NURSING NUR 3286 (exam)

Origin: Chapter 7- Assessment of Health and Functioning, 1 1.A nurse is responsible for assessing an older adult in an acute care setting. Which of the following statements most accurately captures the complexity involved in assessing the older adult? A) Older adults manifest fewer symptoms of illness than do younger clients. B) Signs and symptoms of illness are often obscure and less predictable among older adults. C) Care must be taken to avoid assessing normal, age-related changes. D)...

Origin: Chapter 21- Respiratory Function, 1 1.A nurse assesses an older adult's overall respiratory function. Which of the following interview questions would be most appropriate? A) "Would you be interested in finding out more about environmental smoke?" B) "Did either of your parents experience lung diseases?" C) "Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?" D) "What do you do to actively maintain your respiratory health?" A...

Origin: Chapter 8- Medications and Other Bioactive Substances, 1 1.A nurse assesses the eating habits of a 75-year-old client who takes iron supplements for iron deficiency anemia. Which of the following statements by the client indicates a need for further teaching? A) "I drink orange juice with my iron." B) "I prefer coffee to take my pills." C) "I take all my pills with a glass of warm water." D) "I take my iron in between my meals." Ans: B Feedback: Foods that change the pH...

Origin: Chapter 12- Psychosocial Function, 1 1.A 75-year-old woman who often used to go out to dinner with her friends has stopped going out because she has been experiencing urinary incontinence and is afraid of having an "accident" in public. When her child asks her why she doesn't go out with her friends anymore, she says, "I'm getting too old for such foolishness." Her child asks her to go to the doctor for an evaluation, but she refuses to do so. Which of the following is occurri...

Origin: Chapter 2- Addressing Diversity of Older Adults, 1 1.A nurse manager justifies the budget for education regarding cultural competency for the staff. Which of the following justifications will best support the need for this education? A) Life expectancies among minorities are expected to increase while those among non-Hispanic whites are expected to decrease. B) Government and health care organizations support the need for culturally competent care. C) The proportion of health care...

Origin: Chapter 24- Sleep and Rest, 1 1.A nurse presents at a conference about the concept of sleep. Which of the following statements should the nurse include in the teaching? A) "Increased sleep efficiency is considered a normal, age-related change." B) "Sleep efficiency is quite consistent across different age groups." C) "Both pathologic conditions and age-related changes influence sleep efficiency." D) "Older adults often experience increased sleep latency and decreased numbers...

Origin: Chapter 3- Applying a Nursing Model for Promoting Wellness in Older Adults, 1 1.A nurse is using the Functional Consequences Theory as a lens for planning client care in a health care facility. Which of the following is a key element of this nursing theory? A) Most problems affecting older adults may be attributed to age-related changes. B) Most functional consequences cannot be addressed through nursing interventions. C) Wellness is a concept that is broader than just physiologic f...

Origin: Chapter 26- Sexual Function, 1 1.A 65-year-old woman is speaking to her nurse at the primary care clinic. She states that it is very painful for her when she has sexual relations. She asks the nurse what she could do to alleviate the pain. Which of the following suggestions could the nurse make to the woman? A) Decrease the incidence of sexual relations. B) Use a water-soluble lubricant or estrogen cream. C) While engaging in intercourse, have your partner thrust his penis upward....

Origin: Chapter 25- Thermoregulation, 1 1.A nurse assesses an 82-year-old client who states, "That waiting room is so cold!" Which of the following systems should the nurse assess to determine the source of the clients sensations? (Select all that apply.) A) Bowel sounds B) Capillary refill time C) Oral temperature D) Respiratory rate E) Skin temperature Ans: B, C, E Feedback: The age-related changes that impact the older adult's response to cold include inefficient vasoconstricti...

Origin: Chapter 19- Urinary Function, 1 1.A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain related to urinary incontinence. Which of the following interventions is the highest priority? A) Administer diphenhydramine at bedtime. B) Assist the client to the bathroom prior to bedtime. C) Limit the fluid intake of the client to 1000 mL each day. D) Monitor bowels for diarrhea and constipation. Ans: B Feedback: Walking the client to the bathroom e...