Deck 10: Development: Older Adulthood

Question 1

An 86-year-old patient had prostate surgery 2 days ago.Which nursing action best meets his developmental needs?

A) Perform a spiritual assessment and make referrals as needed.
B) Provide a complete bed bath and other hygiene needs.
C) Encourage the patient to perform self-care as much as possible.
D) Administer pain medications to keep the patient comfortable.

Answer 1

Encourage the patient to perform self-care as much as possible.

Question 2

A client is concerned about the age-related changes of her mother,who is 80 years old.Which client statement indicates a normal age-related change? Select all that apply.

A) "My mother seems to get cold very easily."
B) "My mother complains of her mouth being dry."
C) "Mother goes around the house turning on all the lights."
D) "Mother complains of leaking urine when she coughs."
E) "Mother at times seems to have a weak cough."

Answer 2

"My mother seems to get cold very easily."
"My mother complains of her mouth being dry."
"Mother goes around the house turning on all the lights."
"Mother at times seems to have a weak cough."

Question 3

During an assessment,an older client reports having a dry mouth.What should the nurse include when assessing this client?

A) Skin turgor
B) Current weight
C) Ability to chew
D) Frequency of urination

Answer 3

Ability to chew

Question 4

The nurse identifies the diagnosis Risk for Frail Elderly Syndrome for an older client.What did the nurse assess to make this clinical determination?

A) Walks with a cane
B) Babysits grandchildren
C) Best friend passed away
D) Tends a vegetable garden

Question 5

The nurse asks to meet with nursing assistive personnel (NAP)after observing care being provided to an older client.What observation caused the nurse to want to meet with the employee?

A) Held the client's hand
B) Provided reading glasses
C) Sat down to talk with the client
D) Referred to the client as "honey"

Question 6

An older client is recovering from an acute illness.What should the nurse suggest to help increase this client's physical stamina?

A) Walk briskly for 15 minutes twice a day.
B) Enroll in a tai chi class that meets three times a week.
C) Use household items as weights and perform several reps twice a day.
D) Take a 10-minute walk once a day and slowly increase the frequency and length.

Question 7

A client tells the nurse,"I can't see well enough to read anymore.I have new glasses,but it's still hard." What should the nurse advise the client to do first?

A) "Go back to the eye doctor and have him check your glasses."
B) "Buy some audio books and listen to those."
C) "Adapt to reading less and find a new leisure activity."
D) "Install a bright but glare-free light near where you read."

Question 8

The nurse notes that an older client has extremely dry skin.What should be included when assessing this client?

A) Sleep pattern
B) Current body weight
C) Frequency of bathing
D) Amount of physical activity

Question 9

A 75-year-old white female client is concerned that she will outlive her spouse.Which response is based on correct information?

A) "That is a realistic concern,as women do have a longer life expectancy than men.But many things can happen to change that."
B) "You need not worry,because both you and your husband are white.That statistic is true only for black men and women."
C) "It is true that women have a longer life expectancy at birth.However,life expectancy measured at age 65 is almost the same for both sexes.You are both well past 65."
D) "That is true only in certain geographic areas,such as those with a high population of newly retired persons."

Question 10

A couple is planning to move to a housing development that has been built to provide elder-friendly dwellings and environments for independent living.The houses are smaller and on a single level.Their purchase includes home maintenance and repair,snow and trash removal,a pool,and a walking track.Only people 60 years and older qualify to buy a house in this community.Medical and nursing care are not a part of the purchase.How should the nurse describe this living situation?

A) Naturally occurring retirement community
B) Retirement community
C) Continuing care retirement community
D) Assisted living facilities

Question 11

Which is the most important health assessment focus for older adulthood?

A) Cancer screening with the annual health examinations
B) Seeking information about consistent use of seat belts
C) Screening for eating disorders
D) A bone scan (DEXA test)for osteoporosis

Question 12

An older client is concerned about the inability to understand a family member's computer.What should the nurse explain to this client?

A) There is a loss of intelligence with aging.
B) Older people learn new material more slowly.
C) Too much rest and sleep affects the ability to learn.
D) An active social life hinders the ability to learn new things.

Question 13

The nurse is concerned that an older client is demonstrating new signs of depression.What should the nurse focus on first when assessing the possible reason for this health problem?

A) Medications
B) Financial status
C) Family situation
D) Living arrangement

Question 14

The nurse prepares an educational program on the psychosocial needs of older clients.Which information should the nurse include about Erikson's theory?

A) There is more time for reflection.
B) Freedom from societal roles occurs.
C) The basic virtue gained at this time is wisdom.
D) Relationships with others in the age-group increase.

Question 15

An adult daughter asks what can be done to help an older client with progressive dementia.Which action should the nurse recommend to help with this client's memory?

A) Watch television
B) Play board games
C) Engage in life review
D) Provide reading material

Question 16

The nurse determines that a client needs assistance with care in the home.Which alteration in an instrumental activity of daily living (IADL)caused the nurse to make this decision?

A) Urine stains on clothing
B) Unable to hold eating utensils
C) Not sure when the last time hair was washed
D) Trash stacked in the kitchen near the refrigerator

Question 17

To which age-group do most hospitalized patients belong?

A) Infants
B) Young adults
C) Middle adults
D) Older adults

Question 18

An older adult is upset about gaining 10 lb since the last wellness visit 3 months ago.What should the nurse consider as a reason for this client's weight gain?

A) Depression
B) Edentulism
C) Low income
D) Taste changes

Question 19

Which is the most common major challenge for older adults?

A) Dealing with the needs of their children
B) Chronic health problems leading to the loss of independence
C) Loss of the ability to reminisce about the past
D) The decline of intellectual abilities

Question 20

An older client with a chronic health problem expresses dismay at the loss of physical stamina.What should the nurse suggest to this client?

A) Increase leisure activities
B) Discuss feelings with the healthcare provider
C) Engage in an adapted physical activity program
D) Accept the normal age-related change in physical activity

Question 21

Which older adult is experiencing normal aging changes of the urinary system? Select all that apply.

A) A man who has difficulty voiding,especially when starting his stream
B) A woman who wakes up to void once during the night
C) A man who has difficulty getting a hard erection
D) A man who says he has burning when he urinates
E) A woman who is incontinent during the night

Question 22

What should the nurse recall when interpreting a population pyramid? Select all that apply.

A) The youngest age-group makes up the base of the pyramid.
B) Men are on the left side of the pyramid and women on the right.
C) The length of a bar indicates how many people are in that age category.
D) Adolescents are the youngest group on the pyramid.
E) Older age-groups are not routinely represented on the pyramid.

Question 23

A client lives alone.He is very weak,stays in bed most of the time,and becomes fatigued after taking only two or three steps with a walker.His personal hygiene is poor.He moves very slowly when doing even small tasks,such as eating a meal.Which are appropriate interventions for this patient? Select all that apply.

A) Arrange for a home aide to assist with activities of daily living.
B) Refer the client to a senior center for an adapted physical activity (APA)program.
C) Assess the client for symptoms of depression and memory loss.
D) Arrange for nutritious meals to be delivered to the patient's home.
E) Encourage the client to engage in reading,puzzles,or games.

Question 24

How should the nurse facilitate communication with an older adult? Select all that apply.

A) Assess for hearing deficit at the beginning of the interaction.
B) Speak in a more loudly than normal tone,and at a slightly higher pitch.
C) Pay special attention to cues from body language.
D) Speak slowly,allowing time for the client to word his answers.
E) Use a focused assessment if the client appears confused.