Question 1

An older adult patient in no acute distress reports being less able to taste and smell.What is the nurse's best response to this information?

Accepted Answer

A)  Notify the physician immediately to rule out cranial nerve damage. 
B)  Perform testing on the vestibulocochlear nerve and a hearing test. 
C)  Schedule the patient for an appointment at a smell and taste disorders clinic. 
D)  Explain to the patient that diminished senses are normal findings. 
A)  Notify the physician immediately to rule out cranial nerve damage. 
B)  Perform testing on the vestibulocochlear nerve and a hearing test. 
C)  Schedule the patient for an appointment at a smell and taste disorders clinic. 
D)  Explain to the patient that diminished senses are normal findings. D

Question 2

One of the greatest challenges for the nurse caring for older adults is ensuring safe medication use.One way to reduce the risks associated with medication usage is to

Accepted Answer

A)  Periodically review the patient's list of medications. 
B)  Inform the patient that polypharmacy is to be avoided at all cost. 
C)  Be aware that medication is absorbed the same way regardless of patient age. 
D)  Focus only on prescribed medications. 
A)  Periodically review the patient's list of medications. 
B)  Inform the patient that polypharmacy is to be avoided at all cost. 
C)  Be aware that medication is absorbed the same way regardless of patient age. 
D)  Focus only on prescribed medications. A

Question 3

Which of these assessments of an older adult,who has a urinary tract infection,requires an immediate nursing intervention?

Accepted Answer

A)  Presbycusis 
B)  Confusion 
C)  Death of a spouse 3 months ago 
D)  Temperature of 97.6° F 
A)  Presbycusis 
B)  Confusion 
C)  Death of a spouse 3 months ago 
D)  Temperature of 97.6° F B

Question 4

A male older adult patient expresses his concern and anxiety about decreased penile firmness during erection.What is the nurse's best response?

Accepted Answer

A)  Explain that over time, his libido will decrease, as will the frequency of sexual activity. 
B)  Tell the patient to double his antidepressant medication to increase his libido. 
C)  Tell the patient that this change is expected in aging adults. 
D)  Tell the patient that touching should be avoided unless intercourse is planned. 
A)  Explain that over time, his libido will decrease, as will the frequency of sexual activity. 
B)  Tell the patient to double his antidepressant medication to increase his libido. 
C)  Tell the patient that this change is expected in aging adults. 
D)  Tell the patient that touching should be avoided unless intercourse is planned.

Question 5

Which teaching strategy is best to utilize with older adult patients?

Accepted Answer

A)  Provide several topics of discussion at once to promote independence and making choices. 
B)  Avoid uncomfortable silences after questions by helping patients complete their statements. 
C)  Ask patients to recall past experiences that correspond with their interests. 
D)  Speak in a high pitch to help patients hear better. 
A)  Provide several topics of discussion at once to promote independence and making choices. 
B)  Avoid uncomfortable silences after questions by helping patients complete their statements. 
C)  Ask patients to recall past experiences that correspond with their interests. 
D)  Speak in a high pitch to help patients hear better.

Question 6

Which of these patient statements is the most reliable indicator that an older adult has the correct understanding of health promotion activities?

Accepted Answer

A)  "I need to increase my fat intake and limit protein." 
B)  "I should discontinue my fitness club membership for safety reasons." 
C)  "I'm up to date on my immunizations, but at my age, I don't need the tetanus vaccine." 
D)  "I still keep my dentist appointments even though I have partials now." 
A)  "I need to increase my fat intake and limit protein." 
B)  "I should discontinue my fitness club membership for safety reasons." 
C)  "I'm up to date on my immunizations, but at my age, I don't need the tetanus vaccine." 
D)  "I still keep my dentist appointments even though I have partials now."

Question 7

To promote physical well-being and socialization in an older adult,what should the nurse realize?

Accepted Answer

A)  Social isolationism is always a chosen behavior. 
B)  Body image plays no role in decision making by the older adult. 
C)  No community resources are focused on the older adult. 
D)  Older adults may have a functional purpose in social arenas. 
A)  Social isolationism is always a chosen behavior. 
B)  Body image plays no role in decision making by the older adult. 
C)  No community resources are focused on the older adult. 
D)  Older adults may have a functional purpose in social arenas.

Question 8

What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

Accepted Answer

A)  Suggest choosing a nursing center that is as sanitary as possible. The closer the center is to hospital standards, the better. 
B)  Have family members evaluate nursing home staff according to their ability to get tasks done efficiently. 
C)  Make sure that nursing home staff members get patients out of bed every day for the entire day. 
D)  Explain that it is probably best for the family to visit the center and inspect it personally. 
A)  Suggest choosing a nursing center that is as sanitary as possible. The closer the center is to hospital standards, the better. 
B)  Have family members evaluate nursing home staff according to their ability to get tasks done efficiently. 
C)  Make sure that nursing home staff members get patients out of bed every day for the entire day. 
D)  Explain that it is probably best for the family to visit the center and inspect it personally.

