Exam #1 Practice Questions Flashcards
to help nurse grow through their own ethnocentrism, nurse must develop all of the following EXCEPT:
full dependence on verbal, facial, and body expression to get their point across
during an assessment of an older adult, which of the following would the nurse see as a priority?
listening as key to an assessment
ageism is a term used to describe the discrimination and negative stereotypes that are based soley on age. From the following list which does not reflect ageism?
demonstrations of respect for the older adult
as a nurse today taking care of an older adult from a different culture, you would have a refined set of skills that would include all of the following EXCEPT?
being able to explain your perceptions clearly and non-judgmentally
the concept of balance, chi, and disturbances in balance that result in disharmony and illness are examples that demonstrate what type of health system?
naturalistic
____________ is the application of limited knowledge about one person with specific characteristics to other persons with the same characteristics.
stereotyping
individuals who are 100-109 years of age are known as
centenarians
factors that influence the aging experience include: (SATA)
retirement
grandchildren
chronic illness
lack of medical care
quality of life
you know your client has reached a state of wellness when (SATA)?
as a 91 year old, he still enjoys going out to dinner and dancing
he bowls every week with his friends
he still likes to go with his wife to the grocery store, although he has hip pain and uses a walker
he says “i am a devout Christian and believe that my God is with me always. I am not afraid of dying.”
When established in 1935, what effect did social security have by setting the retirement age to 65 years?
it set a time frame to describe someone as being old
example of interventions to promote wellness include all of the following except?
psychiatric screenings
HP 2020 has identified emerging issues and recommendations for the aging baby boomers and those in between. Which of the following are HP 2020? (SATA)
coordinate care
research and analyze appropriate training to equip providers
identify minimum levels of training for people who care for older adults
an older adult client has fallen in his yard, resulting in a 4-inch laceration on his forearm. as the home health nurse caring for him, you need to reassure him of all except?
the healing process will begin immediately
as the nurse of an older adult, you observe signs of aging skin. you should advice your client to (SATA)
keep his or her skin moist
always use sunscreen
keep well hydrated
You realize an older adult woman does not understand how to maintain healthy bones and muscles when she makes which one of the following statements?
my spouse loves to walk every evening and encourages me to go along, but I am just too tired to do so
an older adult client has a hx of COPD. which of the following would you suggest to your client?
annual influenza immunization
Which one of the following statements about biological theories in aging is incorrect?
most theories can be proved
An older adult client is active and attends college on a part-time basis. He also has a computer and researches his medications and disorders, which enables him to share his ideas with his physician and to come to a collaborative decision of care. These characteristics are an example of
health literacy
In assessing an older adult, you question his cognitive skills when you notice that
he is constantly checking to see whether what he did is correct
which one of the following trials is a normal part of aging?
spirituality
As a home health nurse, you are providing care to a 91-year-old man and his 84-year-old wife who live on their own in an active retirement community. You note that this couple continues to be active in going out to eat with friends, traveling, and playing bridge and other card games. The husband plays bocce ball and volunteers at the library. They are exhibiting which sociological theory of aging?
activity theory
As a nurse taking care of an older adult who is facing surgery in the near future, you notice that she is withdrawn and talks about missing her church family and pastor who are in another town. Which of the following nursing actions might you take? (SATA)
ask her permission to call her pastor to request a visit and to notify her church friends
ask if you could call the hospital’s clergy representative to come and visit her
spend some time with her, holding her hand, and let her talk about her church family
The family member of a patient asks if vitamin C will prevent aging. In formulating an appropriate response, the nurse considers the:
free radical theory
Primary prevention strategies for older adults include which of the following? (SATA)
an annual influenza immunization
brisk walking 3-4 times per week
Based on the census reports of 2010, the typical profile of a centenarian in the US includes which of the following characteristics?
a caucasian woman who lives in an urban area of the southern state
The nurse determines that teaching to prevent constipation was effective in a client who states which of the following:
“I will walk for 20-30 minutes daily”
The nurse knows that the patient has a good understanding of her height loss when she states:
i’ve gotten shorter because my back curves more and the spaces in my spine are smaller
The nurse recognizes a need for further teaching when a 72 year old male client states:
the hair on my legs is beginning to fall out. I must have some disease
The nurse is teaching a 72 year old female client about normal changes that put her at higher risk for urinary incontinence. Which statement below indicates the need for further teaching?
my kidneys make more urine now — as we age, the kidneys make LESS urine
An 80 year old client is taking a second generation antipsychotic. Which of the following interventions should be performed to monitor for complications? (SATA)
assess temperature – hypothermia
assess BP – hypotension
assess gait – ESP/Parkinsonian
assess respirations – sedative effects
An older client with rheumatoid arthritis reports currently taking Echinacea to help with a cold. What is the priority nursing teaching?
discontinue the herb and notify the HCP – should not be used with autoimmune disorders
An older client informs the nurse that name brand Synthroid is no longer covered by insurance and will need to start the generic. How should the nurse respond?
you will need to see your provider to switch synthetic thyroid hormone, can throw patient levels out of whack (same w/ digoxin, warfarin/coumadin) – also want to stick with same manufacturer if possible
The nurse performs a Katz assessment of Independence in Activities of Daily Living (ADL) on an 81 year old male client. The nurse evaluates that the client exhibits independence if he does which of the following? (SATA)
bathes self each day
makes it to the restroom without incontinence
dresses self each day
The nurse performed a geriatric depression scale assessment on a 76 year old client and suspects a positive screen for depression and suicidality. What is the priority nursing intervention?
ask client about current self-harming thoughts
The nurse responds to an older client who is suspected of experiencing heat fatigue at an outdoor event. What is the priority nursing intervention?
transfer the client inside a cool building – eliminating underlying causel
An older client who is at risk for falling has multiple throw rugs in the home. The nurse performs which action to best eliminate the risk of falling?
remove the rugs from the home
Primary prevention strategies for older adults include which of the following? SATA
brisk walking 4-5 times per day
wearing sunscreen regularly
annual influenza immunization
The nurse evaluates that the client understands teaching regarding the cause of constipation in older adults when the client states what?
my bowels move slower now that I’m old
