NSG 255 Exam 1 Questions with complete
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solutions 2025
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ageism ..- ..CORRECT ..ANSWERS-a ..negative ..attitude ..about ..age; ..an ..attitude
..that ..discriminates, ..separates, ..stigmatizes, ..or ..otherwise ..disadvantages ..older
..adults ..on ..the ..basis ..of ..chronological ..age
chronic ..illness ..- ..CORRECT ..ANSWERS-illness ..that ..is ..prolonged, ..does ..not
..resolve ..spontaneously, ..and ..is ..rarely ..cured ..completely
elder ..mistreatment ..- ..CORRECT ..ANSWERS-intentional ..acts ..by ..a ..caregiver ..or
.."trusted ..other" ..that ..cause ..harm ..or ..serious ..risk ..of ..harm ..to ..a ..vulnerable
..older ..adult ..and/or ..neglect ..meeting ..the ..basic ..needs ..of ..a ..vulnerable ..older
..adult
ethogeriatric ..- ..CORRECT ..ANSWERS-a ..term ..used ..to ..describe ..the ..specialty
..area ..of ..providing ..culturally ..competent ..care ..to ..ethnic ..elders
frail ..older ..adult ..- ..CORRECT ..ANSWERS-an ..older ..person ..(usually ..over ..75)
..who ..has ..multiple ..physical ..or ..mental ..disabilities ..that ..may ..interfere ..with ..the
..ability ..to ..perform ..ADLs ..independently
gerontologic ..nursing ..- ..CORRECT ..ANSWERS-a ..specialty ..nursing ..practice ..in
..which ..the ..nurse ..approaches ..older ..adult ..patient ..with ..a ..whole-person
..(physical, ..psychologic, ..socioeconomic) ..perspective
medicaid ..- ..CORRECT ..ANSWERS-state-administered ..program ..that ..assists
..eligible ..low-income ..persons; ..coverage ..varies ..by ..state
,medicare ..- ..CORRECT ..ANSWERS-federally ..funded ..health ..insurance ..program
..for ..people ..65 ..and ..older ..as ..well ..as ..people ..with ..disabilities ..under ..65 ..and
..for ..all ..people ..of ..all ..aged ..with ..end-stage ..renal ..disease ..requiring ..dialysis ..or
..transplant
old-old ..adults ..- ..CORRECT ..ANSWERS-a ..term ..used ..to ..represent ..adults ..who
..are ..85 ..and ..older
young-old ..adults ..- ..CORRECT ..ANSWERS-A ..term ..used ..to ..represent ..adults
..who ..are ..65 ..to ..75 ..years ..of ..age.
a ..nurse ..is ..interesting ..in ..providing ..care ..for ..persons ..with ..chronic ..illness.
..where ..should ..the ..nurse ..identify ..that ..most ..chronic ..illnesses ..are ..managed?
..- ..CORRECT ..ANSWERS-a ..community ..setting
Chronic ..illnesses ..(other ..than ..the ..acute ..phase ..or ..acute ..exacerbations) ..are
..usually ..managed ..in ..a ..community ..setting ..such ..as ..in ..ambulatory ..care, ..at
..home, ..in ..an ..assisted ..living ..facility, ..or ..in ..a ..skilled ..nursing ..facility.
..Diagnosis ..and ..the ..acute ..phase ..or ..acute ..exacerbations ..of ..a ..chronic ..illness
..are ..often ..managed ..in ..a ..hospital.
A ..patient ..with ..Alzheimer's ..disease ..has ..had ..increased ..evidence ..of ..dementia
..and ..physical ..deterioration. ..Which ..would ..be ..the ..best ..assistance ..to
..recommend ..to ..the ..caregiver ..spouse ..who ..is ..exhausted? ..- ..CORRECT
..ANSWERS-adult ..day ..care
Adult ..day ..care ..provides ..social, ..recreational, ..and ..health-related ..services ..in ..a
..safe, ..community-based ..environment ..that ..would ..keep ..this ..patient ..safe ..and
..decrease ..the ..stress ..on ..the ..husband. ..Long-term ..care ..is ..used ..when ..the
..patient ..has ..rapid ..deterioration, ..the ..caregiver ..is ..unable ..to ..continue ..to
..provide ..care, ..and ..there ..is ..an ..alteration ..in ..or ..loss ..of ..the ..family ..support
..system. ..Home ..health ..care ..is ..used ..when ..there ..is ..supportive ..caregiver
..involvement ..for ..patients ..with ..health ..needs. ..Homemaker ..services ..provide
..services, ..but ..do ..not ..care ..for ..the ..patient.