Question 9

As a patient ages,the nursing plan of care

Accepted Answer

A)  Should be standardized because all geriatric patients have the same needs. 
B)  Needs to be individualized to the patient's unique needs. 
C)  Should be based on chronological age alone. 
D)  Focuses on the disabilities that all aging persons face. 
A)  Should be standardized because all geriatric patients have the same needs. 
B)  Needs to be individualized to the patient's unique needs. 
C)  Should be based on chronological age alone. 
D)  Focuses on the disabilities that all aging persons face.

Question 10

The nurse correctly describes psychosocial theories on aging as theories that

Accepted Answer

A)  Describe role changes in behaviors in older adults. 
B)  Emphasize that all adults age in similar ways. 
C)  Stress the need for the aging to discontinue activities as they age. 
D)  Describe behavior patterns for all aging adults as unpredictable. 
A)  Describe role changes in behaviors in older adults. 
B)  Emphasize that all adults age in similar ways. 
C)  Stress the need for the aging to discontinue activities as they age. 
D)  Describe behavior patterns for all aging adults as unpredictable.

Question 11

An 80-year-old male is brought to the emergency department with an exacerbation of chronic obstructive pulmonary disease (COPD).He states that he quit smoking 30 years ago,so it can't be COPD.He argues,"It's just these colds I've been getting.They're just getting worse and worse." The nurse understands that

Accepted Answer

A)  These symptoms are more associated with normal aging than with disease. 
B)  Older adults do not have to alter physical activity because of physical changes. 
C)  The patient's age will require adjustment of lifestyle to one of inactivity. 
D)  Older adults usually are aware and accepting of the aging process. 
A)  These symptoms are more associated with normal aging than with disease. 
B)  Older adults do not have to alter physical activity because of physical changes. 
C)  The patient's age will require adjustment of lifestyle to one of inactivity. 
D)  Older adults usually are aware and accepting of the aging process.

Question 12

Which of these findings,if identified in a patient on a gerontological unit,would be most surprising to a culturally sensitive nurse?

Accepted Answer

A)  The older person not being functionally independent 
B)  Preferences in food, music, and religion 
C)  Use of conventions of the handshake, silence, and eye contact 
D)  Personal health practices and spiritual resources 
A)  The older person not being functionally independent 
B)  Preferences in food, music, and religion 
C)  Use of conventions of the handshake, silence, and eye contact 
D)  Personal health practices and spiritual resources

Question 13

An older adult patient has developed acute confusion.The patient has been on tranquilizers for the past week.The patient's vital signs are normal.What should the nurse do?

Accepted Answer

A)  Take into account age-related changes in body systems that affect pharmacokinetic activity. 
B)  Increase the dose of tranquilizer if the cause of the confusion is an infection. 
C)  Note when the confusion occurs and medicate before that time. 
D)  Restrict telephone usage to prevent further confusion. 
A)  Take into account age-related changes in body systems that affect pharmacokinetic activity. 
B)  Increase the dose of tranquilizer if the cause of the confusion is an infection. 
C)  Note when the confusion occurs and medicate before that time. 
D)  Restrict telephone usage to prevent further confusion.

Question 14

An outcome for an older adult patient living alone is to be free from falls.Which of these statements by a patient indicates that teaching on safety concerns has been effective?

Accepted Answer

A)  "I'll leave my throw rugs in place so that my feet won't touch the cold tile." 
B)  "I'll take my time getting up from the bed or chair." 
C)  "I should wear my favorite smooth bottom socks to protect my feet when walking around." 
D)  "I will have my son dim the lighting outside to decrease the glare in my eyes." 
A)  "I'll leave my throw rugs in place so that my feet won't touch the cold tile." 
B)  "I'll take my time getting up from the bed or chair." 
C)  "I should wear my favorite smooth bottom socks to protect my feet when walking around." 
D)  "I will have my son dim the lighting outside to decrease the glare in my eyes."

Question 15

Several theories on aging have been put forth,and the nurse should use these theories to

Accepted Answer

A)  Guide nursing care. 
B)  Explain the stochastic view of genetically programmed physiological changes. 
C)  Select one theory to guide nursing care for all geriatric patients. 
D)  Understand the nonstochastic views of aging as the result of cellular damage. 
A)  Guide nursing care. 
B)  Explain the stochastic view of genetically programmed physiological changes. 
C)  Select one theory to guide nursing care for all geriatric patients. 
D)  Understand the nonstochastic views of aging as the result of cellular damage.

