Deck 13: Late Adulthood

Question 1

When discussing the basic needs for the older adult,the health-care worker uses the term ___________ to indicate effective interactions.

A) autonomy
B) disengagement
C) competence
D) relatedness

Answer 1

C
Competence is the term used to describe the older adult's ability to engage in effective interactions.

Question 2

When a 65-year-old woman comes to the health clinic with postmenopausal symptoms,the health-care worker will encourage a high dietary intake of:

A) potassium.
B) sodium.
C) calcium.
D) vitamin C.

Answer 2

C
Measures such as increased calcium and vitamin D are recommended to help prevent postmenopausal bone loss and osteoporosis.

Question 3

A 70-year-old woman has been newly diagnosed with cancer.She says that if the treatment is not successful,she has had a productive life and will have no regrets.This is:

A) denial of the severity of her disease.
B) an example of repression.
C) lack of faith in the effectiveness of treatment.
D) indication of a satisfactory and fulfilling life.

Answer 3

D
A sense of fulfillment and a recognition of the meaning of one's life is indication of a positive psychosocial development.

Question 4

A provision of the controversial Health Care Affordability Act of 2010 was to:

A) ration health care to the elderly.
B) provide wider health-care coverage.
C) limit hospital stays.
D) set up more community health clinics.

Question 5

When access to health care is blocked,the major negative impact is that:

A) communities will not develop broader health services.
B) minorities will be the most neglected.
C) insurance payments will be impacted.
D) preventative health-care measures are neglected.

Question 6

The home health care worker suggests a lifestyle change that would be supportive to memory retention such as:

A) completing a crossword puzzle.
B) listening to "oldies" music.
C) subscribing to a travel magazine.
D) working on a jigsaw puzzle.

Question 7

A 65-year-old woman who recently lost her husband comes to the clinic for her first examination in 5 years.To facilitate a positive health-care experience,the health-care worker should:

A) remind the woman that she is long overdue for an examination.
B) reassure this woman that her examination should be normal as she has no symptoms.
C) listen carefully and allow for extra time for her health history interview.
D) encourage the woman to talk about the death of her husband.

Question 8

The home health care worker will make a point to make frequent blood pressure assessments on a 67-year-old man who has been put on a new hypertensive drug because the older adult:

A) will be curious about the effectiveness of the drug.
B) has sudden changes in blood pressure.
C) may reject a medication change.
D) has decreased liver and kidney function.

Question 9

The health-care worker plans to use the CAGE alcohol use assessment tool to assess the older adult.This tool is a questionnaire consisting of _____ questions.

A) 4
B) 5
C) 8
D) 10

Question 10

The health-care worker is taking the health history of an older adult with the assistance of the patient's daughter,who is the caregiver.The assessment that would suggest that the patient may be abused is the:

A) patient is disoriented.
B) daughter has little knowledge of the patient's medical condition.
C) daughter handles the patient's finances.
D) daughter is involved in many community activities.

Question 11

In cultures in which respect and inclusion of the older adult in family life is the norm,the older adult demonstrates greater:

A) authoritarian dominance.
B) fiscal responsibility.
C) emotional competency.
D) life expectancy.

Question 12

When teaching an older adult,the health-care worker promotes learning by providing:

A) detailed verbal explanations.
B) information that relates to the person's actual experiences.
C) a review of basic concepts, because long-term memory is impaired.
D) numerous repetitive presentations to promote memory retention.

Question 13

When planning health promotion classes for people in late adulthood,the health-care worker should include information about:

A) motor vehicle accidents.
B) stress management.
C) sexually transmitted diseases.
D) vitamin supplements.

Question 14

To help the older adult maintain independence,Healthy People 2020 advocates the promotion of services that provide:

A) prescription drug delivery.
B) food banks for the older adult.
C) transportation.
D) day care for persons suffering from dementia.

Question 15

The most effective nursing intervention for health promotion in the older adult is primarily focused on:

A) managing disease.
B) providing a sense of control over health problems.
C) controlling symptoms of illness.
D) teaching positive health behaviors.

Question 16

To prevent or decrease age-related postmenopausal osteoporosis,the health-care worker recommends that the 66-year-old woman include in her lifestyle:

A) taking vitamins E and B-complex supplements.
B) increasing intake foods rich in iron.
C) maintaining annual health assessments.
D) performing regular aerobic, weight-bearing exercise.

Question 17

The health-care worker identifies age-related memory impairment in the older adult who says:

A) "I just can't remember my telephone number."
B) "I forgot I went to the store this morning and didn't realize it until I went again this afternoon."
C) "I forget the names of movie stars more often now, but I can remember them later."
D) "I simply cannot remember how to set my alarm clock anymore."

Question 18

The home health-care worker recognizes that memory loss related to depression as compared to normal age-related memory loss is that depression-related memory loss:

A) progresses slowly.
B) has a rapid onset.
C) affects all areas of memory.
D) usually becomes permanent.

Question 19

When a 66-year-old woman comes into the health clinic complaining of dyspareunia,the sensitive health-care worker would:

A) say, "I believe you can get relief from the use of lubricating creams."
B) ask, "Has this affected your sexual activity?"
C) ask, "Have you considered hormone replacement therapy?"
D) inform her, "There are many CAM therapies that can help."

Question 20

The health-care worker recommends cardiovascular screening for the 60-year-old man who:

A) smokes a cigar after Sunday dinner.
B) has a high low-density lipid level.
C) has a blood pressure of 136/78.
D) exercises strenuously every day.

Question 21

The baseline goal for moderate to vigorous physical activity is ______ hours a week.

Question 22

The health-care worker recommends the practice of Tai Chi to an older adult to enhance ___________ strength.

Question 23

When designing a plan of care for the older adult,the health-care worker should consider the older adult's: (Select all that apply. )

A) income.
B) previous employment.
C) educational level.
D) date of retirement.
E) living arrangements.

Question 24

Health goals established for older adults by Healthy People 2020 include: (Select all that apply. )

A) eradication of dementia.
B) reduction of morbidity from flu and pneumonia.
C) disease prevention.
D) reduction of occurrence of hip fractures.
E) food banks for the needy.