A ..frail ..older ..adult ..with ..chronic ..heart ..failure ..is ..cared ..for ..in ..the ..home ..by
..her ..only ..child. ..Which ..problem ..is ..most ..indicated ..by ..the ..caregiver's ..failure
, ..to ..provide ..companionship ..or ..social ..stimulation? ..- ..CORRECT ..ANSWERS-
Neglect
Characteristics ..of ..neglect ..include ..failing ..to ..provide ..social ..stimulation,
..leaving ..the ..person ..alone ..for ..long ..periods ..of ..time, ..and ..failing ..to ..provide
..companionship. ..Characteristics ..of ..sexual ..abuse ..include ..nonconsensual
..sexual ..contact, ..including ..touching ..inappropriately, ..and ..forcing ..sexual
..contact. ..Characteristics ..of ..abandonment ..include ..desertion ..of ..an ..older
..person ..by ..an ..individual ..who ..has ..assumed ..responsibility ..for ..providing ..care
..or ..by ..a ..person ..with ..physical ..custody. ..Characteristics ..of ..violation ..of
..personal ..rights ..include ..denying ..right ..to ..privacy ..or ..right ..to ..make ..decisions
..regarding ..health ..care ..or ..living ..environment ..and ..forcible ..eviction.
An ..older ..adult ..patient ..admitted ..with ..an ..irregular ..heart ..rhythm ..has ..a ..lower
..blood ..level ..of ..his ..home ..medication ..than ..expected. ..Which ..common ..cause
..of ..medication ..errors ..made ..by ..older ..adults ..should ..the ..nurse ..suspect? ..-
..CORRECT ..ANSWERS-lack ..of ..financial ..resources ..to ..obtain ..prescribed
..medications.
Common ..causes ..of ..medication ..errors ..by ..older ..adults ..include ..poor
..eyesight, ..forgetting ..to ..take ..drugs, ..use ..of ..nonprescription ..over-the-counter
..drugs, ..use ..of ..medications ..prescribed ..for ..someone ..else, ..lack ..of ..financial
..resources ..to ..obtain ..prescribed ..medication, ..failure ..to ..understand
..instructions ..or ..importance ..of ..drug ..treatment, ..and ..refusal ..to ..take
..medication ..because ..of ..undesirable ..side ..effects. ..Drug ..half-life ..is ..increased
..in ..older ..adults.
The ..nurse ..is ..performing ..assessment ..of ..an ..older ..adult ..patient ..suspected ..of
..mistreatment. ..Which ..assessment ..findings ..would ..lead ..the ..nurse ..to ..notify
..social ..services? ..- ..CORRECT ..ANSWERS-Agitation ..and ..depression ..may ..be
..manifestations ..of ..psychologic ..abuse ..or ..neglect. ..Hypernatremia ..may ..signify
..dehydration ..caused ..by ..physical ..neglect. ..A ..loss ..of ..body ..weight, ..rather
..than ..weight ..gain, ..is ..another ..clinical ..manifestation ..of ..physical ..neglect.
A ..female ..patient ..with ..incontinence ..arrives ..early ..for ..appointments ..and
..social ..events ..so ..there ..is ..ready ..access ..to ..the ..restroom. ..Which ..tasks ..of
..the ..chronically ..ill ..is ..the ..patient ..demonstrating? ..- ..CORRECT ..ANSWERS-The
..patient's ..efforts ..to ..ensure ..that ..she ..can ..continue ..activities ..while
..accommodating ..the ..frequent ..elimination ..caused ..by ..the ..health ..problem ..are
..an ..example ..of ..controlling ..symptoms ..and ..preventing ..a ..personal ..crisis.
