Deck 19: Care of the Older Population

Question 1

The population health nurse is preparing a presentation on healthy aging for a community group. During this presentation the nurse should explain that the reason health promotion is important for this population is because they are the:

A) Group that has more acute illness.
B) Fastest-growing segment of the population.
C) Most politically involved group of the population.
D) Group that is the most health-conscious.

Answer 1

Fastest-growing segment of the population.

Question 2

The population health nurse is reviewing health information for a group of community members. Which client should the nurse identify as having comorbidities?

A) The 65-year-old client and his spouse both have diabetes mellitus.
B) The 72-year-old client is taking an antihypertensive medication that interferes with his asthma.
C) The 86-year-old client is the primary caregiver for his 90-year-old spouse.
D) The 67-year-old client does not experience the usual symptoms that are associated with emphysema.

Answer 2

The 72-year-old client is taking an antihypertensive medication that interferes with his asthma.

Question 3

The nurse is comparing and contrasting examples from the psychological and sociological theories. Which should the nurse identify as a psychological theory?

A) Error theory.
B) Mutually exclusive theory.
C) Jung's theory.
D) Disengagement theory.

Answer 3

Jung's theory.

Question 4

The population health nurse is planning to evaluate care provided to a group of older clients. What should the nurse include when evaluating care on an individual basis? (Select all that apply.)

A) End-of-life issues.
B) Health risks and behaviors.
C) Efforts taken to prevent health problems.
D) Analysis of progress of health restoration.
E) Effects of interventions to promote health.

Question 5

A client is experiencing changes of aging to the musculoskeletal and nervous system. What should the nurse expect to assess in this client?

A) Loss of verbal ability and increased urine flow.
B) Decreased walking speed and increase in verbal memory.
C) Decreased reaction times and declining strength.
D) Slowed reaction time and loss of skeletal muscle.

Question 6

The population health nurse is presenting a workshop about aging. The nurse is including information about longevity and declining endocrine and immune function. In what theory category does this information belong?

A) Psychological.
B) Biological.
C) Sociological.
D) Individualism.

Question 7

The population health nurse is identifying health restoration activities for a group of older community members. Which areas should the nurse identify as being appropriate for this population? (Select all that apply.)

A) Minimizing the use of medications.
B) Palliative care.
C) End-of-life care.
D) Attaining maximum function.
E) Providing rehabilitation.

Question 8

The population health nurse is assessing a 72-year-old client's ability to perform the basic activities of daily living (BADLs). For which activities is the nurse assessing? (Select all that apply.)

A) Walk at least 12 steps.
B) Dress oneself.
C) Bathe oneself.
D) Feed oneself.
E) Use the telephone.

Question 9

The population health nurse is teaching a group of elderly clients. What action should the nurse take to circumvent hearing loss?

A) Using a higher-pitched voice.
B) Employing verbal teaching techniques.
C) Facing the listener while speaking.
D) Using background music.

Question 10

The intervention that would be most appropriate for the client with functional incontinence would be to encourage the client:

A) To empty the bladder every two hours while awake.
B) Not to drink any liquids after 5:00 p.m. each evening.
C) To call for assistance when the urge to urinate is felt.
D) To wear an adult-type diaper during the daytime hours.

Question 11

A student is developing a poster for a class presentation. The purpose of the poster is to explain aging. Part of the information on the poster demonstrates how the elderly withdraw from life as a means of making way for a younger generation in preparation for death. The theory that the student is using is:

A) Disengagement theory.
B) Erikson's theory.
C) Programmed theory.
D) Jung's theory.

Question 12

The population health nurse is advocating for a screening service for older adults. Which type of activity is the nurse supporting for this population?

A) Health promotion.
B) Illness and injury prevention.
C) Problem resolution.
D) Health restoration.

Question 13

The population health nurse is working with a 76-year-old client who has recently moved in with his daughter and her family. The most appropriate intervention to foster independence in the client would be to encourage the client to:

A) Exercise several times a week.
B) Move into an assisted living facility.
C) Purchase a cellular phone.
D) Assume specific roles within the household.

Question 14

The population health nurse is talking with a 78-year-old client who has chronic obstructive pulmonary disorder (COPD) and has described excessive use of cough medicine. The nurse should teach the client that this excessive use can make him more susceptible to respiratory infections by:

A) Decreasing clearance of secretions.
B) Decreasing his immunity.
C) Causing less fluid intake.
D) Decreasing nutritional intake.

Question 15

The population health nurse is writing a pamphlet to be used by graduate students as they plan health promotion classes for elderly clients. What should be included in the pamphlet?

A) Teaching sessions should be at least 30 minutes.
B) Teaching sessions should occur prior to a mealtime.
C) Older clients do not retain material as well as younger clients.
D) Lessons should proceed at a slower pace.