NUR 257 Exam 4 (Latest 2024 Update) Aging and Chronic
lliness in Nursing Exam 100% Correct| Grade A — Galen
1. Which statement is true about rehab and restorative care for older adults? A PERSON CAN
LEARN SKILLS
AND GAIN ABILITIES THAT ENABLE FUNCTIONING
2. Anolder adult is in the hospital because of HF and has become incontinent of urine.
Which EB resource should the nurse use to guide continence care for this pt? NURSING
STANDARD PRACTICE PROTOCOL
3. The nurse understands that stress incontinence occurs? AS A RESULT OF INCEASED
INTRAABDOMINAL PRESSURE
4. A large residual urine volume characterizes what type of incontinence? OVERLFOW
Which action should be included in all bladder-retraining programs? TOILETING AT
BEDTIME
5. The nurse assess a male resident in a NH for urinary incontinence and determines that he
is unaware of the problem. Which recommendation should the nurse implement?
PROVIDE REGULAR TOILETING
6. The nurse wants to begin helping a resident who is overweight and has urinary
incontinence with healthy bladder behavior skills. Which intervention should the nurse
implement? SCHEDULE VOIDING AT 2-4 HR INTERVALS
7. What is the most important aspect of care for the nurse to maintain when assisting an
older pt with urinary incontinence? MAINTAINING AN ATTITUDE THAT IS RESPECTFUL
ABOUT RESLOVING THE PROBLEM
8. An older woman tells the NP that she fears her family will place her in a NH because she
developed stress incontinence. Which recommendation should the nurse implement?
RECOMMEND EXERCISES TO STRENGTHEN THE PELVIC FLOOR
9. The nurse is caring for a pt who has recently had an indwelling catheter placed. The nurse
should assess the pt for? A CHANGE IN MENTAL STATUS
10. An older adult who is on bedrest after surgery is prescribed morphine for pain. Which of
the following is the nurse’s priority for preventive care? CONSTIPATION
11. Which of the following statements is a true about elimination in older adults?
DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION
, 12. Which option is part of the program that addresses bowel incontinence in an older
adultpt? ENSURING THAT A TOILET OR COMMODE IS READILY ACCESSIBLE TO THE PT
13. Which is an important consideration about the skin of an older adult person? THE
SKIN BECOMES MORE VULNERABLE TO DAMAGE
14. Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN SKIN AFTER
BATHING
15. A 70 yr old woman complains of dry skin and asks for advice. Which advice should the
nurse offer to this woman for improving dry skin? KEEP BATH WATER BETWEEN 90* AND
105*F
16. The nurse monitors for which clinical indicator when the older adult complains of
pruritus? COARSE SKIN
17. Which infection control practice should the nurse implement when caring for an older
adult who has active herpes zoster? COVER RUPTURED SKIN LESIONS WITH A
NONABSORBENT DRESSING
17. The nurse is conducting an admission assessment on an older adult and notes a small
lesion with a multicolor appearance. Which assessment approach should the nurse use?
ABCD RULE (ASYMMETRY, BORDER, COLOR, DIAMETER)
18. The nurse cares for an older man who has a malignant melanoma. Which intervention
should the nurse implement for this man to prevent a recurrence or advancement of this
condition in the future? INSTRUCT HIM TO WEAR SUN-PROTECTIVE CLOTHING AND A HAT
AT ALL TIMES
19. Which of the following is a true statement about impaired skin integrity? MUSCLE
AND FAT CANNOT REGENERATE
20. An older adult is vitamin deficient. Which of the following does the nurse offer to the
older adult to provide the important missing vitamin for maintaining healthy skin and
enhancing tissue repair? ORANGE SLICES
21. An older adult woman complains of foot plain from a corn. After assessing her feet,
which intervention should the nurse implement to alleviate her from discomfort? CUT OUT AN
OVAL CORN PAD TO MAKE A U SHAPE
22. Which of the following statements is true about Medicare for older adults? 80% OF
MEDICARE’S ANNUAL EXPENDITURES ARE FOR INDIVIDUALS WITH CHRONIC ILLNESS
23. Acute illness is to chronic illness as to which of the following comparisons? AN ER IS
TO ANH
24. An older female pt is dx with a chronic illness. Which principle should the nurse apply
when answering her questions? CHRONIC ILLNESS IS UNENDING AND COPING CAN BE
INFLUENCED BY THE PERCEPTION OF UNCERTAINTY
lliness in Nursing Exam 100% Correct| Grade A — Galen
1. Which statement is true about rehab and restorative care for older adults? A PERSON CAN
LEARN SKILLS
AND GAIN ABILITIES THAT ENABLE FUNCTIONING
2. Anolder adult is in the hospital because of HF and has become incontinent of urine.
Which EB resource should the nurse use to guide continence care for this pt? NURSING
STANDARD PRACTICE PROTOCOL
3. The nurse understands that stress incontinence occurs? AS A RESULT OF INCEASED
INTRAABDOMINAL PRESSURE
4. A large residual urine volume characterizes what type of incontinence? OVERLFOW
Which action should be included in all bladder-retraining programs? TOILETING AT
BEDTIME
5. The nurse assess a male resident in a NH for urinary incontinence and determines that he
is unaware of the problem. Which recommendation should the nurse implement?
PROVIDE REGULAR TOILETING
6. The nurse wants to begin helping a resident who is overweight and has urinary
incontinence with healthy bladder behavior skills. Which intervention should the nurse
implement? SCHEDULE VOIDING AT 2-4 HR INTERVALS
7. What is the most important aspect of care for the nurse to maintain when assisting an
older pt with urinary incontinence? MAINTAINING AN ATTITUDE THAT IS RESPECTFUL
ABOUT RESLOVING THE PROBLEM
8. An older woman tells the NP that she fears her family will place her in a NH because she
developed stress incontinence. Which recommendation should the nurse implement?
RECOMMEND EXERCISES TO STRENGTHEN THE PELVIC FLOOR
9. The nurse is caring for a pt who has recently had an indwelling catheter placed. The nurse
should assess the pt for? A CHANGE IN MENTAL STATUS
10. An older adult who is on bedrest after surgery is prescribed morphine for pain. Which of
the following is the nurse’s priority for preventive care? CONSTIPATION
11. Which of the following statements is a true about elimination in older adults?
DEFACATION < 1 DAY IS NOT NECESSARILY CONSTIPATION
, 12. Which option is part of the program that addresses bowel incontinence in an older
adultpt? ENSURING THAT A TOILET OR COMMODE IS READILY ACCESSIBLE TO THE PT
13. Which is an important consideration about the skin of an older adult person? THE
SKIN BECOMES MORE VULNERABLE TO DAMAGE
14. Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN SKIN AFTER
BATHING
15. A 70 yr old woman complains of dry skin and asks for advice. Which advice should the
nurse offer to this woman for improving dry skin? KEEP BATH WATER BETWEEN 90* AND
105*F
16. The nurse monitors for which clinical indicator when the older adult complains of
pruritus? COARSE SKIN
17. Which infection control practice should the nurse implement when caring for an older
adult who has active herpes zoster? COVER RUPTURED SKIN LESIONS WITH A
NONABSORBENT DRESSING
17. The nurse is conducting an admission assessment on an older adult and notes a small
lesion with a multicolor appearance. Which assessment approach should the nurse use?
ABCD RULE (ASYMMETRY, BORDER, COLOR, DIAMETER)
18. The nurse cares for an older man who has a malignant melanoma. Which intervention
should the nurse implement for this man to prevent a recurrence or advancement of this
condition in the future? INSTRUCT HIM TO WEAR SUN-PROTECTIVE CLOTHING AND A HAT
AT ALL TIMES
19. Which of the following is a true statement about impaired skin integrity? MUSCLE
AND FAT CANNOT REGENERATE
20. An older adult is vitamin deficient. Which of the following does the nurse offer to the
older adult to provide the important missing vitamin for maintaining healthy skin and
enhancing tissue repair? ORANGE SLICES
21. An older adult woman complains of foot plain from a corn. After assessing her feet,
which intervention should the nurse implement to alleviate her from discomfort? CUT OUT AN
OVAL CORN PAD TO MAKE A U SHAPE
22. Which of the following statements is true about Medicare for older adults? 80% OF
MEDICARE’S ANNUAL EXPENDITURES ARE FOR INDIVIDUALS WITH CHRONIC ILLNESS
23. Acute illness is to chronic illness as to which of the following comparisons? AN ER IS
TO ANH
24. An older female pt is dx with a chronic illness. Which principle should the nurse apply
when answering her questions? CHRONIC ILLNESS IS UNENDING AND COPING CAN BE
INFLUENCED BY THE PERCEPTION OF UNCERTAINTY
