate a successful transitional outcome. Chapter page reference: 43 Heading: How to Influence a Transitional Outcome Integrated Processes: Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Development; Stress Difficulty: Easy PTS: 1
CON: Development | Stress
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
35. ANS: 1, 2, 4, 5 Feedback 1.
Unresolved stress can include hitting.
2.
Unresolved stress can include criticizing the environment.
3.
Sitting in a dark room is a characteristic of depression.
4.
Unresolved stress can include raising one’s voice.
5.
Unresolved stress can include criticizing people in the environment.
Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 4. Define how the “progressively lowered stress threshold” concept can assist in the management of negative behaviors in older adults. Chapter page reference: 44 Heading: Progressively Lowered Stress Threshold Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Comprehension [Understanding] Concept: Development; Stress Difficulty: Easy PTS: 1
CON: Development | Stress
36. ANS: 1, 3, 4, 5 Feedback 1.
Waiting over an hour for a pain pill may cause stress.
2.
Watching a horror movie on television is a personal choice that can be changed by turning off the television.
3.
Having a different nurse for the day shift is a change in caregiver and may cause stress.
4.
Hearing a jackhammer break up concrete is inappropriate stimuli and may cause stress.
5.
Being awakened every 2 hours for blood work can lead to fatigue, which may cause stress.
Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 4. Define how the “progressively lowered stress threshold” concept can assist in the management of negative behaviors in older adults. Chapter page reference: 45
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Heading: Progressively Lowered Stress Threshold Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Analysis [Analyzing] Concept: Development; Stress Difficulty: Moderate PTS: 1
CON: Development | Stress
37. ANS: 1, 5 Feedback 1.
Losing weight could indicate that the older person has insufficient income to purchase food after retirement.
2.
Meeting with friends indicates social interaction is being maintained.
3.
Downloading ebooks indicates maintaining interests and hobbies.
4.
Babysitting grandchildren indicates spending time with family.
5.
Skipping medication doses could indicate that the older person has insufficient income to purchase needed medications.
Chapter number and title: Chapter 3: Supporting Life Transitions and Spirituality in the Elderly Chapter/learning objective: 5. Recommend three transitions common to older adults. Chapter page reference: 47 Heading: Common Transitions for Older Adults Integrated Processes: Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive level: Analysis [Analyzing] Concept: Development; Stress Difficulty: Moderate PTS: 1
CON: Development | Stress
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Which statement defines the nursing process? 1) A problem-solving approach 2) A standardized care-planning method 3) An intuitive approach to planning nursing care 4) A structured and inflexible way to approach problems
2. Which phrase LEAST describes the nursing process? 1) Planned care 2) Patient-centered 3) Adaptable to change 4) Organized according to medical diagnosis
3. Which is NOT a step in the nursing process? 1) Planning 2) Assessment 3) Physician orders 4) Nursing diagnosis
4. In which step of the nursing process does the nurse complete the minimum data set (MDS)? 1) Planning 2) Diagnosis 3) Assessment 4) Physician orders
5. Which is an example of assessment data? 1) Altered nutrition 2) Monitoring the resident’s oral intake 3) Resident will walk 100 feet each afternoon 4) Resident is complaining of difficulty swallowing
6. Which statement best explains the MDS? 1) Refers care providers to standardized plans of care 2) Focuses on care required for specific medical diagnoses 3) Dictates the nursing care that should be provided to every nursing home resident 4) Refers care providers to problem areas that must be addressed in the plan of care
