EAQ - Yoost Chapter 18
A nurse explains the benefits of exercise in older adulthood to a patient. Which statements by the patient indicate understanding? Select all that apply. 1 "Exercise reduces stress." 2 "Exercise weakens bones." 3 "Exercise increases muscle tone." 4 "Exercise improves joint flexibility." 5 "Exercise worsens physical limitations."
1 "Exercise reduces stress." 3 "Exercise increases muscle tone." 4 "Exercise improves joint flexibility."
A 25-year-old male complains to a nurse that he feels embarrassed to participate in social activities because he is of very short stature. He asks the nurse for suggestions to increase his height. What would be the most appropriate response from the nurse? 1 "You cannot become taller now as the body stops growing after a certain age." 2 "Don't worry. You will grow within 3 years." 3 "You could increase your height if you modify your diet." 4 "Medications are available that could make you talle
1 "You cannot become taller now as the body stops growing after a certain age."
Which characteristics describe the process of biologic aging? Select all that apply. 1 A universal and irreversible process that happens to every living creature 2 The same for every person regardless of genetics, lifestyle, stress, or culture 3 Synchronous deterioration of multiple organ systems 4 A normal physiologic process that occurs at the cellular and molecular levels 5 A gradual decline in both system and organ functioning
1 A universal and irreversible process that happens to every living creature 4 A normal physiologic process that occurs at the cellular and molecular levels 5 A gradual decline in both system and organ functioning
A 25-year-old patient is admitted to the hospital for the treatment of marijuana addiction and adverse health effects of marijuana use. Which physical findings would the nurse anticipate in this patient? Select all that apply. 1 Anxiety and panic reactions 2 Impulsivity and abundant energy 3 Nausea and decreased appetite 4 Impaired memory and learning 5 Frequent respiratory infections
1 Anxiety and panic reactions 4 Impaired memory and learning 5 Frequent respiratory infections
Which sensory changes is the nurse likely to find during assessment of a 75-year-old patient? Select all that apply. 1 Decreased visual accommodation 2 Presbycusis 3 Altered proprioception 4 Decreased ability to smell 5 Increased touch sensitivity
1 Decreased visual accommodation 2 Presbycusis 3 Altered proprioception 4 Decreased ability to smell
Which statements regarding the long-term effects of exercise are correct? Select all that apply. 1 Decreases the risk of heart disease 2 Decreases fatigue 3 Decreases anxiety 4 Decreases the size of the muscles 5 Improves mood
1 Decreases the risk of heart disease 2 Decreases fatigue 3 Decreases anxiety 5 Improves mood
The nurse is caring for a 78-year-old patient who is terminally ill and needs end-of-life care. Which type of care would be most appropriate to alleviate pain and other symptoms? 1 Hospice care 2 Adult day care 3 Critical care 4 Adult foster care
1 Hospice care
Which symptom characterizes presbycusis? 1 Impairment in the ability to hear high-pitched sounds 2 Difficulty in distinguishing between dark colors such as blue and black 3 Difficulty in vision when moving from bright to dark environments 4 Decline in the ability of the eyes to accommodate from near to far vision
1 Impairment in the ability to hear high-pitched sounds
The nurse is teaching cancer prevention measures to a group of middle-aged adults. Which measures should the nurse include in the teaching? Select all that apply. 1 Know the symptoms of cancer. 2 Obtain regular x-ray examinations. 3 Schedule recommended health checkups and screenings. 4 Use tobacco in moderation. 5 Maintain a healthy weight.
