Question 1

Which of the following statements made by a nurse best reflects an understanding of the negative impact of ageism regarding client care?

Accepted Answer

A)   "If I don't value the older client,I will never be able to provide the care they are entitled too."
B)   "Everyone,regardless of age or position,always deserves effective,appropriate nursing care."
C)   "As a society we lose so much valuable wisdom and knowledge when we devalue our older members."
D)   "If older clients do not feel valued,they are less likely to seek the health care they need and deserve."

Question 2

In the assessment of older-adult clients,it is often difficult to discriminate between delirium and dementia.Delirium is characterized by:

Accepted Answer

A)   A slow progression
B)   Lasting months to years
C)   A normal state of alertness
D)   Occurrences at twilight or darkness

Question 3

Of the following client statements made by an older adult client which best reflects an understanding the educational materials on nutrition presented by the nurse?

Accepted Answer

A)   "I'll keep this literature and read it again later."
B)   "I love rye bread.It's good to know its high in fiber."
C)   "Nutrition and cooking has always been passions of mine."
D)   "Now I can see the connection between food and my health."

Question 4

Which of the following statements made by a nurse best reflects an understanding of the adaptation required of nursing to assure quality nursing care for the older adult client?

Accepted Answer

A)   "Remember to ask the client when she prefers to have her bath."
B)   "I hope that I am that alert and interested in life when I'm her age."
C)   "My client is in her 90s,so I don't expect her to respond to the therapy like a 50- year-old does."
D)   "I just finished reading a great article on caring for the client newly diagnosed with Alzheimer's disease."

Question 5

A nurse is preparing to perform an assessment on an older adult client newly admitted to a nursing center.Which of the following statements made by the nurse best reflects the unique needs of this client regarding the assessment process?

Accepted Answer

A)   "I will be back after you are settled in and we can devote enough time to this assessment process."
B)   "We will need to move you to the examination room so that you will be comfortable during the assessment."
C)   "I have to perform an assessment as part of the admission process,is this a good time for you to help me with it?"
D)   "Since this move has been both physical and emotionally stressful,I will make this assessment as concise and brief as possible."

Question 6

Which of the following nursing questions is best directed towards the assessment of a normal finding regarding physiological changes in an older-adult client?

Accepted Answer

A)   "Any difficulty driving at night?"
B)   "Are you experiencing any loss of libido?"
C)   "Do you see yourself as becoming forgetful"
D)   "Have you had your cholesterol tested lately?"

Question 7

The nurse is presenting an information session on nutritional guidelines at a senior living center.Which of the following foods meets the recommended nutritional guidelines for older adults?

Accepted Answer

A)   Grilled chicken
B)   Hamburger and french fries
C)   Hot dog with dill pickle relish
D)   Baked potato with cheese and bacon bits

Question 8

The nurse defines ageism most accurately as:

Accepted Answer

A)   The undervaluing of individuals based on their age.
B)   Perception of a person's worth based on productivity
C)   Biases directed towards individuals considered aged
D)   Discrimination based on an individual's increasing age

Question 9

When presenting information to the older adult,the client will be most likely to engage with the nurse in the learning process if:

Accepted Answer

A)   Client feedback is encouraged and valued
B)   Physical disabilities are accommodated for
C)   The topic or information is valued by the learner
D)   New knowledge is connected to knowledge already processed

Question 10

Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult?

Accepted Answer

A)   50% of older adults have two chronic health problems.
B)   Cancer is the most common cause of death among older adults.
C)   Nutritional needs for both younger and older adults are essentially the same.
D)   Adults older than 65 comprise the greatest users of prescription medications.

Question 11

Which statement made by an older adult would reflect the best understanding of the nutritional requirements of individuals at this developmental stage?

Accepted Answer

A)   "An apple a day is my motto;always has been."
B)   "I eat everything,but just a little a bit of things like sweets."
C)   "Fiber is more important than ever to my digestive system."
D)   "I don't need the fat so I've taken to drinking protein shakes."

Question 12

The nurse works with elderly clients in a wellness screening clinic on a weekly basis.Which of the following statements made by the nurse is the most therapeutic regarding their mobility?

