Question 1

Which finding is abnormal in an elderly female?

Accepted Answer

A)  small, flat nipples 
B)  granular breast tissue upon palpation 
C)  bilateral tenderness 
D)  firm, stringy ductal tissue around the nipple 
A)  small, flat nipples 
B)  granular breast tissue upon palpation 
C)  bilateral tenderness 
D)  firm, stringy ductal tissue around the nipple

Question 2

Which of the following is most likely to indicate pathological changes of the respiratory system rather than changes resulting from the aging process?

Accepted Answer

A)  barrel chest 
B)  pursed-lip breathing 
C)  diminished cough reflex 
D)  loss of alveolar gas exchange 
A)  barrel chest 
B)  pursed-lip breathing 
C)  diminished cough reflex 
D)  loss of alveolar gas exchange

Question 3

An 80-year-old man has been experiencing fecal incontinence.Which of the following is the most likely cause of this disorder?

Accepted Answer

A)  denervation of the sensory receptors in the muscles surrounding the rectum 
B)  increase in the tone of the internal anal sphincter 
C)  decline in the large bowel transit 
D)  decrease in intestinal mobility and absorption 
A)  denervation of the sensory receptors in the muscles surrounding the rectum 
B)  increase in the tone of the internal anal sphincter 
C)  decline in the large bowel transit 
D)  decrease in intestinal mobility and absorption

Question 4

A 93-year-old patient has been functioning independently in the home but has suddenly become confused.A family member asks the nurse,"Does this mean Dad has Alzheimer's disease?" Which of the following is the most appropriate response?

Accepted Answer

A)  "Your father will have to be monitored over time." 
B)  "It is very likely your father has Alzheimer's disease." 
C)  "Why do you think your father has dementia?" 
D)  "Confusion can be a sign of an infection in an older adult." 
A)  "Your father will have to be monitored over time." 
B)  "It is very likely your father has Alzheimer's disease." 
C)  "Why do you think your father has dementia?" 
D)  "Confusion can be a sign of an infection in an older adult."

Question 5

A member of an older patient's family asks the nurse why medications are ordered at half of the usual dose.Which of the following is the most appropriate response?

Accepted Answer

A)  "Medications for the older adult are prescribed at a pediatric dose." 
B)  "The metabolism of the older adult is much like that of a child of the same weight." 
C)  "Medications for the older adult are sometimes at lower doses initially until the patient's response is evaluated." 
D)  "Older adults generally take a lower dose of a medication because of cost." 
A)  "Medications for the older adult are prescribed at a pediatric dose." 
B)  "The metabolism of the older adult is much like that of a child of the same weight." 
C)  "Medications for the older adult are sometimes at lower doses initially until the patient's response is evaluated." 
D)  "Older adults generally take a lower dose of a medication because of cost."

Question 6

Which of the following four older adults that the nurse is caring for does the nurse evaluate as most at risk for self-directed violence (suicide)?

Accepted Answer

A)  recently widowed woman with multiple chronic illnesses who lives near family 
B)  widowed man who is 88 years old, lives alone, and has multiple chronic illnesses 
C)  76-year-old single man who lives in a retirement center and engages in community activities 
D)  83-year-old woman who has type 2 diabetes mellitus and lives with her daughter 
A)  recently widowed woman with multiple chronic illnesses who lives near family 
B)  widowed man who is 88 years old, lives alone, and has multiple chronic illnesses 
C)  76-year-old single man who lives in a retirement center and engages in community activities 
D)  83-year-old woman who has type 2 diabetes mellitus and lives with her daughter

Question 7

An older adult may complain of difficulty driving at night.Which physiological change in the eye can explain this problem?

Accepted Answer

A)  The pupils become smaller. 
B)  Peripheral vision widens. 
C)  Accommodation is increased. 
D)  The ability to discern the colors red and green is impaired. 
A)  The pupils become smaller. 
B)  Peripheral vision widens. 
C)  Accommodation is increased. 
D)  The ability to discern the colors red and green is impaired.

