RNSG 1538 ALL SETS ANSWERS AND QUESTIONS
SET A+
✔✔A community health nurse is leading a health education session addressing
menopause and other aspects of women's health. What dietary supplements should the
nurse recommend to prevent morbidity associated with osteoporotic fractures?
A) Vitamin B12 and vitamin C
B) Vitamin A and potassium
C) Vitamin B6 and phosphorus
D) Calcium and vitamin D - ✔✔D) Calcium and vitamin D
✔✔The nurse is working with a patient who expects to begin menopause in the next few
years. What educational topic should the nurse prioritize when caring for a healthy
woman approaching menopause?
A) Patient teaching and counseling regarding healthy lifestyles
B) Referrals to local support groups
C) Nutritional counseling regarding osteoporosis prevention
D) Drug therapy options - ✔✔A) Patient teaching and counseling regarding healthy
lifestyles
✔✔What physiological changes happen with cardiovascular disease? - ✔✔-CHANGE
IN HEART MUSCLE ELASTICITY
-decreased cardiac output
-diminished ability to respond to stress
-HR and SV do not increase with max demand
-slower heart recovery rate
-increased BP
✔✔What is meant by the definition AGEISM? - ✔✔prejudice or discrimination against
older people (predominate in our society)
✔✔Successful psychosocial aging is reflected in ability of older people to....? - ✔✔-
adapt to physical loss
-social loss
,-emotional loss
-to achieve life satisfaction
✔✔Older adults rely on WHAT for comfort during stressful times? - ✔✔-SPIRITUAL
BELIEFS
✔✔What is the best thing to tell and older patient with constipation? - ✔✔-INCREASE
HYDRATION
✔✔What are some practices that older patients should include to promote
gastrointestinal health? - ✔✔-regular tooth brushing and flossing
-receiving regular dental care
-eating small frequent meals
-avoid heavy activity after eating
-eating a high-fiber, low-fat diet
-DRINKING ENOUGH FLUIDS
-avoiding the use of laxative and antacids
✔✔Normal signs of aging include? Select all that apply. - ✔✔-decrease in the sense of
smell
-decrease in muscle mass
-decline of sexual desire
-decrease of sebaceous and sweat gland
✔✔The case manager is working with an 84-year-old patient newly admitted to a
rehabilitation facility. When developing a care plan for this older adult, which factors
should the nurse identify as positive attributes that benefit coping in this age group?
Select all that apply.
A) Decreased risk taking
B) Effective adaptation skills
C) Avoiding participation in untested roles
D) Increased life experience
E) Resiliency during change - ✔✔B) Effective adaptation skills
D) Increased life experience
E) Resiliency during change
✔✔You are the nurse planning an educational event for the nurses on a subacute
medical unit on the topic of normal, age-related physiological changes. What
phenomenon would you include in your teaching plan?
A) A decrease in cognition, judgment, and memory
B) A decrease in muscle mass and bone density
C) The disappearance of sexual desire for both men and women
D) An increase in sebaceous and sweat gland function in both men and women - ✔✔B)
A decrease in muscle mass and bone density
,✔✔A gerontologic nurse is aware of the demographic changes that are occurring in the
United States, and this affects the way that the nurse plans and provides care. Which of
the following phenomena is currently undergoing the most rapid and profound change?
A) More families are having to provide care for their aging members.
B) Adult children find themselves participating in chronic disease management.
C) A growing number of people live to a very old age.
D) Elderly people are having more accidents, increasing the costs of health care. -
✔✔C) A growing number of people live to a very old age
✔✔A gerontologic nurse is making an effort to address some of the misconceptions
about older adults that exist among health care providers. The nurse has made the
point that most people aged 75 years remains functionally independent. The nurse
should attribute this trend to what factor?
A) Early detection of disease and increased advocacy by older adults
B) Application of health-promotion and disease-prevention activities
C) Changes in the medical treatment of hypertension and hyperlipidemia
D) Genetic changes that have resulted in increased resiliency to acute infection - ✔✔B)
Application of health-promotion and disease-prevention activities
✔✔Older people have many altered reactions to disease that are based on age-related
physiological changes. When the nurse observes physical indicators of illness in the
older population, that nurse must remember which of the following principles?
A) Potential life-threatening problems in the older adult population are not as serious as
they are in a middle-aged population.
B) Indicators that are useful and reliable in younger populations cannot be relied on as
indications of potential life-threatening problems in older adults.
C) The same physiological processes that indicate serious health care problems in a
younger population indicate mild disease states in the elderly.
D) Middle-aged people do not react to disease states the same as a younger population
does. - ✔✔B) Indicators that are useful and reliable in younger populations cannot be
relied on as indications of potential life-threatening problems in older adults.
✔✔An elderly patient has come in to the clinic for her twice-yearly physical. The patient
tells the nurse that she is generally enjoying good health, but that she has been having
occasional episodes of constipation over the past 6 months. What intervention should
the nurse first suggest?
A) Reduce the amount of stress she currently experiences.
B) Increase carbohydrate intake and reduce protein intake.
