Question 1

What would be the most effective action by the home health coordinator when interacting with an unpaid caregiver?

Accepted Answer

A)  Tell him or her to call the agency if he or she needs any further assistance. 
B)  Leave him or her entirely on his or her own so as not to interfere with the care he or she provides. 
C)  Critique care to improve its effectiveness. 
D)  Be generous with positive feedback. 
A)  Tell him or her to call the agency if he or she needs any further assistance. 
B)  Leave him or her entirely on his or her own so as not to interfere with the care he or she provides. 
C)  Critique care to improve its effectiveness. 
D)  Be generous with positive feedback. D

Question 2

The caregiver who provides daily meals and attends to the daily needs of the older adult is classified as the _____ caregiver.

Accepted Answer

A)  basic 
B)  organizing 
C)  primary 
D)  designated 
A)  basic 
B)  organizing 
C)  primary 
D)  designated C

Question 3

What benefits can the older adult female expect with even a small amount of daily exercise? (Select all that apply.)

Accepted Answer

A)  Build muscle mass 
B)  Control weight 
C)  Retard bone loss 
D)  Control the blood glucose level 
E)  Promote a sense of well-being 
A)  Build muscle mass 
B)  Control weight 
C)  Retard bone loss 
D)  Control the blood glucose level 
E)  Promote a sense of well-being B, C, D, E

Question 4

What evaluations should be conducted during an older adult female's routine physical examination? (Select all that apply.)

Accepted Answer

A)  Measurement of height and weight 
B)  Blood pressure 
C)  Electrocardiography 
D)  Rectal examination 
E)  Mammography 
A)  Measurement of height and weight 
B)  Blood pressure 
C)  Electrocardiography 
D)  Rectal examination 
E)  Mammography

Question 5

When assessing for inadequate health maintenance, what should be assessed? (Select all that apply.)

Accepted Answer

A)  Willingness to follow a health maintenance plan 
B)  Possible conflict between a health maintenance plan and culture 
C)  The presence of prohibited items such as sweets, alcohol, and cigarettes 
D)  The family's perception of effectiveness of a health maintenance plan 
E)  The level of cognitive impairment 
A)  Willingness to follow a health maintenance plan 
B)  Possible conflict between a health maintenance plan and culture 
C)  The presence of prohibited items such as sweets, alcohol, and cigarettes 
D)  The family's perception of effectiveness of a health maintenance plan 
E)  The level of cognitive impairment

Question 6

When the 70-year-old female patient says, "Keeping up with when to take the flu vaccine is a big hassle. I'm not going to add trying to keep up with a pneumonia vaccine as well. It's too expensive." Which response by the nurse would be the most helpful?

Accepted Answer

A)  "Both vaccines can be taken at the same time every fall." 
B)  "The pneumonia vaccine needs to be repeated every 10 years." 
C)  "It is important to begin getting annual pneumonia shots at 80 years of age." 
D)  "The flu vaccine must be taken every three years to remain effective." 
A)  "Both vaccines can be taken at the same time every fall." 
B)  "The pneumonia vaccine needs to be repeated every 10 years." 
C)  "It is important to begin getting annual pneumonia shots at 80 years of age." 
D)  "The flu vaccine must be taken every three years to remain effective."

Question 7

How often should a 75-year-old have a visual screening?

Accepted Answer

A)  Every 6 months 
B)  Every 12 months 
C)  Every 2 years 
D)  On an as needed basis 
A)  Every 6 months 
B)  Every 12 months 
C)  Every 2 years 
D)  On an as needed basis

Question 8

The home health nurse observes that there is still about half a month's supply of Glucophage in the medicine bottle at the end of the month. What question would be the most appropriate for the nurse to ask?

Accepted Answer

A)  "Do you know what inadequately treated diabetes can do?" 
B)  "Have you told your physician you are not taking your prescription?" 
C)  "Are you trying to make the medication stretch for 2 months?" 
D)  "Why are you being so noncompliant?" 
A)  "Do you know what inadequately treated diabetes can do?" 
B)  "Have you told your physician you are not taking your prescription?" 
C)  "Are you trying to make the medication stretch for 2 months?" 
D)  "Why are you being so noncompliant?"

Question 9

An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had a tetanus booster when she was 75. The nurse's response will be based on the knowledge that tetanus boosters

Accepted Answer

A)  should be repeated every 5 years. 
B)  are not necessary for persons older than 70. 
C)  do little good for the older adult. 
D)  should be repeated with every injury, regardless of the previous booster. 
A)  should be repeated every 5 years. 
B)  are not necessary for persons older than 70. 
C)  do little good for the older adult. 
D)  should be repeated with every injury, regardless of the previous booster.

Question 10

The nurse is teaching a newly diagnosed patient with diabetes regarding the diabetic diet. Which of the following factors will have the biggest impact on compliance?

