GERIATRICS CHAPTER 1-5 AND 8 (QUESTIONS AND ANSWERS) EXAM

ERIATRICS CHAPTER 1-5 AND 8 (QUESTIONS AND ANSWERS) EXAM Individuals who are 100 to 109 years of age are known as - CORRECT ANSWERcentenarians Factors that influence the aging experience include (SATA) A) retirement B) grandchildren C) chronic illness D) lack of medical care E) quality of life - CORRECT ANSWER-A, B, C, D, E You know your client has reached a state of wellness when (SATA) A) as a 91-year-old, he still enjoys going out to dinner and dancing. B) he bowls every week with his friends. C) he still likes to go with his wife to the grocery store, although he has hip pain and uses a walker. D) he continues to eat his green, leafy vegetables while taking Coumadin. E) he says to you, "I have smoked all my life, and I am not going to stop now." F) he says, "I am a devout Christian and believe that my God is with me always. I am not afraid of dying." - CORRECT ANSWER-A, B, C, F When established in 1935, what effect did Social Security have by setting the retirement age at 65 years? A) It allowed older persons to work until they made the decision to stop. B) It set a time frame to describe someone as being old. C) It made it mandatory for all individuals to retire at 65 years of age. D) It made everyone realize that they could quit work at 65 years of age and live comfortably on the benefits. - CORRECT ANSWER-B Examples of interventions to promote wellness include all of the following EXCEPT A) influenza and pneumonia vaccinations. B) breast cancer screenings. C) psychiatric screenings. D) colorectal screenings. - CORRECT ANSWER-C Healthy People 2020 has identified emerging issues and recommendations for the aging baby boomers and those in between. Which of the following are Healthy People 2020's recommendations? (SATA) A) Coordinate care. B) Establish quantity measures. C) Research and analyze appropriate training to equip providers. D) Identify minimum levels of training for people who care for older adults. - CORRECT ANSWER-A, C, D To help nurses grow through their own ethnocentrism, nurses must develop all of the following EXCEPT A) knowledge about ethnicity. B) knowledge about cultures. C) full dependence on verbal, facial, and body expressions to get their point across. D) knowledge about another culture's health belief system. - CORRECT ANSWER-C During an assessment of an older adult, which of the following would the nurse see as a priority? A) Listening as key to an assessment B) Using the Kleinman and associates model C) Attempting to preserve helpful beliefs and practices D) Providing ongoing assistance to persons who are physically or mentally ill - CORRECT ANSWER-A Ageism is a term used to describe the discrimination and negative stereotypes that are based solely on age. From the following list, which statement does not reflect ageism? A) Anti-aging products B) Graphic portrayals mocking the ability of older adults C) Mandatory retirement policies D) Demonstrations of respect for the older adult - CORRECT ANSWER-D As a nurse today taking care of an older adult from a different culture, you would have a refined set of skills that would include all of the following EXCEPT A) working with the client, not on the client. B) listening carefully to the older adult for his or her perception of the situation. C) being able to explain your perceptions clearly and nonjudgmentally. D) developing a plan of action that takes both the client's and your perspectives into account and negotiates an outcome. - CORRECT ANSWER-C The concept of balance, chi, and disturbances in balance that result in disharmony and illness are examples that demonstrate what type of health system? A) Naturalistic B) Personalistic C) Western D) Magicoreligious - CORRECT ANSWER-A __ is the application of limited knowledge about one person with specific characteristics to other persons with the same characteristics. A) Ethnicity B) Stereotyping C) Ethnocentrism D) Health disparities - CORRECT ANSWER-B An older adult client has fallen in his yard, resulting in a 4-inch laceration on his forearm. As the home health nurse caring for him, you need to reassure him of all EXCEPT A) if the laceration becomes pink several days after the injury, this is normal as healing has begun. B) if he notices any lack of scabbing, he needs to notify the physician. C) the healing process will begin immediately. D) evidence of a true skin infection in an older adult is the same as that for a younger person. - CORRECT ANSWER-C As the nurse of an older adult, you observe signs of aging skin. You would advise your client to (SATA) A) avoid all exposure to ultraviolet light. B) keep his or her skin moist. C) always use sunscreen. D) keep well hydrated. E) not worry about smoking. F)not worry about purpura. - CORRECT ANSWER-B, C, D You realize an older adult woman does not understand how to maintain healthy bones and muscles when she makes which one of the following statements? A) "I participate every morning in my assisted living community's healthy activity programs." B) "I enjoy going to my senior center and participating in its Tai Chi program." C) "My spouse loves to walk every evening and encourages me to go along, but I am just too tired to do so