Gero GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUHY
QUESTIONS AND 100% VERIFIED CORRECT ANSWERS
_____________ _____________ is the result of a lesion in the part of the brain
adjacent to the primary auditory cortex (Wernicke area). - Correct Answer ANS:
Fluent aphasia
Fluent aphasia is also known as sensory, posterior, or Wernicke aphasia. The person
speaks easily with many long runs of words, but the content does not make sense. He
or she has problems finding the correct word and often substitutes an incorrect word.
The speech sounds are similar to what is sometimes referred to as jabberwocky, with
unrelated words strung together or syllables repeated.
TOUHY 4TH ED TESTBANK
_______________ __________________ is a motor speech disorder that affects the
ability to plan and sequence voluntary muscle movements. - Correct Answer ANS:
Verbal apraxia
The muscles of speech are not paralyzed; rather, a disruption occurs in the brains
transmission of signals to the muscles. When thinking about what to say, the person
may be unable to speak at all or may struggle to say any words. In contrast, the person
may be able to say many words or sentences correctly when not thinking about the
words. Apraxia frequently occurs with aphasia.
TOUHY 4TH ED TESTBANK
1. An older woman has left-sided paralysis from a thrombus formation in the cerebral
vasculature. Rank the nursing goals of this womans plan of care in order of importance,
starting with the most important goal. (Select all that apply.)
A. Instruct her to call for help before moving.
B. Maintain her blood pressure below 120/80 mm Hg.
C. Reinforce occupational therapy for feeding.
D. Use range-of-motion exercises to prevent contractures. - Correct Answer ANS:
B, A, D, C
Using Maslows Hierarchy of Human Needs, the most important goal for this older
woman is to control her blood pressure; hypertension and other factors contributed to
the development of the thrombus. Thus to prevent further intimal damage to cerebral
and other vessels, the nurse maintains the blood pressure at or below the limit as
determined by the health care provider. The second priority goal for the nurse is to
,maintain safety by instructing the older woman to call for help when moving, which will
help prevent accidents and injuries. The next goal in importance is the prevention of
contractures; joint flexibility is easier to maintain than it is to restore. In addition, joint
flexibility is important for adapting to her physical limitations as she learns to perform
activities of daily living. The last goal is using joint flexibility and muscle strength to learn
self-feeding. The order of these goals is correct; each goal is dependent on the
preceding goal for its success.
TOUHY 4TH ED TESTBANK
3. Which of the following is(are) assessed in a fall prevention assessment of an older
adult? (Select all that apply.)
a.Environment
b.Physical status
c.Financial status
d.Functional status
e.Medical history
f.Occupational history - Correct Answer ANS: A, B, D, E
The nurse uses information about lighting, flooring, apparel, and other issues from the
environmental assessment of an older adult to plan individualized fall prevention
measures. The nurse examines flexibility, muscle strength, vital signs, and other clinical
indicators in the physical assessment of an older adult to plan individualized fall
prevention measures. The nurse uses information about gait, balance, and ability to
perform activities of daily living in the functional status assessment of an older adult to
plan individualized fall prevention measures. The nurse examines medications, previous
accidents and falls, co-morbid conditions, and other factors in the historical assessment
of an older adult to plan individualized fall prevention measures. Financial issues and
occupational history are not directly related to a risk for falls.
TOUHY 4TH ED TESTBANK
8. An older man with severe knee pain tells the nurse how he lost his job and his home
after starting a new business when he was 48 years old. Now he lives alone and relies
on Social Security. Using Jungs theory, what in this individuals life is the most pivotal in
his personality development?
a. Living alone
b. Meager income
c. Severe knee pain
,d. Job and home loss - Correct Answer ANS: D
Jungs theorizes that the personality forms, in part, after a crisis, as an individual moves
from extroversion to introversion in aging. Living alone is a situation that is the result of
many factors coalescing in an individuals life. A meager income can be a result of the
individuals life work and other individual choices and events. His personality can affect
how an individual deals with pain, and the pain can affect an individuals personality.
However, whether the pain is old or new is not known; thus a determination cannot be
made.
TOUHY 4TH ED TESTBANK
9. The nurse plans care for older adults who are in good health but isolated from their
families. If the nurses goal is to move the adults toward gerotranscendence, which
intervention should the nurse use in the plan of care?
a. Give a daily tea party for the group.
b. Call each family to encourage visiting.
c. Assist them to resume midlife patterns.
d. Help each person with individual activities. - Correct Answer ANS: D
In Tornstams theory, aging offers the potential for gerotranscendence, a culmination of
an individuals life, wisdom, and spiritual growth that allows the older adult to live
contentedly with and without social activities. An older adult spends more time on
meditation and solitude, and less time on materialism and self-consciousness about
body image. Individual activities or self-selected activities are satisfactory. Solitude is
satisfactory. Midlife patterns are no longer relevant to contentment.