C) Take herbal laxatives, such as senna, each night at bedtime.
D) Increase daily intake of water. - ✔✔D) Increase daily intake of water.
✔✔A gerontologic nurse practitioner provides primary care for a large number of older
adults who are living with various forms of cardiovascular disease. This nurse is well
aware that heart disease is the leading cause of death in the aged. What is an age-
related physiological change that contributes to this trend?
, A) Heart muscle and arteries lose their elasticity.
B) Systolic blood pressure decreases.
C) Resting heart rate decreases with age.
D) Atrial-septal defects develop with age. - ✔✔A) Heart muscle and arteries lose their
elasticity. (This results in REDUCED STROKE VOLUME)
✔✔What is the leading cause of death for patients over the age of 65? -
✔✔Cardiovascular disease
✔✔An occupational health nurse overhears an employee talking to his manager about a
65 year-old coworker. What phenomenon would the nurse identify when hearing the
employee state, "He should just retire and make way for some new blood."?
A) Intolerance
B) Ageism
C) Dependence
D) Nonspecific prejudice - ✔✔B) Ageism
✔✔Mrs. Harris is an 83-year-old woman who has returned to the community following
knee replacement surgery. The community health nurse recognizes that Mrs. Harris has
prescriptions for nine different medications for the treatment of varied health problems.
In addition, she has experienced occasional episodes of dizziness and lightheadedness
since her discharge. The nurse should identify which of the following nursing
diagnoses?
A) Risk for infection related to polypharmacy and hypotension
B) Risk for falls related to polypharmacy and impaired balance
C) Adult failure to thrive related to chronic disease and circulatory disturbance
D) Disturbed thought processes related to adverse drug effects and hypotension - ✔✔B)
Risk for falls related to polypharmacy and impaired balance
✔✔You are the nurse caring for an elderly patient with cardiovascular disease. The
patient comes to the clinic with a suspected respiratory infection and is diagnosed with
pneumonia. As the nurse, what do you know about the altered responses of older
adults?
A) Treatments for older adults need to be more holistic than treatments used in the
younger population.
B) The altered responses of older adults reinforce the need for the nurse to monitor all
body systems to identify possible systemic complications.
C) The altered responses of older adults define the nursing interactions with the patient.
D) Older adults become hypersensitive to antibiotic treatments for infectious disease
states. - ✔✔B) The altered responses of older adults reinforce the need for the nurse to
monitor all body systems to identify possible systemic complications
✔✔What nursing interventions should be implemented for a child client having a
seizure? - ✔✔-if child is standing or sitting, ease child to ground
SET A+
✔✔A community health nurse is leading a health education session addressing
menopause and other aspects of women's health. What dietary supplements should the
nurse recommend to prevent morbidity associated with osteoporotic fractures?
A) Vitamin B12 and vitamin C
B) Vitamin A and potassium
C) Vitamin B6 and phosphorus
D) Calcium and vitamin D - ✔✔D) Calcium and vitamin D
✔✔The nurse is working with a patient who expects to begin menopause in the next few
years. What educational topic should the nurse prioritize when caring for a healthy
woman approaching menopause?
A) Patient teaching and counseling regarding healthy lifestyles
B) Referrals to local support groups
C) Nutritional counseling regarding osteoporosis prevention
D) Drug therapy options - ✔✔A) Patient teaching and counseling regarding healthy
lifestyles
✔✔What physiological changes happen with cardiovascular disease? - ✔✔-CHANGE
IN HEART MUSCLE ELASTICITY
-decreased cardiac output
-diminished ability to respond to stress
-HR and SV do not increase with max demand
-slower heart recovery rate
-increased BP
✔✔What is meant by the definition AGEISM? - ✔✔prejudice or discrimination against
older people (predominate in our society)
✔✔Successful psychosocial aging is reflected in ability of older people to....? - ✔✔-
adapt to physical loss
-social loss
,-emotional loss
-to achieve life satisfaction
✔✔Older adults rely on WHAT for comfort during stressful times? - ✔✔-SPIRITUAL
BELIEFS
✔✔What is the best thing to tell and older patient with constipation? - ✔✔-INCREASE
HYDRATION
✔✔What are some practices that older patients should include to promote
gastrointestinal health? - ✔✔-regular tooth brushing and flossing
-receiving regular dental care
-eating small frequent meals
-avoid heavy activity after eating
-eating a high-fiber, low-fat diet
-DRINKING ENOUGH FLUIDS
-avoiding the use of laxative and antacids
✔✔Normal signs of aging include? Select all that apply. - ✔✔-decrease in the sense of
smell
-decrease in muscle mass
-decline of sexual desire
-decrease of sebaceous and sweat gland
✔✔The case manager is working with an 84-year-old patient newly admitted to a
rehabilitation facility. When developing a care plan for this older adult, which factors
should the nurse identify as positive attributes that benefit coping in this age group?
Select all that apply.
