As the aging population in the United States increases, the nurse knows that the
A. Baby boomer generation accounts for a very small percentage of this group.
B. Extension of the average life span has also increased.
C. Population segment over age 85 is d
B. Extension of the average life span has also increased.
As a patient ages, the nursing plan of care
A. Should be standardized because all geriatric patients have the same needs.
B. Needs to be individualized to the patient's unique needs.
C. Should be based on chronological age alone.
D. Focuses on the disabil
B. Needs to be individualized to the patient's unique needs.
Which of these findings, if identified in a patient on a gerontological unit, would be most surprising to a culturally sensitive nurse?
A. The older person not being functionally independent
B. Preferences in food, music, and religion
C. Use of convention
A. The older person not being functionally independent
Which of the following statements by a new graduate nurse should be corrected by an experienced nurse?
A. "Most older patients are ill and disabled. That's why we care for so many of them in the hospital."
B. "Older adults are many times still interested
A. "Most older patients are ill and disabled. That's why we care for so many of them in the hospital.
Which teaching strategy is best to utilize with older adult patients?
A. Provide several topics of discussion at once to promote independence and making choices.
B. Avoid uncomfortable silences after questions by helping patients complete their statements
C. Ask patients to recall past experiences that correspond with their interests.
An older patient has fallen and broken his hip. As a consequence, the patient's family is concerned about his ability to care for himself, especially during his convalescence. What should the nurse do?
A. Stress that older patients usually ask for help wh
D. Provide information and answer questions as family members make choices among care options.
What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?
A. Suggest choosing a nursing center that is as sanitary as possible. The closer the center is to hospital standards, the better.
B. Have famil
D. Explain that it is probably best for the family to visit the center and inspect it personally.
A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. When discussing health care services and possible long-term living arrangements with the patient's only son, what should the nurse suggest?
A. An apartment setting
C. A nursing center because home care is no longer safe
Several theories on aging have been put forth, and the nurse should use these theories to
A. Guide nursing care.
B. Explain the stochastic view of genetically programmed physiological changes.
C. Select one theory to guide nursing care for all geriatric p
A. Guide nursing care.
The nurse correctly describes psychosocial theories on aging as theories that
A. Describe role changes in behaviors in older adults.
B. Emphasize that all adults age in similar ways.
C. Stress the need for the aging to discontinue activities as they age.
A. Describe role changes in behaviors in older adults.
When comparing developmental tasks of middle-aged persons versus older adults, what should the nurse infer?
A. Learning to cope with loss is most common during the middle adult years.
B. After age 65, most older adults age both biologically and psychologi
C. All older adults will need nursing assistance to deal with loss.
An 80-year-old male is brought to the emergency department with an exacerbation of chronic obstructive pulmonary disease (COPD). He states that he quit smoking 30 years ago, so it can't be COPD. He argues, "It's just these colds I've been getting. They're
B. Older adults do not have to alter physical activity because of physical changes.
During assessment of an older adult's skin integrity, expected findings include which of the following?
A. Decreased elasticity
B. Oily skin
C. Increased facial hair in men
D. Faster nail growth
A. Decreased elasticity
An older adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?
A. Notify the physician immediately to rule out cranial nerve damage.
B. Perform testing on the vestibulocochlea
D. Explain to the patient that diminished senses are normal findings.
Which symptom is an expected cognitive change in the older adult patient?
A. Disorientation
B. Slower reaction time
C. Poor judgment
D. Loss of language skills
B. Slower reaction time
A patient with gradual, progressive cognitive impairment (dementia) is admitted to the nursing unit after hip replacement surgery. Which of the following is a nursing care principle for care of cognitively impaired older adults?
A. Maintain physical healt
A. Maintain physical health.
To promote physical well-being and socialization in an older adult, what should the nurse realize?
A. Social isolationism is always a chosen behavior.
B. Body image plays no role in decision making by the older adult.
C. No community resources are focused
D. Older adults may have a functional purpose in social arenas.
A male older adult patient expresses his concern and anxiety about decreased penile firmness during erection. What is the nurse's best response?
A. Explain that over time, his libido will decrease, as will the frequency of sexual activity.
B. Tell the pat
C. Tell the patient that this change is expected in aging adults.
A patient asks the nurse what the term polypharmacy means. The nurse defines this term as
A. Multiple side effects experienced when taking a medication.
B. The concurrent use of many medications.
C. The many adverse drug effects reported to the pharmacy.
B. The concurrent use of many medications.
An outcome for an older adult patient living alone is to be free from falls. Which of these statements by a patient indicates that teaching on safety concerns has been effective?
A . "I'll leave my throw rugs in place so that my feet won't touch the cold
B. "I'll take my time getting up from the bed or chair.
One of the greatest challenges for the nurse caring for older adults is ensuring safe medication use. One way to reduce the risks associated with medication usage is to
A. Periodically review the patient's list of medications.
B. Inform the patient that p
A. Periodically review the patient's list of medications.
An older adult patient has developed acute confusion. The patient has been on tranquilizers for the past week. The patient's vital signs are normal. What should the nurse do?
A. Take into account age-related changes in body systems that affect pharmacokin
A. Take into account age-related changes in body systems that affect pharmacokinetic activity.
Which of these assessments of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?
A. Presbycusis
B. Confusion
C. Death of a spouse 3 months ago
D. Temperature of 97.6� F
B. Confusion
Which of these patient statements is the most reliable indicator that an older adult has the correct understanding of health promotion activities?
A. "I need to increase my fat intake and limit protein."
B. "I should discontinue my fitness club membership
D. "I still keep my dentist appointments even though I have partials now.
A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which of the following p
D. Social isolation
A recently widowed 80-year-old male is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. The nurse's best action is to assess the patient for which of the followin
A, B, C, and E.