Quiz
Chapter 19: The Aging Adult
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Perguntas do quiz (22)
1A nurse caring for adults in a physician's office notes that some patients age more rapidly than other patients of the same age. The nurse researches aging theories that attempt to describe how and why aging occurs. Which statements apply to the immunity theory of aging ?
- AChemical reactions in the body produce damage to the DNA
- BFree radicals have adverse effects on adjacent molecules
- CDecrease in size and function of the thymus causes infection
- DThere is much interest in the role of vitamin supplementation
- ELifespan depends on a great extent to genetic factors
- FOrganisms wear out from increased metabolic functioning
2A nurse caring for older adults in a long-term care facility knows that several physical changes occur in the aging adult. Which characteristics best describe these changes?
- AFatty tissue is redistributed
- BThe skin is drier and wrinkles appear
- CCardiac output increases
- DMuscle mass increases
- EHormone production increases
- FVisual and hearing acuity diminishes
3Based on Erikson's theory, middle adults who do not achieve their developmental tasks may be considered to be in stagnation. Which statement is one example of this finding?
- AI am helping my parents move into an assisted living faciltiy
- BI spend all of my time going to the doctor to be sure I am not sick
- CI have enough money to help my son and his wife when they need it
- DI earned this gray hair and I like it
4Which of the following nursing diagnoses would be appropriate for many middle adults?
- ARisk for imbalanced nutrition: Less than body requirements
- BDelayed growth and development
- CSelf-Care Deficit
- DCaregiver Role Strain
5An experienced nurse tells a younger nurse who is working in a retirement home that older adults are different and do not have the same desires, needs, and concerns as other age groups. The nurse also comments that most older adults have "outlived their usefulness" What is the term for this type of prejudice?
- AHarrassment
- BWhistle blowing
- CRacism
- DAgeism
6A nurse who is caring for older adults in a senior daycare center documents findings as related to which normal aging process?
- AA patient's increased skin elasticity causes wrinkles on the face and arms
- BExposure to sun over the years causes a patient's kin to be pigmented
- CA patient's toenails have become thinner with a bluish tint to the nail beds
- DA patient experiences a hip fracture due to porous and brittle bones
- EFragile blood vessels in the dermis allow for more easy bruising of a patient's forearm
- FIncreased bladder capacity causes decreased voiding in an older patient
7A nursing instructor teaching classes in gerontology to nursing students discusses myths related to the aging of adults. Which statements is a myth about older adults?
- AMost older adults live in the their own homes
- BHealthy older adults enjoy sexual activity
- COld age means mental deterioration
- DOlder adults want to be attractive to to others
8What is the leading cause of cognitive impairment in old age?
- AStroke
- BMalnutrition
- CAlzheimer disease
- DLoss of cardiac reserve
9A nurse is caring for a 80-year-old female patient who is living in a long-term care facility. To help this patient adapt to her present circumstances, the nurse is using reminiscence as therapy. Which question would encourage reminiscence?
- ATell me about how you celebrated Christmas when you were young
- BTell me how you plan to spend your time this weekend
- CDid you enjoy the choral group that performed here yesterday
- DWhy don't you want to talk about your feelings?
10Following a fall that left an elderly male patient temporarily bedridden, the nurse is using the SPICES assessment tool to evaluate him for cascade iatrogenesis. Which are correct aspects of this tool?
- AS - Senility
- BP - Problems with feeding
- CI - Irritableness
- DC - Confusion
- EE - Edema of the legs
- FS - Skin breakdown
11The nurse is assigned to care for a client 87 years of age admitted to the medical unit for congestive heart failure. It is the fourth hospital day, and the response to treatment has been good. The client is no longer short of breath, and the lung sounds are clearing. There is still a diet restriction of a decrease in sodium and fluids are limited to no more than 1000 mL per day. The nurse is preparing the client and family for discharge. Your discharge education, in order to promote the older's client health, will include which of the following?
