Question 1

Which of these patient statements is the most reliable indicator that an older person 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." D

Question 2

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) "Many older persons are still interested in sexual relations." 
C) "Patients over age 65 are still lifelong learners." 
D) "Many older 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) "Many older persons are still interested in sexual relations." 
C) "Patients over age 65 are still lifelong learners." 
D) "Many older patients remain independent enough to live alone." A

Question 3

A male older 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 persons. 
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 persons. 
D) Tell the patient that touching should be avoided unless intercourse is planned. C

Question 4

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 persons?

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 5

An older 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.

Question 6

Which symptom is an expected cognitive change in the older person?

Accepted Answer

A) Disorientation. 
B) Slower reaction time. 
C) Poor judgement. 
D) Loss of language skills. 
A) Disorientation. 
B) Slower reaction time. 
C) Poor judgement. 
D) Loss of language skills.

Question 7

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

Accepted Answer

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

Question 8

A recently widowed 80-year-old male is dehydrated and is admitted to the hospital for intravenous fluid replacement.During the evening shift,the patient becomes acutely confused.The nurse's best action is to assess the patient for which of the following reversible causes? (Select all that apply. )

Accepted Answer

A) Electrolyte imbalance. 
B) Hypoglycemia. 
C) Drug effects. 
D) Dementia. 
E) Cerebral anoxia. 
A) Electrolyte imbalance. 
B) Hypoglycemia. 
C) Drug effects. 
D) Dementia. 
E) Cerebral anoxia.

Question 9

As the aging population in Canada increases,which of the following is true?

Accepted Answer

A) The baby boomer generation accounts for a very small percentage of this group. 
B) The average lifespan has also increased. 
C) The population segment of people older than 85 is decreasing. 
D) Diversity of this age group will certainly decrease. 
A) The baby boomer generation accounts for a very small percentage of this group. 
B) The average lifespan has also increased. 
C) The population segment of people older than 85 is decreasing. 
D) Diversity of this age group will certainly decrease.

Question 10

Several theories on aging have been put forth;how should the nurse use these theories?

Accepted Answer

A) To guide nursing care. 
B) To explain the stochastic view of genetically programmed physiological changes. 
C) To select one theory to guide nursing care for all geriatric patients. 
D) To understand the nonstochastic views of aging as the result of cellular damage. 
A) To guide nursing care. 
B) To explain the stochastic view of genetically programmed physiological changes. 
C) To select one theory to guide nursing care for all geriatric patients. 
D) To understand the nonstochastic views of aging as the result of cellular damage.

Question 11

Which teaching strategy is best to utilize with older persons?

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 12

During assessment of an older person'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 13

One of the greatest challenges for the nurse caring for older persons 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.

Question 14

When comparing developmental tasks of middle-aged persons versus older persons,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 persons age both biologically and psychologically the same way. 
C) Older persons will need nursing assistance to deal with loss. 
D) Older persons 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 persons age both biologically and psychologically the same way. 
C) Older persons will need nursing assistance to deal with loss. 
D) Older persons fear and resent retirement as a disruption of their lifestyle.

Question 15

As a patient ages,how should the nursing plan of care change?

Accepted Answer

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

Question 16

An older patient has fallen and broken his hip.As a consequence,the patient's family is concerned about his ability to care for himself,especially during his convalescence.What should the nurse do?

Accepted Answer

A) Stress that older patients usually ask for help when needed. 
B) Inform the family that placement in a nursing centre is a permanent solution. 
C) Tell the family to enroll the patient in a ceramics class to maintain his quality of life. 
D) Provide information and answer questions as family members make choices among care options. 
A) Stress that older patients usually ask for help when needed. 
B) Inform the family that placement in a nursing centre is a permanent solution. 
C) Tell the family to enroll the patient in a ceramics class to maintain his quality of life. 
D) Provide information and answer questions as family members make choices among care options.

