Question 1

Considering Erikson's theory of psychosocial development, what is an activity associated with the psychosocial challenge facing an older adult?
A) Reentering a serious relationship or remaining single after the death of a spouse.
B) Coping with the physical changes associated with aging.
C) Making decisions related to career achievements and finances.
D) Reflecting on events and decisions made over one's lifetime.

Accepted Answer

Erikson's theory of psychosocial development identifies the challenge facing older adults as "Ego Integrity vs. Despair," where individuals reflect on their lives and accomplishments. This stage involves looking back over one's life and making sense of the events and decisions, which aligns with choice D.

Question 2

What topics should the nurse incorporate into a discussion with an older adultconcerning lifestyle changes? Select all that apply.
A) Change in most body functions and abilities
B) General change in sociologic roles
C) Adaptation to acute emotional disorders
D) Change in employee or employer role
E) Increased amount of leisure time

Accepted Answer

These choices are relevant to lifestyle changes in older adults as they often face physiological changes (A), shifts in social roles including retirement (B, D), and an increase in leisure time due to retirement or reduced work responsibilities (E). Choice C is less relevant as it specifies "acute emotional disorders," which are not necessarily a lifestyle change but rather a potential health condition that may require specific medical or psychological intervention.

Question 3

What lifestyle changes should the nurse incorporate into a discussion with a group of older adults? Select all that apply.
A) Increased income potential
B) Change in residence
C) Change in parenting roles
D) Adaptation to possible changes in sexuality
E) Increased time for meditation and contemplation of life

Accepted Answer

B, C, D, E

Question 4

When considering the older and aging population, what emotional issues should the nurse incorporate into a group discussion? Select all that apply.
A) Adaptation to prospect of death
B) Inevitable decline towards dependence
C) Re-evaluation of self-worth
D) Development of new coping mechanisms
E) Adaptation to loss of loved ones

Accepted Answer

These choices are relevant to the emotional issues faced by the older and aging population. Adaptation to the prospect of death, re-evaluation of self-worth, development of new coping mechanisms, and adaptation to loss of loved ones are significant concerns that can affect their emotional well-being. Choice B, "Inevitable decline towards dependence," is not necessarily an emotional issue to be incorporated into a group discussion as it implies a negative and potentially discouraging perspective on aging.

Question 5

Which behaviors are associated with ageism? Select all that apply.
A) Study of characteristics associated with an aging population
B) Discrimination against elderly adults
C) Prejudice based on chronologic age
D) Study of medical problems associated with older adults
E) Negative labeling of the aging population

Accepted Answer

Ageism involves discrimination (B), prejudice (C), and negative labeling (E) against individuals or groups based on their age, particularly targeting older adults. The study of characteristics (A) and medical problems (D) associated with aging populations does not inherently involve ageism, as these activities can be conducted without prejudice or discrimination.

Question 6

Which major physical changes should the nurse identify as being related to the normal aging process? Select all that apply.
A) Decreased need for exercise
B) Decreased functioning of organs
C) Decreased reaction time
D) Decreased nutritional requirements
E) Decreased capacity for recovery from injury or illness

Accepted Answer

As people age, there is a natural decline in organ function, slower reaction times, and a reduced capacity for recovery from injuries or illnesses. These changes are part of the normal aging process.

Question 7

Which potential physical changes should the nurse discuss with the older adult client? Select all that apply.
A) Decrease in visual acuity
B) Decrease in joint mobility
C) Decrease in fluid needs
D) Decreased sense of balance
E) Decrease auditory acuity

Accepted Answer

The answer of Which potential physical changes should the nurse...

Question 8

An older adult couple tells the nurse that it is very important that they remain independent for as long as possible. Which assessment question will help provide the data necessary to identify any major barriers to their independence? Select all that apply.
A) "Have either of you ever been diagnosed with a chronic health problem?"
B) "Do you consider yourselves to be financial stable?"
C) "Do either of you identify with a specific religion?"
D) "Are your children involved in your lives?"
E) "Do either of you drive a car?"

Accepted Answer

The answer of An older adult couple tells the nurse...

