Deck 7: Socioeconomic and Environmental Influences

Question 1

A nurse working with older adults recognizes that the client at greatest risk for homelessness is the:

A)female with a psychiatric diagnosis.
B)male with a chronic illness.
C)female with a history of social isolation.
D)male with an alcohol abuse issue.

Answer 1

female with a psychiatric diagnosis.

Question 2

When preparing an educational program focused on chronic illnesses that at least a third of the older adult population is likely to experience, the nurse includes information on which of the following? Select all that apply.

A)The benefit of aquatic exercise
B)Signs and symptoms of cataracts
C)Ways to control sodium intake
D)Latest technologic interventions for hearing loss.
E)The effects of exercise on cardiovascular health

Answer 2

The benefit of aquatic exercise
Ways to control sodium intake
The effects of exercise on cardiovascular health

Question 3

A nurse volunteers at a facility that provides free lunches for older adults.To best minimize the tendency of these clients to withdraw socially, the nurse:

A)frequently reinforces that everyone is welcome to have lunch with the group.
B)makes every effort to engage them in conversation during the meal.
C)encourages them to make friends with the other clients.
D)asks if they would assist those who need help with getting their food.

Answer 3

asks if they would assist those who need help with getting their food.

Question 4

The nurse is educating an 80-year-old client regarding a newly prescribed medication.The nurse's teaching strategies include which of the following? Select all that apply.

A)Using pictures to show how the medication should be stored
B)Asking the client to use his own words to describe the medication's possible side effects
C)Avoiding written instruction in favor of verbal, face-to-face communication
D)Delivering the information using a slow, deliberate manner of speech
E)Repeating the information at least three times during the conversation

Question 5

Before becoming an effective advocate for the older adult client, the nurse must:

A)be familiar with the physical and mental effects of aging.
B)gain insight into the client's world by talking with and listening to them.
C)learn the details of the client's medical and social histories.
D)be a member of the client's formal support system.

Question 6

The nurse recognizes that health and wellness is better among the educated older adult population because they tend to:

A)place a high value on health and wellness.
B)frequently take advantage of health screening options.
C)have occupations that are less physically demanding.
D)manage emotional stress in a more productive manner.

Question 7

A client who grew up during the 1930s in an urban community has been prescribed several medications for a variety of chronic health issues.In order to help ensure medication compliance based on knowledge of this age cohort, the nurse:

A)provides detailed explanation regarding the importance of taking the medications appropriately.
B)educates the client to the cost effectiveness of generic brands of the prescribed medications.
C)includes family members in the medication education plan.
D)offers suggestions on strategies to minimize the risk of "forgetting" to take medication as prescribed.

Question 8

The nurse is addressing a senior citizens group that is comprised of members who are 75 years of age and older.The nurse expects that the group will be primarily:

A)widows who have never worked outside of their homes.
B)widowers with at least one chronic illness.
C)females who have part time jobs.
D)males with pensions to supplement monthly Social Security benefit income.

Question 9

In order to best respect an older client's autonomy when assisting him in finding appropriate, affordable housing, the nurse:

A)provides examples of various options that include assistive services.
B)locates housing near senior citizen community center to minimize social isolation.
C)identifies housing close to the services he will need.
D)asks the client to provide examples of where he would like to live.

Question 10

A 69-year-old client who has both Medicare and long-term supplemental health care insurance shares with the nurse that he is in need of a visual examination as a follow-up after his cataract surgery.The nurse suggests that such treatment is most likely covered by:

A)Medicare Part A.
B)Medicare Part B.
C)Medicare Part D.
D)his supplemental policy.

Question 11

When the traditional roles are blurred as an older married couple begins to experience personal disease and disability, there will most likely be:

A)a rapid decline in their mental health as well.
B)a loss of self-esteem and satisfaction with life for one or both spouses.
C)increased martial stress and discord.
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D)increased social isolation.

Question 12

The client most likely to be seen at a clinic that services those older adults who are at or below the poverty level is a(n):

A)Hispanic male who was a migrant farm worker.
B)African American male who worked semiskilled construction jobs.
C)Hispanic female who sold needlework at craft fairs.
D)African American female who supplemented family income by taking in laundry.