TOUHY 4TH ED TESTBANK
A case manager is likely to have how many years of nursing education?
a. 1 to 1.5
b. 2
c. 4 to 6
d. 8 or more - Correct Answer ANS: C
A case manager typically has a bachelors or masters degree. This amount of training is
typical for an LPN, who typically practices at a nursing home or on a home nursing staff.
This amount of training, resulting in an Associates Degree in Nursing (ADN), is typical
for an associate RN, who is typically found on hospital, home, and nursing home staffs.
A nurse with 8 or more years of education, as well as a doctorate, is typically involved in
research and teaching.
TOUHY 4TH ED TESTBANK
, A definitive diagnosis of Alzheimer disease (AD) can be made by detecting or using
which one of the following methods?
a.Clinical observation of dementia
b.Inability to speak with relevance
c.Development of neurofibrillary tangles
d.Computed axial tomographic (CAT) scan - Correct Answer ANS: C
Confirming the development of neurofibrillary tangles is the only accurate method for
diagnosing AD. Patients with AD can be observed for dementia and delirium, but these
indicators are nonspecific for the disease. The inability to speak with relevance is a
feature of dementia; if other causes of dementia are ruled out, then it may be dementia
of the Alzheimer type. A CAT scan is the most useful means for diagnosing a stroke.
TOUHY 4TH ED TESTBANK
A dermatologist should promptly evaluate which one of the following skin lesions?
a.Circumscribed, raised area resembling a blob of brown wax
b.Multicolored raised lesion with a fuzzy border
c.Bright red, glazed area with satellite lesions around it
d.Brown spot on the skin with no raised area - Correct Answer ANS: B
A multicolored raised lesion with a fuzzy border must be promptly evaluated; this lesion
is a malignant melanoma. A circumscribed, raised area resembling a blob of brown wax
reflects seborrheic keratosis. A bright red, glazed area with satellite lesions around it is
a Candida infection. A brown spot on the skin with no raised area is lentigo.
TOUHY 4TH ED TESTBANK
A family is touring selected nursing homes in preparation for their mothers future. Which
qualities of a nursing home should the family include if they decide on a person-
centered nursing home? (Select all that apply.)
a. Staff members cover all nursing units.
b. Residents and families have a council.
c. Residents choose stimulating activities.
d. Staff members respond to residents needs.
QUESTIONS AND 100% VERIFIED CORRECT ANSWERS
_____________ _____________ is the result of a lesion in the part of the brain
adjacent to the primary auditory cortex (Wernicke area). - Correct Answer ANS:
Fluent aphasia
Fluent aphasia is also known as sensory, posterior, or Wernicke aphasia. The person
speaks easily with many long runs of words, but the content does not make sense. He
or she has problems finding the correct word and often substitutes an incorrect word.
The speech sounds are similar to what is sometimes referred to as jabberwocky, with
unrelated words strung together or syllables repeated.
TOUHY 4TH ED TESTBANK
_______________ __________________ is a motor speech disorder that affects the
ability to plan and sequence voluntary muscle movements. - Correct Answer ANS:
Verbal apraxia
The muscles of speech are not paralyzed; rather, a disruption occurs in the brains
transmission of signals to the muscles. When thinking about what to say, the person
may be unable to speak at all or may struggle to say any words. In contrast, the person
may be able to say many words or sentences correctly when not thinking about the
words. Apraxia frequently occurs with aphasia.
TOUHY 4TH ED TESTBANK
1. An older woman has left-sided paralysis from a thrombus formation in the cerebral
vasculature. Rank the nursing goals of this womans plan of care in order of importance,
starting with the most important goal. (Select all that apply.)
A. Instruct her to call for help before moving.
B. Maintain her blood pressure below 120/80 mm Hg.
C. Reinforce occupational therapy for feeding.
D. Use range-of-motion exercises to prevent contractures. - Correct Answer ANS:
B, A, D, C
Using Maslows Hierarchy of Human Needs, the most important goal for this older
woman is to control her blood pressure; hypertension and other factors contributed to
the development of the thrombus. Thus to prevent further intimal damage to cerebral
and other vessels, the nurse maintains the blood pressure at or below the limit as
determined by the health care provider. The second priority goal for the nurse is to
,maintain safety by instructing the older woman to call for help when moving, which will
help prevent accidents and injuries. The next goal in importance is the prevention of
contractures; joint flexibility is easier to maintain than it is to restore. In addition, joint
flexibility is important for adapting to her physical limitations as she learns to perform
activities of daily living. The last goal is using joint flexibility and muscle strength to learn
self-feeding. The order of these goals is correct; each goal is dependent on the
preceding goal for its success.
