Question 1

"Do you have any advice?" a young woman asked."I'm eating lunch with my dad but he can't hear and he won't wear his hearing aid." Which suggestion should be made by the nurse?

Accepted Answer

A) Encourage your dad to wear his hearing aid-if only for you 
B) Find a very quiet place with good lighting and very little background noise for lunch 
C) Repeat yourself several times using exactly the same words and gestures 
D) Talk very loudly while facing him directly 
A) Encourage your dad to wear his hearing aid-if only for you 
B) Find a very quiet place with good lighting and very little background noise for lunch 
C) Repeat yourself several times using exactly the same words and gestures 
D) Talk very loudly while facing him directly

Question 2

A woman said,"I've never been retired before.I didn't plan it but it's OK.I'm still doing what I used to do otherwise; I go to church,make quilts for charity,and babysit my grandkids.Do you think I should be trying to find another job for a few years?" Which would be the most appropriate response by the nurse?

Accepted Answer

A) "For lots of people,retirement,even if unplanned,is much like life has always been." 
B) "It's okay to slow down at your age; why look for problems?" 
C) "You really need to get out of your house more and be more active,even if you don't get paid at the position." 
D) "Without a job,you really don't have an identity.Have you been to the unemployment office?" 
A) "For lots of people,retirement,even if unplanned,is much like life has always been." 
B) "It's okay to slow down at your age; why look for problems?" 
C) "You really need to get out of your house more and be more active,even if you don't get paid at the position." 
D) "Without a job,you really don't have an identity.Have you been to the unemployment office?"

Question 3

A nurse needed to do a quick assessment of a client's lifestyle behaviors to counsel appropriately.Which strategy would be the easiest way to determine the elderly woman's nutritional status?

Accepted Answer

A) Ask the woman to keep a food diary for 2 weeks and bring it to the clinic 
B) Have the clinic dietitian interview the woman about her eating habits 
C) Quiz the woman verbally as to her usual meals during the day 
D) Use the DETERMINE mnemonic 
A) Ask the woman to keep a food diary for 2 weeks and bring it to the clinic 
B) Have the clinic dietitian interview the woman about her eating habits 
C) Quiz the woman verbally as to her usual meals during the day 
D) Use the DETERMINE mnemonic

Question 4

Which accounts for the largest source of per capita family income?

Accepted Answer

A) Employment income 
B) Pensions 
C) Savings 
D) Social Security 
A) Employment income 
B) Pensions 
C) Savings 
D) Social Security

Question 5

Which best explains why all family members should want their aged relatives to have a living will?

Accepted Answer

A) To confirm that the attorney is serving as guardian and family members do not have to be responsible 
B) To fulfill the federal Patient Self-Determination Act requirements 
C) To help family members know what their loved one does or does not want if he or she becomes incapacitated 
D) To keep physicians from writing a do-not-resuscitate order 
A) To confirm that the attorney is serving as guardian and family members do not have to be responsible 
B) To fulfill the federal Patient Self-Determination Act requirements 
C) To help family members know what their loved one does or does not want if he or she becomes incapacitated 
D) To keep physicians from writing a do-not-resuscitate order

Question 6

A nurse is making the first home visit to a recently discharged elderly client.Which should the nurse most likely expect to find?

Accepted Answer

A) A client who is unhappy with the disorganization of the house 
B) A client who will expect the nurse to do everything now that the nurse is at his or her house 
C) A client who may have hearing or vision problems or both 
D) A client who is upset with being discharged while still so ill and having to take on problems at home 
A) A client who is unhappy with the disorganization of the house 
B) A client who will expect the nurse to do everything now that the nurse is at his or her house 
C) A client who may have hearing or vision problems or both 
D) A client who is upset with being discharged while still so ill and having to take on problems at home

Question 7

A nurse explained that the elderly are twice as likely to die in a home fire as younger persons and therefore suggested some safety measures.Which strategy would most likely have been suggested by the nurse?

Accepted Answer

A) Have smoke detectors installed in the house 
B) Invite a family member to sleep in the house at night 
C) Practice escaping quickly from the house in case of an emergency 
D) Program your phone so the fire department can be reached by pushing only one button 
A) Have smoke detectors installed in the house 
B) Invite a family member to sleep in the house at night 
C) Practice escaping quickly from the house in case of an emergency 
D) Program your phone so the fire department can be reached by pushing only one button

Question 8

A woman admitted,"I did fall once,but it was an accident that I'm sure won't happen again." Which responses would be most appropriate for the nurse? (Select all that apply.)