. . . . . .
solutions 2025
. . .
.
ageism ..- ..CORRECT ..ANSWERS-a ..negative ..attitude ..about ..age; ..an ..attitude
..that ..discriminates, ..separates, ..stigmatizes, ..or ..otherwise ..disadvantages ..older
..adults ..on ..the ..basis ..of ..chronological ..age
chronic ..illness ..- ..CORRECT ..ANSWERS-illness ..that ..is ..prolonged, ..does ..not
..resolve ..spontaneously, ..and ..is ..rarely ..cured ..completely
elder ..mistreatment ..- ..CORRECT ..ANSWERS-intentional ..acts ..by ..a ..caregiver ..or
.."trusted ..other" ..that ..cause ..harm ..or ..serious ..risk ..of ..harm ..to ..a ..vulnerable
..older ..adult ..and/or ..neglect ..meeting ..the ..basic ..needs ..of ..a ..vulnerable ..older
..adult
ethogeriatric ..- ..CORRECT ..ANSWERS-a ..term ..used ..to ..describe ..the ..specialty
..area ..of ..providing ..culturally ..competent ..care ..to ..ethnic ..elders
frail ..older ..adult ..- ..CORRECT ..ANSWERS-an ..older ..person ..(usually ..over ..75)
..who ..has ..multiple ..physical ..or ..mental ..disabilities ..that ..may ..interfere ..with ..the
..ability ..to ..perform ..ADLs ..independently
gerontologic ..nursing ..- ..CORRECT ..ANSWERS-a ..specialty ..nursing ..practice ..in
..which ..the ..nurse ..approaches ..older ..adult ..patient ..with ..a ..whole-person
..(physical, ..psychologic, ..socioeconomic) ..perspective
medicaid ..- ..CORRECT ..ANSWERS-state-administered ..program ..that ..assists
..eligible ..low-income ..persons; ..coverage ..varies ..by ..state
,medicare ..- ..CORRECT ..ANSWERS-federally ..funded ..health ..insurance ..program
..for ..people ..65 ..and ..older ..as ..well ..as ..people ..with ..disabilities ..under ..65 ..and
..for ..all ..people ..of ..all ..aged ..with ..end-stage ..renal ..disease ..requiring ..dialysis ..or
..transplant
old-old ..adults ..- ..CORRECT ..ANSWERS-a ..term ..used ..to ..represent ..adults ..who
..are ..85 ..and ..older
young-old ..adults ..- ..CORRECT ..ANSWERS-A ..term ..used ..to ..represent ..adults
..who ..are ..65 ..to ..75 ..years ..of ..age.
a ..nurse ..is ..interesting ..in ..providing ..care ..for ..persons ..with ..chronic ..illness.
..where ..should ..the ..nurse ..identify ..that ..most ..chronic ..illnesses ..are ..managed?
..- ..CORRECT ..ANSWERS-a ..community ..setting
Chronic ..illnesses ..(other ..than ..the ..acute ..phase ..or ..acute ..exacerbations) ..are
..usually ..managed ..in ..a ..community ..setting ..such ..as ..in ..ambulatory ..care, ..at
..home, ..in ..an ..assisted ..living ..facility, ..or ..in ..a ..skilled ..nursing ..facility.
..Diagnosis ..and ..the ..acute ..phase ..or ..acute ..exacerbations ..of ..a ..chronic ..illness
..are ..often ..managed ..in ..a ..hospital.
A ..patient ..with ..Alzheimer's ..disease ..has ..had ..increased ..evidence ..of ..dementia
..and ..physical ..deterioration. ..Which ..would ..be ..the ..best ..assistance ..to
..recommend ..to ..the ..caregiver ..spouse ..who ..is ..exhausted? ..- ..CORRECT
..ANSWERS-adult ..day ..care
Adult ..day ..care ..provides ..social, ..recreational, ..and ..health-related ..services ..in ..a
..safe, ..community-based ..environment ..that ..would ..keep ..this ..patient ..safe ..and
..decrease ..the ..stress ..on ..the ..husband. ..Long-term ..care ..is ..used ..when ..the
..patient ..has ..rapid ..deterioration, ..the ..caregiver ..is ..unable ..to ..continue ..to
..provide ..care, ..and ..there ..is ..an ..alteration ..in ..or ..loss ..of ..the ..family ..support
..system. ..Home ..health ..care ..is ..used ..when ..there ..is ..supportive ..caregiver
..involvement ..for ..patients ..with ..health ..needs. ..Homemaker ..services ..provide
..services, ..but ..do ..not ..care ..for ..the ..patient.