TOUHY 4TH ED TESTBANK
3. Which of the following is(are) assessed in a fall prevention assessment of an older
adult? (Select all that apply.)
a.Environment
b.Physical status
c.Financial status
d.Functional status
e.Medical history
f.Occupational history - Correct Answer ANS: A, B, D, E
The nurse uses information about lighting, flooring, apparel, and other issues from the
environmental assessment of an older adult to plan individualized fall prevention
measures. The nurse examines flexibility, muscle strength, vital signs, and other clinical
indicators in the physical assessment of an older adult to plan individualized fall
prevention measures. The nurse uses information about gait, balance, and ability to
perform activities of daily living in the functional status assessment of an older adult to
plan individualized fall prevention measures. The nurse examines medications, previous
accidents and falls, co-morbid conditions, and other factors in the historical assessment
of an older adult to plan individualized fall prevention measures. Financial issues and
occupational history are not directly related to a risk for falls.
TOUHY 4TH ED TESTBANK
8. An older man with severe knee pain tells the nurse how he lost his job and his home
after starting a new business when he was 48 years old. Now he lives alone and relies
on Social Security. Using Jungs theory, what in this individuals life is the most pivotal in
his personality development?
a. Living alone
b. Meager income
c. Severe knee pain
,d. Job and home loss - Correct Answer ANS: D
Jungs theorizes that the personality forms, in part, after a crisis, as an individual moves
from extroversion to introversion in aging. Living alone is a situation that is the result of
many factors coalescing in an individuals life. A meager income can be a result of the
individuals life work and other individual choices and events. His personality can affect
how an individual deals with pain, and the pain can affect an individuals personality.
However, whether the pain is old or new is not known; thus a determination cannot be
made.
TOUHY 4TH ED TESTBANK
9. The nurse plans care for older adults who are in good health but isolated from their
families. If the nurses goal is to move the adults toward gerotranscendence, which
intervention should the nurse use in the plan of care?
a. Give a daily tea party for the group.
b. Call each family to encourage visiting.
c. Assist them to resume midlife patterns.
d. Help each person with individual activities. - Correct Answer ANS: D
In Tornstams theory, aging offers the potential for gerotranscendence, a culmination of
an individuals life, wisdom, and spiritual growth that allows the older adult to live
contentedly with and without social activities. An older adult spends more time on
meditation and solitude, and less time on materialism and self-consciousness about
body image. Individual activities or self-selected activities are satisfactory. Solitude is
satisfactory. Midlife patterns are no longer relevant to contentment.
TOUHY 4TH ED TESTBANK
A case manager is likely to have how many years of nursing education?
a. 1 to 1.5
b. 2
c. 4 to 6
d. 8 or more - Correct Answer ANS: C
A case manager typically has a bachelors or masters degree. This amount of training is
typical for an LPN, who typically practices at a nursing home or on a home nursing staff.
This amount of training, resulting in an Associates Degree in Nursing (ADN), is typical
for an associate RN, who is typically found on hospital, home, and nursing home staffs.
A nurse with 8 or more years of education, as well as a doctorate, is typically involved in
research and teaching.
TOUHY 4TH ED TESTBANK
, A definitive diagnosis of Alzheimer disease (AD) can be made by detecting or using
which one of the following methods?
a.Clinical observation of dementia
b.Inability to speak with relevance
c.Development of neurofibrillary tangles
d.Computed axial tomographic (CAT) scan - Correct Answer ANS: C
Confirming the development of neurofibrillary tangles is the only accurate method for
diagnosing AD. Patients with AD can be observed for dementia and delirium, but these
indicators are nonspecific for the disease. The inability to speak with relevance is a
feature of dementia; if other causes of dementia are ruled out, then it may be dementia
of the Alzheimer type. A CAT scan is the most useful means for diagnosing a stroke.
TOUHY 4TH ED TESTBANK
A dermatologist should promptly evaluate which one of the following skin lesions?
a.Circumscribed, raised area resembling a blob of brown wax
b.Multicolored raised lesion with a fuzzy border
c.Bright red, glazed area with satellite lesions around it
d.Brown spot on the skin with no raised area - Correct Answer ANS: B
A multicolored raised lesion with a fuzzy border must be promptly evaluated; this lesion
is a malignant melanoma. A circumscribed, raised area resembling a blob of brown wax
reflects seborrheic keratosis. A bright red, glazed area with satellite lesions around it is
a Candida infection. A brown spot on the skin with no raised area is lentigo.
TOUHY 4TH ED TESTBANK
A family is touring selected nursing homes in preparation for their mothers future. Which
qualities of a nursing home should the family include if they decide on a person-
centered nursing home? (Select all that apply.)
a. Staff members cover all nursing units.
b. Residents and families have a council.
c. Residents choose stimulating activities.
d. Staff members respond to residents needs.