7. Which is a nursing diagnosis?
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1) 2) 3) 4)
Osteoporosis related to menopause Congestive heart failure related to history of hypertension Non–insulin-dependent diabetes mellitus related to obesity Alteration in thought process related to Alzheimer’s disease
8. What does the development of a nursing diagnosis depend on? 1) Medical diagnoses 2) Chronic disease processes 3) Goals for the resident’s care 4) Data collected in the comprehensive assessment
9. Which statement describes the process of identifying a nursing diagnosis? 1) Setting goals for nursing care 2) Identifying the patient’s strengths and weaknesses 3) Reviewing medical-surgical nursing texts for patterns of disease processes 4) Selecting a nursing diagnosis from a list approved by the North American Nursing Diagnosis Association (NANDA)
10. How frequently are goals in long-term care measured? 1) Yearly 2) Weekly 3) Bimonthly 4) Every 30 or 90 days
11. Which best describes goals? 1) Resident-focused 2) Nurses providing ordered care 3) Priorities of the nursing facility 4) Priorities set by the physician’s orders
12. Which is a measurable goal for an older person? 1) The resident will feel better. 2) The resident will feel less nauseated. 3) The resident’s appetite will improve. 4) The resident will eat more than 80% of each meal for the next week.
13. An 80-year-old patient has the nursing diagnosis of impaired skin integrity related to stasis ulcer on the left ankle. Which would be a goal for this nursing diagnosis? 1) The resident will not have any more leg ulcers. 2) The nurse will change the wound dressing b.i.d. until healed. 3) The nurse will chart any wound drainage and report it to the physician. 4) Stasis ulcer will have decreased redness and granulation tissue evident in 2 weeks.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
14. A 68-year-old resident has an elevated blood pressure. What would be a goal for this resident’s care? 1) The resident’s blood pressure will be normal. 2) The resident’s blood pressure will not be elevated. 3) The resident’s blood pressure will be monitored t.i.d. for 1 week. 4) The resident’s blood pressure will be less than 160/90 mm Hg in 1 week.
15. Which is an appropriate goal for a resident who has a history of falling? 1) The resident will have no falls in the next 90 days. 2) The resident will be toileted q2h for the next week to prevent falls. 3) The resident will be walked by the physical therapy assistant two times a day. 4) The resident will be assessed for complaints of dizziness or unsteadiness for the next 90 days.
16. Which health-care provider implements the resident care plan? 1) The entire nursing team 2) The registered nurse (RN) 3) The licensed practical nurse (LPN) and the certified nursing assistant (CNA) 4) The RN and the CNA
17. What is NOT a part of assessment documentation? 1) Blood pressure 2) What the resident said 3) The nurse’s observation 4) Phone calls to the physician
18. After the care plan is completed on a new admission what must be done? 1) Notify the physician so that he or she may make changes. 2) File it in the drawer; it is not a useful tool for the ongoing care of the patient. 3) Re-evaluate and update the plan of care continually based on the patient’s needs. 4) Inform the family that the plan of care is complete for the duration of the patient’s stay.
19. Based on Maslow’s hierarchy of needs, which represents the most appropriate list of priorities? 1) Nutrition less than body requirements; constipation; self-care deficit; confusion 2) Constipation; self-care deficit; confusion; nutrition less than body requirements 3) Nutrition less than body requirements; self-care deficit; confusion, constipation 4) Self-care deficit; confusion; constipation; nutrition less than body requirements
20. Which care provider performs nursing interventions? 1) RN 2) LPN
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3) CNA 4) All members
21. Which statement best describes the nursing process? 1) A step-by-step linear plan 2) A step-by-step circular plan 3) A standardized plan of care for specific diseases or disorders 4) A plan of care designed by the physician according to the medical diagnosis
22. How does a nursing diagnosis differ from a medical diagnosis? 1) It is identified by a physician. 2) It identifies specific signs and symptoms. 3) It identifies a specific disease process affecting a specific body system. 4) It describes the impact a specific disease has on a patient’s day-to-day activities.
