Question 1

An outcome for an older 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 favourite 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 favourite 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 2

An older 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 3

How would the nurse correctly describe psychosocial theories on aging?

Accepted Answer

A) As theories that describe changes in roles and relationships in older persons. 
B) As theories that emphasize that all adults age in similar ways. 
C) As theories that stress the need for older people to discontinue activities as they age. 
D) As theories that describe behaviour patterns for all aging persons as unpredictable. 
A) As theories that describe changes in roles and relationships in older persons. 
B) As theories that emphasize that all adults age in similar ways. 
C) As theories that stress the need for older people to discontinue activities as they age. 
D) As theories that describe behaviour patterns for all aging persons as unpredictable.

Question 4

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

Accepted Answer

A) Suggest choosing a nursing centre that is as sanitary as possible.The closer the centre 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 centre and inspect it personally. 
A) Suggest choosing a nursing centre that is as sanitary as possible.The closer the centre 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 centre and inspect it personally.

Question 5

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 36.4°C (97.6°F). 
A) Presbycusis. 
B) Confusion. 
C) Death of a spouse 3 months ago. 
D) Temperature of 36.4°C (97.6°F).

Question 6

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's 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's 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.

Exam 24: Older Persons

An outcome for an older 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?

An older 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?

How would the nurse correctly describe psychosocial theories on aging?

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

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

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

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

Nutrition

Urinary Elimination

Bowel Elimination

Mobility and Immobility

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

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