Question 1

The nurse seeks out residents with whom they reminisce in an interview regarding the resident's life story. The value of this activity is that:

Accepted Answer

A)  it gives the staff more time to care for other residents and perform routine care. 
B)  it can affirm the positives of the resident's life and lead to ego integrity for the resident. 
C)  nursing home residents have long days to pass, and any activity helps the time pass more quickly. 
D)  students learn about the "good old days" and better appreciate the modern conveniences available today. 
A)  it gives the staff more time to care for other residents and perform routine care. 
B)  it can affirm the positives of the resident's life and lead to ego integrity for the resident. 
C)  nursing home residents have long days to pass, and any activity helps the time pass more quickly. 
D)  students learn about the "good old days" and better appreciate the modern conveniences available today.

Question 2

The nurse warns that infection after exposure to respiratory illness in the older adult:

Accepted Answer

A)  is more likely to result in serious lower respiratory infection related to weakened respiratory muscles and fewer cilia. 
B)  is likely to be fatal due to the older person's low resistance. 
C)  results in rates of infection similar to those in the younger adult. 
D)  can be easily prevented with the use of antibiotics when the adult is exposed. 
A)  is more likely to result in serious lower respiratory infection related to weakened respiratory muscles and fewer cilia. 
B)  is likely to be fatal due to the older person's low resistance. 
C)  results in rates of infection similar to those in the younger adult. 
D)  can be easily prevented with the use of antibiotics when the adult is exposed.

Question 3

A 76-year-old neighbor confides to the nurse that she is having to get up in the middle of the night to void and often wets herself before she can get to the bathroom during the day. The nurse's best explanation would be:

Accepted Answer

A)  "As you get older, your bladder muscle loses tone and you can hold less urine." 
B)  "You are probably drinking too much during the day and especially before bedtime." 
C)  "You probably have a bladder infection that should be treated with antibiotics." 
D)  "With age, the urine becomes very concentrated and causes the bladder to empty spontaneously." 
A)  "As you get older, your bladder muscle loses tone and you can hold less urine." 
B)  "You are probably drinking too much during the day and especially before bedtime." 
C)  "You probably have a bladder infection that should be treated with antibiotics." 
D)  "With age, the urine becomes very concentrated and causes the bladder to empty spontaneously."

Question 4

When the nurse is conducting a class for senior citizens at a local assisted living facility, to enhance physical health, he encourages the older residents to engage in some form of exercise for at least:

Accepted Answer

A)  1 hour every other day. 
B)  10 minutes at a time several times a day. 
C)  30 minutes a day, five times a week. 
D)  1 hour every morning. 
A)  1 hour every other day. 
B)  10 minutes at a time several times a day. 
C)  30 minutes a day, five times a week. 
D)  1 hour every morning.

Question 5

A 70-year-old widower continues to work part time in a demanding business, while traveling in his free time with a 68-year-old widow to visit longtime friends and relatives. He remains an active member of several community organizations. His life is an example of a person who:

Accepted Answer

A)  is acting like a younger person to prove to himself that he is not "old." 
B)  is adjusting well to the changes of benign senescence. 
C)  should slow down and enjoy retirement while he is still healthy. 
D)  is avoiding the psychosocial tasks of aging such as retirement and slowing down. 
A)  is acting like a younger person to prove to himself that he is not "old." 
B)  is adjusting well to the changes of benign senescence. 
C)  should slow down and enjoy retirement while he is still healthy. 
D)  is avoiding the psychosocial tasks of aging such as retirement and slowing down.

Question 6

When a 68-year-old recent retiree confides in the health clinic nurse that he has felt depressed and withdrawn since retirement, the nurse suggests that he:

Accepted Answer

A)  talk with the primary care provider about antidepression medication. 
B)  arrange his day so that he is able to take a nap in the afternoon. 
C)  set a small goal for himself to be met every day. 
D)  eat three regular meals as he did when he was employed. 
A)  talk with the primary care provider about antidepression medication. 
B)  arrange his day so that he is able to take a nap in the afternoon. 
C)  set a small goal for himself to be met every day. 
D)  eat three regular meals as he did when he was employed.

Question 7

The home health nurse assesses an 80-year-old who has fallen twice in the last 10 days. The nurse discovers that the patient uses a cane for ambulation stability, drinks up to 6 cups of coffee a day, has altered depth perception because of cataracts, and has recently carpeted her home with a smooth tight weave carpet. The nurse suspects the cause of her recent falls to be:

Accepted Answer

A)  the use of the cane. 
B)  the new carpet. 
C)  the large intake of caffeine. 
D)  the altered depth perception. 
A)  the use of the cane. 
B)  the new carpet. 
C)  the large intake of caffeine. 
D)  the altered depth perception.

Exam 13: Promoting Healthy Adaptation to Aging

The nurse seeks out residents with whom they reminisce in an interview regarding the resident's life story. The value of this activity is that:

The nurse warns that infection after exposure to respiratory illness in the older adult:

A 76-year-old neighbor confides to the nurse that she is having to get up in the middle of the night to void and often wets herself before she can get to the bathroom during the day. The nurse's best explanation would be:

When the nurse is conducting a class for senior citizens at a local assisted living facility, to enhance physical health, he encourages the older residents to engage in some form of exercise for at least:

A 70-year-old widower continues to work part time in a demanding business, while traveling in his free time with a 68-year-old widow to visit longtime friends and relatives. He remains an active member of several community organizations. His life is an example of a person who:

When a 68-year-old recent retiree confides in the health clinic nurse that he has felt depressed and withdrawn since retirement, the nurse suggests that he:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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