Family Theory - Chapter 15

Question 1

1. What age group should the nurse identify as the fastest growing group of older adults in the United States?
   a) 55 to 65 years
   b) 65 to 75 years
   c) 75 to 85 years
   d) Older than 85 years

Answer 1

d) Older than 85 years

Question 2

2. The nurse notes that a large number of older clients are living longer. What could be the reason for this?
   a. Decreased birth rates
   b. Increased family care of older adults by family members
   c. Improved social and community support systems
   d. Overhospitalization and prescription drug use

Answer 2

d. Overhospitalization and prescription drug use

Question 3

3. Changes result in stress. Which type of change is found to be the most stressful for an older adult?
   a. Normative
   b. Nonnormative
   c. Normative and nonnormative
   d. Neither normative nor nonnormative

Answer 3

b. Nonnormative

Question 4

4. The nurse suspects that a family is experiencing ambivalence. To what does this term refer in the family?
   a) The ability to avoid stress over time
   b) Conflicting emotions regarding relationships with older adults
   c) The level of harmony with extended family members over time
   d) Maintaining a stable level of balance in the midst of changes

Answer 4

b) Conflicting emotions regarding relationships with older adults

Question 5

5. The nurse learns that a grandparent will be the guardian of a grandchild. Which relationship is the strongest predictor of the grandparent–grandchild relationship?
   a) Father and child
   B) Mother and father
   C) Father and grandparent
   D) Mother and grandparent

Answer 5

D) Mother and grandparent

Question 6

6. A frail older client does not have children. What should the nurse consider when planning this client’s care?
   a) Depend on formal services for assistance
   b) Rely on friends and extended family for care
   c) Consider admission to a long-term care facility
   d) Identify an agency that provides care 24/7 in the home

Answer 6

a) Depend on formal services for assistance

Question 7

7. The nurse completes an instrumental activities of daily living (IADL) with an older client. Which activity will this assessment include?
   a) Bathing
   b) Hygiene
   c) Shopping
   d) Toileting

Answer 7

c) Shopping

Question 8

8. The nurse plans to use the SPICES tool during an assessment. Which of the following are assessed with this tool? Select all that apply.
   a) Confusion
   b) Compliance
   c) Poor nutrition
   d) Sleep disorders
   e) Skin breakdown

Answer 8

a) Confusion
c) Poor nutrition
d) Sleep disorders
e) Skin breakdown

Question 9

9. The nurse prepares to use the FAMILY tool to assess a client and family. Which of the following will the nurse assess with this tool? Select all that apply.
   a) Years of age
   b) Members’ needs
   c) Assistance needed
   d) Family involvement
   e) Integration into care plan

Answer 9

b) Members’ needs
c) Assistance needed
d) Family involvement
e) Integration into care plan

Question 10

10. Why is it important for acute care nurses to have gerontological nursing experience? Select all that apply.
    a)Older clients are less likely to have health insurance.
    b).Older clients make up 25% of trauma cases.
    c) Older clients are at risk for geriatric syndromes.
    d) Older clients experience typical symptoms for diseases
    e) Older clients make up a high percentage of acute and critical care cases.

Answer 10

b).Older clients make up 25% of trauma cases.
c) Older clients are at risk for geriatric syndromes.
e) Older clients make up a high percentage of acute and critical care cases.

Question 11

11. An older client seeks medical attention after being injured during a home invasion. Which of the following should the nurse consider as reasons for this client’s physical

a) Frailty
b) Disability
c) Confusion
d) Low income
e) Lack of social support

Answer 11

a) Frailty
b) Disability
d) Low income
e) Lack of social support