Accepted Answer

A)   "Your shoulder pain is normal for your age."
B)   "Continue to exercise your joints regularly to your tolerance level."
C)   "Why don't you begin walking 3 to 4 miles a day,and we'll evaluate how you feel next week."
D)   "Don't worry about taking that combination of medications since your doctor has prescribed them."

Question 13

A 70-year-old client asks the nurse to explain her hypertension as she is to have her blood pressure checked each shift.An appropriate response by the nurse as to why older clients often experience hypertension is because of:

Accepted Answer

A)   Myocardial muscle damage
B)   Reduction in physical activity
C)   Ingestion of foods high in sodium
D)   Accumulation of plaque on arterial walls

Question 14

Which of the following client statements regarding self-medication administration by an older-adult client requires follow-up teaching by the nurse?

Accepted Answer

A)   "I take all the pills ordered once a day at bedtime,so I'm less likely to forget them."
B)   "I have one pill that needs cut in half.I am going to ask the pharmacist to do that for me."
C)   "The pharmacist said to keep my pills away from the sunlight,so I put them inside the kitchen cabinet."
D)   "My daughter comes over each morning and puts my pills into a container that sorts them by the time they are due."

Question 15

Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process?

Accepted Answer

A)   "I use to enjoy dancing and jogging so much,but now I have arthritis in my knees so that it's hard to even walk."
B)   "I've given my grandchildren money for college so they can live a better life than I had."
C)   "Growing old certainly presents all sorts of challenges.I wish I knew then what I know now."
D)   "As I age I've found its harder to do the things I love doing,but I guess it will all be over soon enough."

Question 16

In reviewing changes in the older adult,the nurse recognizes that which of the following statements related to cognitive functioning in the older client is true?

Accepted Answer

A)   Delirium is usually easily distinguished from irreversible dementia.
B)   Therapeutic drug intoxication is a common cause of senile dementia.
C)   Reversible systemic disorders are often implicated as a cause of delirium.
D)   Cognitive deterioration is an inevitable outcome of the human aging process.

Question 17

The nurse is preparing an educational program for members of the local senior center.Which of the following topics would present the greatest learning challenge for this developmental group?

Accepted Answer

A)   Exercising arthritic joints
B)   Tips for living with GERD
C)   Importance of the human touch
D)   Principles of heart-healthy eating

Question 18

There are factors that influence the musculoskeletal system associated with aging.The nurse recognizes that with age:

Accepted Answer

A)   Men have the greatest incidence of osteoporosis
B)   Muscle fibers increase in size and become tighter
C)   Weight-bearing exercise reduces the loss of bone mass
D)   Muscle strength does not diminish as much as muscle mass

Question 19

A long-term care facility sponsors a discussion group on the administration of medications.The participants have a number of questions concerning their medications.The nurse responds most appropriately by saying:

Accepted Answer

A)   "Don't worry about the medication's name if you can identify it by its color and shape."
B)   "Unless you have severe side affects,don't worry about the minor changes in the way you feel."
C)   "Feel free to ask your physician why you are receiving the medications that are prescribed for you."
D)   "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your medications."

Exam 14: Older Adult

A 70-year-old client asks the nurse to explain her hypertension as she is to have her blood pressure checked each shift.An appropriate response by the nurse as to why older clients often experience hypertension is because of:

Correct Answer
verified

A nurse is preparing to perform an assessment on an older adult client newly admitted to a nursing center.Which of the following statements made by the nurse best reflects the unique needs of this client regarding the assessment process?

Correct Answer
verified

Which of the following statements made by a nurse best reflects an understanding of the negative impact of ageism regarding client care?

Correct Answer
verified

There are factors that influence the musculoskeletal system associated with aging.The nurse recognizes that with age:

Correct Answer
verified

In reviewing changes in the older adult,the nurse recognizes that which of the following statements related to cognitive functioning in the older client is true?

Correct Answer
verified

The nurse defines ageism most accurately as:

Correct Answer
verified

A long-term care facility sponsors a discussion group on the administration of medications.The participants have a number of questions concerning their medications.The nurse responds most appropriately by saying:

Correct Answer
verified

Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult?

Correct Answer
verified

Which of the following client statements regarding self-medication administration by an older-adult client requires follow-up teaching by the nurse?

