Question 1

What is the best nursing action when assisting an older patient to relieve the discomfort of pruritus related to dry skin?

Accepted Answer

A)  Encourage the patient to talk to the primary care physician about the problem. 
B)  Encourage the patient to take a tepid bath and use moisturizers. 
C)  Teach the patient that pruritus is an expected consequence of aging. 
D)  Establishing a medication regimen to control the discomfort. 
A)  Encourage the patient to talk to the primary care physician about the problem. 
B)  Encourage the patient to take a tepid bath and use moisturizers. 
C)  Teach the patient that pruritus is an expected consequence of aging. 
D)  Establishing a medication regimen to control the discomfort. B

Question 2

How is aging recognized by gerontologists as a developmental process?

Accepted Answer

A)  Measured in chronologic years 
B)  Directly related to heredity 
C)  Related to behavioral characteristics 
D)  Begins at the time of birth 
A)  Measured in chronologic years 
B)  Directly related to heredity 
C)  Related to behavioral characteristics 
D)  Begins at the time of birth D

Question 3

A nurse is caring for older adult patients with mild cognitive impairment (MCI).What are these patients more likely to develop?

Accepted Answer

A)  Dementia, non-Alzheimer type 
B)  Alzheimer dementia 
C)  Parkinson disease 
D)  Psychotic disorders 
A)  Dementia, non-Alzheimer type 
B)  Alzheimer dementia 
C)  Parkinson disease 
D)  Psychotic disorders B

Question 4

A 78-year-old resident of a long-term care facility insists on wearing high heels and miniskirts to the dining room for meals and will not leave her room without first applying glamorous makeup.What should the gerontological nurse assess as the reason for this behavior?

Accepted Answer

A)  Insecurity about her appearance 
B)  Trying to cope with the changes of aging 
C)  Denial concerning her advancing age 
D)  Her fashion consciousness 
A)  Insecurity about her appearance 
B)  Trying to cope with the changes of aging 
C)  Denial concerning her advancing age 
D)  Her fashion consciousness

Question 5

A nurse explains to family members that the final developmental stage is ego integrity.What should occur in the older adult, according to Erikson, if this stage is not mastered?

Accepted Answer

A)  Needs to repeat a previous stage. 
B)  Experiences despair. 
C)  Inability to advance past the present stage 
D)  Experiences disappointment. 
A)  Needs to repeat a previous stage. 
B)  Experiences despair. 
C)  Inability to advance past the present stage 
D)  Experiences disappointment.

Question 6

What is the best reason that drug toxicity can occur as a result of an age-related change in the liver?

Accepted Answer

A)  Increased liver size 
B)  Decreased liver enzyme activity 
C)  Rapid blood flow through the liver 
D)  Fluid accumulation in the portal vein 
A)  Increased liver size 
B)  Decreased liver enzyme activity 
C)  Rapid blood flow through the liver 
D)  Fluid accumulation in the portal vein

Question 7

What are the effects of aging on the nervous system?

Accepted Answer

A)  Accelerated loss of neurons in the brain 
B)  Gradually declining loss of intellectual capability 
C)  Decreased conduction speed of neurons 
D)  Loss of long-term memory 
A)  Accelerated loss of neurons in the brain 
B)  Gradually declining loss of intellectual capability 
C)  Decreased conduction speed of neurons 
D)  Loss of long-term memory

Question 8

A 77-year-old recently admitted to a long-term care facility refuses to join in activities or go to the dining room for meals.How should the nurse interpret this behavior?

Accepted Answer

A)  Stubbornness 
B)  Depression 
C)  Fear 
D)  Exhaustion 
A)  Stubbornness 
B)  Depression 
C)  Fear 
D)  Exhaustion

Question 9

A newly admitted 72-year-old resident of a long-term care facility naps frequently during the day, stating that he is tired.What is the best action by the nurse?

Accepted Answer

A)  Obtain an order from the primary caregiver for a sedative. 
B)  Ask the patient if he is sleeping well at night. 
C)  Plan activities to keep the patient awake during the day. 
D)  Tell the patient that he cannot take any more naps. 
A)  Obtain an order from the primary caregiver for a sedative. 
B)  Ask the patient if he is sleeping well at night. 
C)  Plan activities to keep the patient awake during the day. 
D)  Tell the patient that he cannot take any more naps.

Question 10

What is the most appropriate nursing intervention for a patient with presbycusis?

Accepted Answer

A)  Speak clearly and distinctly while facing the patient. 
B)  Announce your presence when entering the patient's room. 
C)  Place needed articles within easy reach. 
D)  Orient the patient to time and place as needed. 
A)  Speak clearly and distinctly while facing the patient. 
B)  Announce your presence when entering the patient's room. 
C)  Place needed articles within easy reach. 
D)  Orient the patient to time and place as needed.

Question 11

What is the best example of normal memory change or lapse of memory?

Accepted Answer

A)  Relying on another person to remember names or important events 
B)  Occasional forgetfulness or inability to recall names or facts 
C)  Difficulty in recalling recent events 
D)  Difficulty in recalling past events 
A)  Relying on another person to remember names or important events 
B)  Occasional forgetfulness or inability to recall names or facts 
C)  Difficulty in recalling recent events 
D)  Difficulty in recalling past events

Question 12

Which facts are generally accepted for most older adults?

