Deck 1: Introduction to Healthy Aging

Question 1

Determinants of health are the underlying causes of illness and wellness. Which of the following describes the older adult who is likely to experience the best overall health and well-being?

A) Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight
B) Resides alone, was moved to a new city recently by the family for their convenience, has osteoarthritis
C) Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family
D) Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends

Answer 1

Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends

Question 2

Mr. Levesque, 65 years old, has been living in homeless shelters for the last three years after having lost his job as a maintenance attendant at a local store. He suffers from alcoholism and appears malnourished upon arrival at the hospital, after falling on the sidewalk and injuring his left shoulder. When implementing a primary health care approach, what is the main principle the nurse should consider with this older adult?

A) Health promotion
B) Accessibility
C) Primary care
D) Public participation

Answer 2

Health promotion

Question 3

Which of the following nursing interventions represent a holistic approach to caring for an older adult?

A) Performs glucose testing during the weekly worship service
B) Wheels ambulatory adults to exercise when running late
C) Assigns female nurses to older female adults who are Muslim
D) Allows older adults in a nursing home to eat meals alone

Answer 3

Assigns female nurses to older female adults who are Muslim

Question 4

Which province or territory is predicted to have the fastest growing older adult population in Canada between the years 2006 and 2031?

A) Ontario
B) British Columbia
C) Yukon
D) Newfoundland

Question 5

A nurse prepares for the arrival of older adults evacuated from a forest fire in northern Manitoba to a shelter for short-term care. Which of the following is the priority nursing intervention?

A) Demonstrate that the staff is prepared to meet their needs.
B) Use individual medical records to develop a medication plan.
C) Help older adults to display family photos and memorabilia.
D) Help older adults to teach one another a new skill in the shelter.

Question 6

An older adult male living in an adult community becomes a widower one month after retirement. Two months later, he has not resumed a weekly outing with his fishing club. Which of the following should the nurse implement?

A) Ask the older adult why he is not fishing.
B) Have club members visit him at home.
C) Meet with him to assess his interests.
D) Enroll him in a weekly card game.

Question 7

In differentiating between health and wellness in health care, which of the following statements is true?

A) Health is a broad term encompassing attitudes and behaviours.
B) The concept of wellness was rarely or never considered by previous generations.
C) Wellness and self-actualization develop through learning and growth.
D) It is impossible to have wellness when one's health is compromised.

Question 8

An older adult male who resides in a nursing home has very high cholesterol levels. Which nursing intervention is most likely to assist this man in achieving his highest level of wellness?

A) Instruct him about increasing dietary fibre.
B) Ask the health care provider for a low-fat diet.
C) Schedule a consultation for him with the dietitian.
D) Review a menu with him to choose suitable foods.

Question 9

Historical influences that have shaped the lives of the majority of the middle-old in Canada today include which of the following?

A) Influenza epidemic of 1918
B) Immigration from Communist Europe
C) Child-rearing during the Depression
D) World War II

Question 10

The nurse develops a community program to promote exercise for older persons. Which of the following should the nurse include in the exercise program?

A) Reinforce the ease of exercising every day.
B) Use exercise to relax any dietary restrictions.
C) Describe ways to resume exercise after lapses.
D) Teach participants that exercise achieves wellness.

Question 11

The nurse plans activities for female older adults born between 1920 and 1930 who reside in an assisted-living facility. Which is the best intervention for the nurse to implement?

A) Have them bake cookies twice a week.
B) Conduct interviews for specific interests.
C) Arrange dog and cat visits from volunteers.
D) Take them to the library for guest speakers.

Question 12

According to researchers, which characteristic will most centenarians share in the future?

A) Being female
B) Having dementia
C) Being malnourished
D) Being wheelchair-bound

Question 13

Which statement describes aging in developing countries?

A) Aged dependence is likely to improve from 1:4 to 1:2.
B) The biggest problem for older adults will be lack of food.
C) Most of the world's older adults are likely to reside in developing countries.
D) Like fertility, life expectancy is increasing, although at a different rate.

Question 14

The nurse plans care for an older male adult who lives on Old Age Security pension and a small pension after retirement, and has type 2 diabetes mellitus. Which aspect of this man's life should the nurse integrate into a positive approach to his health and well-being?

A) He practises effective glucose control.
B) He lives alone in a high-rise apartment.
C) He lacks low-cost, reliable transportation.
D) He attends weekly lunches at his local diner.

Question 15

Mrs. McCloud, 70 years old, lives in Attawapiskat and speaks mostly Cree. She is transferred to a hospital in a larger city in Ontario for hemodialysis. While Mrs. M. is in hospital, what should the nurse take into account when developing nursing interventions based on health promotion?

A) Instruct the older adult to monitor her fluid intake on an hourly basis.
B) Demonstrate, through pictures, how to eat a healthy, well-balanced diet.
C) Ask the older adult about her home and how she accesses health care.
D) Ask the older adult why she did not seek help sooner, to prevent the need for hemodialysis.

Question 16

A female older adult tells the nurse that she has experienced increasing fatigue and shortness of breath over the last two days. Which of the following goals is the nurse's priority?

A) Promote safety to prevent injury.
B) Complete a nutritional assessment.
C) Balance exercise and rest periods.
D) Explore the woman's complaints.

Question 17

A man is terminally ill with end-stage prostate cancer. What is the best statement about this man's wellness?

A) Wellness is possible, even if the patient uses medication to assist in management of his medical care.
B) Wellness is unfortunately not a real option for the patient.
C) Wellness is the same thing as faith healing, and if the patient were more receptive, he could be back at work in a few weeks.
D) Nursing interventions can help empower a patient to achieve a higher level of wellness.