Question 16

As the aging population in the United States increases,the nurse knows that the

Accepted Answer

A)  Baby boomer generation accounts for a very small percentage of this group. 
B)  Extension of the average life span has also increased. 
C)  Population segment over age 85 is decreasing. 
D)  Diversity of this age group will certainly decrease. 
A)  Baby boomer generation accounts for a very small percentage of this group. 
B)  Extension of the average life span has also increased. 
C)  Population segment over age 85 is decreasing. 
D)  Diversity of this age group will certainly decrease.

Question 17

During assessment of an older adult's skin integrity,expected findings include which of the following?

Accepted Answer

A)  Decreased elasticity 
B)  Oily skin 
C)  Increased facial hair in men 
D)  Faster nail growth 
A)  Decreased elasticity 
B)  Oily skin 
C)  Increased facial hair in men 
D)  Faster nail growth

Question 18

A patient with gradual,progressive cognitive impairment (dementia)is admitted to the nursing unit after hip replacement surgery.Which of the following is a nursing care principle for care of cognitively impaired older adults?

Accepted Answer

A)  Maintain physical health. 
B)  Evaluate the patient's manifestations of standard symptoms. 
C)  Assist patient with all ADLs. 
D)  Isolate patients to protect others. 
A)  Maintain physical health. 
B)  Evaluate the patient's manifestations of standard symptoms. 
C)  Assist patient with all ADLs. 
D)  Isolate patients to protect others.

Question 19

Which of the following statements by a new graduate nurse should be corrected by an experienced nurse?

Accepted Answer

A)  "Most older patients are ill and disabled. That's why we care for so many of them in the hospital." 
B)  "Older adults are many times still interested in sexual relations." 
C)  "Patients over age 65 are still lifelong learners." 
D)  "Many older adult patients remain independent enough to live alone." 
A)  "Most older patients are ill and disabled. That's why we care for so many of them in the hospital." 
B)  "Older adults are many times still interested in sexual relations." 
C)  "Patients over age 65 are still lifelong learners." 
D)  "Many older adult patients remain independent enough to live alone."

Question 20

When comparing developmental tasks of middle-aged persons versus older adults,what should the nurse infer?

Accepted Answer

A)  Learning to cope with loss is most common during the middle adult years. 
B)  After age 65, most older adults age both biologically and psychologically the same way. 
C)  All older adults will need nursing assistance to deal with loss. 
D)  Older adults fear and resent retirement as a disruption of their lifestyle. 
A)  Learning to cope with loss is most common during the middle adult years. 
B)  After age 65, most older adults age both biologically and psychologically the same way. 
C)  All older adults will need nursing assistance to deal with loss. 
D)  Older adults fear and resent retirement as a disruption of their lifestyle.

Exam 14: Older Adults

An older adult patient in no acute distress reports being less able to taste and smell.What is the nurse's best response to this information?

One of the greatest challenges for the nurse caring for older adults is ensuring safe medication use.One way to reduce the risks associated with medication usage is to

Which of these assessments of an older adult,who has a urinary tract infection,requires an immediate nursing intervention?

A male older adult patient expresses his concern and anxiety about decreased penile firmness during erection.What is the nurse's best response?

Which teaching strategy is best to utilize with older adult patients?

Which of these patient statements is the most reliable indicator that an older adult has the correct understanding of health promotion activities?

To promote physical well-being and socialization in an older adult,what should the nurse realize?

What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

As a patient ages,the nursing plan of care

The nurse correctly describes psychosocial theories on aging as theories that

Which of these findings,if identified in a patient on a gerontological unit,would be most surprising to a culturally sensitive nurse?

An older adult patient has developed acute confusion.The patient has been on tranquilizers for the past week.The patient's vital signs are normal.What should the nurse do?

An outcome for an older adult patient living alone is to be free from falls.Which of these statements by a patient indicates that teaching on safety concerns has been effective?

Several theories on aging have been put forth,and the nurse should use these theories to

As the aging population in the United States increases,the nurse knows that the

During assessment of an older adult's skin integrity,expected findings include which of the following?

A patient with gradual,progressive cognitive impairment (dementia)is admitted to the nursing unit after hip replacement surgery.Which of the following is a nursing care principle for care of cognitively impaired older adults?

Which of the following statements by a new graduate nurse should be corrected by an experienced nurse?

When comparing developmental tasks of middle-aged persons versus older adults,what should the nurse infer?

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