A ..frail ..older ..adult ..with ..chronic ..heart ..failure ..is ..cared ..for ..in ..the ..home ..by
..her ..only ..child. ..Which ..problem ..is ..most ..indicated ..by ..the ..caregiver's ..failure
, ..to ..provide ..companionship ..or ..social ..stimulation? ..- ..CORRECT ..ANSWERS-
Neglect
Characteristics ..of ..neglect ..include ..failing ..to ..provide ..social ..stimulation,
..leaving ..the ..person ..alone ..for ..long ..periods ..of ..time, ..and ..failing ..to ..provide
..companionship. ..Characteristics ..of ..sexual ..abuse ..include ..nonconsensual
..sexual ..contact, ..including ..touching ..inappropriately, ..and ..forcing ..sexual
..contact. ..Characteristics ..of ..abandonment ..include ..desertion ..of ..an ..older
..person ..by ..an ..individual ..who ..has ..assumed ..responsibility ..for ..providing ..care
..or ..by ..a ..person ..with ..physical ..custody. ..Characteristics ..of ..violation ..of
..personal ..rights ..include ..denying ..right ..to ..privacy ..or ..right ..to ..make ..decisions
..regarding ..health ..care ..or ..living ..environment ..and ..forcible ..eviction.
An ..older ..adult ..patient ..admitted ..with ..an ..irregular ..heart ..rhythm ..has ..a ..lower
..blood ..level ..of ..his ..home ..medication ..than ..expected. ..Which ..common ..cause
..of ..medication ..errors ..made ..by ..older ..adults ..should ..the ..nurse ..suspect? ..-
..CORRECT ..ANSWERS-lack ..of ..financial ..resources ..to ..obtain ..prescribed
..medications.
Common ..causes ..of ..medication ..errors ..by ..older ..adults ..include ..poor
..eyesight, ..forgetting ..to ..take ..drugs, ..use ..of ..nonprescription ..over-the-counter
..drugs, ..use ..of ..medications ..prescribed ..for ..someone ..else, ..lack ..of ..financial
..resources ..to ..obtain ..prescribed ..medication, ..failure ..to ..understand
..instructions ..or ..importance ..of ..drug ..treatment, ..and ..refusal ..to ..take
..medication ..because ..of ..undesirable ..side ..effects. ..Drug ..half-life ..is ..increased
..in ..older ..adults.
The ..nurse ..is ..performing ..assessment ..of ..an ..older ..adult ..patient ..suspected ..of
..mistreatment. ..Which ..assessment ..findings ..would ..lead ..the ..nurse ..to ..notify
..social ..services? ..- ..CORRECT ..ANSWERS-Agitation ..and ..depression ..may ..be
..manifestations ..of ..psychologic ..abuse ..or ..neglect. ..Hypernatremia ..may ..signify
..dehydration ..caused ..by ..physical ..neglect. ..A ..loss ..of ..body ..weight, ..rather
..than ..weight ..gain, ..is ..another ..clinical ..manifestation ..of ..physical ..neglect.
A ..female ..patient ..with ..incontinence ..arrives ..early ..for ..appointments ..and
..social ..events ..so ..there ..is ..ready ..access ..to ..the ..restroom. ..Which ..tasks ..of
..the ..chronically ..ill ..is ..the ..patient ..demonstrating? ..- ..CORRECT ..ANSWERS-The
..patient's ..efforts ..to ..ensure ..that ..she ..can ..continue ..activities ..while
..accommodating ..the ..frequent ..elimination ..caused ..by ..the ..health ..problem ..are
..an ..example ..of ..controlling ..symptoms ..and ..preventing ..a ..personal ..crisis.