Accepted Answer

A)  Clarity of the instructions 
B)  Severity of the disease 
C)  Timing of the instructions 
D)  Motivation of the patient 
A)  Clarity of the instructions 
B)  Severity of the disease 
C)  Timing of the instructions 
D)  Motivation of the patient

Question 11

The 80-year-old woman tells the home health nurse, "I can only eat cereal because I just can't make those dentures work!" What would be the most appropriate suggestion by the nurse? (Select all that apply.)

Accepted Answer

A)  Take only tiny bites of food. 
B)  Chew slowly. 
C)  Use a dental adhesive. 
D)  Select soft, nonsticky foods (e.g., ground meat, boiled carrots). 
E)  Purée all food. 
A)  Take only tiny bites of food. 
B)  Chew slowly. 
C)  Use a dental adhesive. 
D)  Select soft, nonsticky foods (e.g., ground meat, boiled carrots). 
E)  Purée all food.

Question 12

The home health nurse is discussing oral hygiene with the older adult. Which practice would be appropriate to add to the current maintenance plan?

Accepted Answer

A)  A dental appointment every 2 years 
B)  Using a fluoride toothpaste 
C)  Thorough flossing every week 
D)  Use of an electric toothbrush 
A)  A dental appointment every 2 years 
B)  Using a fluoride toothpaste 
C)  Thorough flossing every week 
D)  Use of an electric toothbrush

Question 13

A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he should take the vaccination to prevent shingles. What would be the nurse's most helpful response?

Accepted Answer

A)  "No. Persons with impaired immune systems should not take that vaccine." 
B)  "Yes. It would be a good idea to protect yourself from shingles." 
C)  "No. That vaccine is only effective in about 10% of the cases." 
D)  "Yes. The vaccine is very inexpensive and very effective." 
A)  "No. Persons with impaired immune systems should not take that vaccine." 
B)  "Yes. It would be a good idea to protect yourself from shingles." 
C)  "No. That vaccine is only effective in about 10% of the cases." 
D)  "Yes. The vaccine is very inexpensive and very effective."

Question 14

The home health nurse suggests to the 82-year-old man that he should wear a Medic Alert bracelet. Which of the following health conditions prompted the nurse to make this suggestion?

Accepted Answer

A)  Artificial leg 
B)  Congestive heart failure 
C)  Pacemaker 
D)  Eye prosthesis 
A)  Artificial leg 
B)  Congestive heart failure 
C)  Pacemaker 
D)  Eye prosthesis

Question 15

What factors might interfere with the health maintenance activities of a 76-year-old patient? (Select all that apply.)

Accepted Answer

A)  A belief that diminished health is part of aging 
B)  Loss of a spouse 3 months ago 
C)  Having a physical examination every year 
D)  Living in an assisted living facility and not driving 
E)  Having no family 
A)  A belief that diminished health is part of aging 
B)  Loss of a spouse 3 months ago 
C)  Having a physical examination every year 
D)  Living in an assisted living facility and not driving 
E)  Having no family

Question 16

The 84-year-old male complains of dry mouth. What would be appropriate for the nurse to suggest?

Accepted Answer

A)  Keep hard candy in his mouth to stimulate salivation. 
B)  Drink iced cola drinks several times daily for hydration. 
C)  Wash his mouth with an astringent mouthwash. 
D)  Limit alcohol intake. 
A)  Keep hard candy in his mouth to stimulate salivation. 
B)  Drink iced cola drinks several times daily for hydration. 
C)  Wash his mouth with an astringent mouthwash. 
D)  Limit alcohol intake.

Question 17

Which task could not be performed by an unlicensed home health aide?

Accepted Answer

A)  Transfer the patient into a bathtub. 
B)  Measure or dispense medication. 
C)  Contact family members independently. 
D)  Accompany the patient outside the home. 
A)  Transfer the patient into a bathtub. 
B)  Measure or dispense medication. 
C)  Contact family members independently. 
D)  Accompany the patient outside the home.

Question 18

The 60-year-old Asian man tells the home health nurse that he has stopped taking his antihypertensive medication because it causes him to be impotent. He reports that he is using acupuncture to control his hypertension. What would be the most effective response by the nurse?

Accepted Answer

A)  "Uncontrolled hypertension is a real health problem." 
B)  "Does your acupuncturist check your blood pressure?" 
C)  "Let me check your blood pressure to see how acupuncture is working." 
D)  "You need to talk to your real doctor about stopping this drug." 
A)  "Uncontrolled hypertension is a real health problem." 
B)  "Does your acupuncturist check your blood pressure?" 
C)  "Let me check your blood pressure to see how acupuncture is working." 
D)  "You need to talk to your real doctor about stopping this drug."

Question 19

An older adult states that her physician ordered her to drink a glass of wine daily. The nurse understands that alcohol is occasionally recommended for which of the following reasons?

Accepted Answer

A)  Memory enchancer 
B)  Appetite stimulant 
C)  Diuretic 
D)  Food source 
A)  Memory enchancer 
B)  Appetite stimulant 
C)  Diuretic 
D)  Food source

Question 20

When doing exercises such as walking or swimming, how many minutes must the older adult perform the activity in order for it to be considered beneficial?

