Deck 7: Socioeconomic and Environmental Influences

Question 1

Before becoming an effective advocate for the older adult patient,the nurse must:

A)be familiar with the physical and mental effects of aging.
B)gain insight into the patient's world by talking with and listening to him or her.
C)learn the details of the patient's medical and social histories.
D)be a member of the patient's formal support system.

Answer 1

gain insight into the patient's world by talking with and listening to him or her.

Question 2

The nurse is presenting an educational workshop at a senior center where most of the patients will be 75 years or older.What does the nurse consider about this population when designing the presentation?

A)Most of these patients only have a high school diploma.
B)Many patients will be illiterate so handouts should be simple.
C)A great number of patients never attained a high school.
D)A lot of these patients went to college on the GI bill.

Answer 2

Most of these patients only have a high school diploma.

Question 3

An adult daughter brings a patient to the gerontology clinic and reports that the patient has become increasingly withdrawn and no longer goes out during the day.What response by the nurse is best?

A)Administer a mini mental state exam.
B)Ask the patient why this is happening.
C)Assess if the patient feels safe at home.
D)Determine if abuse is occurring.

Answer 3

Assess if the patient feels safe at home.

Question 4

A nurse working with older adults recognizes that the patient at greatest risk for homelessness is the:

A)female with a psychiatric diagnosis.
B)male with a chronic illness.
C)female with a history of social isolation.
D)male with an alcohol abuse issue.

Question 5

An older adult is planning to move to an assisted living facility.What advice does the nurse provide to the adult children?

A)"Let your father choose what items to take with him."
B)"Warn your dad there will be little room for personal things."
C)"It is best to pick your dad up one day and move him in."
D)"Be aware your dad may suffer from depression or confusion."

Question 6

Which patient is most likely to be seen at a clinic that services older adults who are at or below the poverty level?

A)A Hispanic male living with extended family
B)An African American male living with a spouse
C)A Hispanic female who lives alone
D)An African American female who lives with her sister

Question 7

An older couple is considering moving into a retirement community.What reaction by the nurse is best?

A)"That's a good idea to consider at your age."
B)"Check on what levels of care they provide."
C)"Do you have enough money to afford this?"
D)"What does your family think of this idea?"

Question 8

The nurse who works with veterans from the 1940s and 1950s knows that individuals in this cohort are more likely than older adults to:

A)obtain preventative health services
B)hoard money for times of need
C)work hard to keep families intact
D)be noncompliant with medications

Question 9

An older woman lives alone.What action by the nurse is best to keep the patient from becoming a victim of crime?

A)Encourage the patient to take self-defense classes.
B)Tell the patient that it is okay to hang up or not answer the door.
C)Have the patient install a monitored security system.
D)Ask if there is a neighbor who can check up on her.

Question 10

An older patient appears to have few friends and little family.What action by the nurse is best?

A)Encourage the patient to stay in contact with remaining family members.
B)Help the patient find new social outlets and support systems.
C)Assess the patient for depression or substance abuse.
D)Ask the patient why there are so few friends and family.

Question 11

A patient who grew up during the 1930s in an urban community has been prescribed several medications for a variety of chronic health issues.To help ensure medication compliance based on knowledge of this age cohort,the nurse:

A)provides a detailed explanation about the importance of taking the medications appropriately.
B)educates the patient about the cost-effectiveness of generic brands of the prescribed medications.
C)includes family members with the patient in the medication education plan.
D)offers suggestions on ways to minimize the risk of "forgetting" to take medication correctly.

Question 12

To best respect an older patient's autonomy when assisting him in finding appropriate,affordable housing,the nurse:

A)provides examples of various options that include assistive services.
B)locates housing near a senior citizen community center to minimize social isolation.
C)identifies housing close to the services he will need.
D)asks the patient to provide examples of where he would like to live.

Question 13

When the traditional roles are blurred as an older married couple begins to experience personal disease and disability,there will most likely be:

A)a rapid decline in their mental health as well.
B)a loss of self-esteem and satisfaction with life.
C)increased martial stress and discord.
D)increased social isolation.

Question 14

A nurse volunteers at a facility that provides free lunches for older adults.To minimize the tendency of these patients to withdraw socially,the nurse:

A)frequently reinforces that everyone is welcome to have lunch with the group.
B)makes every effort to engage them in conversation during the meal.
C)encourages them to make friends with the other patients.
D)asks if they would assist those who need help with getting their food.

Question 15

The nurse is addressing a senior citizens group that is composed of members who are 75 years of age and older.The nurse expects that the group will be primarily:

A)widows who have never worked outside of their homes.
B)widowers with at least one chronic illness.
C)females who have part-time jobs.
D)males with pensions plus Social Security income.

Question 16

When preparing an educational program focused on chronic illnesses that at least a third of the older adult population is likely to experience,the nurse includes information on which of the following? (Select all that apply. )

A)The benefit of aquatic exercise
B)Signs and symptoms of cataracts
C)Ways to control sodium intake
D)Latest technologic interventions for hearing loss
E)The effects of exercise on cardiovascular health

Question 17

A patient is not competent to manage financial affairs.What legal recourse does the older person have?

A)Guardian
B)Conservator
C)Health care proxy
D)Social worker

Question 18

The nurse recognizes that health and wellness are better among the educated older adult population because they tend to:

A)place a high value on health and wellness.
B)frequently take advantage of health screening options.
C)have occupations that are less physically demanding.
D)manage emotional stress in a more productive manner.

Question 19

A 69-year-old patient who has both Medicare and long-term supplemental health care insurance shares with the nurse that he is in need of a visual examination as a follow-up after his cataract surgery.The nurse suggests that such treatment is most likely covered by:

A)Medicare Part A.
B)Medicare Part B.
C)Medicare Part D.
D)Supplemental policy.

Question 20

An adult child of an older adult confides in the nurse that the patient has lost most of her friends because of her negative behavior.What action by the nurse is best?

A)Ask when the patient had her last physical exam.
B)Encourage the patient to be more positive.
C)Ask if the patient is aware of the problem.
D)Suggest the patient take antidepressants.

Question 21

The nurse hears a news report about an older woman having her purse stolen.The assailant said,"Give me your purse,old lady,or I'll kill you." What crimes have been committed? (Select all that apply. )

A)Assault
B)Battery
C)Larceny
D)Robbery
E)Burglary

Question 22

The nurse is educating an 80-year-old patient regarding a newly prescribed medication.The nurse's teaching strategies include which of the following? (Select all that apply. )

A)Using pictures to show how the medication should be stored
B)Asking the patient to use his own words to describe the medication's possible side effects
C)Avoiding written instruction in favor of verbal,face-to-face communication
D)Delivering the information using a slow,deliberate manner of speech
E)Repeating the information at least three times during the conversation

Question 23

The nurse who volunteers at a community center for older people refers which people to the Supplemental Security Income office? (Select all that apply. )

A)Disabled persons
B)Those who are visually impaired
C)Deaf persons
D)Those with minimal income
E)Those who are cognitively impaired