Accepted Answer

A)  Intellectual capabilities are impaired. 
B)  Functional brain activities decrease. 
C)  Functional intellectual capability is maintained. 
D)  Creativity and judgment are severely impaired. 
A)  Intellectual capabilities are impaired. 
B)  Functional brain activities decrease. 
C)  Functional intellectual capability is maintained. 
D)  Creativity and judgment are severely impaired.

Question 13

What does Butler, a well-known gerontologist, relay regarding ageism?

Accepted Answer

A)  It dehumanizes older individuals. 
B)  It is based on the biologic theory of aging. 
C)  It is based on natural and purposeful occurrences. 
D)  It continues to change as the population ages. 
A)  It dehumanizes older individuals. 
B)  It is based on the biologic theory of aging. 
C)  It is based on natural and purposeful occurrences. 
D)  It continues to change as the population ages.

Question 14

What factor increases the risk of respiratory infection for older adults?

Accepted Answer

A)  Decreased ciliary action 
B)  Decreased physical activity 
C)  Inadequate hydration 
D)  Poor personal hygiene 
A)  Decreased ciliary action 
B)  Decreased physical activity 
C)  Inadequate hydration 
D)  Poor personal hygiene

Question 15

What should the nurse suspect a patient is developing when he is observed holding his Bible 6 inches from his face and turns his head to read out of the corner of his eyes?

Accepted Answer

A)  Cataracts 
B)  Glaucoma 
C)  Presbyopia 
D)  Macular degeneration 
A)  Cataracts 
B)  Glaucoma 
C)  Presbyopia 
D)  Macular degeneration

Question 16

What are included in age-related cardiovascular changes? (Select all that apply.)

Accepted Answer

A)  Decreased resting cardiac output 
B)  Increased blood pressure 
C)  Increased risk for heart attack 
D)  Increased coronary blood flow 
E)  Decreased rigidity of the heart 
A)  Decreased resting cardiac output 
B)  Increased blood pressure 
C)  Increased risk for heart attack 
D)  Increased coronary blood flow 
E)  Decreased rigidity of the heart

Question 17

What is the most appropriate nursing action when planning activities to improve short-term memory for an older adult patient experiencing memory deficits?

Accepted Answer

A)  Maintain the same daily schedule. 
B)  Rehearse memory training. 
C)  Provide a varied and stimulating daily schedule. 
D)  Conduct deep-breathing exercises. 
A)  Maintain the same daily schedule. 
B)  Rehearse memory training. 
C)  Provide a varied and stimulating daily schedule. 
D)  Conduct deep-breathing exercises.

Question 18

A nurse is caring for an older person whose renal changes make it impossible to concentrate or dilute urine.For what is this patient at the greatest risk?

Accepted Answer

A)  Urinary infection 
B)  Dehydration 
C)  Incontinence 
D)  Renal failure 
A)  Urinary infection 
B)  Dehydration 
C)  Incontinence 
D)  Renal failure

Question 19

What is true regarding the chemosensory changes observed in older adults?

Accepted Answer

A)  They are directly related to the aging process. 
B)  They are most often caused by disease. 
C)  They begin in the fifth decade of life. 
D)  They affect more women than men. 
A)  They are directly related to the aging process. 
B)  They are most often caused by disease. 
C)  They begin in the fifth decade of life. 
D)  They affect more women than men.

Question 20

How is the term old age or aged best defined?

Accepted Answer

A)  Person's state of mind 
B)  Person older than 65 years of age 
C)  Process of growing older 
D)  Person of advanced age 
A)  Person's state of mind 
B)  Person older than 65 years of age 
C)  Process of growing older 
D)  Person of advanced age

Exam 10: The Older Adult Patient

What is the best nursing action when assisting an older patient to relieve the discomfort of pruritus related to dry skin?

How is aging recognized by gerontologists as a developmental process?

A nurse is caring for older adult patients with mild cognitive impairment (MCI).What are these patients more likely to develop?

A 78-year-old resident of a long-term care facility insists on wearing high heels and miniskirts to the dining room for meals and will not leave her room without first applying glamorous makeup.What should the gerontological nurse assess as the reason for this behavior?

A nurse explains to family members that the final developmental stage is ego integrity.What should occur in the older adult, according to Erikson, if this stage is not mastered?

What is the best reason that drug toxicity can occur as a result of an age-related change in the liver?

What are the effects of aging on the nervous system?

A 77-year-old recently admitted to a long-term care facility refuses to join in activities or go to the dining room for meals.How should the nurse interpret this behavior?

A newly admitted 72-year-old resident of a long-term care facility naps frequently during the day, stating that he is tired.What is the best action by the nurse?

What is the most appropriate nursing intervention for a patient with presbycusis?

What is the best example of normal memory change or lapse of memory?

Which facts are generally accepted for most older adults?

What does Butler, a well-known gerontologist, relay regarding ageism?

What factor increases the risk of respiratory infection for older adults?

What should the nurse suspect a patient is developing when he is observed holding his Bible 6 inches from his face and turns his head to read out of the corner of his eyes?

What are included in age-related cardiovascular changes? (Select all that apply.)

What is the most appropriate nursing action when planning activities to improve short-term memory for an older adult patient experiencing memory deficits?

A nurse is caring for an older person whose renal changes make it impossible to concentrate or dilute urine.For what is this patient at the greatest risk?

What is true regarding the chemosensory changes observed in older adults?

How is the term old age or aged best defined?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders