Exam #1 Practice Questions Flashcards by Taylor Biggs

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

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during an assessment of an older adult, which of the following would the nurse see as a priority?

listening as key to an assessment

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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

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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

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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

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____________ is the application of limited knowledge about one person with specific characteristics to other persons with the same characteristics.

stereotyping

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individuals who are 100-109 years of age are known as

centenarians

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factors that influence the aging experience include: (SATA)

retirement
grandchildren
chronic illness
lack of medical care
quality of life

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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.”

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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

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example of interventions to promote wellness include all of the following except?

psychiatric screenings

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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

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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

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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

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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

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an older adult client has a hx of COPD. which of the following would you suggest to your client?

annual influenza immunization

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Which one of the following statements about biological theories in aging is incorrect?

most theories can be proved

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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

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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

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which one of the following trials is a normal part of aging?

spirituality

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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

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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

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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

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Primary prevention strategies for older adults include which of the following? (SATA)

an annual influenza immunization

brisk walking 3-4 times per week

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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

The nurse determines that teaching to prevent constipation was effective when the client states what?

i will drink at least 2 liters of water per day

An older client is experiencing acute hypoglycemia. Which of the following two nursing interventions are highest priority? (SATA)

replacing glucose preventing injury

Based on the census reports of 2010, the typical profile of a centenarian in the US includes which of the following characteristics?

a caucasian women who lives in an urban area of an eastern state

The family member of a client asks if eating things like blueberries and kale will slow aging. In formulating an appropriate response, the nurse considers which theory?

free radical

Which assessment finding of orthostatic vital signs would the nurse determine as positive results (abnormal)? (SATA)

HR increases from 90 to 112 after the client sat up BP decreased from 128/70 to 108/66 after the client sat up BP decreased from 136/70 to 96/72 after the client stood

An older client reports a hx of hyposmia and decreased taste perception. To prevent a possible complication, the nurse should prioritize which action?

monitor dietary intake

An older client with CKD has potassium level of 6.1 mEq/dL. Which of the following is a priority nursing action?

assess the cardiac rhythm

An older woman with low bone density complains of severe weakness, dizziness, and lethargy and is admitted to the hospital. What nursing intervention is highest priority?

fall precautions

The nurse admitted an 88 year old client wants to assess a client's function in ADLs. Which assessment tool will the nurse use?

Katz

The nurse is planning to screen a client for dementia. Which assessment tool should be selected?

mini-cog

A 71 year old female client taking synthroid informs the nurse that a person at the pharmacy told her that generic levothyroxine is a little cheaper, and she wants to switch to it. What is the best response by the nurse?

keep taking Synthroid as prescribed and discuss this with you HCP

The nurse is caring for an older client that is receiving an antipsychotic medication. When teaching the client about potential s/e, which statement by the client requires further teaching?

i will become intolerant to cool temps and cold weather

The nurse is educating a client who is starting simvastatin. Which food selections by the client indicates that further teaching is necessary?

egg whites and grapefruit

The nurse is interviewing an older client regarding pre-op medications. The nurse should teach the older client which herbs or supplements should be stopped at least 2 weeks before surgery? (SATA)

ginkgo biloba ginseng garlic

The nurse suspects which problem of thermoregulation in an older client who presents with confusion, HR 148, BP 86/54, Temp 104.6 and hot/dry skin?

heat stroke

Which factors does the nurse correctly identify as placing an older client at risk for polypharmacy? SATA

multiple specialty HCP lack of communication between HCP living in a LTCF having a disability

The nurse is discussing medication regime with an older client. The nurse understands more teaching is needed when the client makes what statement?

i should not be taking the lamotrigine because I do not have seizures

A couple is renovating their garage into an apartment for the husbands 81 year old mother. What safety recommendations should the nurse suggest?

install an electric vs. gas stove in the kitchen

The nurse recognizes which mental process is associated with deterioration that accompanies aging?

short-term memory

Which would the nurse assess to determine whether a 75-year-old individual is meeting the developmental tasks associated with aging?

attainment of a sense of worth as a person

When a client is using a hypothermia blanket to reduce fever, which finding indicates a need for a change in the treatment?

shivering

Which statements made by the nursing student demonstrate adequate knowledge about the etiology of hypothermia and administration of different treatments? Select all that apply. One, some, or all responses may be correct.

