Exam 1
Which patient statement is the most reliable indicator that na older adult has the correct understanding of health promotion activities?
"I still keep my dentist appointments even though I have partials now."
An 84-year-old patient who is hospitalized for pneumonia says to the nurse, "I don't know why I've lived so long. All my friends are gone, my children and grandchildren are all independent and successful- nobody needs me anymore." An appropriate response by the nurse is:
"Tell me about your children and what it was like when you were raising them."
A resident in the long-term care facility has just expired at 0200, and the family is on the way to say their last goodbyes. Before the arrival of the family, the nurse should _____.
- Apply a diaper to catch draining bodily fluids -Remove equipment (e.g. IV poles and tubing,, feeding tubes, oxygen equipment) - Dress the resident in a clean gown and cover him or her with a clean sheet - Provide privacy by drawing the curtain or moving the other resident to an unoccupied room
The nurse includes which of the following activities to promote cognitive health for the older adult?
- Put together puzzles - Write letters -Read the newspaper
The nurse informs a group of college students that young adults will face which challenges in this particular time of life?
- Starting a family - Relations with extended family -Job security -Establishing intimacy -Selecting housing
Which approaches should be included when teaching medication safely to an older, homebound adult?
-Always dispose of expired medication in the toilet or the sink; never throw them in the trash can - Keep medications in their original containers - Never share medications with others
Which of the 5 aspects of human functioning must a nurse address when dealing with a grieving person?
-Emotional -Spiritual -Intellectual -Physical
How does a perceived loss differ from an actual loss?
A perceived loss is easily overlooked
A dying patient uses the call light frequently to ask the nurse to do simple tasks. The nurse recognizes this as a fear of:
Abandonment
When discussing aging, to whom does the term older adulthood apply?
Age 65 and above
What is the correct term for prejudice against older adults?
Ageism
Which theory of aging suggests that the body becomes less able to tolerate the "self"?
Autoimmunity theory
What theory claims that there is a hereditary basis for aging:
Biological programming theory
Which areas are affected only minimally by age?
Cognition
What is the final stage of human growth and development?
Death
When a nurse informs a patient's spouse that the patient has died, the spouse states, "You must be mistaken," Which of the Kubler-Ross's stages of dying is the spouse demonstrating?
Denial
The nurse reminds an older adult patient that the task for the older adults to achieve ego integrity. Failure to achieve this task results in which of the following?
Despair
Which theory of aging suggest that there should be a natural withdrawal between the individual and society:
Disengagement theory
When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. Which of Erickson's developmental stages has the patient achieved?
Ego integrity
How often does a 76-year-old need a screening for preventive health?
Every year
When assessing the home for fall risks and increased safety for an 85-year-old, what should be a suggestion of the home health nurse?
Excess furniture be removed
When the nurse discusses prevention of cardiac disease, falls, and depression with a. group of older adults, which of the following would be more important for the nurse to emphasis?
Exercise
An elderly patient with arthritis who has been taking anti-inflammatory drugs like ibuprofen for the last 5 years should be monitored for:
Gastrointestinal (GI) bleeding and anemia
The nurse explains to a grieving husband that the process of the resolution of the hurt and the reestablishment of his life is called the ___ process.
Grief
After a health care provider in the emergency department has pronounced a 2-year-old dead following a swimming pool accident, the mother tearfully says to the father, "I am so sorry. I am so sorry." What is the mother expressing?
Guilt
A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?
Hypertension
When assessing the older adult, the nurse considers which aspect of the patient's routine as a possible contributor to constipation?
Intake of antacids several times a day
How is a durable power of attorney helpful to an incapacitated patient?
It directs an agent to make health care decisions
In an older adult, what results from a slowing of the impulse transmission in the nervous system?
Longer reaction time
The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?
Loss of taste buds
A 53-year-old woman complains of night sweats and mood swings. The nurse recognizes that these symptoms most likely relate to which condition?
Menopause
Changes in health care reimbursement have resulted in which of the following changes regarding care of the terminally ill?
More patients die at home
The nurse performing a routine physical assessment on a 25-year-old understand that the patient is most likely experiencing which of the following:
Optimal level of functioning
A 58-year-old male is concerned about some hearing loss he is experiencing. The nurse recognizes that this might be due to a sensory change of this age group known as which of the following?
Presbycusis
Why might the older adult patient not respond to surgical treatment as well as a younger adult patient?
Response to psychological changes
The home health nurse assess an older adult's respiratory function carefully because age-related changes in the respiratory system could result in which of the following?
Susceptibility to respiratory functions
The nurse points out that there are many myths about the elderly that are not true. The statement that reflects the most accuracy about the elderly is:
The optimistic, happy person generally lives longer
When the nurse is developing a care plan for a terminally ill patient, what might be a realistic goal?
The patient will function optimally
The nurse making the schedule for the daily dose of furosemide (Lasix) would schedule the administration for which of the following times?
in the morning
The nurse explains to a patient who has had a knee replacement that warfarin (Coumadin) is ordered to:
prevent formation of emboli