23. How should the nurse explain the minimum data set (MDS) to a new nursing student? 1) Highlights the major issues for each resident 2) Lists specific issues according to each resident 3) Outlines the specific care needed for every resident 4) Identifies standardized information for every resident
24. When should the MDS be completed? 1) On the day of admission 2) Within the first month of admission 3) Within the first 7 days of admission 4) Prior to discharge from the facility
25. What is embedded within the MDS responses? 1) Care area triggers 2) Care area assessment 3) Resident assessment protocols 4) Resident assessment instrument 26. What is missing from the goal “the resident will walk down the hall every day?” 1) Specificity 2) Timeliness 3) Attainability 4) Measurability
27. Why is it important for all disciplines to participate in the planning of a resident’s care? 1) Reduces duplication of effort
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2) Ensures that everyone is working 3) Speeds up the process of providing care 4) Ensures enough time to document at the end of the shift 28. Why should CNAs help in the development of nursing interventions for a resident’s plan of care? 1) They are nicer to the resident. 2) They spend the most time with the resident. 3) They have the most theory-based knowledge. 4) They are better received by the family members.
29. What should be done with the plan of care for a resident who is discharged back home? 1) Discard it. 2) Provide a copy to the family. 3) Keep it with the medical record. 4) Send it to the resident’s physician.
30. The nurse provides a resident with medication to aid with constipation. What should be included when documenting this intervention? 1) Resident’s response 2) Number of pills remaining 3) Number of residents needing the medication 4) Resident’s location when the medication was given
31. What should the nurse consult when documenting care provided to a resident in a nursing facility? 1) Physician’s progress note 2) Medical-surgical textbook 3) CNAs’ flow sheet information 4) Medication administration record
Multiple Response Identify one or more choices that best complete the statement or answer the question. 32. The nurse is reviewing information received from an acute care facility for a patient being transferred to the nursing home. What information should the nurse expect regarding the patient’s functional ability? Select all that apply. 1) Need for oxygen 2) Integrity of the skin 3) How the patient bathes 4) Assistance needed to eat 5) How the patient transfers
33. What is included in an admission assessment? Select all that apply.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1) 2) 3) 4) 5)
Nursing history Physical examination Interview with the resident Review of laboratory values Previous facility nurse’s notes
34. What is included in the resident assessment instrument (RAI)? Select all that apply. 1) Minimum data set (MDS) 2) Care area assessment (CAA) 3) Medication reconciliation form 4) Medicare and Medicaid conditions of participation 5) RAI utilization guidelines
35. Which are care area triggers? Select all that apply. 1) Falls 2) Delirium 3) Activities 4) Dental care 5) Arrhythmia
36. What is included in the planning phase of the nursing process? Select all that apply. 1) Setting priorities 2) Identifying goals 3) Designing interventions 4) Evaluating outcomes of care 5) Identifying outcomes of care
37. Why is a written plan of care created for all residents of a nursing facility? Select all that apply. 1) Required by federal regulations 2) Required by states for nursing licensure 3) Required by standards of nursing practice 4) Required by the nursing home administrator 5) Required by continuing education organizations
38. What is included in the nursing plan of care? Select all that apply. 1) Problems 2) Goals to be achieved 3) Time the action is to occur 4) Actions to address problems 5) Person to address the actions
39. Which actions facilitate that a resident’s plan of care will be followed by CNAs? Select all that apply.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1) 2) 3) 4) 5)
Assigning CNAs to pass linen Giving the CNAs written assignments Scheduling CNAs to do the same tasks Discussing the plan of care with the CNAs Using primary CNAs with steady assignments
40. What is the purpose of the evaluation phase of the nursing process? Select all that apply. 1) Determine if goals are met. 2) Assess the outcomes of care. 3) Make the next day’s assignments. 4) Ensure the resident is charged for all care. 5) Validate information to bill the insurance company.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Answer Section MULTIPLE CHOICE 1. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 62 Heading: Nursing Process Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy Feedback 1 The nursing process is a problem-solving approach that describes what nurses do. 2 The nursing process is changeable. 3 The nursing process is individualized for each person and provides a planned framework for providing care. 4 The nursing process is flexible.
PTS: 1
CON: Critical Thinking
2. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 62 Heading: Nursing Process Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy Feedback 1 The nursing process is based on planned care. 2 The nursing process is patient-centered. 3 The nursing process is individualized for each person and provides a planned framework for providing care. 4 The nursing process is not organized according to medical diagnoses.
