Deck 6: Engaging Older Adults As Partners in Their Care

Question 1

Which of the following statements is FALSE?

A) The age 65 became associated with aging because of the availability of Medicare benefits starting at that age.
B) World Health Organization guidelines suggest that persons aged 65 and older benefit most from exercise.
C) Patterns of behavior have more influence on how someone ages rather than chronological age.
D) People enter older adulthood with varying social, physical, and cognitive abilities.

Answer 1

World Health Organization guidelines suggest that persons aged 65 and older benefit most from exercise.

Question 2

The cohort of adults known as "oldest old":

A) includes people aged 85 and older.
B) is the most rapidly growing cohort of older adults.
C) is more likely to be Caucasian women.
D) all of the above

Answer 2

all of the above

Question 3

The "new-old" cohort represents:

A) people aged 45 to 60.
B) people aged 50 to 65.
C) the baby boomer generation.
D) World War II survivors.

Answer 3

World War II survivors.

Question 4

Health in older adults can be influenced by their:

A) location.
B) financial resources.
C) educational level.
D) all of the above

Question 5

Social gradient refers to:

A) how engaged people are with others.
B) how income and education affect health.
C) how much money a person earns.
D) whether a person attended college.

Question 6

Realities of older adults living in rural areas include all of the following EXCEPT:

A) poor nutrition.
B) fewer health providers.
C) inadequate exercise.
D) little interest in seeking health care.

Question 7

Mrs. Hirshaw lives in rural Kentucky, and the nearest clinic is 50 miles away. She has recently started taking insulin for diabetes. What are some nursing considerations as you plan her care?

A) She is probably going to be resistant to injecting herself with insulin.
B) Most likely she will not want to come for follow-up care.
C) She may need transportation arranged to access follow-up care.
D) Education will need to be provided at a grade-school level.

Question 8

Factors such as the cohort into which a person is born, education and income level, and where a person lives and works are examples of:

A) social determinants of health.
B) internal factors affecting health.
C) socioeconomic status.
D) personal attributes of health.

Question 9

Mrs. Jonas is caring for her 4-year-old grandchild, Nina. Nina's asthma is poorly controlled. As the nurse, you are frustrated that Mrs. Jonas has missed Nina's past three appointments. When Mrs. Jonas arrives at the clinic today without an appointment, Nina is wheezing. Which of the following is the best response to Mrs. Jonas?

A) "You will need to go to the emergency room because we have no available appointments."
B) "If you had come to your previous appointments, this episode could have been prevented."
C) "I will speak with the nurse practitioner to see whether she can see Nina right away."
D) "Can you tell me some of the reasons why you were unable to make your past appointment?"

Question 10

Objectives in Healthy People 2020 focus on:

A) modifying cultural backgrounds.
B) disease prevention.
C) increasing the average length of life.
D) primarily low income families.

Question 11

Nursing actions that are inconsistent with the chronic care model include:

A) explaining the physiological effects of a high-fat diet.
B) providing a list of high-fat foods.
C) exploring strategies for recipe modification.
D) ordering Meals On Wheels to ensure a low-fat diet.

Question 12

A patient who believes that he or she can be successful in sustaining a new exercise program based on successful experiences in the past illustrates the central component in which of the following theories/models?

A) The Health Belief Model
B) Self-efficacy Theory
C) Health Promotion Model
D) Stages of Change Theory

Question 13

A person who is thinking about what strategies might help them to reach their weight loss goal is in which stage of Velicer and colleagues' Stages of Change Theory?

A) precontemplation
B) contemplation
C) preparation for action
D) maintenance

Question 14

The PRECEDE-PROCEED and ecological models are designed to:

A) assess individual needs.
B) assign risk to patient behaviors.
C) plan population-based interventions.
D) increase patient accountability.