"blood infusion causes hypothermia" "neuromuscular blocking agents causes hypothermia"

The nursing student counsels an older 70-year-old female client about changes caused by aging. Which statement made by the client indicates effective learning?

"I should have regular breast examinations."

Which statement about the aging process indicates the theory of continuity?

the personality of an individual remains stable and behavior becomes predictable as she or he ages

The nurse is teaching campfire safety to a group of community members and includes information about what to do if a person catches on fire. The nurse teaches the most effective method for putting out the flames. Which information from the group members indicates successful learning?

instruct the victim to roll on the ground

Which assessment findings would help the nurse support the diagnosis of the condition of orthostatic hypotension? Select all that apply. One, some, or all responses may be correct.

fainting weakness light headedness

Which assessment will assist the nurse in determining whether a client is experiencing adverse effects of risperidone?

question if dizziness is experienced

A family member who visits an 80-year-old client in a nursing home remarks how thin and wrinkled the client looks. Which response by the nurse will help the family member understand the normal aging process?

"older adults have lost the tissue that helps puff out the skin."

An 85-year-old client has just been admitted to a nursing home. When designing a plan of care for this older adult, the nurse recalls which expected sensory losses associated with aging? Select all that apply. One, some, or all responses may be correct.

diminished sensation of pain impaired hearing of high frequency sounds

When teaching about aging, the nurse explains that older adults usually have which characteristic?

review the intake and output

The nurse assesses for which client symptoms that indicate hyperthermia? Select all that apply. One, some, or all responses may be correct.

vasodilation dry and flushed skin decreased urinary output

The nurse is caring for an older adult with a hearing loss secondary to aging. Which would the nurse expect to identify when assessing this client? Select all that apply. One, some, or all responses may be correct.

dry cerumen difficulty hearing high pitched voices

Which information would the nurse provide a nursing student about the relationship between nursing theory and nursing research? Select all that apply. One, some, or all responses may be correct.

"theory-generating research helps discover and describe relationships of phenomena" "theory-testing research helps determine the accuracy with which a theory describes a phenomenon" "the relationship between nursing theory and nursing research builds the scientific knowledge base of nursing."

Which physiological changes of the musculoskeletal system would the nurse associate with aging? Select all that apply. One, some, or all responses may be correct.

slowed movement cartilage degeneration increased bone prominence

The change in the effectiveness of two or more substances when used in combination refers to which one of the following terms?

potentiation

Which classification of drugs is on the list of potentially inappropriate medications (PIM) for older adults and should be avoided except in extreme cases?

benzodiazepines

_____ is the use of multiple medications that can increase the risk for drug interactions and increase the risk for an adverse event.

polypharmacy

In visiting with an older adult client in his home, you see that he has more medications left in his bottles than he should have if he were taking them as instructed. You also note that his glasses are on the side table and broken. After calling to have his glasses fixed, you discuss with your client about asking the pharmacy to... SATA

use a larger font for the instructions on the front of the bottles to ensure that he can more easily read the instruction with his new glasses use color-coded tops on the medication bottles to assist him in determining what times to take the medication or to help him determine which medications are in each bottle place his medications in a daily and weekly medication pack to make it easier to determining what medications to take at what time make a weekly calendar with medication pockets

You, as a nurse, have been working with an older adult client who is starting a new medication. Over the past 2 to 3 days, you notice that that he has become confused and lethargic, more so than in the past. You suspect that he is experiencing

an adverse drug reaction (ADR)

