Question 1

Which intervention demonstrates effective care for an individual who has expressed a wish to "retire sometime soon"? (Select all that apply.)

Accepted Answer

A)  Asking about when she plans to retire 
B)  Assessing her ability to handle the stresses of retirement 
C)  Engaging her in a conversation about her interests 
D)  Inquiring about the existence of any chronic illnesses 
E)  Scheduling a full physical examination
F) None of the above 
A)  Asking about when she plans to retire 
B)  Assessing her ability to handle the stresses of retirement 
C)  Engaging her in a conversation about her interests 
D)  Inquiring about the existence of any chronic illnesses 
E)  Scheduling a full physical examination
F) None of the above A, B, C, D, E

Question 2

A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority when preparing the grandmother for long-term success in this new role?

Accepted Answer

A)  Reviewing the developmental milestones of childhood 
B)  Identifying local sources of child counseling services 
C)  Discussing the common challenges of parenting a 6-year-old 
D)  Teaching stress management and relaxation techniques 
A)  Reviewing the developmental milestones of childhood 
B)  Identifying local sources of child counseling services 
C)  Discussing the common challenges of parenting a 6-year-old 
D)  Teaching stress management and relaxation techniques D

Question 3

When acting as a fictive kin, in which activity will a paid caregiver engage?

Accepted Answer

A)  Being responsible for paying the client's bills 
B)  Organizing the client's birthday celebration 
C)  Accompanying the client to doctor's appointments 
D)  Assuring the client has clean, appropriate clothing available 
A)  Being responsible for paying the client's bills 
B)  Organizing the client's birthday celebration 
C)  Accompanying the client to doctor's appointments 
D)  Assuring the client has clean, appropriate clothing available B

Question 4

Which question will best assess the ability of the LGBT older couple to successfully adjust to the challenges of aging?

Accepted Answer

A)  "How long have you been in this relationship?" 
B)  "Have you experienced prejudice and discrimination in your life?" 
C)  "As a couple are you financially secure?" 
D)  "Do you as a couple share similar religious beliefs?" 
A)  "How long have you been in this relationship?" 
B)  "Have you experienced prejudice and discrimination in your life?" 
C)  "As a couple are you financially secure?" 
D)  "Do you as a couple share similar religious beliefs?"

Question 5

Which of the following reactions to the loss of a spouse or long-term partner is a unique example of older adult male bereavement?

Accepted Answer

A)  Withdrawing from friends and family 
B)  Remarrying within months of the loss 
C)  Focusing on "doing" rather than "feeling" 
D)  Experiencing moderate to severe depression 
A)  Withdrawing from friends and family 
B)  Remarrying within months of the loss 
C)  Focusing on "doing" rather than "feeling" 
D)  Experiencing moderate to severe depression

Question 6

Which behavior suggests that an older adult who has lost his life partner is successfully managing the exploration stage of the adjustment process?

Accepted Answer

A)  He smiles when reminiscing about the trips they took together over the years. 
B)  He explains that he can't make a decision about moving "just yet." 
C)  He agrees to eat some of his "favorite soup" that his daughter has made. 
D)  He is heard saying, "I'll never get over the loss, but my life has a purpose." 
A)  He smiles when reminiscing about the trips they took together over the years. 
B)  He explains that he can't make a decision about moving "just yet." 
C)  He agrees to eat some of his "favorite soup" that his daughter has made. 
D)  He is heard saying, "I'll never get over the loss, but my life has a purpose."

Question 7

Which statements made by a couple who have recently retired support the nurse's evaluation that the transition to retirement has been a successful one? (Select all that apply.)

Accepted Answer

A)  "I'm afraid we can't make it that weekend; we'll be visiting the grandchildren." 
B)  "I'm not accustomed to sharing my kitchen with anyone else." 
C)  "One week I was working 50 hours and the next I didn't have to get up until noon." 
D)  "I often wonder if my buddies from the plant miss me." 
E)  "We have found a few painless ways to reduce our monthly expenses." 
A)  "I'm afraid we can't make it that weekend; we'll be visiting the grandchildren." 
B)  "I'm not accustomed to sharing my kitchen with anyone else." 
C)  "One week I was working 50 hours and the next I didn't have to get up until noon." 
D)  "I often wonder if my buddies from the plant miss me." 
E)  "We have found a few painless ways to reduce our monthly expenses."

