Early Adulthood to Later adulthood Quiz Questions

The nurse is told by an older woman that she has begun to be incontinent of urine at night and now drinks no fluids after 6.00 pm. Which is the nurse's best response?

"Incontinence at any age should be evaluated by your primary health care provider."

The nurse is caring for an older client who is reminiscing about past life experiences in a positive manner. The nurse plans care with the understanding that this behavior indicates which?

A normal psychosocial response

The nurse is providing information to unlicensed assistive personnel (UAP) regarding caring for the older adult. The nurse determines the UAP understands the information provided if the UAP identifies which situation portrays ageism?

Advising older adults to forgo aggressive treatment

The nurse should plan which to encourage autonomy in the client who is a resident in a long-term care facility?

Allowing the client to choose social activities

The nurse prepares to discharge a fifty-year-old client who is experiencing family-related stress. Which goal does the nurse include to help the client achieve the primary developmental task?

Assist the client resume her familial role.

The nurse is collecting data from an older adult client. Which indicates a potential complication associated with the skin of this client?

Crusting

When the nurse is collecting data from the older adult, which findings should be considered normal physiological changes? Select all that apply.

Decline in visual acuity Increased susceptibility to urinary tract infections Increased incidence of awakening after sleep onset

An older client has been prescribed digoxin. The nurse determines that which age-related change would place the client at risk for digoxin toxicity?

Decreased lean body mass and glomerular filtration rate

A client who has been seen in the clinic has been diagnosed with endometriosis and asks the nurse to describe this condition. Which is the best response for the nurse to provide?

Endometriosis is the presence of tissue outside the uterus that resembles the lining of the uterus.

The nurse working in a long-term care facility is approached by the son of a resident, who wants his 78-year-old father to have a heating pad because "his feet are always cold at night." The nurse should incorporate which concept when formulating a response to the family member?

Older adults often have slower neurological response times and are therefore more at risk for burns.

The nurse is reinforcing teaching about fall prevention to family members of an older client who is at risk for falls. The nurse realizes further instruction is necessary if the family states which concept is relevant to maintenance of balance for the older adult?

Older clients cannot think quickly enough to respond to emergencies.

The nurse has gathered data regarding an older client. The nurse recognizes that which indicator of fluid imbalance is least likely to be reliable for a client in this age group?

Thirst

The nurse is working with a new nurse who is assisting an older client and family with discharge planning following hospitalization. The nurse realizes the new nurse correctly understands the needs of older adults if the new nurse helps the group plan for which situation?

To live independently, but close to their children if possible

The nurse is providing an education class to healthy older adults. Which exercise will best promote health maintenance?

Walking three to five times a week for 30 minutes

An older client confides to the visiting nurse the fear of falling while going to the bathroom at night. Considering the visual changes affecting the older client, the nurse should make which recommendation?

"Keep a red light on in the bathroom at night."

The nurse is monitoring several older adults for adverse drug effects. Which client requires closest monitoring for drug toxicity?

A client who consumes a high-carbohydrate, low-protein diet

An older client is taking multiple medications for a variety of health problems. The nurse should monitor the results of which most important laboratory test(s) when evaluating adverse effects of medication therapy in the older adult?

Creatinine

Which data would indicate a potential complication associated with age-related changes in the musculoskeletal system?

Overall sclerotic lesions

An older adult couple requests to room together at a long-term care facility. When some members of the staff question this, the nurse should provide which response?

Although responses may be slower, sexual ability is present in later years of life.

The nurse is conducting a session on the process of fertilization with a group of nursing students. The nurse asks a nursing student to identify the structure in which fertilization of an ovum takes place. The nurse midwife recognizes the teaching has been effective if the student selects which location?

Fallopian tube

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which finding, on data collection, is most closely associated with this disorder?

Sharp pain located on the right side of the pelvis

The nurse will be caring for several older adults who will be undergoing general anesthesia. Which older adult will require the closest monitoring for a prolonged effect of anesthesia?

An older adult with increased amount of fatty tissue

The nurse should implement which activity to promote reminiscence among older clients?

Having storytelling hours

The nurse instructs the unlicensed assistive personnel (UAP) assigned to care for an older adult client to place an extra blanket in the client's room. The nurse provides this instruction because the older adult is less able to regulate hot and cold body changes as a result of alterations in the activity of which gland?

Sweat glands