NR 222/NR 222 EXAM 3 WITH LATEST VERSIONS 2023 HEALTH AND WELLNESS|COMPLETE QUESTIONS AND CORRECT ANSWERS

his or her life. DIF: Cognitive Level: Analyze (Analysis) REF: p. 604 5 12. A couple in their sixties has assumed responsibility for raising their two grandchildren ages 9 and 12 because the children’s parents died in a car accident. Which of the following are priority nursing interventions that the nurse can implement to help the grandparents cope with the responsibility of raising their grandchildren? a. Connecting them with the “Grandparents Raising Grandchildren” support group b. Encouraging them by reinforcing how they successfully raised their own children c. Volunteering to provide respite time for them as needed d. Assuring them that their stress level will lessen as they gain confidence ANS: A Stress experienced by grandparents who must raise grandchildren can be lessened by counseling and participation in support groups. DIF: Cognitive Level: Apply (Application) REF: pp. 604-605 13. A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements would most likely be made by the nurse? a. “The desire for sexual intimacy declines rapidly with age.” b. “Older adults are very well-informed about sexuality.” c. “Older adults need to practice safe sex.” d. “The danger of contracting STDs during sexual intimacy is extremely low in older adults.” ANS: C The desire for sexual intimacy remains a primary force throughout life. Older adults need teaching related to safe sexual practices, STD transmission, and so on. HIV infection is a concern in all age groups. DIF: Cognitive Level: Apply (Application) REF: p. 606 14. The clinic nurse has seen the following four people today. Which of the following people is demonstrating a healthy coping pattern? a. Discusses very little except the loss of her husband 3 years ago b. Talks about the “good times” she and her husband had before his illness and death 1 year ago c. States that life is not worth living without her husband, who died 2 years ago d. Blames herself for her husband’s death because she did not “make him go” to the doctor ANS: B Research has demonstrated that rumination, self-blame, and catastrophizing have negative effects on coping, whereas positive reappraisal has a positive effect. DIF: Cognitive Level: Apply (Application) REF: p. 606 6 15. A nurse is assigned to provide care for a 96-year-old bedridden man who experiences severe pain from a chronic neurological disease. The man asks the nurse to please help him leave this world so that his suffering ends. Which of the following actions would be most appropriate for the nurse to take? a. Assist the doctor with the man’s request b. Refuse to care for the man c. Contact the pain care specialist d. Provide the man with names of doctors who participate in assisted suicide ANS: C Nurses caring for chronically ill older adults have the added responsibility of determining who is at risk for wanting physician-assisted suicide and helping them to be as comfortable as possible and free of pain through the use of pharmacological and nonpharmacological interventions. Refusing to care for the man could be construed as abandonment and is not necessary. Consulting a pain care specialist is the correct action. DIF: Cognitive Level: Apply (Application) REF: p. 607 16. A nurse is conducting a home visit for an older adult in the summer. Which of the following items should the nurse should locate in the home? a. Fan b. Porch chair c. Synthetic blend clothing d. Thermometer ANS: A Older adults are susceptible to heat stroke. The availability of a fan will help cool the ambient air. Light-weight cotton clothing “breathes” and facilitates cooling, whereas synthetic material retains heat. DIF: Cognitive Level: Analyze (Analysis) REF: p. 609 17. The community health nurse has obtained a grant to offer a “Safe Driving” series for older adults. Which of the following information should the nurse stress during the series? a. Traffic fatalities involving older adults occur mainly at dusk. b. The cause of two-vehicle accidents is frequently an older driver striking another car. c. The average blood alcohol level in older adults involved in accidents is higher than the blood alcohol level of younger drivers involved in accidents. d. Relearning the art of defensive driving can help reduce the likelihood that an older driver will be involved in a motor vehicle accident. ANS: D 7 Traffic fatalities involving older adults occur mainly during the daytime. The cause of two vehicle accidents is frequently a younger driver striking the car driven by an older adult. The average blood alcohol level in older adults involved in accidents is lower than the blood alcohol level of younger drivers involved in accidents. DIF: Cognitive Level: Apply (Application) REF: p. 609 18. As part of a community-wide flu vaccination program for older adults, the nurse is assisting at a vaccination clinic. Which of the following questions should the nurse ask before administering the vaccine? a. “Do you have any food allergies?” b. “Have you had the pneumococcal vaccine?” c. “Have you had the flu in the past 5 years?” d. “Do you have Medicare?” ANS: A An allergy to eggs is a contraindication to receiving flu vaccine grown in chick embryo cells. DIF: Cognitive Level: Analyze (Analysis) REF: p. 610 19. A man tells a nurse that he is concerned about his risk of developing cancer. Which of the following behaviors would place the man at higher risk of developing cancer? a. Smoking a half of a pack of cigarettes a day b. Exercising three times a week c. Consuming green, leafy vegetables several times a week d. Visiting a chiropractor every week ANS: A Habits that place older adults at a high risk for developing cancer: not following nutritional guidelines, high stress levels, not engaging in a regular exercise program, and smoking cigarettes and using other tobacco products. DIF: Cognitive Level: Apply (Application) REF: p. 611 20. Which of the following statements is the best definition of polypharmacy? a. The use of more than five medications prescribed by different physicians b. The use of multiple medications for the same or different health problems c. The use of multiple pharmacies and self-management of medications d. The use of multiple medications and supplements simultaneously ANS: B Polypharmacy is the use of multiple medications for the same or different health problems. It is a major concern for elderly people, with the rate of polypharmacy in this population being between 9% and 39%. DIF: Cognitive Level: Understand (Comprehension) REF: p. 611 8 21. A person is preparing to return home following a 2-week hospital stay for congestive heart failure and pneumonia. Which of the following referrals would be most beneficial for the person? a. Transportation assistance b. Home-delivered meals c. Adult day care d. Home health nursing ANS: D Home care nurses provide health care information and services to individuals and families. The resources available to community health nurses frequently are rich and enable the nurses to draw on a variety of sources to assist in promoting the health of community-dwelling older adults. Although all of the referrals listed may be of benefit to the person, the home health nurse will provide the most comprehensive services and be able to connect the person to necessary community resources. DIF: Cognitive Level: Analyze (Analysis) REF: p. 614 22. The son of a 70-year-old man dying of cancer asks the nurse to tell h