Question 8

Which nursing intervention best addresses the need for social support demonstrated by an older adult couple who will be assuming responsibility for the raising of two grandchildren?

Accepted Answer

A)  Facilitating a support group for children being raised by grandparents 
B)  Helping the grandparents express their feeling regarding this unexpected role change 
C)  Offering a monthly parenting class for this cohort of grandparents 
D)  Suggesting couple's therapy to assist in managing any new stress on their marriage 
A)  Facilitating a support group for children being raised by grandparents 
B)  Helping the grandparents express their feeling regarding this unexpected role change 
C)  Offering a monthly parenting class for this cohort of grandparents 
D)  Suggesting couple's therapy to assist in managing any new stress on their marriage

Question 9

Which activity would a couple in the reorientation phase of their retirement engage in?

Accepted Answer

A)  Establishing a new budget that will allow them to travel to see the grandchildren 
B)  Reading magazines devoted to making decisions about retirement plans 
C)  Looking for ways to "fill up the days" 
D)  Volunteering at the local animal shelter 
A)  Establishing a new budget that will allow them to travel to see the grandchildren 
B)  Reading magazines devoted to making decisions about retirement plans 
C)  Looking for ways to "fill up the days" 
D)  Volunteering at the local animal shelter

Question 10

An older woman is preparing to move in with her daughter following the death of her spouse of 55 years. The daughter asks a nurse, "I know we are doing the right thing for mom, but I am a bit nervous about this. Do you have any suggestions about things that we should do in preparation?" The nurse responds: (Select all that apply.)

Accepted Answer

A)  "Have you chosen an area of the house for your mom to live in?" 
B)  "Have you considered scheduling regular visits for your mom with your sister who lives out of state?" 
C)  "You have every right to be nervous; multigenerational households are usually not successful." 
D)  "Have you investigated what activities are available at the senior center near your home?" 
E)  "Since your mom is so computer literate she can stay in touch with her friends when she moves." 
A)  "Have you chosen an area of the house for your mom to live in?" 
B)  "Have you considered scheduling regular visits for your mom with your sister who lives out of state?" 
C)  "You have every right to be nervous; multigenerational households are usually not successful." 
D)  "Have you investigated what activities are available at the senior center near your home?" 
E)  "Since your mom is so computer literate she can stay in touch with her friends when she moves."

Exam 34: Relationships, Roles, and Transitions

Which intervention demonstrates effective care for an individual who has expressed a wish to "retire sometime soon"? (Select all that apply.)

A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority when preparing the grandmother for long-term success in this new role?

When acting as a fictive kin, in which activity will a paid caregiver engage?

Which question will best assess the ability of the LGBT older couple to successfully adjust to the challenges of aging?

Which of the following reactions to the loss of a spouse or long-term partner is a unique example of older adult male bereavement?

Which behavior suggests that an older adult who has lost his life partner is successfully managing the exploration stage of the adjustment process?

Which statements made by a couple who have recently retired support the nurse's evaluation that the transition to retirement has been a successful one? (Select all that apply.)

Which nursing intervention best addresses the need for social support demonstrated by an older adult couple who will be assuming responsibility for the raising of two grandchildren?

Which activity would a couple in the reorientation phase of their retirement engage in?

Health and Wellness in an Aging Society

Gerontological Nursing: Past Present and Future

Theories of Aging

Cross Cultural Caring and Aging

Cognition and Learning

Communicating with Older Adults

Health Assessment

Laboratory Values and Diagnostics

Geropharmacology

The Use of Herbs and Supplements

Vision

Hearing

Skin Care

Nutrition

Hydration and Oral Care

Elimination

Sleep

Physical Activity and Exercise

Falls and Fall Risk Reduction

Safety and Security

Living Well with Chronic Illness

Cardiovascular and Cerebrovascular Health and Illness

Neurodegenerative Disorders

Endocrine and Immune Disorders

Respiratory Health and Illness

Common Musculoskeletal Concerns

Pain and Comfort

Mental Health

Care of Individuals with Neurocognitive Disorders

Economics and Health Care in Later Life

Common Legal and Ethical Issues

Long-Term Care

Intimacy and Sexuality

Loss, Death, and Palliative Care

Self-Actualization, Spirituality, and Transcendence

Filters