Deck 28: Health of Older Adults

Question 1

Chronic illness occurs over a long period with occasional acute exacerbations and remissions. Nursing activities should be holistic. Which of the following is a goal of chronic care?

A) Focusing on caregiver skills
B) Preventing complications
C) Moving chronically ill to long-term care facilities
D) Reversing the effects of chronic disease

Answer 1

Preventing complications

Question 2

The most common chronic condition experienced by elder women is:

A) Hearing impairment
B) Hypertension
C) Arthritis
D) Heart disease

Answer 2

Arthritis

Question 3

Which of the following theories views people as unique, self-determined, worthy of respect, and guided by a variety of basic human needs?

A) Humanistic
B) Activity
C) Disengagement
D) Continuity

Answer 3

Humanistic

Question 4

The nurse is caring for an elder client who has written advance directives. This means that:

A) The elder has expressed his or her wishes regarding terminal medical treatment and decisions if he or she becomes incapacitated.
B) The elder wrote a living will.
C) The elder has a Do Not Resuscitate order.
D) The elder's family has decided on a medical treatment regimen.

Question 5

One often overlooked concern of older persons is abuse. Elder abuse encompasses physical, emotional, and sexual abuse as well as exploitation, neglect, and abandonment. Identification of abuse could consist of which of the following?

A) A daughter refuses to visit her mother due to work commitments.
B) A child runs around the house breaking items.
C) A young man repeatedly steals money from his grandmother.
D) An elderly person demands that the family come for dinner.

Question 6

The term used for prejudice about older people is:

A) Ageism
B) Geriatrics
C) Neglect
D) Gerontology

Question 7

An example of an industrial activity of daily living is:

A) Bathing
B) Preparing medications
C) Dressing
D) Eating

Question 8

The specialized study of the process of growing old is:

A) Gerontology
B) Ageism
C) Geriatrics
D) Gerontologic nursing

Question 9

Noninstitutionalized older persons often assess their health as excellent to very good. An appropriate goal for community-oriented nurses working with older persons is:

A) Assessing chronic illnesses and making medication recommendations
B) Finding family members to help the older person with socioeconomic issues
C) Assisting older persons to find suitable housing
D) Helping older people maximize functional status and minimize functional decline

Question 10

An acute onset of confusion is called:

A) Alzheimer's disease
B) Delirium
C) Dementia
D) Depression

Question 11

Adult day health is for individuals whose mental or physical function requires health care and supervision. Which of the following is true about some adult day health center? Health centers:

A) Offer a philosophy of caring for supporting life until death occurs
B) Include independent living conditions for people who may need assistance with ADLs
C) Provide treatment for those needing rehabilitation and a permanent supportive residence
D) Provide respite care relief for caregivers

Question 12

The term that denotes a slow, progressive intellectual impairment is:

A) Confusion
B) Delirium
C) Dementia
D) Depression

Question 13

The psychosocial theory that focuses on the relationship between consistent activity, coping ability, and life satisfaction is the:

A) Activity theory
B) Continuity theory
C) Disengagement theory
D) Humanistic theory

Question 14

A nurse is going to visit a homebound person described as the "oldest old." The nurse would expect:

A) The client to have Alzheimer's disease
B) The person to be more than 85 years old.
C) The client will have a chronic disease
D) The client will be in an assisted-living community.

Question 15

Biological theories of aging involve changes on molecular, cellular, and systemic levels. Influences on biological changes include:

A) The environment, nutrition, and stress
B) Caregiver role strain
C) The number of crises a person has had in his or her lifetime
D) The ability to make choices

Question 16

The somewhat slower reaction speed and psychomotor response in the elderly can be related to the neurologic changes that occur with aging. Which of the following is true?

A) Older people can learn and perform as well as younger people, but they may be slower.
B) It has been demonstrated in simulated driving tests that older people have the same response time as their younger counterparts.
C) Reaction time steadily declines with age.
D) Older people should not drive or operate machinery.

Question 17

The process of integrating past experiences in an attempt to find meaning in life is known as:

A) Continuity
B) Generatively
C) Life review
D) Maturity

Question 18

The most rapidly growing group is those of advanced age. Community-oriented nurses have been providing care in the field of gerontology. This involves:

A) Specialized knowledge, skill, and abilities about care for the older population.
B) Visiting centurions in their homes to provide care.
C) The study of demographics related to the increase in the older population.
D) Profiling elders into categories related to chronic disease states.

Question 19

At what period of time does aging begin?

A) Conception
B) Birth
C) 40 years
D) 65 years

Question 20

Age, if defined purely from a physiological perspective, is a process of deterioration of body systems. However, aging is more appropriately defined:

A) As a process of slow brain deterioration
B) By ageism-a term used to describe the aging process
C) From several domains including physiologic, psychological, sociologic, and spiritual processes
D) As related to cognitive ability-the ability to live independently

Question 21

Travis coined the term wellness to help bring to mind the idea of health as holistic rather than merely the absence of disease or illness. One of the five dimensions of wellness is:

A) Physical fitness
B) Advanced age
C) Dementia
D) Cohesiveness

Question 22

An elderly person is in the last stages of dying. Which of the following would be the best form of care for him?

A) Home health
B) Assisted living
C) Nursing home
D) Hospice

Question 23

Aging is a process, and all individuals must perform certain developmental tasks at different stages in life. Clark and Andersons theorized that aging has positive and negative consequences that individuals must adjust and adapt to. These include which of the following? Select all that apply.

A) Recognition of aging and limitations
B) Redefinition of physical and social life space
C) Substitution of alternative sources of need satisfaction
D) Reintegration of values and life goals
E) None of the above

Question 24

Which of the following models keeps individuals in the community as long as medically, socially, and financially possible?

A) Geriatric Resource Nurse Model
B) Program of All-Inclusive Care for the Elderly (PACE)
C) Evercare
D) SPPICEES

Question 25

Which of the following is the legal way for the client to designate someone else to make health care decisions when he or she is unable to do so?

A) Advance directives
B) Living will
C) Durable power of attorney
D) Patient Self-Determination Act

Question 26

Caregiving for elders is provided primarily by:

A) Community service agencies
B) Female spouses
C) Friends
D) Health care professionals

Question 27

An elder is living independently in a single room in a full-service life care community. This living arrangement is described as:

A) Adult day care
B) Home care
C) Nursing home
D) Assisted living