Accepted Answer

A) "Are you getting lots of calcium and vitamin D? Are you drinking milk or taking calcium pills?" 
B) "Do you have a couple glasses of wine each evening to relax you before you go to bed?" 
C) "Do you live in a one-story house and are your floors even without rugs to trip you up?" 
D) "Let me give you some balance and leg muscle exercises to practice at home each day." 
E) "Remember that if you start to fall,fall sideways if you can to minimize injury."
F)"Review what medications you are taking." 
A) "Are you getting lots of calcium and vitamin D? Are you drinking milk or taking calcium pills?" 
B) "Do you have a couple glasses of wine each evening to relax you before you go to bed?" 
C) "Do you live in a one-story house and are your floors even without rugs to trip you up?" 
D) "Let me give you some balance and leg muscle exercises to practice at home each day." 
E) "Remember that if you start to fall,fall sideways if you can to minimize injury."
F)"Review what medications you are taking."

Question 9

A nurse always reviewed the medications taken by elderly clients on each home visit.Which best explains the rationale for the nurse's action? (Select all that apply.)

Accepted Answer

A) Age-related changes and polypharmacy make elderly clients vulnerable to drug interactions and dangerous adverse reactions 
B) Elderly clients are known to sue if medications taken do not make them feel better,and lawsuits are to be avoided,if possible 
C) Folk or herbal medicines are often the same as the generic medications prescribed by health care providers,so elderly often have overdoses 
D) Older adults are known to consume many over-the-counter medications,as well as folk or herbal remedies 
E) The elderly are known to be particularly noncompliant with pharmaceutical prescriptions
F)With the high prevalence of chronic diseases,elderly clients are taking a large number of medications. 
A) Age-related changes and polypharmacy make elderly clients vulnerable to drug interactions and dangerous adverse reactions 
B) Elderly clients are known to sue if medications taken do not make them feel better,and lawsuits are to be avoided,if possible 
C) Folk or herbal medicines are often the same as the generic medications prescribed by health care providers,so elderly often have overdoses 
D) Older adults are known to consume many over-the-counter medications,as well as folk or herbal remedies 
E) The elderly are known to be particularly noncompliant with pharmaceutical prescriptions
F)With the high prevalence of chronic diseases,elderly clients are taking a large number of medications.

Question 10

A nurse overheard an adult woman,shaking her head in exasperation as she said,"Dad,you're being unreasonable.It's not safe!" Which is the most likely reason for this argument?

Accepted Answer

A) The dad wants to keep driving 
B) The dad wants to keep cooking his own meals 
C) The dad wants to keep taking care of himself each day without assistance 
D) The dad wants to marry some young woman who may just want his money. 
A) The dad wants to keep driving 
B) The dad wants to keep cooking his own meals 
C) The dad wants to keep taking care of himself each day without assistance 
D) The dad wants to marry some young woman who may just want his money.

Question 11

An elderly woman shared that she had six different physicians,each focusing on one particular health problem.Which would be of immediate concern for the home health nurse? (Select all that apply.)

Accepted Answer

A) Whether the client has a family physician who was coordinating her care 
B) Whether the physicians communicate with each other 
C) If each physician was prescribing medications,what drug interactions might be occurring? 
D) Were all these health care providers licensed physicians? 
E) Who was helping her with transportation to all these physicians?
F)Would all these physician visits add up to more than what Medicare would reimburse the client? 
A) Whether the client has a family physician who was coordinating her care 
B) Whether the physicians communicate with each other 
C) If each physician was prescribing medications,what drug interactions might be occurring? 
D) Were all these health care providers licensed physicians? 
E) Who was helping her with transportation to all these physicians?
F)Would all these physician visits add up to more than what Medicare would reimburse the client?

Question 12

In the supermarket checkout,a young woman complained to her friend,"Old people think we taxpayers should pay for them to be in a nursing home.Seems like a waste of money." Which would be the most appropriate response by the nurse?

