older adult test 1 question and answers
A gerontological nurse who works in a public health setting has limited funding for initiatives. Which of
the following prevention and health promotion initiatives is most likely to result in significant benefits
for the older adults who participate? - Correct zAnswer - an exercise program for older adults who live in
the community
Which of the following characteristics of older adults is explained by the subculture theory? - Correct
zAnswer - older adults may interact much more with other older adults than with members of other age
groups
A nurse in a Medicare- and Medicaid-funded nursing home performs assessments and develops care
plans. Which of these statements is true of the functional assessments the nurse is likely to perform? -
Correct zAnswer - the nurse will identify changes in the older adults function over time
A nurse's colleague states, "Older people who live in the country are a lot healthier than city folk."
Which statement by the nurse is most appropriate? - Correct zAnswer - "but chronic conditions are more
common among rural adults"
A nurse helps older adults increase healthy behaviors by restructuring. Which of the following
communication techniques should the nurse use to help the older adult overcome barriers? - Correct
zAnswer - "I know its hard to get outside in the winter, so lets try to identify some ways of getting more
exercise indoors during your usual activities"
A nurse assesses a community of older adults. Which of the following persons is at highest risk for a
shortened life expectancy? - Correct zAnswer - "a homemaker born in 1957"
An 84-year-old client has been living in an assisted living facility for several years but is now faced with
the prospect of relocating to a nursing home. Which of the following characteristics of the client's
current situation is most likely to prompt this move? - Correct zAnswer - a decrease in the clients level of
function and activities of daily living
An older woman of Filipino heritage has been having rectal bleeding for several months. Her physician
has told the woman and her daughters that she has advanced colon cancer. Her daughters want to
obtain hospice services but the client is reluctant and does not want to discuss what she feels is "beyond
her control." Which of the following concerns is this client most likely experiencing? - Correct zAnswer -
cultural taboo to discuss death
, A nurse hears a colleague make the statement, "Most older adults have nothing to worry about
financially." Which of the following responses is most appropriate? - Correct zAnswer - "you have to
remember that theres a huge economic disparity among older adults"
A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a colleague. Which of
the nurse's statements reflects an accurate view of the relationship between aging and wellness? -
Correct zAnswer - "we need to teach the older adult how he can keep living a fruitful life in spite of his
diagnosis"
A nurse initiates an acute care for elders unit in a medical facility. Which of the following factors should
the nurse include when teaching the nursing staff about delivering medications to the older adults on
the unit? - Correct zAnswer - older adults face an increased risk of adverse medication effects
A nurse working in an acute care for elders unit observes that a client on the unit frequently stumbles
when ambulating with a walker. Which action by the nurse is best? - Correct zAnswer - ensure that the
women mobility is assessed and the appropriate assistive device is provided
A nurse plans interventions to promote wellness in older adults. Which of the following interventions is
most appropriate to meet this goal? - Correct zAnswer - facilitating early mobilization to prevent muscle
wasting and loss of function in an older hospital client
A nurse uses the Functional Consequences Theory to assess older adults. Which of the following
situations best demonstrates the effect of physical environment on the older adult? - Correct zAnswer - a
resident of a care facility experiences a fall because there are not grab bars outside his bathtub
A nurse assesses an 85-year-old client and finds bruises on the arms and shins and a skin tear on the
right hand. Which action is the priority for further nursing assessment? - Correct zAnswer - review the
clients medications and medical diagnoses
A nurse plans the care of older adults in a long-term care setting. Which of the following interventions
incorporates the residents' connectedness to society? - Correct zAnswer - arranging regular visits by
schoolchildren to the facility
A nurse discusses driving with an older adult who continues to drive, but is probably unsafe on the road.
