Question 1

Which of the following should the nurse assess regarding an elderly client's ability to adhere to a prescribed medication regime? (Select all that apply.)

Accepted Answer

The nurse should assess the client's ability to use medications prescribed for themselves, take full doses and not cut doses in half, and have sufficient funds to purchase prescriptions. The other options, such as average hours of sleep, total caloric intake, and recreational activities, are not directly relevant to medication adherence.

Question 2

The nurse is instructing a 55-year-old client on ways to reduce the development of illnesses that are the leading cause of death for persons in the same age group. Which of the following is the nurse instructing this client?

Accepted Answer

The leading causes of death for individuals in this age group often include cancer, so regular screenings like mammograms, Pap smears, and colonoscopies are crucial for early detection and prevention.

Question 3

The nurse is assessing a client who experienced bariatric surgery 5 years ago. The nurse would consider the client's surgery as successful when which of the following is assessed?

Accepted Answer

It is not realistic to expect the client to reach a weight that is 100 lbs less than the starting weight of 600 lbs, as this would mean losing 500 lbs, which is unlikely and could be dangerous. Option B indicates that the client's current weight is still in the obese range, which may not be considered successful after bariatric surgery. Option D also only indicates a 50 lb weight loss, which may not be significant enough for the client to achieve their health goals. Option C indicates that the client has lost 200 lbs, which is half of their starting weight, and may indicate a successful outcome for the bariatric surgery. However, it is important to consider other factors, such as the client's overall health and quality of life, in determining the success of the surgery.

Question 4

The nurse is considering a health promotion program for a middle-aged adult. Which of the following should the nurse assess prior to planning this program?

Accepted Answer

Understanding what motivates the individual to learn is crucial for tailoring a health promotion program that will engage and benefit them effectively.

Question 5

A client tells the nurse that he is planning to retire and plans to become involved with charitable organizations. The nurse realizes this client is within which of the following stages of Levinson's Theory of Adult Development?

Accepted Answer

According to Levinson's Theory of Adult Development, late adulthood (ages 60 to 65 and older) is a stage where individuals often reflect on their life and contemplate retirement. In this stage, individuals may become more interested in activities that provide meaning and purpose, such as charitable organizations.

Question 6

An adult daughter drives, completes laundry, grocery shopping, and banking for two elderly parents. Which of the following should the nurse assess for in the adult daughter?

Accepted Answer

The situation of an adult daughter driving, completing household chores and errands for two elderly parents suggests that the daughter is a primary caregiver for her parents. Caregiver role strain is a common consequence of caring for dependent adults, especially when it is associated with high levels of burden and a potential for social isolation. The nurse should assess the caregiver for symptoms of physical exhaustion, emotional distress, and social withdrawal, and explore resources for support and respite if needed. Malnutrition and dehydration are also important risk factors to be evaluated in both the caregivers and the elderly parents, but there is no evidence in the scenario to suggest that they are immediate concerns. Sensory deprivation is not a relevant issue in this case.

Question 7

The nurse is instructing a client on ways to modify the diagnosis of hypertension. Which of the following should the nurse include in these instructions?

Accepted Answer

Weight reduction, a low-fat high-fiber diet, and increasing activity and exercise throughout the day are all evidence-based ways to modify hypertension. Relocation to a safer community and employment counseling may have other benefits but are not specifically related to modifying hypertension. Advance directives are important for end-of-life care but are not related to hypertension management.

Question 8

A middle-aged client tells the nurse that she is scheduled for a treatment to reduce facial wrinkles and the cost is much less than a plastic surgeon. Which of the following should the nurse respond to this client?

Accepted Answer

The nurse should encourage the client to research why the cost is less than a plastic surgeon's since there could be potential health risks or inadequate training. The nurse should not encourage personal interest in the procedure, make assumptions about the client's feelings, or suggest that avoiding surgery is always better.

Question 9

When planning instruction for a client diagnosed with coronary artery disease, the nurse should identify which of the following risk factors that cannot be modified for the client?

Accepted Answer

Heredity is a non-modifiable risk factor for coronary artery disease, as it is passed down genetically from family members. Hypertension, sedentary lifestyle, and smoking are all modifiable risk factors that can be addressed through lifestyle changes and/or medical interventions.

