Question 1

The patient complains to the nurse about a newly developed intolerance to milk.What should the nurse suggest to fulfill calcium needs?

Accepted Answer

A)  Rye bread
B)  Yogurt
C)  Apples
D)  RaisinsE) A) and B)
F) All of the above

Question 2

What is the result of a slowing of the impulse transmission in the nervous system?

Accepted Answer

A)  Hypertension
B)  Hearing deficit
C)  Decrease in tactile sensations
D)  Longer reaction timeE) C) and D)
F) A) and B)

Question 3

What is the best test to identify the risk of osteoporosis in postmenopausal women?

Accepted Answer

A)  Skeletal x-ray
B)  Bone density scan
C)  Calcium blood level
D)  CAT scanE) A) and B)
F) None of the above

Question 4

The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces.

Accepted Answer

shearing
Shearing forces cause...

Question 5

What is the most common cause of dementia?

Accepted Answer

A)  Multi-infarct
B)  Medications
C)  Alzheimer disease
D)  Parkinson diseaseE) None of the above
F) A) and C)

Question 6

The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections.For what is this patient at increased risk?

Accepted Answer

A)  COPD
B)  Bronchitis
C)  Pneumonia
D)  AtelectasisE) B) and C)
F) A) and D)

Question 7

The older patient informs the nurse that food has no taste and therefore the patient has no appetite.What is this most likely caused by?

Accepted Answer

A)  Tasteless food
B)  Overuse of salt
C)  Lack of variety
D)  Loss of taste budsE) B) and C)
F) A) and B)

Question 8

When assessing the skin of an older adult patient who is complaining of pruritus,what should the nurse advise the patient to avoid to reduce further drying of her skin?

Accepted Answer

A)  Perfumed soap
B)  Hard-milled soap
C)  Antibacterial soap
D)  Lotion soapE) A) and C)
F) All of the above C

Question 9

When should family members of a stroke victim expect to see some of the neurologic involvement disappear?

Accepted Answer

A)  Within 2 to 3 weeks
B)  Within 1 to 2 months
C)  Within 3 to 6 months
D)  Within 6 to 9 monthsE) C) and D)
F) A) and C)

Question 10

When the nurse discusses prevention of cardiac disease,falls,and depression with a group of older adults,the benefits of what are important to stress?

Accepted Answer

A)  Nutrition
B)  Medications
C)  Exercise
D)  SleepE) None of the above
F) B) and C)

Question 11

Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure ulcers,the nurse alters the care plan to include turning the bedfast patient how often?

Accepted Answer

A)  Once every shift
B)  Every 4 hours
C)  Each evening
D)  Every 2 hoursE) C) and D)
F) A) and B)

Question 12

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen.What is this method of breathing called?

Accepted Answer

A)  Pursed-lip breathing
B)  Increased inspiration
C)  Vital capacity
D)  Decreased expirationE) A) and B)
F) All of the above

Question 13

For what is the older adult patient at increased risk because of age-related changes in the musculoskeletal system?

Accepted Answer

A)  Fractures due to poor uptake of calcium
B)  Heart attacks due to increased effort to ambulate
C)  Respiratory failure due to kyphosis
D)  Falls related to posture changesE) B) and C)
F) A) and C)

Question 14

What is a major difference between rheumatoid arthritis and osteoarthritis?

Accepted Answer

A)  Rheumatoid arthritis is degenerative.
B)  Rheumatoid arthritis only affects patients over 40 years of age.
C)  Rheumatoid arthritis is inflammatory.
D)  Rheumatoid arthritis is curable.E) A) and B)
F) C) and D)

Question 15

Which approaches should be included when teaching medication safety to an older,homebound adult? (Select all that apply.)

Accepted Answer

A)  Always dispose of expired medications in the toilet or the sink; never throw them in the trash can.
B)  Never share medications with others.
C)  If a medication is not finished as prescribed, save it for future use.
D)  Keep medications in their original containers.
E)  Always request child-proof containers, even if the patient has trouble opening the lids.F) A) and B)
G) B) and E)

Question 16

Which areas are affected only minimally by age?