Which statement made by the nurse is most appropriate? - Correct zAnswer - I am concerned about your
safety, as well as the safety of other
An older adult client with urosepsis has become nonresponsive. The nurse is to identify the appropriate
person to sign the consent forms for an invasive medical procedure. Which of the following actions by
the nurse is appropriate? - Correct zAnswer - review the chart for a health care power of attorney
A home health nurse performs an admission on a 90-year-old client who has a small dog. The client
states that the most important problem is urinary incontinence. The client's blood pressure is 135/90
mm Hg, with last bowel movement 3 days ago. Which of the following areas addresses the person's
goals? - Correct zAnswer - incontinence
A gerontological nurse who works in a public health setting has limited funding for initiatives. Which of
the following prevention and health promotion initiatives is most likely to result in significant benefits
for the older adults who participate? - Correct zAnswer - an exercise program for older adults who live in
the community
Which of the following characteristics of older adults is explained by the subculture theory? - Correct
zAnswer - older adults may interact much more with other older adults than with members of other age
groups
A nurse in a Medicare- and Medicaid-funded nursing home performs assessments and develops care
plans. Which of these statements is true of the functional assessments the nurse is likely to perform? -
Correct zAnswer - the nurse will identify changes in the older adults function over time
A nurse's colleague states, "Older people who live in the country are a lot healthier than city folk."
Which statement by the nurse is most appropriate? - Correct zAnswer - "but chronic conditions are more
common among rural adults"
A nurse helps older adults increase healthy behaviors by restructuring. Which of the following
communication techniques should the nurse use to help the older adult overcome barriers? - Correct
zAnswer - "I know its hard to get outside in the winter, so lets try to identify some ways of getting more
exercise indoors during your usual activities"
A nurse assesses a community of older adults. Which of the following persons is at highest risk for a
shortened life expectancy? - Correct zAnswer - "a homemaker born in 1957"
An 84-year-old client has been living in an assisted living facility for several years but is now faced with
the prospect of relocating to a nursing home. Which of the following characteristics of the client's
current situation is most likely to prompt this move? - Correct zAnswer - a decrease in the clients level of
function and activities of daily living
An older woman of Filipino heritage has been having rectal bleeding for several months. Her physician
has told the woman and her daughters that she has advanced colon cancer. Her daughters want to
obtain hospice services but the client is reluctant and does not want to discuss what she feels is "beyond
her control." Which of the following concerns is this client most likely experiencing? - Correct zAnswer -
cultural taboo to discuss death
, A nurse hears a colleague make the statement, "Most older adults have nothing to worry about
financially." Which of the following responses is most appropriate? - Correct zAnswer - "you have to
remember that theres a huge economic disparity among older adults"
A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a colleague. Which of
the nurse's statements reflects an accurate view of the relationship between aging and wellness? -
Correct zAnswer - "we need to teach the older adult how he can keep living a fruitful life in spite of his
diagnosis"
A nurse initiates an acute care for elders unit in a medical facility. Which of the following factors should
the nurse include when teaching the nursing staff about delivering medications to the older adults on
the unit? - Correct zAnswer - older adults face an increased risk of adverse medication effects
A nurse working in an acute care for elders unit observes that a client on the unit frequently stumbles
when ambulating with a walker. Which action by the nurse is best? - Correct zAnswer - ensure that the
women mobility is assessed and the appropriate assistive device is provided
A nurse plans interventions to promote wellness in older adults. Which of the following interventions is
most appropriate to meet this goal? - Correct zAnswer - facilitating early mobilization to prevent muscle
wasting and loss of function in an older hospital client
A nurse uses the Functional Consequences Theory to assess older adults. Which of the following
situations best demonstrates the effect of physical environment on the older adult? - Correct zAnswer - a
resident of a care facility experiences a fall because there are not grab bars outside his bathtub
A nurse assesses an 85-year-old client and finds bruises on the arms and shins and a skin tear on the
right hand. Which action is the priority for further nursing assessment? - Correct zAnswer - review the
clients medications and medical diagnoses
A nurse plans the care of older adults in a long-term care setting. Which of the following interventions
incorporates the residents' connectedness to society? - Correct zAnswer - arranging regular visits by
schoolchildren to the facility
A nurse discusses driving with an older adult who continues to drive, but is probably unsafe on the road.
Which statement made by the nurse is most appropriate? - Correct zAnswer - I am concerned about your
safety, as well as the safety of other
An older adult client with urosepsis has become nonresponsive. The nurse is to identify the appropriate
person to sign the consent forms for an invasive medical procedure. Which of the following actions by
the nurse is appropriate? - Correct zAnswer - review the chart for a health care power of attorney
A home health nurse performs an admission on a 90-year-old client who has a small dog. The client
states that the most important problem is urinary incontinence. The client's blood pressure is 135/90
mm Hg, with last bowel movement 3 days ago. Which of the following areas addresses the person's
goals? - Correct zAnswer - incontinence
