HEALTHY AGING 10TH EDITION 2025
VERSION
_____________________________________________________
A nurse is planning an educational session on osteoporosis to be given at a senior center.
Which of the following should be discussed as preventive measures for osteoporosis?
Following a diet with adequate amounts of calcium and vitamin D
A nurse is interviewing an older woman who is a new patient in an outpatient medical
clinic. Which of the following findings by the nurse is considered a risk factor for
osteoporosis?
Woman with estrogen deficiency
A nurse plans for the discharge of a 75-year-old patient who has the diagnosis of
osteoporosis. Which of these actions would the nurse consider first?
Remove clutter from the floors of the home.
Kyphosis in the older adult can be a result of which of the following?
Osteoporosis
An older adult is admitted to the hospital after a serious fall. When noting that the client has
been prescribed meperidine (Demerol) for muscle pain, the nurse:
calls the physician to question the appropriateness of this medication order.
Compared with acute pain, persistent pain requires the nurse to:
educate the client to the benefit of specific lifestyle changes.
The initial step to effect the safe management of mild to moderate acute pain that has not
been controlled with over-the-counter medications is to:
supplement with nonpharmacological interventions
An older adult is being treated for a severe pain from a history of osteoarthritis. In her discharge
teaching, which information is most important to relay for the successful
management of the pain?
Take the analgesic around-the-clock as prescribed
An older client with a history of hypertension and osteoarthritis who has recently fallen and
fractured two ribs is prescribed extra strength Tylenol for the pain. What statement by the
client requires further evaluation by the nurse?
Two extra strength Tylenol tablets (500 mg/tablet) every 4 hours
around-the-clock and my pain is gone.
,An older adult with gastric cancer with bone metastases is being discharged from the
hospital after beginning a regimen of opioid analgesics to control the metastatic pain. What
should be included in the discharge teaching plan?
The development of a plan to prevent constipation
An older adult with rheumatoid arthritis is taking ibuprofen (Advil) daily. What instructions
are most important for the nurse to provide to assure the expected outcomes for this client?
Consider the use of other OTC NSAIDS such as Naprosyn to reduce the risk of GI
toxicity.
When educating a client on the use of an adjuvant medication, which statement best
demonstrates the nurse's understanding of this therapy?
"These drugs are intended for another purpose but have been found to be effective
to treat pain.
An older client who was recently admitted to the subacute setting after having a knee
replacement is very anxious and refuses to get out of bed, stating that it is too painful.
Which intervention will the nurse implement?
Offer pain medication, administer the medication, and wait 20 minutes before
getting her out of bed
When assessing an older client for indications of depression, the nurse bases the intervention
on the knowledge that:
the older client's symptoms may be atypical for the disorder.
The nurse preparing educational information on the most common mental health disorder
among the older adult population should include:
a written depression screening tool
An older adult client has been voluntarily admitted for treatment of alcohol dependency. In
implementing care, the nurse plans which intervention based upon knowledge about alcohol
and aging?
Assessing the client for both depression and anxiety
In order to focus on the older population with the greatest risk for suicide, the nurse would
conduct a depression screening that targets:
white men
An older adult says to the nurse, "I don't know why I can't handle booze like I used to when
I was younger." The nurse's response is based on the knowledge that
older adults develop higher blood alcohol levels due to age-related changes that
alter absorption and distribution of alcohol.
, How should the nurse reply when an older adult asks, "How much alcohol is good for you?"
"Experts in the field recommend only one regular sized drink a day."
An older adult has recently experienced a number of stressful life events. The client comes
to the ambulatory clinic and tells the nurse that, "On top of all I've had to endure, now I've
got this flu!" In rendering care for this client, the nurse recognizes that
crisis and stressful situations may produce emotions that erode the health of the
older people.
An older client in an adult day care program tells the nurse, "I'm very stressed because
another neighbor passed away." The most therapeutic response by the nurse is:
"Tell me what you did when your other neighbor passed away."
A nurse who is caring for an older patient with bipolar disorder knows that the patient needs
additional education when the patient states:
"Bipolar disorder is the most commonly diagnosed psychiatric disorder in older
adults."
A nurse administers the Short Michigan Alcohol Screening Test Geriatric Version
(S-MAST-G) to an older adult. The older adult receives a score of "2." The nurse knows
that this score is indicative of
a problem with alcohol.
The nurse is caring for an older client who experienced a hip replacement surgery 10 hours
ago. Which intervention will help minimize this client's risk of developing delirium?
Requesting that staff offer fluids each time they interact with the client
Which intervention best addresses the principle that is the basis for communicating with a
client experiencing postsurgical delirium
Assuming that the client's statements are an attempt to express needs
An older client admitted to the hospital after having sustained a fall at home is diagnosed
with a right hip fracture and experienced a surgical reduction of the fracture. At 2:30 AM,
she awakens from sleep insisting that her daughter is in the other room and wants to see her.
Attempts to reorient her to the surroundings are unsuccessful. In reviewing the client's
record, what data would be considered a primary risk factor for the delirium?
History of dementia
An older client diagnosed with dementia resides with his daughter. When the homecare
nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and
cursed at her when she was attempting to feed him. She states, "I don't know why he hates
me and wants to hurt me. I try so hard to take good care of him. I love him." How will the
nurse respond to the client's daughter?