Accepted Answer

A)  Physical activity
B)  Productivity
C)  Cognition
D)  SexualityE) All of the above
F) C) and D)

Question 17

The older adult female patient is concerned about incontinence when she sneezes.What is the correct terminology for this type of incontinence?

Accepted Answer

A)  Urge incontinence
B)  Stress incontinence
C)  Overflow incontinence
D)  Functional incontinenceE) A) and B)
F) A) and D) B

Question 18

When was the Social Security Act,which was the first major legislation providing financial security for older adults,passed?

Accepted Answer

A)  1930
B)  1935
C)  1940
D)  1945E) B) and C)
F) All of the above

Question 19

When assessing the older adult,the nurse considers which aspect of the patient's routine as a possible contributor to constipation?

Accepted Answer

A)  Intake of antacids several times a day
B)  Taking a laxative once a week
C)  Excessive exercise routine
D)  Eating two apples a dayE) All of the above
F) None of the above A

Question 20

Which statements are myths that have been disproved concerning aging? (Select all that apply.)

Accepted Answer

A)  All older adults are senile.
B)  Most older adults live in their own homes.
C)  Older adults are poor.
D)  Older adults have frequent contact with family members.
E)  Older adults are disabled.F) C) and D)
G) A) and E)

Exam 32: Health Promotion and Care of the Older Adult

The patient complains to the nurse about a newly developed intolerance to milk.What should the nurse suggest to fulfill calcium needs?

Correct AnswerverifiedShow Answer

What is the result of a slowing of the impulse transmission in the nervous system?

Correct AnswerverifiedShow Answer

What is the best test to identify the risk of osteoporosis in postmenopausal women?

Correct AnswerverifiedShow Answer

The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces.

Correct AnswerverifiedshearingShearing forces cause...View AnswerShow Answer

What is the most common cause of dementia?

Correct AnswerverifiedShow Answer

The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections.For what is this patient at increased risk?

Correct AnswerverifiedShow Answer

The older patient informs the nurse that food has no taste and therefore the patient has no appetite.What is this most likely caused by?

Correct AnswerverifiedShow Answer

When assessing the skin of an older adult patient who is complaining of pruritus,what should the nurse advise the patient to avoid to reduce further drying of her skin?

Correct AnswerverifiedC

When should family members of a stroke victim expect to see some of the neurologic involvement disappear?

Correct AnswerverifiedShow Answer

When the nurse discusses prevention of cardiac disease,falls,and depression with a group of older adults,the benefits of what are important to stress?

Correct AnswerverifiedShow Answer

Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure ulcers,the nurse alters the care plan to include turning the bedfast patient how often?

Correct AnswerverifiedShow Answer

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen.What is this method of breathing called?

Correct AnswerverifiedShow Answer

For what is the older adult patient at increased risk because of age-related changes in the musculoskeletal system?

Correct AnswerverifiedShow Answer

What is a major difference between rheumatoid arthritis and osteoarthritis?

Correct AnswerverifiedShow Answer

Which approaches should be included when teaching medication safety to an older,homebound adult? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which areas are affected only minimally by age?

Correct AnswerverifiedShow Answer

The older adult female patient is concerned about incontinence when she sneezes.What is the correct terminology for this type of incontinence?

Correct AnswerverifiedB

When was the Social Security Act,which was the first major legislation providing financial security for older adults,passed?

Correct AnswerverifiedShow Answer

When assessing the older adult,the nurse considers which aspect of the patient's routine as a possible contributor to constipation?

Correct AnswerverifiedA

Which statements are myths that have been disproved concerning aging? (Select all that apply.)

Correct AnswerverifiedShow Answer

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shearing
Shearing forces cause...
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C

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B

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A

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