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Chapter;2:;The;Aging;Experience
Multiple;Choice
Identify;the;choice;that;best;completes;the;statement;or;answers;the;question.
1. The;nurse;is;caring;for;an;older;patient.;Which;information;about;the;aging;process;should;the;nurse;recall;that;de
monstrates;respect;for;this;population?
1. As;people;get;older,;they;become;very;self-centered.
2. Getting;old;is;a;hopeless;downward;spiral;toward;death.
3. Older;people;maintain;unique;and;individual;characteristics.
4. Older;people;become;very;rigid;and;are;unable;to;learn;new;things.
Answer:;
2. The;nurse;is;preparing;a;teaching;tool;about;the;normal;physiological;characteristics;of;aging.;Which;information;sh
ould;the;nurse;include?
1. It;is;reflective;of;individual;diversity.
2. It;is;a;predictable;and;uniform;process.
3. It;is;primarily;related;to;chronic;disease;processes.
4. It;is;accompanied;by;extreme;mood;swings;and;predictable;depression.
Answer:;
3. The;nurse;is;asked;to;explain;the;different;theories;of;aging.;Which;physiological;theory;should;the;nurse;include?
1. Continuity
2. Subculture
3. Wear;and;tear
4. Developmental;tasks
;Answer:;
4.;The;nurse;is;caring;for;an;older;patient.;Which;patient;characteristic;should;the;nurse;identify;that;reflects;a;psychological;t
heory;of;aging?
1. Genetics
2. Nutrition
3. Personality
4. Wear;and;tear;
Answer:;
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5. The;nurse;is;preparing;to;collect;data;on;an;older;patient’s;cardiovascular;system.;Which;finding;should;the;nurse;ide
ntify;as;a;normal;age-related;change?
1. Strong;heart;beat
2. Dilated;blood;vessels
3. Decreased;cardiac;output
4. Flaccid;and;thin;heart;valves;
Answer:;
6. The;nurse;is;visiting;an;older;patient;in;the;home.;Which;behavior;should;the;nurse;identify;that;determines;this;pat
ient’s;ability;to;function?
1. Driving;a;car
2. Getting;adequate;sleep
3. Working,;driving,;shopping,;and;exercising;as;usual
4. Performing;activities;of;daily;living;(ADLs),;instrumental;ADLs,;and;quality;of;life;A
nswer:;
7. The;nurse;is;assessing;an;older;patient’s;respiratory;system.;Which;should;the;nurse;identify;as;a;reason;for;this;patient;to;e
xperience;increased;residual;lung;volume?
1. Osteoporosis
2. Increased;elastic;recoil
3. Increased;number;of;functioning;alveoli
4. Decreased;efficiency;of;gas;exchange;in;the;alveoli;
Answer:;
8. An;older;patient;is;experiencing;age-
related;skin;changes.;Which;finding;should;the;nurse;associate;with;these;changes?
1. Altered;joint;mobility
2. Intolerance;to;exercise
3. Alteration;in;ability;to;ambulate
4. Change;in;body;temperature;regulation;
Answer:;
9. An;older;female;patient;reports;leaking;urine;when;coughing;and;sneezing.;Which;should;the;nurse;explain;as;the;rea
son;for;this;change;in;the;urinary;system?
1. Decreased;bladder;capacity
2. Decreased;renal;blood;flow
3. Reduced;glomerular;filtration;rate
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4. Loss;of;mass;and;strength;of;perineal;muscles;
Answer:;
10. An;older;female;is;concerned;about;experiencing;painful;intercourse;and;vaginal;infections.;Which;should;the;nurse;co
nsider;as;the;reason;for;this;patient’s;symptoms?
1. Loss;of;pubic;hair
2. Urinary;incontinence
3. Decreased;vaginal;secretions
4. Decreased;perineal;muscle;mass;
Answer:;
11. The;nurse;is;assessing;an;older;patient.;Which;gastrointestinal;symptoms;should;the;nurse;expect;the;patient;to;report?