Question 10

During the assessment of a client, the nurse becomes concerned that the client is at risk for suicide. Which of the following assessment findings would support the nurse's conclusion? (Select all that apply.)

Accepted Answer

Alcohol use, use of illegal substances most days of the week, recent death of spouse, and being laid off from employment 6 months ago are all risk factors for suicide.

Question 11

The nurse is concerned that a client is developing metabolic syndrome. Which of the following did the nurse assess in this client? (Select all that apply.)

Accepted Answer

Metabolic syndrome is a group of risk factors that include abdominal obesity, elevated triglycerides, low high-density lipoprotein (HDL) cholesterol, high blood pressure, and high fasting glucose levels. Poor appetite is not a specific risk factor for metabolic syndrome. A blood pressure reading of 150/88 mmHg during three different assessments, fasting glucose level of 120 mg/dL, and abdominal obesity are indications of metabolic syndrome, along with an elevated triglyceride level. An elevated HDL level is actually a protective factor against metabolic syndrome.

Question 12

A client tells the nurse that she began having a particular health problem around the onset of the Iraqi War. The nurse determines that the client is utilizing which of the following perceptions of time?

Accepted Answer

The client is referring to a specific event in history (the onset of the Iraqi War) to describe when her health problem began. This perception of time is known as "historic time," which involves linking personal experiences to changes in historical events.

Question 13

An elderly client tells the nurse that he does not drink much fluid because it causes him to not be able to "control" his urine. Which of the following should this nurse assess first in this client?

Accepted Answer

The nurse should assess for dehydration first, as this can lead to urinary incontinence in elderly individuals, which may be mistakenly attributed to increased fluid intake. Lack of sufficient fluid can also lead to health complications such as constipation and lower extremity edema. Hypertension is not directly related to the client's concern about urine control.

Question 14

An elderly client is admitted with worsening dementia. Which of the following health problems should the nurse consider as causing this client's dementia?

Accepted Answer

Alzheimer's disease is a common cause of dementia in elderly patients. Depression, memory impairment, and alcohol withdrawal can contribute to cognitive decline, but they are not the primary cause of dementia.

Question 15

The nurse is instructing a client on ways to reduce the risk of developing coronary heart disease. Which of the following should be included in these instructions?

Accepted Answer

Reducing cholesterol levels is a key factor in lowering the risk of coronary heart disease.

Question 16

A 35-year-old female client tells the nurse that she is having difficulty managing her job, family, and the needs of her aging parents. To help this client avoid chronic illnesses later in life, which of the following should the nurse instruct?

Accepted Answer

The best option for the nurse to instruct the client is to focus on preventative health measures. This includes not smoking, maintaining a healthy weight, and exercising regularly. While the other options may help alleviate stress temporarily, they do not address the long-term health impacts of chronic stress. Additionally, enlisting the help of her children may not always be feasible, and not working until the children are raised may not be a pragmatic solution.

Question 17

The nurse is reviewing the number of elderly adult clients who were admitted during the previous 3-month period with complications from the seasonal flu. The nurse is reviewing which of the following illness patterns?

Accepted Answer

Incidence is the number of new cases of a particular disease or condition that occur within a specific time period. In this case, the nurse is specifically reviewing the number of elderly adult clients who were admitted with complications from the seasonal flu during the previous 3-month period, which would be considered an incidence. Prevalence refers to the total number of cases of a particular disease or condition in a population at a specific point in time, and trends refer to changes in patterns over time. Mortality rate refers to the number of deaths due to a particular disease or condition in a population over a specific time period.

Question 18

The nurse is planning an instructional session for an 80-year-old client. Which of the following strategies would be helpful for the nurse to use? (Select all that apply.)

Accepted Answer

A) Limiting distractions will help the client to focus on the instruction being given.
B) A well-lit room will help enhance the client's ability to see the instructional materials.
C) Using written information to reinforce verbal instructions can help the client to further understand and retain the information.
F) Including a family member can provide additional support and help the client to feel more comfortable with the instruction being given. 
D) Computer-assisted instruction may not be the best strategy for an 80-year-old client who may not be tech-savvy or have difficulty using technology.
E) A long session may be overwhelming and tiring for an 80-year-old client, so it may be better to break the instruction up into shorter sessions.

Quiz 6: Nursing of Adults Across the Life Span