Question 9

A nurse is working with community leaders to present a program discussing issues related to the growing population of older adults. What issue is the nurse's priority when considering measures to lower healthcare costs?
A) Financial planning
B) Urban transportation
C) Fitness programs
D) Nutrition counseling

Accepted Answer

Fitness programs can significantly reduce healthcare costs by preventing diseases and reducing the severity of existing conditions, leading to less reliance on medical interventions and medications.

Question 10

On which issues should the nurse focus to maximize resources within the older adult population? Select all that apply.
A) More flexible working schedules
B) Opportunities for volunteer work
C) Work-related earned benefits
D) Aggressive financial strategies
E) Adaptable retirement schedules

Accepted Answer

The answer of On which issues should the nurse focus...

Question 11

The nurse and a social activist are discussing topics for a planned seminar on issues related to the growing population of older adults. Which issue is the priority when considering continued concerns of both the individual and society?
A) Healthcare training opportunities in the area of aging
B) Legal and ethical issues of the process of dying and death
C) Urban transportation systems
D) Use and benefit of the Internet

Accepted Answer

Legal and ethical issues of the process of dying and death are a priority concern for both individuals and society as they directly impact end-of-life care, decision-making, and the rights of older adults.

Question 12

What post-retirement activities should the nurse introduce when discussing the need to have joy, happiness and independence in one's life with an older couple? Select all that apply.
A) Volunteering at the local food pantry
B) Taking a class at the local college
C) Offering to share one's knowledge of gardening with others
D) Working part-time at a local small business
E) Spending time reflecting on past decisions

Accepted Answer

Activities such as volunteering, taking classes, sharing knowledge, and working part-time can contribute to a sense of joy, happiness, and independence by providing opportunities for social interaction, mental stimulation, and a sense of purpose. Reflecting on past decisions does not actively contribute to these feelings and may not be as beneficial in fostering a positive outlook on life post-retirement.

Question 13

What should the nurse consider as having the psychosocial priority for maintaining the independence of the older client?
A) Encourage volunteerism activities with the younger people who visit.
B) Move out of the assisted living facility to live alone.
C) Maintain mental stability and satisfactory relationships with family members.
D) Sustain optimal health, social responsibilities, and financial stability.

Accepted Answer

The answer of What should the nurse consider as having...

Question 14

An older client has just experienced the loss of a spouse. How can the nurse best help this client overcome the depression?
A) Tell the client to join the local community fitness center.
B) Explore with the client her beliefs about religion and spirituality.
C) Teach the client to explore local volunteer opportunities.
D) Encourage the client to explore continuing education programs at the local school.

Accepted Answer

Exploring beliefs about religion and spirituality can provide emotional support and help the client find meaning and comfort during a time of loss.

Question 15

A 70-year-old couple is considering marriage and is concerned about whether they will be able to participate in sexual activities. What is the nurse's most appropriate response?
A) "Both of you may have to adapt to possible changes in sexuality."
B) "Sexual activity is probably too demanding for older adults."
C) "Older men have erectile dysfunction while women maintain sexuality."
D) "Older adults are not interested in sexual activity."

Accepted Answer

Sexuality can continue to be an important part of life for older adults, but they may need to adapt to changes in sexual function or preferences. This response acknowledges the possibility of continued sexual activity while also recognizing that adjustments might be necessary, providing a balanced and supportive perspective.

Question 16

The nurse observes that an 88-year-old woman at an assisted living facility frequently shares stories about her military service during World War II. What action should the nurse take based on the client's behavior?
A) Refer the client for a geriatric psychiatric evaluation.
B) Listen and ask the client questions about World War II.
C) Distract the client and change the subject of the conversation.
D) Involve the client in the facility's social activities.

Accepted Answer

Listening and asking questions about the client's experiences shows respect and interest in their life, which can improve their mood and mental health. Sharing stories, especially about significant life events like military service, can be a positive way for older adults to reminisce and maintain their cognitive function.

Question 17

Which statement should be included in a discussion about finances for the older adult client preparing for retirement?
A) Most older adults have to adjust to a fixed income.
B) Most older adults spend more money on clothing.
C) Most older adults find commuting expenses for preventive healthcare increase.
D) Older adults own their homes and the value has increased to assist in moving to new neighborhoods.