- ATake several naps during the day
- BDo not use the salt shaker at meals
- CGradually increase activities as tolerated
- DIncreased stress may interfere with recovery
12A nurse is caring for an older client who has been confined to bed for several weeks following a fall. The client has been exhibiting symptoms of sundowner's syndrome. Which of the following are characteristics of sundowner's syndrome?
- ANapping during the daytime
- BAwakening more frequently
- CRequiring longer time to fall asleep
- DFeeling agitated and wakeful at night
13You are assessing a middle aged adult age 48. You recall the changes that occur in middle age as you complete your physical and cognitive examination. Changes that occur include what?
- ALoss of fatty tissue
- BVisual acuity changes with myopia
- CCardiac output decreases
- DLow-pitched sounds are more difficult.
14A public health nurse is participating in a health fair that is being held at a local community center. The nurse should encourage adult participants to completely eliminate which of the following from their diet and their lifestyle?
- AAlcohol
- BCholesterol
- CSmoking
- DSalt
15A nurse is developing a plan of care for a client who recently lost his spouse. Which of the following would be most appropriate for the nurse to suggest to help the client cope with his loss?
- AMaintaining nutritional intake
- BRemaining active in the community
- CValidating his needs
- DSeeking support from his faith
16The middle adult is sometimes called the sandwich generation. According to Erikson, the developmental task of the middle adult is what?
- AGoal attainment vs crisis
- BInitiative vs guilt
- CGenerativity vs stagnation
- DEgo-integrity vs despair
17When completing an assessment, especially of the older adult, the nurse knows the importance of including spiritual development. Older adults have completed moral development and many experience self-transcendence, which may be defined as what?
- AA state of consciousness with lower levels of tension, anxiety and increased tolerance of frustration
- Ban ability to leave the past behind, but still face the future without fear of the unknown
- Ccapability to reach beyond prior limits with more awareness of other people's values and beliefs
- Dthe ability to traverse life's difficulties with ease
18The nurse is completing the admission of a confused older adult to the Alzheimer's unit. As the nurse removes her arm from the gown, there is noticeable bruising in various stages on both sides of her shoulders and arms. As the nurse continues with the examination, the daughter explains loudly, "Mom is always banging into the door". You acknowledge her, complete the assessment, and chart your findings. What else should you do?
- AMark the front of the paper record, or flag the electronic record with an abuse alert
- BDiscuss your concerns with your immediate supervisor
- CReport your suspicion of elder abuse to the abuse hotline
- Dgo back and talk to the client by herself
19The nurse understands that when caring for the older adult it is important to assist in maintaining independence and self-esteem. Assisting a client to adjust to a walker or wheelchair is an example of supporting which of Erikson's developmental task of an older adult?
- AAdaptation to age and preservation of self
- BEgo integrity and coping with reality of limitations
- CPrevention of injury and safety in navigation
- DFunctional adaptation and self-awareness
20An older adult is admitted to the health care facility with a diagnosis of depression. The nurse would be especially alert for which of the following?
- APoor cognitive performance
- BSleep problems
- CSuicidal thoughts
- DLack of initiative
21When completing an assessment of a middle aged adult, the nurse makes note of the client's cognitive development. The nurse would expect to find what?
- AMemory processing is quickly reviewed
- BIncreased motivation to learn
- CClients want to appear competent
- DDecreasing ability to focus and solve problems
22A home care nurse visits an older client with dementia due to Alzheimer's disease. As a result of the client' confused thinking, the client is experiencing extreme difficulty in communicating with family members. Which intervention would be most appropriate for this client?
- AOrient the client to reality
- BProvide appropriate sensory appliances
- CMaintain levels of sensory stimulation
- DValidate the client's current needs
Informações
- Descrição
- Unit IV: Promoting Health Across the Lifespan Chapter 19: The Aging Adult
- Autor
- Alexandra Bozan
- Idioma
- English
- Visualizações
- 255
- Etiquetas
- Avaliação
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