Deck 6: Promoting Wellness

Question 1

After a physical assessment the nurse determines that an older patient is experiencing chronic conditions associated with being an older person. What did the nurse assess to come to this conclusion? Select all that apply.
1) Hard of hearing
2) Heart rate 72 and irregular
3) Blood pressure 168/90 mm Hg
4) Bilateral hip and knee pain with movement
5) Skin tags over upper extremities and the back

Answer 1

1, 2, 3, 4

Question 2

Twice a day an older patient sits in a favorite chair, closes the eyes, takes two deep breaths, and imagines being on the beach in Hawaii. What is occurring with this patient?
1) Exercising
2) Suffering from dementia
3) Decreasing stress with a quick relaxer
4) Developing a long-term method to reduce stress

Answer 2

3

Question 3

An older person likes to swim but will not use the pool in the local gymnasium. What information should help the nurse understand why the person will not engage in this activity?
1) The pool is open from 6:00 am to midnight.
2) There are always children and young adults in the pool.
3) The pool has lifeguards seated on each side of the pool.
4) The pool is heated and has showers and lockers for use.

Answer 3

2

Question 4

During a focused interview the nurse learns that an older person likes to walk but does not do it regularly because the activity is lonely and boring. What should the nurse suggest to this patient?
1) "Listen to a book on tape while you walk."
2) "Consider walking with the Mall Walkers."
3) "Do it anyway because it is good for your health."
4) "Wear ear buds and listen to music while you walk."

Question 5

During an assessment the nurse notes that an older person has +2 pitting edema of both feet and ankles. Which information should the nurse use to help determine the reason for this patient's fluid retention?
1) Adding extra salt to all foods
2) Sipping on water throughout the day
3) Having 2 cups of hot tea in the evening after dinner
4) Drinking 8 ounces of water with all medication doses

Question 6

The nurse observes an older person order an extra value meal in a fast food restaurant and wrap half of the meal in a napkin to take home. What might this behavior suggest to the nurse?
1) The older person does not like to waste food.
2) The older person is going to feed a pet with the leftovers.
3) The older person did not want to throw the food out in the restaurant.
4) The older person has limited income and the extra value meal provides food for later.

Question 7

An older patient has severe arthritis in both knees. What would be an incentive for this patient to attend biweekly aerobics classes? Select all that apply.
1) Having fun
2) Helping to stay healthy
3) Preventing growing old
4) Preventing chronic diseases
5) Enjoying being with other people

Question 8

An older patient wants to grocery shop, do laundry, cook, and perform routine household chores. Which function should the nurse identify as being a priority for this patient?
1) Relaxation
2) Amusement
3) Socialization
4) Independence

Question 9

The nurse determines that an older patient is experiencing environmental stress. What information did the nurse use to make this clinical determination? Select all that apply.
1) Woke up four times during the night
2) Road construction blocking routine driving routes
3) Living alone after the death of the patient's spouse
4) Having to wait for transportation for a doctor's appointment
5) Snow and ice on the sidewalks and steps leading to the house

Question 10

An older patient asks what can be done to reduce the feelings of fatigue during the day. What should the nurse suggest to this patient?
1) Take a walk.
2) Sleep an hour longer each night.
3) Take frequent naps during the day.
4) Spend more time outside in the sun.

Question 11

During a home visit the nurse learns that an older patient recovering from total knee replacement surgery has not been performing daily exercises as prescribed. What action should the nurse take first?
1) Cancel the physical therapy sessions.
2) Reinforce the safe use of the walker for ambulation.
3) Find out why the patient is not motivated to do the exercises.
4) Document that the patient is noncompliant with the prescribed medical plan.

Question 12

The nurse is preparing a seminar on healthy aging for a group of community members. What should the nurse include as contributing to longer lives for older people? Select all that apply.
1) Food preservatives
2) Targeted treatments
3) Advances in surgery
4) Improved medications
5) Technology for diagnosis

Question 13

An older patient on medication for hypertension, arrhythmias, and glaucoma takes over-the-counter medications for allergy symptoms and pain relief. Recently, the patient has had difficulty sleeping and has one to two glasses of wine nightly to help with relaxation. What is this patient at risk for experiencing? Select all that apply.
1) Sleep apnea
2) Joint stiffness
3) Increased falls
4) Increased depression
5) A toxic or lethal drug interaction

Question 14

The nurse notes that activities planned for a community day are limited for older people or those with physical limitations. Which activity should the nurse suggest be added to engage the older adults in physical activity?
1) Tennis
2) Volleyball
3) Nature walk
4) Chair aerobics

Question 15

An older patient who used to bowl but has not been able to do so because of arthritis in the shoulder and elbow misses playing with others and socializing. What should the nurse suggest to support this patient's interest and encourage socialization?
1) "Join the library sewing circle."
2) "Learn to play shuffle board instead."
3) "Find out if a computer bowling game can be installed in the community center."
4) "Participate with the group that takes bird-watching walks once a week in the summer."