Deck 33: Health Promotion and Care of the Older Adult

Question 1

The older adult female patient is concerned about incontinence when she sneezes.The nurse explains that this type of incontinence is called:

A) urge incontinence.
B) stress incontinence.
C) overflow incontinence.
D) functional incontinence.

Answer 1

stress incontinence.

Question 2

The patient complains to the nurse about a newly developed intolerance to milk.The nurse suggests filling calcium needs with:

A) rye bread.
B) yogurt.
C) apples.
D) raisins.

Answer 2

yogurt.

Question 3

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD)to empty the lungs of used air and to promote inhalation of adequate oxygen.This method of breathing is:

A) pursed-lip breathing.
B) increased inspiration.
C) vital capacity.
D) decreased expiration.

Answer 3

pursed-lip breathing.

Question 4

At mealtime,the older adult seems to be eating less food than adequate.The nurse recognizes that the older adult compared to the younger adult requires:

A) more fluids.
B) less calcium.
C) fewer calories.
D) more vitamins.

Question 5

When the nurse discusses prevention of cardiac disease,falls,and depression with a group of older adults,it is important to stress the benefits of:

A) nutrition.
B) medications.
C) exercise.
D) sleep.

Question 6

The home health nurse cautions the older adult patient that because of age-related changes in the musculoskeletal system,there is an increased risk for:

A) fractures due to poor uptake of calcium.
B) heart attacks due to increased effort to ambulate.
C) respiratory failure due to kyphosis.
D) falls related to posture changes.

Question 7

The nurse recognizes that arthritis affects an individual's functional ability.Interventions are aimed at relieving:

A) pain and discomfort.
B) formation of contractures.
C) stress on affected joints.
D) inflammation and scarring.

Question 8

The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall.This could be caused by:

A) fever.
B) orthostatic hypotension.
C) dehydration.
D) a decrease in venous return.

Question 9

A change of aging related to the circulatory system includes decreased blood vessel elasticity,which leads the nurse to assess for:

A) confusion.
B) tachycardia.
C) hypertension.
D) retained secretions.

Question 10

When discussing aging,the nurse clarifies that the term older adulthood applies to those who are older than:

A) 55.
B) 65.
C) 70.
D) 75.

Question 11

When assessing the skin of an older adult patient who is complaining of pruritus,the nurse advises the patient that to reduce further drying of her skin,she should avoid using:

A) perfumed soap.
B) hard-milled soap.
C) antibacterial soap.
D) antiseptic soap.

Question 12

When the nurse attempts to assist an older adult who is having difficulty swallowing,the nurse suggests a position in which the chin is held:

A) parallel.
B) upward.
C) down.
D) to the side.

Question 13

The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections,making her more at risk for:

A) COPD.
B) bronchitis.
C) pneumonia.
D) atelectasis.

Question 14

The nurse suggests that to relieve the pain of claudication the patient should:

A) rest.
B) exercise.
C) cross his legs.
D) walk.

Question 15

The older adult patient complains to the nurse about nocturia.The nurse explains that the problem is most likely related to:

A) loss of bladder tone.
B) decrease in testosterone.
C) decrease in bladder capacity.
D) intake of caffeine.

Question 16

Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure ulcers,the nurse alters the care plan to include turning the bedfast patient every:

A) shift.
B) 4 hours.
C) evening.
D) 2 hours.

Question 17

The first major legislation to provide financial security for older adults was the Social Security Act passed in:

A) 1930.
B) 1935.
C) 1940.
D) 1945.

Question 18

The nurse explains that the major difference between rheumatoid arthritis and osteoarthritis is that rheumatoid arthritis:

A) is degenerative.
B) affects patients over 40 years of age.
C) is inflammatory.
D) is curable.

Question 19

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?

A) Osteoporosis
B) Arthritis
C) Kyphosis
D) Osteomyelitis

Question 20

The older patient informs the nurse that food has no taste and therefore she has no appetite.The nurse recognizes this is most likely caused by:

A) tasteless food.
B) overuse of salt.
C) lack of variety.
D) loss of taste buds.