PTS: 1
CON: Critical Thinking
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3. ANS: 3 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 63 Heading: Nursing Process Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy Feedback 1 After problems are identified, the plan is developed. 2 The nursing process starts with assessment. 3 Physician orders are considered in the plan of care but are not a step in the nursing process. 4 During assessment, the information regarding the patient is collected and then organized according to patient-centered problems and nursing diagnoses.
PTS: 1
CON: Critical Thinking
4. ANS: 3 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 63 Heading: Assessment Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy Feedback 1 The MDS is not done during the planning step of the nursing process. 2 The MDS is not part of the diagnosis step of the nursing process. 3 The MDS is part of the assessment step in the nursing process. 4 Physician orders are not a part of the nursing process.
PTS: 1
CON: Critical Thinking
5. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 63
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Heading: Assessment Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Analysis [Analyzing] Concept: Assessment; Critical Thinking Difficulty: Moderate Feedback 1 Altered nutrition is a nursing diagnosis. 2 Monitoring the resident’s oral intake is a nursing intervention. 3 Resident will walk 100 feet each afternoon is a patient goal. 4 Resident complaining of difficulty swallowing is assessment data.
PTS: 1
CON: Assessment | Critical Thinking
6. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 64 Heading: Minimum Data Set (MDS) Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Assessment; Critical Thinking Difficulty: Easy Feedback 1 The MDS is not based on standardized care plans. 2 The MDS is not based on medical diagnoses. 3 The MDS and resident assessment protocols provide guidelines designed to individualize the patient’s plan of care. 4 The MDS is part of the comprehensive assessment and has accompanying resident assessment protocols that provide the nurse with guidelines for care planning.
PTS: 1
CON: Assessment | Critical Thinking
7. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 65 Heading: Nursing Diagnosis and Medical Diagnosis Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Assessment; Critical Thinking Difficulty: Easy
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
1 2 3 4
Feedback This is a medical diagnosis. Naming a medical problem is not a nursing diagnosis. Combining medical problems is not a nursing diagnosis. This describes a patient problem that nursing care can address.
PTS: 1
CON: Assessment | Critical Thinking
8. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 64 Heading: Nursing Diagnosis Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Assessment; Critical Thinking Difficulty: Easy Feedback 1 Medical diagnoses are part of the comprehensive assessment but are not what nursing diagnoses are based on. 2 Chronic disease processes are part of the comprehensive assessment but are not what nursing diagnoses are based on. 3 Goals for the resident’s care will depend on the nursing diagnosis. 4 The nursing diagnosis results from the organization of assessment data into problem areas.
PTS: 1
CON: Assessment | Critical Thinking
9. ANS: 2 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 64 Heading: Nursing Diagnosis Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Assessment; Critical Thinking Difficulty: Easy Feedback 1 Setting goals follows identification of the nursing diagnosis. 2 The process of identifying a nursing diagnosis starts with evaluating a patient’s strengths and weaknesses.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
3 4
Reviewing medical-surgical texts assists the nurse in understanding responses to disease and assists in designing care plans but does not identify nursing diagnoses. The NANDA-approved list provides diagnostic labels for the patient’s strengths and weaknesses.
PTS: 1
CON: Assessment | Critical Thinking
10. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 68 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking Difficulty: Easy Feedback 1 Goals can be reviewed yearly, however, are not used because of the lack of framework for reviews at this interval. 2 Goals can be reviewed weekly, however, are not used because of the lack of framework for reviews at this interval. 3 Goals can be reviewed bimonthly, however, are not used because of the lack of framework for reviews at this interval. 4 Omnibus Reconciliation Act (OBRA) guidelines mandate a 30-day review after recent admission and a quarterly (90-day) interdisciplinary team review. These time frames provide measurable time markers for goals.
PTS: 1
CON: Critical Thinking
11. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 68 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking Difficulty: Easy Feedback 1 Goals are resident-focused and based on priorities identified for the resident. 2 Goals are not nurses providing ordered care because this is not resident-focused. 3 Goals are not priorities of the nursing facility because these would not be resident-
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4
focused. Goals are not priorities set by the physician’s orders because they may not be residentfocused.
