PRACTICE EXAM ELIOPOULOS - GERONTOLOGICAL NURSING 8TH EDITION - DIVERSITY CHAPTER 3 TEST EXAM 2023/2024 EXAM A+ GRADED

PRACTICE EXAM ELIOPOULOS - GERONTOLOGICAL NURSING 8TH EDITION - DIVERSITY CHAPTER 3 TEST EXAM 2023/2024 EXAM A+ GRADED 1. Which of the following projections of future demographics of older Americans is most accurate? A) By 2020, more than 50% of older Americans will belong to a non-Hispanic white group. B) The percentage of black older adults will decrease slightly due to lower life expectancies. C) The number of Hispanic older adults is projected to grow dramatically. D) Within 40 years, a minority of older Americans will be white related to immigration. - CORRECT ANSWER-Ans: C Feedback: Whereas in 2000, approximately 84% of older Americans were non-Hispanic white, it is projected that this population will decrease to 64% by 2050. During this same period, there will be dramatic growth among Hispanic older adults, who will represent 16% of the older population. Black individuals will grow from 8% to 12% of the older population during this time. By 2020, one-quarter of America's older population will belong to a minority racial or ethnic group. 2. A nurse is providing care for an 81-year-old Hispanic woman in the context of a geriatric medicine unit of a hospital. Which of the following phenomena should the nurse anticipate? A) The client's family is likely to advocate for her placement in a nursing home at an early stage. B) The client is likely to prioritize the role of spirituality in the healing process. C) She is likely to forego medical or traditional treatment due to a fatalistic view of health and illness. D) The woman's family will most likely delegate responsibility for her care to the hospital care team. - CORRECT ANSWER-Ans: B Feedback: Hispanic elders often emphasize the role of spirituality in both the etiology and treatment of disease. Nursing home admissions are proportionately low and while health and illness are often seen as the actions of God, this does not translate into a rejection of treatment. The family is likely to play a central role in care planning and recovery. 3. A nurse who works in an inner-city clinic provides care for a large number of the older black clients. Which of the following health promotion activities best reflects the particular health needs of this population? A) A blood sugar and blood pressure monitoring program. B) An education session on the positive health effects of good nutrition. C) A screening mammography campaign for older black women. D) A program that teaches black men the importance of prostate health screening. - CORRECT ANSWER-Ans: A Feedback: Diabetes and hypertension are disproportionately prevalent among black American elders. While teaching on nutrition and breast cancer and prostate screening may be beneficial, these are not linked to the particular health needs of this population. 4. Nurse Y works in the emergency department of a large, urban hospital. When assessing the following older black adults who have recently presented to the department, which of the following assessments would the nurse want to modify for this population? A) Assessment of the strength and gait of an 80-year-old male client with a history of failure to thrive. B) Assessment of peripheral sensation in a 76-year-old male client with poorly controlled diabetes mellitus. C) Assessment of cyanosis in a 78-year-old female with peripheral vascular disease and Raynaud disease. D) Assessment of a client's chest pain who has a history of myocardial infarction. - CORRECT ANSWER-Ans: C Feedback: Assessment of cyanosis can be complicated by the high melanin content of black adults' skin. Musculoskeletal assessment, assessment of sensation, and assessment of chest pain would not necessitate modification. 5. A nurse is assessing an 84-year-old female Chinese American's pain following her left hemiarthroplasty 2 days prior. Which of the following characteristics of Chinese Americans should the nurse be aware of during this assessment? A) Chinese Americans often view pain as a virtue and tend to underreport it. B) Chinese Americans have a fatalistic view of pain and see analgesia as inappropriate and undeserved. C) Chinese women often overstate their pain in light of health care providers' reluctance to provide analgesia. D) There is often a reluctance to acknowledge pain among older Chinese Americans. - CORRECT ANSWER-Ans: D Feedback: Discomfort is not typically aggressively or openly displayed by Chinese persons. Pain is not noted to be seen as a virtue or in a fatalistic light. Pain is not commonly overstated. 6. Which of the following interventions in the care that preceded the death of a female, Jewish older American was most likely to have warranted special consideration? A) The client required transfusions of packed red blood cells during her care. B) Assessment by a male physician was required. C) An autopsy was ordered due to the client's unique disease etiology. D) A do-not-resuscitate (DNR) order was recommended by the care team when the client's disease progressed. - CORRECT ANSWER-Ans: C Feedback: Autopsy is often opposed in the context of Jewish religious and cultural beliefs. Blood transfusions, assessment by a physician of the opposite sex, and DNR orders are not noted to be particular issues in the context of this culture. Origin: Chapter 3- Diversity, 7 Chapter: 3 Client Needs: A1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 29, Native Americans 7. A nurse is being orientated to his new position in a community adjacent to a large Indian reservation. Which of the nurse's following statements indicates a sound understanding of the Native American population with whom he will work? - CORRECT ANSWER-A) "I suppose that we will see a disproportionately high number of clients with lung and oral cancers." B) "The high prevalence of diabetes and hypertension mean that strokes are likely to be relatively frequent in the area." C) "It's unfortunate that many of the older Native Americans are unlikely to have family members involved their care." D) "The unique skin pigmentation of Native Americans means that I'll have to modify my assessment techniques." Ans: B Feedback: Diabetes, hypertension, and CVA are all higher than average in Native American adults. Lung and oral cancers are not noted to have a higher prevalence and family is likely to be involved in the care of these elders. The skin tone of Native Americans is not noted to require particular assessment techniques