Correct Answer
verified

The nurse is presenting an information session on nutritional guidelines at a senior living center.Which of the following foods meets the recommended nutritional guidelines for older adults?

Correct Answer
verified

The nurse is preparing an educational program for members of the local senior center.Which of the following topics would present the greatest learning challenge for this developmental group?

Correct Answer
verified

Which of the following nursing questions is best directed towards the assessment of a normal finding regarding physiological changes in an older-adult client?

Correct Answer
verified

Of the following client statements made by an older adult client which best reflects an understanding the educational materials on nutrition presented by the nurse?

Correct Answer
verified

Which statement made by an older adult would reflect the best understanding of the nutritional requirements of individuals at this developmental stage?

Correct Answer
verified

The nurse works with elderly clients in a wellness screening clinic on a weekly basis.Which of the following statements made by the nurse is the most therapeutic regarding their mobility?

Correct Answer
verified

In the assessment of older-adult clients,it is often difficult to discriminate between delirium and dementia.Delirium is characterized by:

Correct Answer
verified

When presenting information to the older adult,the client will be most likely to engage with the nurse in the learning process if:

Correct Answer
verified

Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process?

Correct Answer
verified

Which of the following statements made by a nurse best reflects an understanding of the adaptation required of nursing to assure quality nursing care for the older adult client?

Correct Answer
verified

Exam 14: Older Adult

A 70-year-old client asks the nurse to explain her hypertension as she is to have her blood pressure checked each shift.An appropriate response by the nurse as to why older clients often experience hypertension is because of:

Correct AnswerverifiedShow Answer

A nurse is preparing to perform an assessment on an older adult client newly admitted to a nursing center.Which of the following statements made by the nurse best reflects the unique needs of this client regarding the assessment process?

Correct AnswerverifiedShow Answer

Which of the following statements made by a nurse best reflects an understanding of the negative impact of ageism regarding client care?

Correct AnswerverifiedShow Answer

There are factors that influence the musculoskeletal system associated with aging.The nurse recognizes that with age:

Correct AnswerverifiedShow Answer

In reviewing changes in the older adult,the nurse recognizes that which of the following statements related to cognitive functioning in the older client is true?

Correct AnswerverifiedShow Answer

The nurse defines ageism most accurately as:

Correct AnswerverifiedShow Answer

A long-term care facility sponsors a discussion group on the administration of medications.The participants have a number of questions concerning their medications.The nurse responds most appropriately by saying:

Correct AnswerverifiedShow Answer

Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult?

Correct AnswerverifiedShow Answer

Which of the following client statements regarding self-medication administration by an older-adult client requires follow-up teaching by the nurse?

Correct AnswerverifiedShow Answer

The nurse is presenting an information session on nutritional guidelines at a senior living center.Which of the following foods meets the recommended nutritional guidelines for older adults?

Correct AnswerverifiedShow Answer

The nurse is preparing an educational program for members of the local senior center.Which of the following topics would present the greatest learning challenge for this developmental group?

Correct AnswerverifiedShow Answer

Which of the following nursing questions is best directed towards the assessment of a normal finding regarding physiological changes in an older-adult client?

Correct AnswerverifiedShow Answer

Of the following client statements made by an older adult client which best reflects an understanding the educational materials on nutrition presented by the nurse?

Correct AnswerverifiedShow Answer

Which statement made by an older adult would reflect the best understanding of the nutritional requirements of individuals at this developmental stage?

Correct AnswerverifiedShow Answer

The nurse works with elderly clients in a wellness screening clinic on a weekly basis.Which of the following statements made by the nurse is the most therapeutic regarding their mobility?

Correct AnswerverifiedShow Answer

In the assessment of older-adult clients,it is often difficult to discriminate between delirium and dementia.Delirium is characterized by:

Correct AnswerverifiedShow Answer

When presenting information to the older adult,the client will be most likely to engage with the nurse in the learning process if:

Correct AnswerverifiedShow Answer

Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process?

Correct AnswerverifiedShow Answer

Which of the following statements made by a nurse best reflects an understanding of the adaptation required of nursing to assure quality nursing care for the older adult client?

Correct AnswerverifiedShow Answer

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