PTS: 1
CON: Critical Thinking
12. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 68 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking Difficulty: Easy Feedback 1 This is not a measurable goal. 2 This may be difficult to measure. 3 This may be difficult to measure objectively. 4 Goals are measurable, realistic, specific, time-related, and attainable.
PTS: 1
CON: Critical Thinking
13. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 68 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Diagnosis Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Analysis [Analyzing] Concept: Critical Thinking Difficulty: Moderate Feedback 1 Even though this is a goal, it is not specific or timely. 2 This is a nursing intervention. 3 This is a nursing action. 4 This is a measurable, realistic, specific, time-related, and attainable goal.
PTS: 1 14. ANS: 4
CON: Critical Thinking
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 68 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Moderate Feedback 1 This goal is not measurable. 2 This goal is not specific. 3 This is a nursing intervention. 4 This is a measurable, timely, patient-specific, realistic, and attainable goal.
PTS: 1
CON: Critical Thinking
15. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 68 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Moderate Feedback 1 This goal is measurable, realistic, specific, time-related, and attainable. 2 This is a nursing intervention. 3 This is a physical therapy intervention. 4 This is a nursing action.
PTS: 1
CON: Critical Thinking
16. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 70 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Moderate Feedback 1 The entire nursing team is responsible for implementing the plan of care. 2 The RN is identified as head of the nursing team. 3 The LPN manages the care given by the CNA and passes medications, does dressings, and provides other care within the LPN domain of practice. 4 The CNA often gives the personal care to the resident under the supervision of the LPN.
PTS: 1
CON: Critical Thinking
17. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 71 Heading: Implementation Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking; Communication Difficulty: Easy Feedback 1 Objective measurements are part of assessment documentation. 2 What the resident said is part of assessment documentation. 3 The nurse’s observation is part of assessment documentation. 4 Phoning the physician is part of the plan when documenting using the AssessmentAction-Plan approach.
PTS: 1
CON: Critical Thinking | Communication
18. ANS: 3 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 71 Heading: Evaluation Integrated Processes: Nursing Process: Evaluation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Easy Feedback 1 The physician may have input into the care plan but does not have the right to make changes unilaterally, unless by virtue of changed orders.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2 3 4
The care plan is a valuable communication, planning, and evaluation tool and should not be stored in a drawer. Care planning and the nursing process are ongoing processes that are never completed as long as the patient is in the health-care environment. The care plan is reviewed and revised in interdisciplinary team meetings and at other times deemed necessary by changes in patient status.
PTS: 1
CON: Critical Thinking
19. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 67 Heading: Setting Priorities Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Analysis [Analyzing] Concept: Critical Thinking Difficulty: Moderate Feedback 1 Maslow places life-sustaining needs highest (nutrition, constipation), followed by safety and security (self-care deficit), love and belonging, self-esteem (confusion), and self-actualization. 2 Nutrition would be a priority with constipation in this list. 3 Constipation should appear after nutrition in this list. 4 Nutrition and constipation should begin this list, followed by self-care deficit and confusion.
PTS: 1
CON: Critical Thinking
20. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 70 Heading: Implementation Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy Feedback 1 The RN, in addition to all team members, performs nursing interventions. 2 The LPN, in addition to all team members, performs nursing interventions. 3 The CNA, in addition to all team members, performs nursing interventions.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
4
All team members perform nursing interventions.
PTS: 1
CON: Critical Thinking
21. ANS: 2 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 63 Heading: Nursing Process Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy Feedback 1 The nursing process is not a linear approach to care. 2 The nursing process includes the steps of assessment, nursing diagnosis, planning, intervention, and evaluation. It is an ongoing process that takes into account changes in the patient’s condition and responses to interventions, which lead to a need for reassessment—or a return to the first step, as in a circular path. 3 The nursing process is not a standardized plan of care for specific diseases or disorders. 4 The nursing process is not a plan of care designed by the physician according to the medical diagnosis.