Accepted Answer

A)  15 
B)  30 
C)  45 
D)  60 
A)  15 
B)  30 
C)  45 
D)  60

What would be the most effective action by the home health coordinator when interacting with an unpaid caregiver?

The caregiver who provides daily meals and attends to the daily needs of the older adult is classified as the _____ caregiver.

What benefits can the older adult female expect with even a small amount of daily exercise? (Select all that apply.)

What evaluations should be conducted during an older adult female's routine physical examination? (Select all that apply.)

When assessing for inadequate health maintenance, what should be assessed? (Select all that apply.)

When the 70-year-old female patient says, "Keeping up with when to take the flu vaccine is a big hassle. I'm not going to add trying to keep up with a pneumonia vaccine as well. It's too expensive." Which response by the nurse would be the most helpful?

How often should a 75-year-old have a visual screening?

The home health nurse observes that there is still about half a month's supply of Glucophage in the medicine bottle at the end of the month. What question would be the most appropriate for the nurse to ask?

An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had a tetanus booster when she was 75. The nurse's response will be based on the knowledge that tetanus boosters

The nurse is teaching a newly diagnosed patient with diabetes regarding the diabetic diet. Which of the following factors will have the biggest impact on compliance?

The 80-year-old woman tells the home health nurse, "I can only eat cereal because I just can't make those dentures work!" What would be the most appropriate suggestion by the nurse? (Select all that apply.)

The home health nurse is discussing oral hygiene with the older adult. Which practice would be appropriate to add to the current maintenance plan?

A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he should take the vaccination to prevent shingles. What would be the nurse's most helpful response?

The home health nurse suggests to the 82-year-old man that he should wear a Medic Alert bracelet. Which of the following health conditions prompted the nurse to make this suggestion?

What factors might interfere with the health maintenance activities of a 76-year-old patient? (Select all that apply.)

The 84-year-old male complains of dry mouth. What would be appropriate for the nurse to suggest?

Which task could not be performed by an unlicensed home health aide?

The 60-year-old Asian man tells the home health nurse that he has stopped taking his antihypertensive medication because it causes him to be impotent. He reports that he is using acupuncture to control his hypertension. What would be the most effective response by the nurse?

An older adult states that her physician ordered her to drink a glass of wine daily. The nurse understands that alcohol is occasionally recommended for which of the following reasons?

When doing exercises such as walking or swimming, how many minutes must the older adult perform the activity in order for it to be considered beneficial?

Trends and Issues

Theories of Aging

Physiologic Changes

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters

Exam 4: Health Promotion, Health Maintenance, and Home Health Considerations

What would be the most effective action by the home health coordinator when interacting with an unpaid caregiver?

The caregiver who provides daily meals and attends to the daily needs of the older adult is classified as the _____ caregiver.

What benefits can the older adult female expect with even a small amount of daily exercise? (Select all that apply.)

What evaluations should be conducted during an older adult female's routine physical examination? (Select all that apply.)

When assessing for inadequate health maintenance, what should be assessed? (Select all that apply.)

When the 70-year-old female patient says, "Keeping up with when to take the flu vaccine is a big hassle. I'm not going to add trying to keep up with a pneumonia vaccine as well. It's too expensive." Which response by the nurse would be the most helpful?

How often should a 75-year-old have a visual screening?

The home health nurse observes that there is still about half a month's supply of Glucophage in the medicine bottle at the end of the month. What question would be the most appropriate for the nurse to ask?

An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had a tetanus booster when she was 75. The nurse's response will be based on the knowledge that tetanus boosters

The nurse is teaching a newly diagnosed patient with diabetes regarding the diabetic diet. Which of the following factors will have the biggest impact on compliance?

The 80-year-old woman tells the home health nurse, "I can only eat cereal because I just can't make those dentures work!" What would be the most appropriate suggestion by the nurse? (Select all that apply.)

The home health nurse is discussing oral hygiene with the older adult. Which practice would be appropriate to add to the current maintenance plan?

A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he should take the vaccination to prevent shingles. What would be the nurse's most helpful response?

The home health nurse suggests to the 82-year-old man that he should wear a Medic Alert bracelet. Which of the following health conditions prompted the nurse to make this suggestion?

What factors might interfere with the health maintenance activities of a 76-year-old patient? (Select all that apply.)

The 84-year-old male complains of dry mouth. What would be appropriate for the nurse to suggest?

Which task could not be performed by an unlicensed home health aide?

The 60-year-old Asian man tells the home health nurse that he has stopped taking his antihypertensive medication because it causes him to be impotent. He reports that he is using acupuncture to control his hypertension. What would be the most effective response by the nurse?

An older adult states that her physician ordered her to drink a glass of wine daily. The nurse understands that alcohol is occasionally recommended for which of the following reasons?

When doing exercises such as walking or swimming, how many minutes must the older adult perform the activity in order for it to be considered beneficial?

Trends and Issues

Theories of Aging

Physiologic Changes

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters