NUR-631 Advanced Health Assessment
TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
During an office visit, a 78-year-old woman is upset because her height is "2 inches less than it
was when I was 40!" How does the nurse explain this change to the patient?
a. "Reduced height may occur as you age due to shortening of the vertebrae."
b. "You may be experiencing this height change due to arthritis."
c. "You need to improve your posture by performing stretching exercises."
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
d. "This is a rare occurrence and warrants having a bone density test." - ANS :ANS: A
Feedback
A Decreased bone formation reduces height in most older adults, which may cause shortening
of the vertebrae and thinning of the vertebral disks.
B Decreased bone formation reduces height in most older adults and is not due to arthritis.
C This is appropriate advice, but is not related the patient's height.
D This is an expected occurrence and does not warrant concern.
In collecting a history from an older adult, which information does the nurse consider least
essential for a patient of this age?
a. Past health history
b. Genogram
c. Functional abilities
d. Mental health - ANS :ANS: B
Feedback
A Past health history is important to document the patient's chronic illnesses.
B A genogram is not routinely used to document the family history for an older adult. The
health status and cause of death of the patient's parents and siblings lose value as the patient
ages.
C Assessing functional abilities provides data about how well the patient performs activities of
daily living.
D Mental health data are essential to collect about all patients regardless of age.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
In assessing the mood of older adult patients, a nurse documents which finding as abnormal?
a. Sadness and grief after returning from the funeral of a long-time friend
b. Depression that interferes with the ability to perform activities of daily living
c. Frustration about rearranging the day's schedule to attend a grandson's birthday party
d. Crying about the unexpected death of a pet that had been with the family 12 years - ANS
:ANS: B
Feedback
A Emotional experiences of sadness, grief, response to loss, and temporary "blue" moods are
normal responses in older adults.
B Persistent depression that interferes significantly with the ability to function is not an
expected finding.
C This is a normal response for any adult.
D Emotional experiences of sadness, grief, response to loss, and temporary "blue" moods are
normal responses in older adults.
When assessing the pain level of an older adult, a nurse considers which factor?
a. Neural transmission of pain is increased as a part of the aging process.
b. Older adult patients are not reliable in their descriptions of pain and how it affects them.
c. Physiologic indicators of pain that are unique to older adults are tachycardia and hypotension.
d. The older adult may believe that pain is a factor of aging and not worth mentioning. - ANS
:ANS: D
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
Feedback
A Neural transmission is the same for older and younger adults.
B Becoming older does not diminish one's ability to describe pain.
C The physiologic indicators are the same for older and younger adults.
D Some older adults may perceive pain as an expected aspect of aging that they must endure.
A nurse is assessing the pain of an 86-year-old man who had hip surgery recently. The patient
has been slightly confused since his surgery, but he responds to simple questions. What is the
best way to assess this patient's pain?
a. Ask him to rate his pain on a scale of 0 to 10.
b. Ask him to rate his pain using a list of descriptive adjectives.
c. Ask him to rate his pain using a vertical numeric scale.
d. Observe his behavior and measure his vital signs. - ANS :ANS: C
Feedback
A This scale is appropriate for adolescents and adults, but older adults are assessed more
accurately with a scale that they can see.
B This method is not effective for assessing pain because adjectives have different meanings to
different people. It is best to use a scale or pictures of faces.
C Pain assessment in older adults is significantly improved by using a vertical numeric scale or
pain faces.
D Patient behavior and vital signs are not accurate ways to assess a patient's perception of pain.
How should the nurse document the assessment?
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
TEST BANK
NUR-631 Advanced Health Assessment
TEST BANK Exam LATEST 2024/2025
D'Youville University GRADED A +
GUARANTEED PASS (QUESTIONS AND
ANSWERS WITH detailed RATIONALES)
ACE YOUR EXAM -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
During an office visit, a 78-year-old woman is upset because her height is "2 inches less than it
was when I was 40!" How does the nurse explain this change to the patient?
a. "Reduced height may occur as you age due to shortening of the vertebrae."
b. "You may be experiencing this height change due to arthritis."
c. "You need to improve your posture by performing stretching exercises."
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
d. "This is a rare occurrence and warrants having a bone density test." - ANS :ANS: A
Feedback
A Decreased bone formation reduces height in most older adults, which may cause shortening
of the vertebrae and thinning of the vertebral disks.
B Decreased bone formation reduces height in most older adults and is not due to arthritis.
C This is appropriate advice, but is not related the patient's height.
D This is an expected occurrence and does not warrant concern.
In collecting a history from an older adult, which information does the nurse consider least
essential for a patient of this age?
a. Past health history
b. Genogram
c. Functional abilities
d. Mental health - ANS :ANS: B
Feedback
A Past health history is important to document the patient's chronic illnesses.
B A genogram is not routinely used to document the family history for an older adult. The
health status and cause of death of the patient's parents and siblings lose value as the patient
ages.
C Assessing functional abilities provides data about how well the patient performs activities of
daily living.
D Mental health data are essential to collect about all patients regardless of age.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
In assessing the mood of older adult patients, a nurse documents which finding as abnormal?
a. Sadness and grief after returning from the funeral of a long-time friend
b. Depression that interferes with the ability to perform activities of daily living
c. Frustration about rearranging the day's schedule to attend a grandson's birthday party
d. Crying about the unexpected death of a pet that had been with the family 12 years - ANS
:ANS: B
Feedback
A Emotional experiences of sadness, grief, response to loss, and temporary "blue" moods are
normal responses in older adults.
B Persistent depression that interferes significantly with the ability to function is not an
expected finding.
C This is a normal response for any adult.
D Emotional experiences of sadness, grief, response to loss, and temporary "blue" moods are
normal responses in older adults.
When assessing the pain level of an older adult, a nurse considers which factor?
a. Neural transmission of pain is increased as a part of the aging process.
b. Older adult patients are not reliable in their descriptions of pain and how it affects them.
c. Physiologic indicators of pain that are unique to older adults are tachycardia and hypotension.
d. The older adult may believe that pain is a factor of aging and not worth mentioning. - ANS
:ANS: D
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
Feedback
A Neural transmission is the same for older and younger adults.
B Becoming older does not diminish one's ability to describe pain.
C The physiologic indicators are the same for older and younger adults.
D Some older adults may perceive pain as an expected aspect of aging that they must endure.
A nurse is assessing the pain of an 86-year-old man who had hip surgery recently. The patient
has been slightly confused since his surgery, but he responds to simple questions. What is the
best way to assess this patient's pain?
a. Ask him to rate his pain on a scale of 0 to 10.
b. Ask him to rate his pain using a list of descriptive adjectives.
c. Ask him to rate his pain using a vertical numeric scale.
d. Observe his behavior and measure his vital signs. - ANS :ANS: C
Feedback
A This scale is appropriate for adolescents and adults, but older adults are assessed more
accurately with a scale that they can see.
B This method is not effective for assessing pain because adjectives have different meanings to
different people. It is best to use a scale or pictures of faces.
C Pain assessment in older adults is significantly improved by using a vertical numeric scale or
pain faces.
D Patient behavior and vital signs are not accurate ways to assess a patient's perception of pain.
How should the nurse document the assessment?
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
