QUESTIONS AND ANSWERS
A nurse is counseling an older adult who describes having difficulty dealing with several issues.
Which of the following problems should the nurse identify as the priority?
a. "I spent my whole life dreaming about retirement, and now I wish I had my job back"
b. It's been so stressful for me to have to depend on my child to help around the house"
c. "I just heard my friend Al died. That's the third one in three months"
d. I keep forgetting which medications I have taken during the day" - ANS d. I keep forgetting
which medications I have taken during the day"
A nurse is providing teaching for an older adult who had lost 4.5 kg (9.9 lb) since the last
admission 6 months ago. Which of the following instructions should the nurse include in the
teaching? (Select all the apply)
a. "Eat three large meals a day"
b. "Eat your meals in front of the television"
c. "Eat foods that are easy to eat, such as finger foods"
d. "Invite family members to eat meals with you"
e. "Exercise every day to increase appetite" - ANS c. "Eat foods that are easy to eat, such as
finger foods"
d. "Invite family members to eat meals with you"
e. "Exercise every day to increase appetite"
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,A nurse is planning a presentation for a group of older adults about health promotion and
disease prevention. Which of the following interventions should the nurse plan to recommend?
(Select all the apply)
a. HPV immunization
b. Pneumococcal immunization
c. Yearly eye examination
d. Periodic mental health screening
e. Annual fecal occult blood test - ANS b. Pneumococcal immunization
c. Yearly eye examination
d. Periodic mental health screening
e. Annual fecal occult blood test
(HPV recommended for adolescents/young adults)
A nurse is talking with an older adult client about improving nutritional status. Which of the
following interventions should the nurse recommend? (Select all that apply)
a. Increase protein intake to increase muscle mass
b. Decrease fluid intake to prevent urinary incontinence
c. Increase calcium intake to prevent osteoporosis
d. Limit sodium intake to prevent edema
e. Increase fiber intake to prevent constipation - ANS a. Increase protein intake to increase
muscle mass
c. Increase calcium intake to prevent osteoporosis
d. Limit sodium intake to prevent edema
e. Increase fiber intake to prevent constipation
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, *increased sodium intake can lead to edema and hypertension
A nurse is collecting data from an older adult client as part of a comprehensive physical exam.
Which of the following findings should the nurse expect as associated with aging? (Select all
that apply)
a. skin thickening
b. decreased height
c. increased saliva production
d. nail thickening
e. decreased bladder capacity - ANS b. decreased height
d. nail thickening
e. decreased bladder capacity
A nurse enters the room of a client who is crying while reading from a religious book and asks
to be left alone. Which of the following actions should the nurse take?
a. Contact the hospital's spiritual services
b. Ask what is making the client cry
c. Ensure no visitors or staff enter the room for a short period of time
d. Turn on the television for a distraction - ANS c. Ensure no visitors or staff enter the room
for a short period of time
A nurse is caring for a client who is at high risk for aspiration. Which of the following actions
should the nurse take?
a. Give the client thin liquids
b. Instruct the client to tuck their chin when swallowing
c. Have the client use a straw
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