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NR222 MAIN EXAM QUESTIONS AND VERIFIED ANSWERS

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NR222 MAIN EXAM QUESTIONS AND VERIFIED ANSWERS A nurse is planning to write a grant for a health promotion project in the community. Which of considerations should the nurse make when determining the appropriate population for this project? a. The fastest growing population is children under the age of 12. b. The fastest growing population is young Black American adults. c. The fastest growing population is White middle-age adults. d. The fastest growing population is non-White older adults age 65 and older. - ANSWER-d Which of the following statements made by a client best identifies someone who would benefit from health promotion interventions? a. "I have a new grandchild and want to be part of her life." b. "My mother lived until she was 90, so a long life is in my genes." c. "Some chronic illness is just a part of aging." d. "I hope I'll live a lot longer, but one never knows." - ANSWER-a Which of the following statements concerning nutrition and older adults is true? a. Older adults who live in their own homes are more likely to be malnourished than older adults living in a nursing home. b. Older adults lose their desire for high-fat, salty foods. c. Meals served in long-term care institutions are usually more well balanced than foods eaten by older adults living at home. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM NR222 MAIN EXAM QUESTIONS AND VERIFIED ANSWERS d. Many older adults are not aware of food assistance programs. - ANSWER-d Which of the following statements concerning urinary incontinence is correct? a. Urge incontinence occurs when one has the urge to void but is unable. b. Stress incontinence is associated with emotional turmoil. c. Functional incontinence occurs is associated with environmental barriers. d. Incontinence with high post-void residual occurs when someone laughs or sneezes. - ANSWER-c Which of the following nursing diagnoses is a priority related to the problem of urinary incontinence? a. Risk for social isolation b. Risk for impaired skin integrity c. Risk for inadequate fluid intake d. Risk for impaired coping - ANSWER-b A 75-year-old man tells the nurse that he has difficulty staying asleep during the night. Which of the following responses should be made by the nurse? CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM NR222 MAIN EXAM QUESTIONS AND VERIFIED ANSWERS a. "Older adults need as much sleep as middle-age and younger adults. Let's talk about your sleep patterns." b. "I'll ask the nurse practitioner to prescribe a sleeping pill for you." c. "Taking naps during the day can help relieve excessive fatigue and will help you sleep better." d. "Let's talk about your sleep schedule and things that may prevent you from getting a restful night's sleep." - ANSWER-d A nurse is conducting a community education program about cognition in older adults. Which of the following information should be included? a. Some form of mild dementia is a normal part of aging. b. All forms of dementia have the same symptoms, but progress at different rates. c. Assessment for dementia should be part of routine physical exams. d. Elders who score below 27 points on the Mini-Mental State Exam (MMSE) are not likely to have a cognition problem. - ANSWER-c A nurse has recently accepted the position of unit nurse manager on a long-term care unit. Which of the following directives should the nurse give to the staff nurses? a. Encourage residents to participate in unit activities such as Scrabble™ and bingo. b. Demonstrate the caring aspect of nursing by dressing residents before breakfast. CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM NR222 MAIN EXAM QUESTIONS AND VERIFIED ANSWERS c. Fill in "missing words" during conversation with the residents to avoid embarrassment. d. Instruct the aides to get residents ready for breakfast as quickly as possible to make sure they are ready to eat. - ANSWER-a A nurse is assisting with development of menu items at a long-term care facility. Which of the following menus would the nurse most likely recommend? a. One egg over easy, one slice of whole wheat toast with sugar-free jam, 4 oz orange juice b. 5-oz cheeseburger cooked medium well with lettuce and tomato, 10 baked potato chips, and 1 cup of decaf coffee with low-fat milk and artificial sweetener c. Chef salad with 2 oz each ham and turkey, lettuce, tomato, bean sprouts, onion, green pepper with low-fat dressing, and one small roll with low-fat spread d. Turkey bacon, lettuce, and tomato sandwich on whole wheat bread with two teaspoons of low-fat mayonnaise, 10 vegetable chips, and ice tea with artificial sweetener - ANSWER-d Which of the following individuals would be at greatest risk of injury? a. 80-year-old who does not have air conditioning or a fan b. 70-year-old who has new dentures c. 68-year-old who has difficulty tasting salt in food CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM NR222 MAIN EXAM QUESTIONS AND VERIFIED ANSWERS d. 84-year-old who needs hearing aids - ANSWER-a According to Erikson's theory of development, which of the following older adults has successfully navigated the stage of ego integrity versus despair? a. 72-year-old man who is reluctant to retire because "work is everything to me" b. 78-year-old woman who has scheduled her third face lift c. 80-year-old man who has informed his children that he has made his funeral arrangements d. 67-year-old woman who is depressed because she has not been promoted at work for the past 10 years - ANSWER-c A couple in their sixties has assumed responsibility for raising their two grandchildren ages 9 and 12 because the children's parents died in a car accident. Which of the following are priority nursing interventions that the nurse can implement to help the grandparents cope with the responsibility of raising their grandchildren? a. Connecting them with the "Grandparents Raising Grandchildren" support group b. Encouraging them by reinforcing how they successfully raised their own children c. Volunteering to provide respite time for them as needed CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM CLASSROOM NR222 MAIN EXAM QUESTIONS AND VERIFIED ANSWERS d. Assuring them that their stress level will lessen as they gain confidence - ANSWER-a A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements would most likely be made by the nurse? a. "The desire for sexual intimacy declines rapidly with age." b. "Older adults are very well-informed about sexuality." c. "Older adults need to practice safe sex." d. "The danger of contracting STDs during sexual intimacy is extremely low in older adults." - ANSWER-c

