CHAPTER 8: MANAGEMENT OF
THE OLDER ADULT PATIENT
EXAM WITH COMPLETE
SOLUTIONS
The nurse is providing care for an 82-year-old client whose signs and symptoms of
Parkinson disease have worsened over the past several months. The client reports no
longer being able to do as many things as in the past. Based on this statement, what
issue is of most concern to the client?
A. Neurologic deficits
B. Loss of independence
C. Age-related changes
D. Tremors and decreased mobility -ANSB
Which age-related physiologic change contributes to heart disease being the leading
cause of death in older adults?
A. Heart muscle and arteries lose their elasticity.
B. Systolic blood pressure decreases.
C. Resting heart rate decreases with age.
D. Atrial-septal defects develop with age. -ANSA
An occupational health nurse overhears an employee talking to a manager about a 65-
year-old coworker. Which phenomenon should the nurse identify when hearing the
employee state to the coworker, "You should just retire and make way for some new
blood"?
A. Intolerance
B. Ageism
C. Dependence
D. Nonspecific prejudice -ANSB
An 80-year-old client is being admitted for dehydration and syncope. The client is found
to be hypotensive, and intravenous fluids are ordered. What are some teaching
strategies that the nurse should review with this client?
A. Before ambulation the client should rise slowly and take mini breaks between lying,
sitting, and standing.
B. Increase consumption of meals to three times a day, with the largest meal being at
breakfast.
C. The client must use a rolling walker and call for assistance with any change in
position.
, D. The temperature in the room should stay very hot, and bathing in hot water is
appropriate. -ANSA
A 76-year-old client is in the emergency department with reports of nausea, dyspnea,
and shoulder pain. The spouse stated the client woke up confused, slightly unsteady,
and pale. Which problem or condition is most likely occurring?
A. Myocardial ischemia
B. Urinary tract infection (UTI)
C. Lung cancer
D. Chronic obstructive pulmonary disease (COPD) -ANSA
A 65-year-old client has come to the clinic for a yearly physical. The client reports
enjoying good health, but also reports having occasional episodes of constipation over
the past 6 months. What intervention should the nurse first suggest?
A. Reduce the amount of stress the client currently experiences.
B. Increase carbohydrate intake and reduce protein intake.
C. Take herbal laxatives, such as senna, each night at bedtime.
D. Increase daily intake of water. -ANSD
An 80-year-old client has been admitted to the hospital for hypertension and now
requires oxygen. The client asks the nurse why oxygen is needed because they have
never smoked and feel fine. The client requires oxygen in the hospital because of which
respiratory changes or requirements?
A. As a therapeutic measure to encourage coughing and deep breathing
B. Diminished respiratory efficiency and declining aerobic capacity
C. To increase inspiratory and expiratory force of lungs
D. Lung mass increases and residual volume decreases -ANSB
The nurse is providing education to a client with early-stage Alzheimer disease (AD)
and the family members. The client has been prescribed donepezil hydrochloride. What
should the nurse explain to the client and family about this drug?
A. It slows the progression of AD.
B. It cures AD in a small minority of clients.
C. It removes the client's insight that they have AD.
D. It eliminates the physical effects of AD and other dementias. -ANSA
A nurse is caring for an 81-year-old client who has become increasingly frail and
unsteady when standing. During the assessment, the client reports having fallen three
times in the month, though the client did not suffer any injury. The nurse should take
action in the knowledge that this client is at a high risk for which type of injury?
A. A hip fracture
B. A femoral fracture
C. Pelvic dysplasia
D. Tearing of a meniscus or bursa -ANSA
THE OLDER ADULT PATIENT
EXAM WITH COMPLETE
SOLUTIONS
The nurse is providing care for an 82-year-old client whose signs and symptoms of
Parkinson disease have worsened over the past several months. The client reports no
longer being able to do as many things as in the past. Based on this statement, what
issue is of most concern to the client?
A. Neurologic deficits
B. Loss of independence
C. Age-related changes
D. Tremors and decreased mobility -ANSB
Which age-related physiologic change contributes to heart disease being the leading
cause of death in older adults?
A. Heart muscle and arteries lose their elasticity.
B. Systolic blood pressure decreases.
C. Resting heart rate decreases with age.
D. Atrial-septal defects develop with age. -ANSA
An occupational health nurse overhears an employee talking to a manager about a 65-
year-old coworker. Which phenomenon should the nurse identify when hearing the
employee state to the coworker, "You should just retire and make way for some new
blood"?
A. Intolerance
B. Ageism
C. Dependence
D. Nonspecific prejudice -ANSB
An 80-year-old client is being admitted for dehydration and syncope. The client is found
to be hypotensive, and intravenous fluids are ordered. What are some teaching
strategies that the nurse should review with this client?
A. Before ambulation the client should rise slowly and take mini breaks between lying,
sitting, and standing.
B. Increase consumption of meals to three times a day, with the largest meal being at
breakfast.
C. The client must use a rolling walker and call for assistance with any change in
position.
, D. The temperature in the room should stay very hot, and bathing in hot water is
appropriate. -ANSA
A 76-year-old client is in the emergency department with reports of nausea, dyspnea,
and shoulder pain. The spouse stated the client woke up confused, slightly unsteady,
and pale. Which problem or condition is most likely occurring?
A. Myocardial ischemia
B. Urinary tract infection (UTI)
C. Lung cancer
D. Chronic obstructive pulmonary disease (COPD) -ANSA
A 65-year-old client has come to the clinic for a yearly physical. The client reports
enjoying good health, but also reports having occasional episodes of constipation over
the past 6 months. What intervention should the nurse first suggest?
A. Reduce the amount of stress the client currently experiences.
B. Increase carbohydrate intake and reduce protein intake.
C. Take herbal laxatives, such as senna, each night at bedtime.
D. Increase daily intake of water. -ANSD
An 80-year-old client has been admitted to the hospital for hypertension and now
requires oxygen. The client asks the nurse why oxygen is needed because they have
never smoked and feel fine. The client requires oxygen in the hospital because of which
respiratory changes or requirements?
A. As a therapeutic measure to encourage coughing and deep breathing
B. Diminished respiratory efficiency and declining aerobic capacity
C. To increase inspiratory and expiratory force of lungs
D. Lung mass increases and residual volume decreases -ANSB
The nurse is providing education to a client with early-stage Alzheimer disease (AD)
and the family members. The client has been prescribed donepezil hydrochloride. What
should the nurse explain to the client and family about this drug?
A. It slows the progression of AD.
B. It cures AD in a small minority of clients.
C. It removes the client's insight that they have AD.
D. It eliminates the physical effects of AD and other dementias. -ANSA
A nurse is caring for an 81-year-old client who has become increasingly frail and
unsteady when standing. During the assessment, the client reports having fallen three
times in the month, though the client did not suffer any injury. The nurse should take
action in the knowledge that this client is at a high risk for which type of injury?
A. A hip fracture
B. A femoral fracture
C. Pelvic dysplasia
D. Tearing of a meniscus or bursa -ANSA
