Chapter 5 : Chronic Illness and
Older Adults Lewis’s Medical-
Surgical Nursing, 12th Edition
Exam Questions with Answers
User [Date] [Course title]
, When caring for an older patient with hypertension who has been hospitalized after a transient
ischemic (TIA), which topic is the priority important for the nurse to include in the discharge
teaching?
a. Mechanism of action of anticoagulant therapy
b. Effect of atherosclerosis on cerebral blood vessels
c. Symptoms indicating that the patient should contact the health care provider
d. Impact of the patient's family history on likelihood of developing a serious stroke - Correct Answer:
ANS: C
One of the priority tasks for patients with chronic illnesses is to prevent and manage a crisis.
To maintain safety, the patient needs instruction on recognizing symptoms of concern and
appropriate actions to take if these symptoms occur. The other information may also be
included in patient teaching but is not as essential in the patient's safe self-management of the
illness.
The nurse performs a comprehensive assessment of an older patient who is considering
admission to an assisted living facility. Which question would help the nurse assess the
patient's level of daily functioning?
a. "Have you had any recent infections?"
b. "How frequently do you see a doctor?"
c. "Do you have a history of heart disease?"
d. "Are you able to prepare your own meals?" - Correct Answer: ANS: D
The patient's functional abilities such as using a phone, shopping, preparing food,
housekeeping, doing laundry, arranging transportation, taking medications, and handling
finances are useful in determining how well the patient might adapt to an assisted living
situation. The other questions will also provide helpful information but do not directly address
aspects of daily functioning.
An alert older patient who takes multiple medications for chronic cardiac and pulmonary
diseases lives with a daughter who works during the day. During a clinic visit, the patient tells
Older Adults Lewis’s Medical-
Surgical Nursing, 12th Edition
Exam Questions with Answers
User [Date] [Course title]
, When caring for an older patient with hypertension who has been hospitalized after a transient
ischemic (TIA), which topic is the priority important for the nurse to include in the discharge
teaching?
a. Mechanism of action of anticoagulant therapy
b. Effect of atherosclerosis on cerebral blood vessels
c. Symptoms indicating that the patient should contact the health care provider
d. Impact of the patient's family history on likelihood of developing a serious stroke - Correct Answer:
ANS: C
One of the priority tasks for patients with chronic illnesses is to prevent and manage a crisis.
To maintain safety, the patient needs instruction on recognizing symptoms of concern and
appropriate actions to take if these symptoms occur. The other information may also be
included in patient teaching but is not as essential in the patient's safe self-management of the
illness.
The nurse performs a comprehensive assessment of an older patient who is considering
admission to an assisted living facility. Which question would help the nurse assess the
patient's level of daily functioning?
a. "Have you had any recent infections?"
b. "How frequently do you see a doctor?"
c. "Do you have a history of heart disease?"
d. "Are you able to prepare your own meals?" - Correct Answer: ANS: D
The patient's functional abilities such as using a phone, shopping, preparing food,
housekeeping, doing laundry, arranging transportation, taking medications, and handling
finances are useful in determining how well the patient might adapt to an assisted living
situation. The other questions will also provide helpful information but do not directly address
aspects of daily functioning.
An alert older patient who takes multiple medications for chronic cardiac and pulmonary
diseases lives with a daughter who works during the day. During a clinic visit, the patient tells
