Exam 13: Promoting Healthy Adaptation to Aging

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A 76-year-old neighbor confides to the nurse that she is having to get up in the middle of the night to void and often wets herself before she can get to the bathroom during the day. The nurse's best explanation would be:

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A

The nurse understands that the best explanation of why a particular person lives into his 90s in relatively good health is that the person:

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B

The nurse points out elements in our culture that support longevity in older people, which include: (Select all that apply.)

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B, D

An 85-year-old widow who lives alone has fallen several times in the last month and has been noted by her children to be confused about her medications and to frequently "forget" what is cooking on the stove until it is burned. These observations indicate that:

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The home health aide who visits an older adult reports to the nurse that the patient has many new bruises on her arms and face. The patient states that her daughter "has a temper and got mad" when she visited the day before. The nurse should:

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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:

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The nurse clarifies that the immune system failure theory states that:

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A 78-year-old man is admitted to the hospital after a fall from his bed at home that resulted in a fractured hip and several fractured ribs. He states, "I don't know how I broke so many bones. I only fell out of bed." The nurse can explain that:

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An 82-year-old man is alert and oriented and in good physical health except for some arthritic pain that "slows me down, but I just keep moving." He lives alone in an apartment in a senior citizen complex but enjoys the company of other residents and takes part in the social activities there. His lifestyle is an example of:

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To promote cognitive health for a 79-year-old, the nursing student should encourage the patient to do which of the following? (Select all that apply.)

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An 82-year-old patient expresses concern of always being cold. Based on knowledge of the physical changes associated with aging, the nurse could appropriately respond: (Select all that apply.)

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A nurse making a home visit to a 75-year-old woman discovers that the patient stays in bed or on the couch most of the time because she is afraid of falling. The nurse should arrange for a:

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A 76-year-old recently lost her spouse. They lived in a large house with a yard that they managed well until her spouse's sudden death. She is in good health and stays active but is becoming concerned about her ability to maintain the large house by herself. The nurse's most helpful suggestion would be to: (Select all that apply.)

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When the 75-year-old patient tells the nurse that he has had a good and rewarding life and has enjoyed every minute of it, the nurse is aware that the patient has attained the Eriksonian stage of:

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An 80-year-old man has no chronic diseases and is alert, oriented, and physically active. Which of the following nursing diagnoses is likely to be present as a result of the normal aging process?

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The home health nurse assesses an 80-year-old who has fallen twice in the last 10 days. The nurse discovers that the patient uses a cane for ambulation stability, drinks up to 6 cups of coffee a day, has altered depth perception because of cataracts, and has recently carpeted her home with a smooth tight weave carpet. The nurse suspects the cause of her recent falls to be the:

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A 67-year-old submitted a job application at a local gas station. The station manager said, "Aren't you retired? I can't hire you. You're too old to be working!" This is an example of _____________.

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When the nurse is conducting a class for senior citizens at a local assisted living facility, to enhance physical health, he encourages the older residents to engage in some form of exercise for at least:

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When a 68-year-old recent retiree confides in the health clinic nurse that he has felt depressed and withdrawn since retirement, the nurse suggests that he:

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The nurse warns that infection after exposure to respiratory illness in the older adult:

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