1 Know the symptoms of cancer. 3 Schedule recommended health checkups and screenings. 5 Maintain a healthy weight.
Which drugs are categorized as stimulants? Select all that apply. 1 Nicotine 2 Barbiturates 3 Amphetamines 4 Benzodiazepines 5 Lysergic acid diethylamide (LSD)
1 Nicotine 3 Amphetamines
Which habits are examples of health-promoting activities? Select all that apply. 1 Routine checkups and screenings 2 Unprotected sex 3 Regular exercise 4 Excess alcohol consumption 5 Driving without a seat belt
1 Routine checkups and screenings 3 Regular exercise
Which physiologic changes are associated with normal aging? Select all that apply. 1 Stiffer heart and blood vessels 2 Increased muscle mass 3 Decreased number of brain nerve cells 4 Increased lung elasticity 5 Enlarged kidneys
1 Stiffer heart and blood vessels 3 Decreased number of brain nerve cells
Which assessment finding reported by the home health care nurse about an 80-year-old adult is abnormal and needs further medical evaluation? 1 Unintentional sudden weight loss 2 Ongoing difficulty seeing objects in dim light 3 Thin, rough, and blotchy skin since age 70 4 Chronic difficulty hearing high-pitched sounds
1 Unintentional sudden weight loss
The nurse is teaching a group of young adults about human papilloma virus (HPV). Which statements by the participants indicate effective learning? Select all that apply. 1 HPV is rare. 2 Both males and females can get vaccinated for HPV. 3 HPV is curable. 4 High-risk HPV infection increases the risk of cancer. 5 The HPV vaccine is most effective when administered after first sexual contact.
2 Both males and females can get vaccinated for HPV. 4 High-risk HPV infection increases the risk of cancer.
Which living arrangement is typically designed to support the needs of an older adult dependent on others for all aspects of daily care? 1 Assisted living facility 2 Nursing home 3 Palliative care 4 Adult foster home
2 Nursing home
Taste bud atrophy in older adulthood primarily affects the ability to discern which food qualities? 1 Moist and dry textures 2 Salty and sweet flavors 3 Hot and cold temperatures 4 Bitter and sour tastes
2 Salty and sweet flavors
Middle-aged adults caring for both children and aging parents are frequently referred to as which generation? 1 Millennial 2 Sandwich 3 X 4 Y
2 Sandwich
The nurse is assessing the housing needs of an older adult with severe arthritis who has recently undergone knee replacement surgery. Which characteristics of a dwelling would be most appropriate for this patient? Select all that apply. 1 Multiple pets 2 Single-level home 3 Smooth shiny flooring 4 Dwelling with no exterior steps 5 Many throw rugs
2 Single-level home 4 Dwelling with no exterior steps
Which symptoms are typical early warning signs of Alzheimer's disease? Select all that apply. 1 Altered consciousness 2 Slowly progressing memory impairment 3 Gradual change in behavior 4 Acute confusion 5 Heightened cognitive reasoning
2 Slowly progressing memory impairment 3 Gradual change in behavior
Which caregiver responsibilities do middle-aged adults of the sandwich generation balance? 1 Primary care of several grandchildren 2 Nutritional responsibility for multiple young children 3 Care of the younger and older generations in their family 4 Long-term care of adult children with mental health conditions
3 Care of the younger and older generations in their family
Which clinical features differentiate dementia from delirium? Select all that apply. 1 Onset of dementia is sudden. 2 Dementia is acute confusion. 3 Delirium is reversible. 4 Duration of onset of dementia is months to years. 5 Delirium presents as sudden confusion.
3 Delirium is reversible. 4 Duration of onset of dementia is months to years. 5 Delirium presents as sudden confusion.
Which assessment findings are hallmarks of delirium? Select all that apply. 1 Unaltered sensory perception 2 Calm demeanor 3 Waxing-waning confusion 4 Unconsciousness 5 Decreased attention span
3 Waxing-waning confusion 5 Decreased attention span
The nurse is assessing a 25-year-old patient with depression and anxiety disorders. Which question would be most appropriate to ask in order to determine whether the patient is presently at risk for suicide? 1 "Have you been feeling fatigued or lacking energy lately?" 2 "How often do you feel afraid that something bad will happen?" 3 "Have you had feelings of helplessness or hopelessness recently?" 4 "Have you had thoughts of harming yourself or someone else?"
4 "Have you had thoughts of harming yourself or someone else?"
What is the effect of taste bud atrophy in older adults? 1 Increase in gum diseases 2 Development of mouth ulcerations 3 Altered mastication (chewing) 4 Difficulty differentiating flavors
4 Difficulty differentiating flavors
Based on knowledge of Erikson's stages of growth and development, the nurse plans nursing care with the knowledge that in old age, the developmental task is which of the following? 1 Intimacy versus isolation 2 Autonomy versus shame and doubt 3 Generativity versus self-absorption 4 Ego integrity versus despair
4 Ego integrity versus despair