1. Indigestion,;diarrhea,;and;anorexia
2. Constipation,;bulimia,;and;indigestion
3. Indigestion,;constipation,;and;anorexia
4. Flatulence,;diarrhea,;and;intestinal;cramps;
Answer:;
12. An;older;patient;reports;dry;eyes.;Which;health;problem;is;this;patient;at;risk;of;developing?
1. Glaucoma
2. Eye;infections
3. Corneal;abrasions
4. Cataract;formation
;Answer:;
13. The;nurse;is;assessing;an;older;patient.;Which;finding;should;the;nurse;identify;as;an;age-related;change;in;hearing?
1. Loss;of;low-frequency;tones
2. Loss;of;high-frequency;tones
3. Generalized;loss;of;all;frequencies
4. Loss;of;high-frequency;and;low-
frequency;tones;Answer:;
Multiple;Response
Identify;one;or;more;choices;that;best;complete;the;statement;or;answer;the;question.
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14. An;older;patient;is;experiencing;shortness;of;breath;when;completing;household;activities.;Which;age-
related;change;in;the;respiratory;system;should;be;used;to;explain;this;patient’s;symptoms?;Select;all;that;apply.
1. Loss;of;lung;elastic;recoil
2. Larger;and;thinner;alveoli
3. Increased;surface;area;for;gas;exchange
4. Thickening;of;the;alveolar-capillary;membrane
5. Reduction;in;the;number;of;functioning;alveoli;
Answer:;
15. The;nurse;is;concerned;that;an;older;patient;is;experiencing;age-
related;changes;to;the;gastrointestinal;system.;What;finding;caused;the;nurse;to;have;this;concern?;Select;all;that;apply.
1. Loose;teeth
2. Poor;appetite
3. Feeling;thirsty
4. Weak;gag;reflex
5. Feeling;of;fullness;
Answer:;
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Questions,;Answers,;and;Rationales
Multiple;Choice
Identify;the;choice;that;best;completes;the;statement;or;answers;the;question.
1. The;nurse;is;caring;for;an;older;patient.;Which;information;about;the;aging;process;should;the;nurse;recall;that;de
monstrates;respect;for;this;population?
1. As;people;get;older,;they;become;very;self-centered.
2. Getting;old;is;a;hopeless;downward;spiral;toward;death.
3. Older;people;maintain;unique;and;individual;characteristics.
4. Older;people;become;very;rigid;and;are;unable;to;learn;new;things.
ANS:;3
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1 Believing;that;older;people;are;self-centered;does;not;respect;older;people.
2 Getting;older;is;not;a;hopeless;spiral;toward;death.;This;statement;does;not;respect;older;
people.
3 Older;people;do;have;unique;and;individual;characteristics.;This;statement;respects;older
;people.
4 Older;people;are;not;rigid;and;unable;to;learn;new;things.;This;statement;does;not;respect
;older;people.
2. The;nurse;is;preparing;a;teaching;tool;about;the;normal;physiological;characteristics;of;aging.;Which;information;sh
ould;the;nurse;include?
1. It;is;reflective;of;individual;diversity.
2. It;is;a;predictable;and;uniform;process.
3. It;is;primarily;related;to;chronic;disease;processes.
4. It;is;accompanied;by;extreme;mood;swings;and;predictable;depression.
ANS:;1
Page:;22
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1 Although;aging;is;a;universal;experience,;each;individual;older;person;represents;a;differen
t;pattern;of;aging.
2 Individuals;age;in;different;ways.
3 Older;adults;may;experience;chronic;diseases,;but;these;are;not;normal;aging;experiences
.
4 Older;adults;may;experience;depression,;but;this;is;not;a;normal;aging;experience.
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3. The;nurse;is;asked;to;explain;the;different;theories;of;aging.;Which;physiological;theory;should;the;nurse;include?
1. Continuity
2. Subculture
3. Wear;and;tear
4. Developmental;tasks
ANS:;3
Pages:;20,;22
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1 The;continuity;theory;states;that;as;people;age,;their;basic;personalities;do;not.
2 The;subculture;theory;of;aging;describes;aging;as;being;a;subculture;complete;with;cultural;
norms,;standards,;beliefs,;and;expectations.
3 The;wear-and-
tear;theory;is;a;physiological;theory;of;aging.;This;theory;states;that;as;people;age,;the;body;
parts;show;the;effects.
4 Erikson;developed;the;developmental;stages;theory,;which;states;that;people;work;through;
various;stages;of;development;through;life.
4.;The;nurse;is;caring;for;an;older;patient.;Which;patient;characteristic;should;the;nurse;identify;that;reflects;a;psychological;th
eory;of;aging?
1. Genetics
2. Nutrition
3. Personality
4. Wear;and;tear
ANS:;3
Page:;22
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1 One;physiological;theory;of;aging;focuses;on;genetics,;stating;that;people;are;born;with;a;g
enetic;program;that;predetermines;life;span.
2 One;physiological;theory;of;aging;focuses;on;a;person’s;nutrition;during;his;or;her;life;span.
3 The;continuity;theory;states;that;as;people;change,;their;basic;personality;and;behavioral;
patterns;do;not;change.
4 One;physiological;theory;of;aging;focuses;on;the;fact;that;bodies;are;all;fine-
tuned;machinery;and;that;body;parts;wear;out;or;become;less;effective;as;they;are;repeatedl
y
used.
5. The;nurse;is;preparing;to;collect;data;on;an;older;patient’s;cardiovascular;system.;Which;finding;should;the;nurse;ide
ntify;as;a;normal;age-related;change?
1. Strong;heart;beat
2. Dilated;blood;vessels
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3. Decreased;cardiac;output
4. Flaccid;and;thin;heart;valves
ANS:;3
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1 The;aging;heart;is;slower;and;weaker.
2 Blood;vessels;in;the;aging;cardiovascular;system;thicken;and;become;less;elastic.
3 Cardiac;output;is;decreased;as;a;result;of;the;slowed;heart;rate;and;weaker;cardiac;contra
ctions.;This;is;not;usually;a;noticeable;problem;unless;older;persons;are;exposed;to;stress
ors;that;exceed;their;reserves.
4 Heart;valves;in;the;aging;heart;are;thicker;and;more;rigid.
6. The;nurse;is;visiting;an;older;patient;in;the;home.;Which;behavior;should;the;nurse;identify;that;determines;this;pat
ient’s;ability;to;function?
1. Driving;a;car
2. Getting;adequate;sleep
3. Working,;driving,;shopping,;and;exercising;as;usual
4. Performing;activities;of;daily;living;(ADLs),;instrumental;ADLs,;and;quality;of;life
ANS:;4
Page:;23
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1 Driving;a;car;might;be;an;instrumental;ADL,;however,;function;is;more;than;performing;
this;one;function.
2 Adequate;sleep;is;not;identified;as;a;behavior;that;determines;the;ability;to;function.
3 The;level;of;functioning;may;not;be;as;it;was;when;the;person;was;younger.
4 The;definition;of;function;is;the;ability;to;perform;ADLs;and;instrumental;ADLs,;taking;i
nto;consideration;the;quality;of;life.
7. The;nurse;is;assessing;an;older;patient’s;respiratory;system.;Which;should;the;nurse;identify;as;a;reason;for;this;patient;to;e
xperience;increased;residual;lung;volume?
1. Osteoporosis
2. Increased;elastic;recoil
3. Increased;number;of;functioning;alveoli
4. Decreased;efficiency;of;gas;exchange;in;the;alveoli
ANS:;4
Page:;24
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1 Osteoporosis;is;not;identified;as;impacting;residual;lung;volume;in;an;older;patient.
2 With;aging,;decreased;elastic;recoil;occurs,;which;increases;residual;lung;volume;in;an
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older;patient.
3 With;aging;there;is;a;decreased;number;of;functioning;alveoli;that;increases;residual;lung
;volume;in;an;older;patient.
4 Decreased;efficiency;of;gas;exchange;in;the;alveoli;affects;the;efficiency;of;oxygen;availabi
lity.
8. An;older;patient;is;experiencing;age-
related;skin;changes.;Which;finding;should;the;nurse;associate;with;these;changes?
1. Altered;joint;mobility
2. Intolerance;to;exercise
3. Alteration;in;ability;to;ambulate
4. Change;in;body;temperature;regulation
ANS:;4
Page:;25
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1 This;is;a;musculoskeletal;system;change.
2 Skin;changes;do;not;affect;the;ability;to;tolerate;exercise.
3 This;is;a;musculoskeletal;system;change.
4 The;decrease;in;sweat;production;and;loss;of;the;insulating;fat;layer;underlying;the;skin;ma
kes;an;older;adult;prone;to;hyperthermia;and;hypothermia.
9. An;older;female;patient;reports;leaking;urine;when;coughing;and;sneezing.;Which;should;the;nurse;explain;as;the;rea
son;for;this;change;in;the;urinary;system?
1. Decreased;bladder;capacity
2. Decreased;renal;blood;flow
3. Reduced;glomerular;filtration;rate
4. Loss;of;mass;and;strength;of;pelvic;muscles
ANS:;4
Page:;26
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1 Decreased;bladder;capacity;is;a;normal;age-
related;change;of;the;urinary;system,;but;it;does;not;cause;stress;incontinence.
2 Decreased;renal;blood;flow;is;a;normal;age-
related;change;of;the;urinary;system,;but;it;does;not;cause;stress;incontinence.
3 Reduced;glomerular;filtration;rate;is;a;normal;age-
related;change;of;the;urinary;system,;but;it;does;not;cause;stress;incontinence.
4 Stress;incontinence,;or;loss;of;urine;when;intra-
abdominal;pressure;is;increased,;can;be;increased;with;weak;pelvic;floor;muscles.
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ion;Dahlkemper
Chapter;2:;The;Aging;Experience
Multiple;Choice
Identify;the;choice;that;best;completes;the;statement;or;answers;the;question.
1. The;nurse;is;caring;for;an;older;patient.;Which;information;about;the;aging;process;should;the;nurse;recall;that;de
monstrates;respect;for;this;population?
1. As;people;get;older,;they;become;very;self-centered.
2. Getting;old;is;a;hopeless;downward;spiral;toward;death.
3. Older;people;maintain;unique;and;individual;characteristics.
4. Older;people;become;very;rigid;and;are;unable;to;learn;new;things.
Answer:;
2. The;nurse;is;preparing;a;teaching;tool;about;the;normal;physiological;characteristics;of;aging.;Which;information;sh
ould;the;nurse;include?
1. It;is;reflective;of;individual;diversity.
2. It;is;a;predictable;and;uniform;process.
3. It;is;primarily;related;to;chronic;disease;processes.
4. It;is;accompanied;by;extreme;mood;swings;and;predictable;depression.
Answer:;
3. The;nurse;is;asked;to;explain;the;different;theories;of;aging.;Which;physiological;theory;should;the;nurse;include?
1. Continuity
2. Subculture
3. Wear;and;tear
4. Developmental;tasks
;Answer:;
4.;The;nurse;is;caring;for;an;older;patient.;Which;patient;characteristic;should;the;nurse;identify;that;reflects;a;psychological;t
heory;of;aging?
1. Genetics
2. Nutrition
3. Personality
4. Wear;and;tear;
Answer:;
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5. The;nurse;is;preparing;to;collect;data;on;an;older;patient’s;cardiovascular;system.;Which;finding;should;the;nurse;ide
ntify;as;a;normal;age-related;change?
1. Strong;heart;beat
2. Dilated;blood;vessels
3. Decreased;cardiac;output
4. Flaccid;and;thin;heart;valves;
Answer:;
6. The;nurse;is;visiting;an;older;patient;in;the;home.;Which;behavior;should;the;nurse;identify;that;determines;this;pat
ient’s;ability;to;function?
1. Driving;a;car
2. Getting;adequate;sleep
3. Working,;driving,;shopping,;and;exercising;as;usual
4. Performing;activities;of;daily;living;(ADLs),;instrumental;ADLs,;and;quality;of;life;A
nswer:;
7. The;nurse;is;assessing;an;older;patient’s;respiratory;system.;Which;should;the;nurse;identify;as;a;reason;for;this;patient;to;e
xperience;increased;residual;lung;volume?
1. Osteoporosis
2. Increased;elastic;recoil
3. Increased;number;of;functioning;alveoli
4. Decreased;efficiency;of;gas;exchange;in;the;alveoli;
Answer:;
8. An;older;patient;is;experiencing;age-
related;skin;changes.;Which;finding;should;the;nurse;associate;with;these;changes?
1. Altered;joint;mobility
2. Intolerance;to;exercise
3. Alteration;in;ability;to;ambulate
4. Change;in;body;temperature;regulation;
Answer:;
9. An;older;female;patient;reports;leaking;urine;when;coughing;and;sneezing.;Which;should;the;nurse;explain;as;the;rea
son;for;this;change;in;the;urinary;system?
1. Decreased;bladder;capacity
2. Decreased;renal;blood;flow
3. Reduced;glomerular;filtration;rate
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4. Loss;of;mass;and;strength;of;perineal;muscles;
Answer:;
10. An;older;female;is;concerned;about;experiencing;painful;intercourse;and;vaginal;infections.;Which;should;the;nurse;co
nsider;as;the;reason;for;this;patient’s;symptoms?
1. Loss;of;pubic;hair
2. Urinary;incontinence
3. Decreased;vaginal;secretions
4. Decreased;perineal;muscle;mass;
Answer:;
11. The;nurse;is;assessing;an;older;patient.;Which;gastrointestinal;symptoms;should;the;nurse;expect;the;patient;to;report?
1. Indigestion,;diarrhea,;and;anorexia
2. Constipation,;bulimia,;and;indigestion
3. Indigestion,;constipation,;and;anorexia
4. Flatulence,;diarrhea,;and;intestinal;cramps;
Answer:;
12. An;older;patient;reports;dry;eyes.;Which;health;problem;is;this;patient;at;risk;of;developing?
1. Glaucoma
2. Eye;infections
3. Corneal;abrasions
4. Cataract;formation
;Answer:;
13. The;nurse;is;assessing;an;older;patient.;Which;finding;should;the;nurse;identify;as;an;age-related;change;in;hearing?
1. Loss;of;low-frequency;tones
2. Loss;of;high-frequency;tones
3. Generalized;loss;of;all;frequencies
4. Loss;of;high-frequency;and;low-
frequency;tones;Answer:;
Multiple;Response
Identify;one;or;more;choices;that;best;complete;the;statement;or;answer;the;question.
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14. An;older;patient;is;experiencing;shortness;of;breath;when;completing;household;activities.;Which;age-
related;change;in;the;respiratory;system;should;be;used;to;explain;this;patient’s;symptoms?;Select;all;that;apply.
1. Loss;of;lung;elastic;recoil
2. Larger;and;thinner;alveoli
3. Increased;surface;area;for;gas;exchange
4. Thickening;of;the;alveolar-capillary;membrane
5. Reduction;in;the;number;of;functioning;alveoli;
Answer:;
15. The;nurse;is;concerned;that;an;older;patient;is;experiencing;age-
related;changes;to;the;gastrointestinal;system.;What;finding;caused;the;nurse;to;have;this;concern?;Select;all;that;apply.
1. Loose;teeth
2. Poor;appetite
3. Feeling;thirsty
4. Weak;gag;reflex
5. Feeling;of;fullness;
Answer:;
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ion;Dahlkemper
Questions,;Answers,;and;Rationales
Multiple;Choice
Identify;the;choice;that;best;completes;the;statement;or;answers;the;question.