Accepted Answer

A) "Did you know more than 90% of all the elderly live in their own homes while fewer than 5% live in care facilities?" 
B) "Those old people built our society; we owe it to them to support them now." 
C) "Would it be better to put each person to sleep when they reach a certain age such as 80 years?" 
D) "You know,you'll get old someday too.Won't you want someone to take care of you when you can't anymore?" 
A) "Did you know more than 90% of all the elderly live in their own homes while fewer than 5% live in care facilities?" 
B) "Those old people built our society; we owe it to them to support them now." 
C) "Would it be better to put each person to sleep when they reach a certain age such as 80 years?" 
D) "You know,you'll get old someday too.Won't you want someone to take care of you when you can't anymore?"

"Do you have any advice?" a young woman asked."I'm eating lunch with my dad but he can't hear and he won't wear his hearing aid." Which suggestion should be made by the nurse?

A nurse needed to do a quick assessment of a client's lifestyle behaviors to counsel appropriately.Which strategy would be the easiest way to determine the elderly woman's nutritional status?

Which accounts for the largest source of per capita family income?

Which best explains why all family members should want their aged relatives to have a living will?

A nurse is making the first home visit to a recently discharged elderly client.Which should the nurse most likely expect to find?

A nurse explained that the elderly are twice as likely to die in a home fire as younger persons and therefore suggested some safety measures.Which strategy would most likely have been suggested by the nurse?

A woman admitted,"I did fall once,but it was an accident that I'm sure won't happen again." Which responses would be most appropriate for the nurse? (Select all that apply.)

A nurse always reviewed the medications taken by elderly clients on each home visit.Which best explains the rationale for the nurse's action? (Select all that apply.)

A nurse overheard an adult woman,shaking her head in exasperation as she said,"Dad,you're being unreasonable.It's not safe!" Which is the most likely reason for this argument?

An elderly woman shared that she had six different physicians,each focusing on one particular health problem.Which would be of immediate concern for the home health nurse? (Select all that apply.)

In the supermarket checkout,a young woman complained to her friend,"Old people think we taxpayers should pay for them to be in a nursing home.Seems like a waste of money." Which would be the most appropriate response by the nurse?

Health: a Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Policy,politics,legislation,and Community Health Nursing

The Health Care System

Economics of Health Care

Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

Child and Adolescent Health

Womens Health

Mens Health

Family Health

Populations Affected by Disabilities

Veterans Health

Homeless Populations

Rural and Migrant Health

Populations Affected by Mental Illness

Communicable Disease

Substance Abuse

Violence

Natural and Man-Made Disasters

School Health

Occupational Health

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Exam 19: Senior Health

"Do you have any advice?" a young woman asked."I'm eating lunch with my dad but he can't hear and he won't wear his hearing aid." Which suggestion should be made by the nurse?

A nurse needed to do a quick assessment of a client's lifestyle behaviors to counsel appropriately.Which strategy would be the easiest way to determine the elderly woman's nutritional status?

Which accounts for the largest source of per capita family income?

Which best explains why all family members should want their aged relatives to have a living will?

A nurse is making the first home visit to a recently discharged elderly client.Which should the nurse most likely expect to find?

A nurse explained that the elderly are twice as likely to die in a home fire as younger persons and therefore suggested some safety measures.Which strategy would most likely have been suggested by the nurse?

A woman admitted,"I did fall once,but it was an accident that I'm sure won't happen again." Which responses would be most appropriate for the nurse? (Select all that apply.)

A nurse always reviewed the medications taken by elderly clients on each home visit.Which best explains the rationale for the nurse's action? (Select all that apply.)

A nurse overheard an adult woman,shaking her head in exasperation as she said,"Dad,you're being unreasonable.It's not safe!" Which is the most likely reason for this argument?

An elderly woman shared that she had six different physicians,each focusing on one particular health problem.Which would be of immediate concern for the home health nurse? (Select all that apply.)

In the supermarket checkout,a young woman complained to her friend,"Old people think we taxpayers should pay for them to be in a nursing home.Seems like a waste of money." Which would be the most appropriate response by the nurse?

Health: a Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Policy,politics,legislation,and Community Health Nursing

The Health Care System

Economics of Health Care

Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

Child and Adolescent Health

Womens Health

Mens Health

Family Health

Populations Affected by Disabilities

Veterans Health

Homeless Populations

Rural and Migrant Health

Populations Affected by Mental Illness

Communicable Disease

Substance Abuse

Violence

Natural and Man-Made Disasters

School Health

Occupational Health

Filters