A) Decreased risk taking
B) Effective adaptation skills
C) Avoiding participation in untested roles
D) Increased life experience
E) Resiliency during change - ✔✔B) Effective adaptation skills
D) Increased life experience
E) Resiliency during change
✔✔You are the nurse planning an educational event for the nurses on a subacute
medical unit on the topic of normal, age-related physiological changes. What
phenomenon would you include in your teaching plan?
A) A decrease in cognition, judgment, and memory
B) A decrease in muscle mass and bone density
C) The disappearance of sexual desire for both men and women
D) An increase in sebaceous and sweat gland function in both men and women - ✔✔B)
A decrease in muscle mass and bone density
,✔✔A gerontologic nurse is aware of the demographic changes that are occurring in the
United States, and this affects the way that the nurse plans and provides care. Which of
the following phenomena is currently undergoing the most rapid and profound change?
A) More families are having to provide care for their aging members.
B) Adult children find themselves participating in chronic disease management.
C) A growing number of people live to a very old age.
D) Elderly people are having more accidents, increasing the costs of health care. -
✔✔C) A growing number of people live to a very old age
✔✔A gerontologic nurse is making an effort to address some of the misconceptions
about older adults that exist among health care providers. The nurse has made the
point that most people aged 75 years remains functionally independent. The nurse
should attribute this trend to what factor?
A) Early detection of disease and increased advocacy by older adults
B) Application of health-promotion and disease-prevention activities
C) Changes in the medical treatment of hypertension and hyperlipidemia
D) Genetic changes that have resulted in increased resiliency to acute infection - ✔✔B)
Application of health-promotion and disease-prevention activities
✔✔Older people have many altered reactions to disease that are based on age-related
physiological changes. When the nurse observes physical indicators of illness in the
older population, that nurse must remember which of the following principles?
A) Potential life-threatening problems in the older adult population are not as serious as
they are in a middle-aged population.
B) Indicators that are useful and reliable in younger populations cannot be relied on as
indications of potential life-threatening problems in older adults.
C) The same physiological processes that indicate serious health care problems in a
younger population indicate mild disease states in the elderly.
D) Middle-aged people do not react to disease states the same as a younger population
does. - ✔✔B) Indicators that are useful and reliable in younger populations cannot be
relied on as indications of potential life-threatening problems in older adults.
✔✔An elderly patient has come in to the clinic for her twice-yearly physical. The patient
tells the nurse that she is generally enjoying good health, but that she has been having
occasional episodes of constipation over the past 6 months. What intervention should
the nurse first suggest?
A) Reduce the amount of stress she currently experiences.
B) Increase carbohydrate intake and reduce protein intake.
C) Take herbal laxatives, such as senna, each night at bedtime.
D) Increase daily intake of water. - ✔✔D) Increase daily intake of water.
✔✔A gerontologic nurse practitioner provides primary care for a large number of older
adults who are living with various forms of cardiovascular disease. This nurse is well
aware that heart disease is the leading cause of death in the aged. What is an age-
related physiological change that contributes to this trend?
, A) Heart muscle and arteries lose their elasticity.
B) Systolic blood pressure decreases.
C) Resting heart rate decreases with age.
D) Atrial-septal defects develop with age. - ✔✔A) Heart muscle and arteries lose their
elasticity. (This results in REDUCED STROKE VOLUME)
✔✔What is the leading cause of death for patients over the age of 65? -
✔✔Cardiovascular disease
✔✔An occupational health nurse overhears an employee talking to his manager about a
65 year-old coworker. What phenomenon would the nurse identify when hearing the
employee state, "He should just retire and make way for some new blood."?
A) Intolerance
B) Ageism
C) Dependence
D) Nonspecific prejudice - ✔✔B) Ageism
✔✔Mrs. Harris is an 83-year-old woman who has returned to the community following
knee replacement surgery. The community health nurse recognizes that Mrs. Harris has
prescriptions for nine different medications for the treatment of varied health problems.
In addition, she has experienced occasional episodes of dizziness and lightheadedness
since her discharge. The nurse should identify which of the following nursing
diagnoses?
A) Risk for infection related to polypharmacy and hypotension
B) Risk for falls related to polypharmacy and impaired balance
C) Adult failure to thrive related to chronic disease and circulatory disturbance
D) Disturbed thought processes related to adverse drug effects and hypotension - ✔✔B)
Risk for falls related to polypharmacy and impaired balance
✔✔You are the nurse caring for an elderly patient with cardiovascular disease. The
patient comes to the clinic with a suspected respiratory infection and is diagnosed with
pneumonia. As the nurse, what do you know about the altered responses of older
adults?
A) Treatments for older adults need to be more holistic than treatments used in the
younger population.
B) The altered responses of older adults reinforce the need for the nurse to monitor all
body systems to identify possible systemic complications.
C) The altered responses of older adults define the nursing interactions with the patient.
D) Older adults become hypersensitive to antibiotic treatments for infectious disease
states. - ✔✔B) The altered responses of older adults reinforce the need for the nurse to
monitor all body systems to identify possible systemic complications
✔✔What nursing interventions should be implemented for a child client having a
seizure? - ✔✔-if child is standing or sitting, ease child to ground