1. The;nurse;is;caring;for;an;older;patient.;Which;information;about;the;aging;process;should;the;nurse;recall;that;de
monstrates;respect;for;this;population?
1. As;people;get;older,;they;become;very;self-centered.
2. Getting;old;is;a;hopeless;downward;spiral;toward;death.
3. Older;people;maintain;unique;and;individual;characteristics.
4. Older;people;become;very;rigid;and;are;unable;to;learn;new;things.
ANS:;3
Pages:;21–22
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1 Believing;that;older;people;are;self-centered;does;not;respect;older;people.
2 Getting;older;is;not;a;hopeless;spiral;toward;death.;This;statement;does;not;respect;older;
people.
3 Older;people;do;have;unique;and;individual;characteristics.;This;statement;respects;older
;people.
4 Older;people;are;not;rigid;and;unable;to;learn;new;things.;This;statement;does;not;respect
;older;people.
2. The;nurse;is;preparing;a;teaching;tool;about;the;normal;physiological;characteristics;of;aging.;Which;information;sh
ould;the;nurse;include?
1. It;is;reflective;of;individual;diversity.
2. It;is;a;predictable;and;uniform;process.
3. It;is;primarily;related;to;chronic;disease;processes.
4. It;is;accompanied;by;extreme;mood;swings;and;predictable;depression.
ANS:;1
Page:;22
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1 Although;aging;is;a;universal;experience,;each;individual;older;person;represents;a;differen
t;pattern;of;aging.
2 Individuals;age;in;different;ways.
3 Older;adults;may;experience;chronic;diseases,;but;these;are;not;normal;aging;experiences
.
4 Older;adults;may;experience;depression,;but;this;is;not;a;normal;aging;experience.
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3. The;nurse;is;asked;to;explain;the;different;theories;of;aging.;Which;physiological;theory;should;the;nurse;include?
1. Continuity
2. Subculture
3. Wear;and;tear
4. Developmental;tasks
ANS:;3
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1 The;continuity;theory;states;that;as;people;age,;their;basic;personalities;do;not.
2 The;subculture;theory;of;aging;describes;aging;as;being;a;subculture;complete;with;cultural;
norms,;standards,;beliefs,;and;expectations.
3 The;wear-and-
tear;theory;is;a;physiological;theory;of;aging.;This;theory;states;that;as;people;age,;the;body;
parts;show;the;effects.
4 Erikson;developed;the;developmental;stages;theory,;which;states;that;people;work;through;
various;stages;of;development;through;life.
4.;The;nurse;is;caring;for;an;older;patient.;Which;patient;characteristic;should;the;nurse;identify;that;reflects;a;psychological;th
eory;of;aging?
1. Genetics
2. Nutrition
3. Personality
4. Wear;and;tear
ANS:;3
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1 One;physiological;theory;of;aging;focuses;on;genetics,;stating;that;people;are;born;with;a;g
enetic;program;that;predetermines;life;span.
2 One;physiological;theory;of;aging;focuses;on;a;person’s;nutrition;during;his;or;her;life;span.
3 The;continuity;theory;states;that;as;people;change,;their;basic;personality;and;behavioral;
patterns;do;not;change.
4 One;physiological;theory;of;aging;focuses;on;the;fact;that;bodies;are;all;fine-
tuned;machinery;and;that;body;parts;wear;out;or;become;less;effective;as;they;are;repeatedl
y
used.
5. The;nurse;is;preparing;to;collect;data;on;an;older;patient’s;cardiovascular;system.;Which;finding;should;the;nurse;ide
ntify;as;a;normal;age-related;change?
1. Strong;heart;beat
2. Dilated;blood;vessels
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3. Decreased;cardiac;output
4. Flaccid;and;thin;heart;valves
ANS:;3
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1 The;aging;heart;is;slower;and;weaker.