Question 21

The nurse assesses a slowing of the impulse transmission in the nervous system that results in:

A) hypertension.
B) hearing deficit.
C) decrease in tactile sensations.
D) longer reaction time.

Question 22

The nurse prepares the older adult patient with diabetes for which symptom of the disease that distorts tactile sensation?

A) Proprioception
B) Loss of visual acuity
C) Progressive paresis
D) Peripheral neuropathy

Question 23

The nurse reminds the family of a patient that the most common cause of dementia is:

A) multi-infarct.
B) medications.
C) Alzheimer's.
D) Parkinson's.

Question 24

The nurse recognizes that a term referring to mechanical difficulty of swallowing is ___________.

Question 25

When assessing the older adult,the nurse considers which aspect of the patient's routine as a possible contributor to constipation?

A) Intake of antacids several times a day
B) Taking a laxative once a week
C) Excessive exercise routine
D) Eating two apples a day
E) Drinking 60 ounces of bottled water daily

Question 26

When bathing an 80-year-old woman who lives on a farm,the nurse assesses brown macules on the patient's hands and forearms.The nurse recognizes these as _________.

Question 27

When counseling a group of retirees,the nurse states that what percentage of newly diagnosed type 2 diabetic adult patients are middle-aged or older?

A) 30% to 40%
B) 40% to 50%
C) 60% to 70%
D) 85% to 90%

Question 28

The nurse reassures the family of a stroke victim that some of the neurological involvement associated with a cerebrovascular accident (CVA)may disappear within:

A) 2 to 3 weeks.
B) 1 to 2 months.
C) 3 to 6 months.
D) 6 to 9 months.

Question 29

The postmenopausal woman asks the nurse about the risk of osteoporosis and how to find out if she is at risk.The nurse tells her the best test for this is:

A) skeletal x-ray.
B) bone density scan.
C) calcium blood level.
D) CAT scan.

Question 30

Generalizing about decline of most functional aspects of the older adult,the nurse recognizes that one area that is not physically affected by age is:

A) physical activity.
B) productivity.
C) cognition.
D) sexuality.

Question 31

The nurse initiates the application of a drawsheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces.

Question 32

The nurse explains that as a result of loss of elasticity of the lens,an age-related vision change occurs called:

A) nearsightedness.
B) cataracts.
C) presbyopia.
D) blepharitis.

Question 33

While speaking to the family of an older adult patient with Parkinson's disease,the nurse states that there are positive aspects of Parkinson's,one of which is that:

A) the disease does not alter ability to communicate.
B) anti-Parkinson's drugs have few side effects.
C) intellectual function is not impaired.
D) involuntary movements can be controlled.

Question 34

When an older female patient complains of painful sexual intercourse,the nurse recognizes that the probable cause is:

A) urinary incontinence.
B) arthritic joints.
C) kyphosis.
D) mucosal drying.

Question 35

When communicating with an older adult patient who has difficulty hearing,the nurse should:

A) speak very loudly.
B) speak rapidly.
C) lower the tone of the voice.
D) raise the tone of the voice.

Question 36

To help prevent falls related to muscle weakness,the nurse helps the patient select exercises that must be:

A) done each day.
B) muscle strengthening.
C) weight-bearing.
D) 1/2 an hour in length.

Question 37

When communicating with an older adult patient,the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging.The nurse recognizes that the patient has achieved the developmental stage identified by Erikson as:

A) acceptance.
B) withdrawal.
C) ego integrity.
D) interaction.

Question 38

When counseling the older adult patient about screening for preventive health,the nurse tells the patient that a complete physical for patients over 75 is recommended every:

A) 2 years.
B) 6 months.
C) 3 years.
D) year.

Question 39

What should the nurse do to help the dysphagic patient? (Select all that apply.)

A) Sit the patient upright.
B) Reduce distraction during mealtime.
C) Offer fluid from a straw.
D) Thicken liquids.
E) Cue the patient to swallow.