A patient care assistant has been assigned to feed your client with dysphagia. Which of the following instructions would you give the assistant? SATA

have the client sit at 90 degrees during all of oral intake alternate solid and liquid boluses avoid rushing the client or force feeding her stroke under the chin in a downward motion

____ is associated with increased health care costs, functional impairments, and disability.

obesity

To prevent malnutrition in older clients with dementia, all of the following would benefit your client EXCEPT

caloric supplements with the meals

An older adult client reports pressure ulcers, anemia, hypotension, and recurrent urinary tract infections (UTIs). You suspect that this client is exhibiting which one of the following?

malnutrition

Which one of the following statements is not true about the dietary needs of older adults?

older adults need more calories because of their age and possible loss of weight

The best gerontological nursing care is that in which

the key person in the assessment of pain is the nurse

When taking care of an older adult client, you realize when assessing his pain level that all of the following considerations would apply EXCEPT

because he is older, he does not feel pain as much

As a nurse caring for a cognitively impaired older adult client, you need to observe for which of the following? Select all that apply.

increased confusion agitation aggression pointing to a grimacing face or crying

Pain can be which of the following? Select all that apply.

acute idiopathic nociceptive persistent

Normal aging changes that would influence an older client's experience of pain would include all of the following EXCEPT

all of the above are normal aging changes that would influence an older client's experience of pain - decrease tactile sensation -delayed reaction time -degenerative spine conditions -increased sensitivity to pain

As the nurse performing and collecting assessment data, you realize that during the process of interviewing the client that a majority of the information is coming from the client's family members. This approach for collecting assessment data is known as

report by proxy

Which of the following special abilities would not be needed in performing and assessing an older adult?

asking questions that are frequently asked

As the nurse caring for an older adult client, you realize that your documentation is essential for communication from one shift to the other to ensure continuity of care. When providing documentation on your client, what would you include? Select all that apply.

Mr. H states that he "has not had a bowel movement in 3 days" Mrs. C has a 3 cm laceration on her lateral anterior antecubital space Mr. Q was transported to the x-ray department at 3 PM by stretcher with O2 via nasal cannula at 2 L/min. the client denies any pain or shortness of breath.

Many different sources are used to evaluate older adults. Which one of the following offers a simple and overall assessment tool that provides reliable and valid information when used with persons later in life?

Fulmer SPICES

As a nurse performing a functional assessment to help promote healthy aging, which of the following statements from an older client make you realize that he requires assistance? Select all that apply.

he tells you that he has bounced a couple of checks lately he tells you that he is unable to get to the grocery store because he does not have a car he tells you that he does not feel like cooking on his gas stove and the he does not feel safe with it anymore

A 90-year-old client has early dementia and wants to stay in her home for as long as possible. Which of the following technologies would be appropriate for this client? Select all that apply.

SmartSoles QuietCare system

Hypothermia is a medical emergency defined as a core temperature less than 95°F. Which of the following tips to prevent hypothermia should you tell your elderly client? Select all that apply.

use a head covering eat high protein meals use absorbent incontinent pads layer clothing and bed clothes

You notice that your 85-year-old grandfather is having some trouble with his visual, motor, and cognitive skills. You would recommend the following driving adaptations EXCEPT

tinted windows

Across the country, temperatures are in the high 90s to low 100s °F, and your client has no air conditioning. You know that hyperthermia can result because of the elevated temperatures. Which of the following tips to prevent hyperthermia should you tell your elderly client? Select all that apply.

drink plenty of fluids avoid alcohol use cool or tepid water minimize exertion

You are visiting your client a few days before a blizzard is expected to hit your town, and you notice that her heater is not working. As a public health nurse, you know that all of the following require early assessment EXCEPT... 1. environmental temperatures. 2. economic conditions. 3. medication effects. 4. changes in thermoregulatory responses.

ALL OF THE ABOVE (environmental temps, economic conditions, medication effects, and changes in thermoregulatory responses)