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CLASSROOM CLASSROOM CLASSROOM

NR222 MAIN EXAM QUESTIONS AND
VERIFIED ANSWERS
A nurse is planning to write a grant for a health promotion project in
the community. Which of considerations should the nurse make when
determining the appropriate population for this project?
a. The fastest growing population is children under the age of 12.
b. The fastest growing population is young Black American adults.
c. The fastest growing population is White middle-age adults.
d. The fastest growing population is non-White older adults age 65 and
older. - ANSWER-d


Which of the following statements made by a client best identifies
someone who would benefit from health promotion interventions?
a. "I have a new grandchild and want to be part of her life."
b. "My mother lived until she was 90, so a long life is in my genes."
c. "Some chronic illness is just a part of aging."
d. "I hope I'll live a lot longer, but one never knows." - ANSWER-a


Which of the following statements concerning nutrition and older
adults is true?
a. Older adults who live in their own homes are more likely to be
malnourished than older adults living in a nursing home.
b. Older adults lose their desire for high-fat, salty foods.
c. Meals served in long-term care institutions are usually more well-
balanced than foods eaten by older adults living at home.


CLASSROOM CLASSROOM CLASSROOM

,CLASSROOM CLASSROOM CLASSROOM

NR222 MAIN EXAM QUESTIONS AND
VERIFIED ANSWERS
d. Many older adults are not aware of food assistance programs. -
ANSWER-d


Which of the following statements concerning urinary incontinence is
correct?
a. Urge incontinence occurs when one has the urge to void but is
unable.
b. Stress incontinence is associated with emotional turmoil.
c. Functional incontinence occurs is associated with environmental
barriers.
d. Incontinence with high post-void residual occurs when someone
laughs or sneezes. - ANSWER-c


Which of the following nursing diagnoses is a priority related to the
problem of urinary incontinence?
a. Risk for social isolation
b. Risk for impaired skin integrity
c. Risk for inadequate fluid intake
d. Risk for impaired coping - ANSWER-b


A 75-year-old man tells the nurse that he has difficulty staying asleep
during the night. Which of the following responses should be made by
the nurse?



CLASSROOM CLASSROOM CLASSROOM

,CLASSROOM CLASSROOM CLASSROOM

NR222 MAIN EXAM QUESTIONS AND
VERIFIED ANSWERS
a. "Older adults need as much sleep as middle-age and younger adults.
Let's talk about your sleep patterns."
b. "I'll ask the nurse practitioner to prescribe a sleeping pill for you."
c. "Taking naps during the day can help relieve excessive fatigue and will
help you sleep better."
d. "Let's talk about your sleep schedule and things that may prevent you
from getting a restful night's sleep." - ANSWER-d


A nurse is conducting a community education program about cognition
in older adults. Which of the following information should be included?
a. Some form of mild dementia is a normal part of aging.
b. All forms of dementia have the same symptoms, but progress at
different rates.
c. Assessment for dementia should be part of routine physical exams.
d. Elders who score below 27 points on the Mini-Mental State Exam
(MMSE) are not likely to have a cognition problem. - ANSWER-c


A nurse has recently accepted the position of unit nurse manager on a
long-term care unit. Which of the following directives should the nurse
give to the staff nurses?
a. Encourage residents to participate in unit activities such as Scrabble™
and bingo.
b. Demonstrate the caring aspect of nursing by dressing residents
before breakfast.


CLASSROOM CLASSROOM CLASSROOM

, CLASSROOM CLASSROOM CLASSROOM

NR222 MAIN EXAM QUESTIONS AND
VERIFIED ANSWERS
c. Fill in "missing words" during conversation with the residents to avoid
embarrassment.
d. Instruct the aides to get residents ready for breakfast as quickly as
possible to make sure they are ready to eat. - ANSWER-a


A nurse is assisting with development of menu items at a long-term
care facility. Which of the following menus would the nurse most likely
recommend?
a. One egg over easy, one slice of whole wheat toast with sugar-free
jam, 4 oz orange juice
b. 5-oz cheeseburger cooked medium well with lettuce and tomato, 10
baked potato chips, and 1 cup of decaf coffee with low-fat milk and
artificial sweetener
c. Chef salad with 2 oz each ham and turkey, lettuce, tomato, bean
sprouts, onion, green pepper with low-fat dressing, and one small roll
with low-fat spread
d. Turkey bacon, lettuce, and tomato sandwich on whole wheat bread
with two teaspoons of low-fat mayonnaise, 10 vegetable chips, and ice
tea with artificial sweetener - ANSWER-d


Which of the following individuals would be at greatest risk of injury?
a. 80-year-old who does not have air conditioning or a fan
b. 70-year-old who has new dentures
c. 68-year-old who has difficulty tasting salt in food



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