2 Blood;vessels;in;the;aging;cardiovascular;system;thicken;and;become;less;elastic.
3 Cardiac;output;is;decreased;as;a;result;of;the;slowed;heart;rate;and;weaker;cardiac;contra
ctions.;This;is;not;usually;a;noticeable;problem;unless;older;persons;are;exposed;to;stress
ors;that;exceed;their;reserves.
4 Heart;valves;in;the;aging;heart;are;thicker;and;more;rigid.
6. The;nurse;is;visiting;an;older;patient;in;the;home.;Which;behavior;should;the;nurse;identify;that;determines;this;pat
ient’s;ability;to;function?
1. Driving;a;car
2. Getting;adequate;sleep
3. Working,;driving,;shopping,;and;exercising;as;usual
4. Performing;activities;of;daily;living;(ADLs),;instrumental;ADLs,;and;quality;of;life
ANS:;4
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1 Driving;a;car;might;be;an;instrumental;ADL,;however,;function;is;more;than;performing;
this;one;function.
2 Adequate;sleep;is;not;identified;as;a;behavior;that;determines;the;ability;to;function.
3 The;level;of;functioning;may;not;be;as;it;was;when;the;person;was;younger.
4 The;definition;of;function;is;the;ability;to;perform;ADLs;and;instrumental;ADLs,;taking;i
nto;consideration;the;quality;of;life.
7. The;nurse;is;assessing;an;older;patient’s;respiratory;system.;Which;should;the;nurse;identify;as;a;reason;for;this;patient;to;e
xperience;increased;residual;lung;volume?
1. Osteoporosis
2. Increased;elastic;recoil
3. Increased;number;of;functioning;alveoli
4. Decreased;efficiency;of;gas;exchange;in;the;alveoli
ANS:;4
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1 Osteoporosis;is;not;identified;as;impacting;residual;lung;volume;in;an;older;patient.
2 With;aging,;decreased;elastic;recoil;occurs,;which;increases;residual;lung;volume;in;an
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older;patient.
3 With;aging;there;is;a;decreased;number;of;functioning;alveoli;that;increases;residual;lung
;volume;in;an;older;patient.
4 Decreased;efficiency;of;gas;exchange;in;the;alveoli;affects;the;efficiency;of;oxygen;availabi
lity.
8. An;older;patient;is;experiencing;age-
related;skin;changes.;Which;finding;should;the;nurse;associate;with;these;changes?
1. Altered;joint;mobility
2. Intolerance;to;exercise
3. Alteration;in;ability;to;ambulate
4. Change;in;body;temperature;regulation
ANS:;4
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1 This;is;a;musculoskeletal;system;change.
2 Skin;changes;do;not;affect;the;ability;to;tolerate;exercise.
3 This;is;a;musculoskeletal;system;change.
4 The;decrease;in;sweat;production;and;loss;of;the;insulating;fat;layer;underlying;the;skin;ma
kes;an;older;adult;prone;to;hyperthermia;and;hypothermia.
9. An;older;female;patient;reports;leaking;urine;when;coughing;and;sneezing.;Which;should;the;nurse;explain;as;the;rea
son;for;this;change;in;the;urinary;system?
1. Decreased;bladder;capacity
2. Decreased;renal;blood;flow
3. Reduced;glomerular;filtration;rate
4. Loss;of;mass;and;strength;of;pelvic;muscles
ANS:;4
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1 Decreased;bladder;capacity;is;a;normal;age-
related;change;of;the;urinary;system,;but;it;does;not;cause;stress;incontinence.
2 Decreased;renal;blood;flow;is;a;normal;age-
related;change;of;the;urinary;system,;but;it;does;not;cause;stress;incontinence.
3 Reduced;glomerular;filtration;rate;is;a;normal;age-
related;change;of;the;urinary;system,;but;it;does;not;cause;stress;incontinence.
4 Stress;incontinence,;or;loss;of;urine;when;intra-
abdominal;pressure;is;increased,;can;be;increased;with;weak;pelvic;floor;muscles.
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