answers
An older woman returns to her hospital room after abdominal surgery. As the nurse
completes her assessment, the client asks the nurse to pin her "prayer cloth" to her pillow.
Which of the following interventions is priority?
A.
Pin the prayer cloth to her pillow since it is an essential part of her spiritual health.
B.
Ask, "What is the purpose of a prayer cloth? Did you make it?"
C.
Say, "I will pin it on your pillow in a couple of hours after you are stable."
D.
Ask, "What religion do you practice? Did your minister give the prayer cloth to you?" - correct
answersA.
Pin the prayer cloth to her pillow since it is an essential part of her spiritual health.
A nurse is conducting a class at a senior citizens' center on factors that protect against
dementia. Which of the following statements by an older adult in the class indicates a need
for further teaching by the nurse?
A.
"Engaging in an organized exercise program will help prevent symptoms of dementia."
B.
"Engaging in social activities will help prevent dementia."
C.
"Eating food high in omega-3 fatty acids will help preserve my thinking processes."
,D.
"No healthy lifestyle is going to ward off dementia." - correct answersD.
"No healthy lifestyle is going to ward off dementia."
Which of the following statements by residents of a nursing home should prompt a nurse to
assess for depression?
A.
"I've never been too prone to headaches, but these days I always seem to have one."
B.
"Lately I wake up for the day at 4:00 or 5:00 in the morning and can't fall asleep again."
C.
"I don't know why this sore on my ankle just won't heal this time."
D.
"I've got these cravings for sugary and salty snacks more than I used to." - correct answersB.
"Lately I wake up for the day at 4:00 or 5:00 in the morning and can't fall asleep again."
A nurse assesses an 82-year-old client who has a history of coronary artery bypass surgery
and heart failure. In the interview, the family expresses concern because the client's "ability
to figure out what is going on" has deteriorated. However, the client remains wise and
continues to give solid life advice. Which theory explains this phenomenon?
A.
Cognitive abilities may be impaired by the client's cardiovascular disease.
B.
Crystallized intelligence declines with age.
C.
Cognitive skills of older adults are better than younger adults under some conditions.
D.
,Mild cognitive impairment begins with cognitive dissidence. - correct answersB.
Crystallized intelligence declines with age.
check
A 70-year-old tells a nurse, "I am worried that I'm losing my mind, I have difficulty
remembering names as well as I used to, and I missed two health care appointments in the
past month because I forgot about them." The nurse initiates a memory training program,
although the nurse has been unable to identify any risk factors that might affect the older
adult's cognitive abilities. Which of the following questions is the best approach to evaluating
the effectiveness of the memory training program?
A.
"Have you seen an improvement in your memory?"
B.
"Are you using the memory training techniques now?"
C.
"Are you less worried about your memory now?"
D.
"How have the memory training techniques helped you?" - correct answersD.
"How have the memory training techniques helped
check
A 62-year-old who has worked on an assembly line since he was 24 years old began taking
aspirin for arthritis 6 months ago. The client presents to the nurse with hearing problems and
ringing in the ears. Which of the following problems should the nurse suspect?
A.
, Tinnitus
B.
Ototoxicity
C.
Vertigo
D.
Impacted cerumen - correct answersb. ototoxicity
During a period of cold weather, an older adult has been brought to the emergency
department with suspected hypothermia. Which of the following assessments should the
nurse prioritize with this client?
A.
Palpation of the client's extremities to determine temperature
B.
Interviewing to determine the client's sensation of cold
C.
Assessment of the client's core body temperature
D.
Assessment of the client's level of consciousness - correct answersC.
Assessment of the client's core body temperature
A nurse in the postoperative unit monitors for hypothermia. Which of the following older
adults' assessment findings indicates the onset of hypothermia?
A.
Puffy face
B.
Shallow respirations