Question 17

A patient asks the nurse what the term polypharmacy means.The nurse defines this term as

Accepted Answer

A) Multiple side effects experienced when taking a medication. 
B) The concurrent use of many medications. 
C) The many adverse drug effects reported to the pharmacy. 
D) The risks of medication effects due to aging. 
A) Multiple side effects experienced when taking a medication. 
B) The concurrent use of many medications. 
C) The many adverse drug effects reported to the pharmacy. 
D) The risks of medication effects due to aging.

Question 18

A 70-year-old patient who suffers from worsening dementia is no longer able to live alone.When discussing health care services and possible long-term living arrangements with the patient's only son,what should the nurse suggest?

Accepted Answer

A) An apartment setting with neighbours close by. 
B) Weekly home health visits. 
C) A nursing centre because home care is no longer safe. 
D) That placement is irrelevant because the patient is retreating to a place of inactivity. 
A) An apartment setting with neighbours close by. 
B) Weekly home health visits. 
C) A nursing centre because home care is no longer safe. 
D) That placement is irrelevant because the patient is retreating to a place of inactivity.

Question 19

A 72-year-old woman was recently widowed.She worked as a teller at a bank for 40 years and has been retired for the past 5 years.She never learned how to drive.She lives in a rural area that does not have public transportation.Which of the following psychosocial changes does the nurse focus on as a priority?

Accepted Answer

A) Sexuality. 
B) Housing and environment. 
C) Retirement. 
D) Social isolation. 
A) Sexuality. 
B) Housing and environment. 
C) Retirement. 
D) Social isolation.

Question 20

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 persons should be encouraged to maintain physical exercise and activity. 
C) The patient's age will require adjustment of lifestyle to one of inactivity. 
D) Older persons usually are aware and accepting of the aging process. 
A) These symptoms are more associated with normal aging than with disease. 
B) Older persons should be encouraged to maintain physical exercise and activity. 
C) The patient's age will require adjustment of lifestyle to one of inactivity. 
D) Older persons usually are aware and accepting of the aging process.

Exam 24: Older Persons

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

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

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

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 persons?

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

Which symptom is an expected cognitive change in the older person?

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

A recently widowed 80-year-old male is dehydrated and is admitted to the hospital for intravenous fluid replacement.During the evening shift,the patient becomes acutely confused.The nurse's best action is to assess the patient for which of the following reversible causes? (Select all that apply. )

As the aging population in Canada increases,which of the following is true?

Several theories on aging have been put forth;how should the nurse use these theories?

Which teaching strategy is best to utilize with older persons?

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

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

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

As a patient ages,how should the nursing plan of care change?

An older patient has fallen and broken his hip.As a consequence,the patient's family is concerned about his ability to care for himself,especially during his convalescence.What should the nurse do?

A patient asks the nurse what the term polypharmacy means.The nurse defines this term as

A 70-year-old patient who suffers from worsening dementia is no longer able to live alone.When discussing health care services and possible long-term living arrangements with the patient's only son,what should the nurse suggest?

Health and Wellness

The Canadian Health Care Delivery System

The Development of Nursing in Canada

Community Health Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Informed Practice

Nursing Values and Ethics

Legal Implications in Nursing Practice

Global Health

Indigenous Health

Nursing Leadership, management, and Collaborative Practice

Critical Thinking in Nursing Practice

Nursing Assessment, diagnosis, and Planning

Implementing and Evaluating Nursing Care

Documenting and Reporting

Nursing Informatics and Canadian Nursing Practice

Communication and Relational Practice

Patient-Centred Care: Interprofessional Collaborative Practice

Family Nursing

Patient Education

Developmental Theories

Conception Through Adolescence

Young to Middle Adulthood

The Experience of Loss, death, and Grief

Self-Concept

Sexuality

Spirituality in Health and Health Care

Stress and Adaptation

Vital Signs

Pain Assessment and Management

Health Assessment and Physical Examination

Infection Control

Medication Administration

Complementary and Alternative Approaches in Health Care

Activity and Exercise

Quality and Patient Safety

Hygiene

Cardiopulmonary Functioning and Oxygenation

Fluid, electrolyte, and Acid-base Balances

Sleep

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Urinary Elimination

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Mobility and Immobility

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

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