PTS: 1
CON: Critical Thinking
22. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 66 Heading: Nursing Diagnosis and Medical Diagnosis Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking Difficulty: Easy Feedback 1 A medical diagnosis is identified by a physician. 2 A medical diagnosis identifies signs and symptoms. 3 A medical diagnosis identifies a disease process affecting a body system. 4 A nursing diagnosis is specific to the patient’s nursing care needs and relates to the areas in which the individual has difficulty functioning.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1
CON: Critical Thinking
23. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 64 Heading: Minimum Data Set (MDS) Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Assessment, Critical Thinking Difficulty: Moderate Feedback 1 The MDS does not highlight the major issues for each resident. 2 The MDS does not list specific issues according to each resident. 3 The MDS does not outline the specific care needed for every resident. 4 The MDS is standardized so the same information is collected on every resident.
PTS: 1
CON: Assessment | Critical Thinking
24. ANS: 3 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 64 Heading: Minimum Data Set (MDS) Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Assessment, Critical Thinking Difficulty: Easy Feedback 1 The MDS does not need to be completed on the day of admission. 2 The MDS must be completed within the first 7 days of admission. 3 The MDS must be completed within the first 7 days of admission. 4 The MDS must be completed within the first 7 days of admission.
PTS: 1
CON: Assessment | Critical Thinking
25. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 64
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Heading: Care Area Assessment (CAA) Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Assessment, Critical Thinking Difficulty: Easy Feedback 1 Embedded within the MDS responses are care area triggers (CATs), which indicate the need for further assessment. 2 When the MDS is completed, it provides a comprehensive assessment as well as indicators of risk for the resident. This is called the care area assessment (CAA). 3 CAAs have replaced resident assessment protocols. 4 The resident assessment instrument includes the MDS, the CAA, and the resident assessment instrument utilization guidelines.
PTS: 1
CON: Assessment | Critical Thinking
26. ANS: 4 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 68 Heading: Goal Setting or Identifying Outcomes Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking Difficulty: Easy Feedback 1 The goal identifies the action of walking. 2 The goal identifies that something is to be done every day. 3 The goal is written as attainable. 4 The goal cannot be measured. How far is the resident supposed to walk every day? How many feet? How many times?
PTS: 1
CON: Critical Thinking
27. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 68 Heading: Designing and Documenting the Plan of Care Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding]
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Concept: Critical Thinking Difficulty: Easy Feedback 1 A coordinated approach among all disciplines enhances the effectiveness of the care given to the resident and minimizes duplication of efforts. 2 A coordinated approach among all disciplines is not done to ensure that everyone is working. 3 A coordinated approach among all disciplines is not done to speed up the process of providing care. 4 A coordinated approach among all disciplines is not done to ensure that there is enough time at the end of the shift to document.
PTS: 1
CON: Critical Thinking
28. ANS: 2 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 69 Heading: Designing and Documenting the Plan of Care Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Moderate Feedback 1 CNAs are not necessarily nicer to the residents. 2 Nursing interventions must be developed with input from CNAs because they spend more time with residents in nursing facilities than any other member of the interdisciplinary team. 3 CNAs do not have the most theory-based knowledge. The RN and LPN will have this knowledge. 4 CNAs are not necessarily better received by the family members.
PTS: 1
CON: Critical Thinking
29. ANS: 3 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 70 Heading: Designing and Documenting the Plan of Care Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Difficulty: Moderate Feedback 1 The plan of care should not be discarded. 2 The plan of care does not need to be provided to the family. 3 The plan of care is a permanent part of the resident’s medical record. 4 The plan of care does not need to be sent to the physician.
PTS: 1
CON: Critical Thinking
30. ANS: 1 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 71 Heading: Implementation Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Moderate Feedback 1 Documentation of interventions includes the resident’s response to the intervention. 2 The number of pills is not documented. 3 The number of residents needing the medication is not documented. 4 The resident’s location when the medication was given is not documented.