Question 8

An older adult patient receives a gift of boxed chocolate candy.The patient has dementia and does not understand that it is candy and it belongs to her.Which of the following actions by the nurse is most appropriate?

Accepted Answer

A)  Tell her that it belongs to her and offer her a piece. 
B)  Offer the candy to the other patients. 
C)  Send the candy home with her family. 
D)  Throw the candy away because she is unable to eat it. 
A)  Tell her that it belongs to her and offer her a piece. 
B)  Offer the candy to the other patients. 
C)  Send the candy home with her family. 
D)  Throw the candy away because she is unable to eat it.

Question 9

Depression is often caused by decreases in the neurotransmitters ____________________ and _____________________.

Accepted Answer

norepinephrine
serotonin
Depre

Question 10

Which of the following contribute to kidney shrinkage and a decrease in glomerular filtration rates? Select all that apply.

Accepted Answer

A)  Glomerular degeneration 
B)  Thickening of glomerular and tubular basement membranes 
C)  Decreased length of proximal and distal tubes 
D)  Enhanced ability to dilute 
E)  Increased urine concentration
F) Decreased renal blood flow 
A)  Glomerular degeneration 
B)  Thickening of glomerular and tubular basement membranes 
C)  Decreased length of proximal and distal tubes 
D)  Enhanced ability to dilute 
E)  Increased urine concentration
F) Decreased renal blood flow

Which finding is abnormal in an elderly female?

Which of the following is most likely to indicate pathological changes of the respiratory system rather than changes resulting from the aging process?

An 80-year-old man has been experiencing fecal incontinence.Which of the following is the most likely cause of this disorder?

A 93-year-old patient has been functioning independently in the home but has suddenly become confused.A family member asks the nurse,"Does this mean Dad has Alzheimer's disease?" Which of the following is the most appropriate response?

A member of an older patient's family asks the nurse why medications are ordered at half of the usual dose.Which of the following is the most appropriate response?

Which of the following four older adults that the nurse is caring for does the nurse evaluate as most at risk for self-directed violence (suicide)?

An older adult may complain of difficulty driving at night.Which physiological change in the eye can explain this problem?

An older adult patient receives a gift of boxed chocolate candy.The patient has dementia and does not understand that it is candy and it belongs to her.Which of the following actions by the nurse is most appropriate?

Depression is often caused by decreases in the neurotransmitters and _.

Which of the following contribute to kidney shrinkage and a decrease in glomerular filtration rates? Select all that apply.

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Complete Health History And Physical Examination

Filters

Exam 26: The Older Adult Patient

Which finding is abnormal in an elderly female?

Which of the following is most likely to indicate pathological changes of the respiratory system rather than changes resulting from the aging process?

An 80-year-old man has been experiencing fecal incontinence.Which of the following is the most likely cause of this disorder?

A 93-year-old patient has been functioning independently in the home but has suddenly become confused.A family member asks the nurse,"Does this mean Dad has Alzheimer's disease?" Which of the following is the most appropriate response?

A member of an older patient's family asks the nurse why medications are ordered at half of the usual dose.Which of the following is the most appropriate response?

Which of the following four older adults that the nurse is caring for does the nurse evaluate as most at risk for self-directed violence (suicide)?

An older adult may complain of difficulty driving at night.Which physiological change in the eye can explain this problem?

An older adult patient receives a gift of boxed chocolate candy.The patient has dementia and does not understand that it is candy and it belongs to her.Which of the following actions by the nurse is most appropriate?

Depression is often caused by decreases in the neurotransmitters ____________________ and _____________________.

Which of the following contribute to kidney shrinkage and a decrease in glomerular filtration rates? Select all that apply.

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Complete Health History And Physical Examination

Filters

Depression is often caused by decreases in the neurotransmitters and _.