Question 1

The nurse assesses a major sign of renal changes related to age,which is:

Accepted Answer

Urgency incontinence is related to several age-related changes in the urinary musculature.Renal calculi and hematuria are pathologic symptoms and are not age-related.Nocturia is not specifically related to aging.

Question 2

The nurse in a long-term care facility takes extra precaution in the approach to nursing care because the older adult is more prone to respiratory infection because of:

Accepted Answer

The ability to perform strenuous work decreases with age.The ciliary action responsible for movement of secretions from the lung is compromised because of epithelial atrophy.

Question 3

To relieve the discomfort of pruritus related to dry skin,the nurse should focus on:

Accepted Answer

Because pruritus is caused by loss of oils in the skin,the patient should be encouraged to take tepid baths,use moisturizers,and avoid overuse of antiperspirants,soaps,perfumes,and long hot baths.

Question 4

Aging is recognized by gerontologists as a developmental process that:

Accepted Answer

Geriatrics is the science of old age and the application of knowledge related to the biologic,biomedical,behavioral,and social aspects of aging.

Question 5

Considering the gastrointestinal (GI)changes that take place in the geriatric patient,the assessment with the greatest priority to report is:

Accepted Answer

GI changes include bloating,diarrhea,pernicious anemia,and constipation.

Question 6

The nurse reassures a patient who is worried about memory loss by using an example of normal memory change or lapse of memory such as:

Accepted Answer

Memory lapses such as forgetting a name or misplacing an item are common,normal memory changes.

Question 7

For most older adults,facts are that are generally accepted include:

Accepted Answer

Functional ability may not be significantly affected because reserve cells are able to compensate.

Question 8

In planning activities to improve short-term memory for an older adult patient experiencing memory deficits,the nurse would:

Accepted Answer

Using mnemonics and memory rehearsal may improve memory performance in some older individuals.

Question 9

Prerequisites for the nurse working with the geriatric patient include an understanding that:

Accepted Answer

Knowledge,understanding,and caring are prerequisites for working effectively with older adults.Although specialized formal education programs at the graduate level are available for gerontologic nurses,many nurses gain specials skills through on-the-job experiences.

Question 10

When the patient holds his Bible 6 inches from his face and turns his head to read out of the corner of his eyes,the nurse suspects that the patient is developing:

Accepted Answer

The leading cause of new blindness in old age is macular degeneration,which results in the loss of central vision.

Question 11

Chemosensory changes that are observed in the older adult:

Accepted Answer

Major changes in the ability to taste are often caused by disease or a side effect of certain drugs.

Question 12

The nurse explains that the effects of aging on the nervous system result in:

Accepted Answer

Age-related effects on body systems are integral parts of the basis of nursing care for the older adult.The aging nervous system is characterized by decreased conduction speed of neurons.

Question 13

The nurse includes in her approach to nursing care that older adult patients with mild cognitive impairment (MCI)are more likely to develop:

Accepted Answer

Approximately 40% of people with MCI will develop Alzheimer dementia within 3 years.

Question 14

According to Butler,a well-known gerontologist,ageism:

Accepted Answer

Ageism is the stereotyping of and discrimination against people because of their age.

Question 15

The nursing interventions appropriate for the patient with presbycusis would be:

Accepted Answer

Presbycusis is hearing loss.Get the patient's attention so that the patient can concentrate on what you are saying or read lips.

Question 16

The nurse cautions family members that the final developmental stage is ego integrity.According to Erikson,if this stage is not mastered,the older adult will:

Accepted Answer

The final developmental task is ego versus despair.This negative resolution is often seen as depression and social withdrawal.

Question 17

When gathering data concerning the musculoskeletal system,the most significant assessment would be:

Accepted Answer

Determine mobility by assessing the range of motion in all joints; in addition,look for signs of inflammation and pain associated with mobility.

Question 18

The term old age or aged can best be defined as:

Accepted Answer

Aged or old age is defined advanced in years.

Question 19

A 78-year-old resident of a long-term care facility insists on wearing high heels and miniskirts to the dining room for meals and will not leave her room without first applying glamorous makeup.The gerontologic nurse assesses that the behavior is related to:

Accepted Answer

Some older people confront aging,whereas others deny it by acting in a younger manner.

Question 20

The nurse is aware that an older person whose renal changes make it impossible to concentrate or dilute urine is at risk for:

Accepted Answer

The kidney's ability to concentrate urine is a major defense against dehydration.

Quiz 11: The Older Patient