VERSION
_____________________________________________________
A nurse is planning an educational session on osteoporosis to be given at a senior center.
Which of the following should be discussed as preventive measures for osteoporosis?
Following a diet with adequate amounts of calcium and vitamin D
A nurse is interviewing an older woman who is a new patient in an outpatient medical
clinic. Which of the following findings by the nurse is considered a risk factor for
osteoporosis?
Woman with estrogen deficiency
A nurse plans for the discharge of a 75-year-old patient who has the diagnosis of
osteoporosis. Which of these actions would the nurse consider first?
Remove clutter from the floors of the home.
Kyphosis in the older adult can be a result of which of the following?
Osteoporosis
An older adult is admitted to the hospital after a serious fall. When noting that the client has
been prescribed meperidine (Demerol) for muscle pain, the nurse:
calls the physician to question the appropriateness of this medication order.
Compared with acute pain, persistent pain requires the nurse to:
educate the client to the benefit of specific lifestyle changes.
The initial step to effect the safe management of mild to moderate acute pain that has not
been controlled with over-the-counter medications is to:
supplement with nonpharmacological interventions
An older adult is being treated for a severe pain from a history of osteoarthritis. In her discharge
teaching, which information is most important to relay for the successful
management of the pain?
Take the analgesic around-the-clock as prescribed
An older client with a history of hypertension and osteoarthritis who has recently fallen and
fractured two ribs is prescribed extra strength Tylenol for the pain. What statement by the
client requires further evaluation by the nurse?
Two extra strength Tylenol tablets (500 mg/tablet) every 4 hours
around-the-clock and my pain is gone.
,An older adult with gastric cancer with bone metastases is being discharged from the
hospital after beginning a regimen of opioid analgesics to control the metastatic pain. What
should be included in the discharge teaching plan?
The development of a plan to prevent constipation
An older adult with rheumatoid arthritis is taking ibuprofen (Advil) daily. What instructions
are most important for the nurse to provide to assure the expected outcomes for this client?
Consider the use of other OTC NSAIDS such as Naprosyn to reduce the risk of GI
toxicity.
When educating a client on the use of an adjuvant medication, which statement best
demonstrates the nurse's understanding of this therapy?
"These drugs are intended for another purpose but have been found to be effective
to treat pain.
An older client who was recently admitted to the subacute setting after having a knee
replacement is very anxious and refuses to get out of bed, stating that it is too painful.
Which intervention will the nurse implement?
Offer pain medication, administer the medication, and wait 20 minutes before
getting her out of bed
When assessing an older client for indications of depression, the nurse bases the intervention
on the knowledge that:
the older client's symptoms may be atypical for the disorder.
The nurse preparing educational information on the most common mental health disorder
among the older adult population should include:
a written depression screening tool
An older adult client has been voluntarily admitted for treatment of alcohol dependency. In
implementing care, the nurse plans which intervention based upon knowledge about alcohol
and aging?
Assessing the client for both depression and anxiety
In order to focus on the older population with the greatest risk for suicide, the nurse would
conduct a depression screening that targets:
white men
An older adult says to the nurse, "I don't know why I can't handle booze like I used to when
I was younger." The nurse's response is based on the knowledge that
older adults develop higher blood alcohol levels due to age-related changes that
alter absorption and distribution of alcohol.
, How should the nurse reply when an older adult asks, "How much alcohol is good for you?"
"Experts in the field recommend only one regular sized drink a day."
An older adult has recently experienced a number of stressful life events. The client comes
to the ambulatory clinic and tells the nurse that, "On top of all I've had to endure, now I've
got this flu!" In rendering care for this client, the nurse recognizes that
crisis and stressful situations may produce emotions that erode the health of the
older people.
An older client in an adult day care program tells the nurse, "I'm very stressed because
another neighbor passed away." The most therapeutic response by the nurse is:
"Tell me what you did when your other neighbor passed away."
A nurse who is caring for an older patient with bipolar disorder knows that the patient needs
additional education when the patient states:
"Bipolar disorder is the most commonly diagnosed psychiatric disorder in older
adults."
A nurse administers the Short Michigan Alcohol Screening Test Geriatric Version
(S-MAST-G) to an older adult. The older adult receives a score of "2." The nurse knows
that this score is indicative of
a problem with alcohol.
The nurse is caring for an older client who experienced a hip replacement surgery 10 hours
ago. Which intervention will help minimize this client's risk of developing delirium?
Requesting that staff offer fluids each time they interact with the client
Which intervention best addresses the principle that is the basis for communicating with a
client experiencing postsurgical delirium
Assuming that the client's statements are an attempt to express needs
An older client admitted to the hospital after having sustained a fall at home is diagnosed
with a right hip fracture and experienced a surgical reduction of the fracture. At 2:30 AM,
she awakens from sleep insisting that her daughter is in the other room and wants to see her.
Attempts to reorient her to the surroundings are unsuccessful. In reviewing the client's
record, what data would be considered a primary risk factor for the delirium?
History of dementia
An older client diagnosed with dementia resides with his daughter. When the homecare
nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and
cursed at her when she was attempting to feed him. She states, "I don't know why he hates
me and wants to hurt me. I try so hard to take good care of him. I love him." How will the
nurse respond to the client's daughter?