PTS: 1
CON: Critical Thinking
31. ANS: 3 Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 71 Heading: Implementation Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Moderate Feedback 1 Physician’s progress notes do not need to be consulted when documenting care. 2 Medical-surgical textbooks do not need to be consulted when documenting care. 3 Results and trends from the flow sheets can be incorporated into the LPN’s regular progress charting. 4 The medication administration record does not need to be consulted when documenting
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
care.
PTS: 1
CON: Critical Thinking
MULTIPLE RESPONSE 32. ANS: 3, 4, 5 Feedback 1. The need for oxygen would be identified under equipment needs. 2. Skin integrity would be included under special needs. 3. Bathing would be provided under functional ability. 4. Feeding would be included under functional ability. 5 Transferring would be included under functional ability. Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 63 Heading: Assessment Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Assessment; Critical Thinking Difficulty: Moderate PTS: 1
CON: Assessment | Critical Thinking
33. ANS: 1, 2, 3, 4 Feedback 1. The admission assessment includes a nursing history. 2. The admission assessment includes a physical examination. 3. The admission assessment includes an interview with the older adult. 4. The admission assessment includes a review of laboratory values. 5 The previous facility’s nurse’s notes are not part of the admission assessment. Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 63 Heading: Assessment Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Assessment; Critical Thinking Difficulty: Easy
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
PTS: 1
CON: Assessment | Critical Thinking
34. ANS: 1, 2, 5 Feedback 1. The RAI includes the MDS. 2. The RAI includes the CAA. 3. The RAI does not include medication reconciliation forms. 4. The RAI does not include Medicare and Medicaid conditions of participation. 5 The RAI includes the RAI utilization guidelines. Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 64 Heading: Resident Assessment Instrument (RAI) Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Assessment; Critical Thinking Difficulty: Easy PTS: 1
CON: Assessment | Critical Thinking
35. ANS: 1, 2, 3, 4 Feedback 1. Falls are identified as a problem area from the MDS. 2. Delirium is identified as a problem area from the MDS. 3. Activities are identified as a problem area from the MDS. 4. Dental care is identified as a problem area from the MDS. 5 Arrhythmias are not identified as a problem area from the MDS. Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 2. Identify the use of the nursing process minimum data set (MDS) and care area assessments (CAAs) in developing nursing care plans for residents in nursing facilities. Chapter page reference: 65 Heading: Problem Areas Identified From the Minimum Data Set Integrated Processes: Nursing Process: Assessment Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Assessment; Critical Thinking Difficulty: Easy PTS: 1
CON: Assessment | Critical Thinking
36. ANS: 1, 2, 3, 5 Feedback 1. The planning portion of the nursing process includes setting priorities.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
2. 3. 4. 5
The planning portion of the nursing process includes identifying goals. The planning portion of the nursing process includes designing interventions. The evaluation phase of the nursing process includes evaluating outcomes of care. The planning portion of the nursing process includes identifying outcomes of care.
Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 67 Heading: Planning Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy PTS: 1
CON: Critical Thinking
37. ANS: 1, 3 1. 2. 3. 4. 5
Feedback Federal regulations require that each resident have a written, comprehensive, and interdisciplinary plan of care. A written plan of care is not required by states for nursing licensure. Standards of nursing practice require that each resident have a written, comprehensive, and interdisciplinary plan of care. A written plan of care is not required by the nursing home administrator. A written plan of care is not required by continuing education organizations.
Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 68 Heading: Designing and Documenting the Plan of Care Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy PTS: 1
CON: Critical Thinking
38. ANS: 1, 2, 4, 5 Feedback 1. The plan of care includes the problem or potential problem to be identified. 2. The plan of care includes the goals to be achieved. 3. The plan of care does not include the time the action is to occur. 4. The plan of care includes the actions or interventions to be taken to address the problem.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
5
The plan of care includes the person or discipline responsible for each action.
Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 68 Heading: Designing and Documenting the Plan of Care Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Knowledge [Remembering] Concept: Critical Thinking Difficulty: Easy PTS: 1
CON: Critical Thinking
39. ANS: 2, 4, 5 Feedback 1. Assigning CNAs to pass linen will not ensure that a plan of care will be followed. Giving each CNA written assignments with information on the plan of care ensures the 2. implementation of the plan of care. Scheduling CNAs to perform the same tasks will not ensure that a plan of care will be 3. followed. Meeting regularly with CNAs to discuss the plan of care ensures the implementation of the 4. plan of care. Using primary CNAs who care for the same residents each day ensures the implementation of 5 the plan of care. Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 70 Heading: Implementation Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Application [Applying] Concept: Critical Thinking Difficulty: Medium PTS: 1
CON: Critical Thinking
40. ANS: 1, 2 1. 2. 3. 4. 5
Feedback The main purpose of evaluation is to decide if the resident has met the identified goals. The main purpose of evaluation is to assess the outcomes of the nursing care provided. The main purpose of evaluation is not to make the next day’s assignments. The main purpose of evaluation is not to ensure that the resident is charged for all care. The main purpose of evaluation is not to validate information to bill the insurance company.
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter number and title: Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Chapter/learning objective: 1. Describe the nursing process as a problem-solving technique in the context of assessment of the older adult, plan of care, nursing interventions, and nursing documentation. Chapter page reference: 71 Heading: Evaluation Integrated Processes: Nursing Process: Evaluation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive level: Comprehension [Understanding] Concept: Critical Thinking Difficulty: Easy PTS: 1
CON: Critical Thinking
Test Bank: Anderson’s Caring For Older Adults Holistically 6th Edition Tamara R. Dahlkemper
Chapter 5: Legal, Ethical, and Financial Considerations Regarding Older Adults Multiple Choice Identify the choice that best completes the statement or answers the question. 1.
Which situation could cause an ethical/legal issue? 1) Allowing a resident to refuse care 2) Deciding whether to pass pills first or do a dressing change 3) Deciding whether to include the resident in planning care 4) Reporting a nursing assistant for not answering a resident’s call light
2.
Which situation could be a legal dilemma for nurses caring for older adults? 1) The resident requests not to be bathed. 2) The nurse passes the medications to all of the residents on time. 3) The resident signs out of the nursing facility and does not tell the staff where he or she is going. 4) The nurse gives the resident only half of the ordered dose of a medication because of side effects that the resident is experiencing.
3.
Which best describes ethics? 1) Legal aspects of health 2) Consequence evaluation 3) Values and moral concepts 4) Right and wrong behaviors
4.
Which is true about ethical decision making? 1) It is governed by the law. 2) It is beyond the legal scope of the practical nurse. 3) It is the use of personal values and beliefs to solve problems. 4) It is unnecessary if there are comprehensive physician orders.
5.
What is the Patient Care Partnership designed to do? 1) Protect the nurse from unfounded lawsuits. 2) Identify the individual’s ability to make decisions. 3) Support the choices of an individual who is able to read and write. 4) Protect the individual’s right to make informed choices relating to his or her health care.
6.
Which is true regarding laws governing health care and health-care delivery? 1) They are consistent with values systems. 2) They are fair and benefit most of the population. 3) They are man-made and capable of being changed. 4) They are developed with the rights of residents as the central theme.
7.
A licensed practical nurse (LPN) finds a resident unresponsive, calls for help, and instructs the staff to call 911 and bring emergency supplies while she sets up oxygen for the resident. What is this nurse guilty of doing? 1) The LPN should have called 911. 2) The LPN did not document the event. 3) The LPN functioned within the scope of practice. 4) The LPN should have requested a physician’s order for the oxygen.
8.
A non-intravenous (IV) certified LPN starts an IV infusion in a resident during an emergency situation. What is this nurse guilty of doing? 1) Doing someone else’s job 2) Adhering to the Nurse Practice Act 3) Being negligent because of not being IV-certified 4) Skipping resident consent for the IV insertion
9.
If a non-IV certified LPN starts an IV infusion what should the judge determine if this situation is reviewed in court? 1) Was the physician in attendance?