CARING FOR OLDER ADULTS HOLISTICALLY
DAHLKEMPER CHAPTERS 1 TO 21 ESSENTIAL
STUDY QUESTIONS AND ANSWERS
◉ Immobility or sedentary lifestyle have what effect on the older
adult?
1. Loss of muscle size and strength
2. Decreased serum sodium levels
3. Loss of skin elasticity
4. Thinning of cartilage in joints.
Answer: Loss of muscle size and strength
◉ Mrs. Jones, age 86 years, complains of full-ness after eating only
small amounts of food. This is primarily due to which GI change?
1. Delayed gastric emptying time
2. Increased gastric acid secretions
3. Hypertonicity of gastric muscles
4. Loss of ability to chew.
Answer: Delayed gastric emptying time
,◉ Mrs. Smith, age 79 years, is admitted to the hospital. Based on
your understanding of normal age changes in the nervous system,
what behavior might you expect Mrs. Smith to exhibit?
1. Decreased intellectual function
2. Forgetfullness and confusion
3. Lack orientation
4. Longer response time to questions.
Answer: Longer response time to questions
◉ Which of the following statements most accurately describes
normal aging changes in an older adult?
1. As individuals age, they become more diverse
2. Most older adults experience chronic illness and functional
impairment
3. Age-related changes are similar in each older adult
4. Normal age changes most commonly describe decline and loos of
function.
Answer: Most older adults experience chronic illness and functional
impairments
◉ The overall objective of recognizing and assisting clients with
transitions is to:
1. Resolve shame vs. doubt
2. Decrease complaints filled on your unit
,3. Achieve Maslow's esteem level of need
4. Deliver humanistic and holistic care.
Answer: Deliver humanistic and holistic care
◉ The importance of understanding PLST is to:
1. Give firm directions to older adults so they won't feel insecure
2. Provide health-care environments where older people have
complete freedom to make decisions
3. Lower the stress threshold of the environment where older adults
are given care
4. Assist older adults in making the decision to make a transition or
perform PLST.
Answer: Lower the stress threshold of the environment where older
adults are given care
◉ The difference between spirituality and religion is:
1. One is done in a formal building; the others can't
2. One is a feeling that comes from within
3. The age of the person determines the difference
4. Spirituality is a category of highly functioning religious people.
Answer: One is a feeling that comes from within
◉ Research with spirituality and religion indicates that:
, 1. It does not impact people who believe in a Divine power only
2. It doesn't promote health and healing
3. It should not be considered when planning nursing care
4. It is too personal to discuss with patients and residents.
Answer: It does not promote health and healing
◉ The value of life review is to:
1. Find something useful for the volunteers to do
2. To keep older people busy while they are hospitalized
3. To publish a book for older adults' lives and sell it as a fundraiser
project
4. To gain understanding into one's successes and mistakes.
Answer: To gain understanding into one's successes and mistakes
◉ When discharging (or transitioning) a patient from the hospital to
a long-term care facility, it would be important for the nurse to
include:
1. A detailed description of the medications for the patient to review
2. Contact cards for the patient of various therapies involved in the
care
3. All communication, contacts, medications, and therapies for the
facility
DAHLKEMPER CHAPTERS 1 TO 21 ESSENTIAL
STUDY QUESTIONS AND ANSWERS
◉ Immobility or sedentary lifestyle have what effect on the older
adult?
1. Loss of muscle size and strength
2. Decreased serum sodium levels
3. Loss of skin elasticity
4. Thinning of cartilage in joints.
Answer: Loss of muscle size and strength
◉ Mrs. Jones, age 86 years, complains of full-ness after eating only
small amounts of food. This is primarily due to which GI change?
1. Delayed gastric emptying time
2. Increased gastric acid secretions
3. Hypertonicity of gastric muscles
4. Loss of ability to chew.
Answer: Delayed gastric emptying time
,◉ Mrs. Smith, age 79 years, is admitted to the hospital. Based on
your understanding of normal age changes in the nervous system,
what behavior might you expect Mrs. Smith to exhibit?
1. Decreased intellectual function
2. Forgetfullness and confusion
3. Lack orientation
4. Longer response time to questions.
Answer: Longer response time to questions
◉ Which of the following statements most accurately describes
normal aging changes in an older adult?
1. As individuals age, they become more diverse
2. Most older adults experience chronic illness and functional
impairment
3. Age-related changes are similar in each older adult
4. Normal age changes most commonly describe decline and loos of
function.
Answer: Most older adults experience chronic illness and functional
impairments
◉ The overall objective of recognizing and assisting clients with
transitions is to:
1. Resolve shame vs. doubt
2. Decrease complaints filled on your unit
,3. Achieve Maslow's esteem level of need
4. Deliver humanistic and holistic care.
Answer: Deliver humanistic and holistic care
◉ The importance of understanding PLST is to:
1. Give firm directions to older adults so they won't feel insecure
2. Provide health-care environments where older people have
complete freedom to make decisions
3. Lower the stress threshold of the environment where older adults
are given care
4. Assist older adults in making the decision to make a transition or
perform PLST.
Answer: Lower the stress threshold of the environment where older
adults are given care
◉ The difference between spirituality and religion is:
1. One is done in a formal building; the others can't
2. One is a feeling that comes from within
3. The age of the person determines the difference
4. Spirituality is a category of highly functioning religious people.
Answer: One is a feeling that comes from within
◉ Research with spirituality and religion indicates that:
, 1. It does not impact people who believe in a Divine power only
2. It doesn't promote health and healing
3. It should not be considered when planning nursing care
4. It is too personal to discuss with patients and residents.
Answer: It does not promote health and healing
◉ The value of life review is to:
1. Find something useful for the volunteers to do
2. To keep older people busy while they are hospitalized
3. To publish a book for older adults' lives and sell it as a fundraiser
project
4. To gain understanding into one's successes and mistakes.
Answer: To gain understanding into one's successes and mistakes
◉ When discharging (or transitioning) a patient from the hospital to
a long-term care facility, it would be important for the nurse to
include:
1. A detailed description of the medications for the patient to review
2. Contact cards for the patient of various therapies involved in the
care
3. All communication, contacts, medications, and therapies for the
facility