Accepted Answer

Most older adults have to adjust to a fixed income after retirement, which significantly impacts their financial planning and budgeting. This is a common situation as their regular employment income ceases.

Question 18

An 83-year-old client has recently lost a spouse of 60 years. What assessment questions demonstrate the nurse's understanding of stressors that are likely to increase the client's risk of depression and limit independence? Select all that apply.
A) "Do you consider yourself to be physical healthy?"
B) "Are you affiliated with a specific church, synagogue, temple or mosque?"
C) "Are you concerned about your finances and being able to pay your bills?"
D) "Do you have family living nearby?"
E) "Do you see yourself marrying again?"

Accepted Answer

These questions address physical health, financial concerns, and social support, which are key factors that can influence depression and independence in older adults.

Question 19

An older adult client residing in an extended care facility is very depressed about the current phase of life. How can the nurse, according to Erikson, best help the client achieve psychosocial development?
A) Encourage reminiscence.
B) Assist the client to focus on necessary adjustments.
C) Accomplish the developmental task of developing trust with caregivers.
D) Achieve optimal successful transitions.

Accepted Answer

Erikson's theory of psychosocial development identifies the challenge for older adults as "Ego Integrity vs. Despair." Encouraging reminiscence helps older adults review their lives, which can lead to a sense of fulfillment and achievement, thus promoting ego integrity.

Question 20

A client living in an extended care facility wants to know how to live a healthier and a happier life in older adulthood. What healthcare goal should the nurse present?
A) Retain control over all major aspects of life.
B) Review past resolutions and decisions but without regret.
C) Take part in social activities as often as they are available.
D) Be as engaged and active with life as you possibly can.

Accepted Answer

The goal of being as engaged and active with life as possible promotes a healthy and happy life in older adulthood by encouraging social interaction, physical activity, and mental stimulation.

Quiz 13: Older Adulthood and Aging

Considering Erikson's theory of psychosocial development, what is an activity associated with the psychosocial challenge facing an older adult?

What topics should the nurse incorporate into a discussion with an older adultconcerning lifestyle changes? Select all that apply.

What lifestyle changes should the nurse incorporate into a discussion with a group of older adults? Select all that apply.

When considering the older and aging population, what emotional issues should the nurse incorporate into a group discussion? Select all that apply.

Which behaviors are associated with ageism? Select all that apply.

Which major physical changes should the nurse identify as being related to the normal aging process? Select all that apply.

Which potential physical changes should the nurse discuss with the older adult client? Select all that apply.

An older adult couple tells the nurse that it is very important that they remain independent for as long as possible. Which assessment question will help provide the data necessary to identify any major barriers to their independence? Select all that apply.

A nurse is working with community leaders to present a program discussing issues related to the growing population of older adults. What issue is the nurse's priority when considering measures to lower healthcare costs?

On which issues should the nurse focus to maximize resources within the older adult population? Select all that apply.

The nurse and a social activist are discussing topics for a planned seminar on issues related to the growing population of older adults. Which issue is the priority when considering continued concerns of both the individual and society?

What post-retirement activities should the nurse introduce when discussing the need to have joy, happiness and independence in one's life with an older couple? Select all that apply.

What should the nurse consider as having the psychosocial priority for maintaining the independence of the older client?

An older client has just experienced the loss of a spouse. How can the nurse best help this client overcome the depression?

A 70-year-old couple is considering marriage and is concerned about whether they will be able to participate in sexual activities. What is the nurse's most appropriate response?

The nurse observes that an 88-year-old woman at an assisted living facility frequently shares stories about her military service during World War II. What action should the nurse take based on the client's behavior?

Which statement should be included in a discussion about finances for the older adult client preparing for retirement?

An 83-year-old client has recently lost a spouse of 60 years. What assessment questions demonstrate the nurse's understanding of stressors that are likely to increase the client's risk of depression and limit independence? Select all that apply.

An older adult client residing in an extended care facility is very depressed about the current phase of life. How can the nurse, according to Erikson, best help the client achieve psychosocial development?

A client living in an extended care facility wants to know how to live a healthier and a happier life in older adulthood. What healthcare goal should the nurse present?