C HAPTER 14. O LDER A DULTS
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Which of the following nursing questions is best directed towards the
assessment of a normal finding regarding physiological changes in an
older-adult client?
A. Any difficult y driving at night?
B. Are you experiencing any loss of libido?
C. Do you see yourself as becoming forgetful
D. Have you had your cholesterol tested lately?
ANS: A
A common physiological change in the older -adult client is an
increased sensitivit y to glare, which makes night driving difficult.
Decreased sexual drive is not a normal physiological change of aging.
Memory loss is not a normal physiological change of aging.
Hyperlipidemia is not a normal physiological change of aging, nor
should it be monitored onl y by the older adult.
DIF: C REF: 198 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
promotion and Maintenance/Aging Process; Physiological
Integrit y/S ystem Specific Assessmen t
,2. Which of the following responses by an older -adult client is most
reflective of a need for further education by the nurse regarding the
physiological changes associated with the older adult?
A. I call a cab if I want to go out after dark.
B. I cant help worrying about becoming forgetful.
C. I have m y eyes checked regularl y. Cant afford to fall.
D. I reall y enjoy eating good vanilla ice cream, but I have cut way
down.
ANS: B
Although some forgetfulness is accepted, memory loss is not a normal
physiological change o f aging. This expressed fear requires further
education by the nurse so as to help eliminate the clients concerns. A
common physiological change in the older -adult client is an increased
sensitivit y to glare, which makes night driving difficult. A common
physiological change in the older -adult client is an alteration in visual
acuit y, which would require regular vision check -ups. Hyperlipidemia
is a concern regarding cardiac health and should be considered by the
older adult.
DIF: C REF: 201 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan designation: Health
promotion and Maintenance/Aging Process; Physiological
Integrit y/S ystem Specific Assessment
3. Which of the following statements made by a famil y member of a client
recentl y diagnose d with Alzheimers disease is most reflective of an
understanding of this disease process?
A. Dad has always been a fighter; hell fight this too. He wont give up.
, B. We have an appointment with his care provider to see about
medication therapy.
C. Good thing we found out about this earl y so steps can be taken to
keep it from getting worse.
D. It usuall y progresses graduall y so we are hoping it will be a while
before his memory is gone.
ANS: B
Medications can slow the process of Alzheimers disease considerabl y
when prescribed appropriatel y. There is no cure for Alzheimers
disease. This option suggests that the famil y member still clings to the
hope that there is a cure. Alzheimers disease usuall y progresses
graduall y with a deterioration in function, but medications can be
given to slow the progression of symptoms, not halt them. Although
Alzheimers disease usuall y progresses graduall y with a deterioration in
function with some clients living years after the diagnosis of
Alzheimers disease, this option does not reflect t he best understanding
because no mention of management is made.
DIF: C REF: 202 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan designation: Physiological
Adaptation/Alteration in Body S ystems; Psychosocial
Integrit y/Sensory Percepti on Alterations
4. The nurse is planning client education for an older adult being prepared
for discharge home after hospitalization for a cardiac problem. Which
nursing action addresses the most commonl y determined need for this age -
group?
A. Suggest that he pu rchase an emergency in -home alert system.
B. Arrange for the client to receive meals delivered to his home dail y.
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Which of the following nursing questions is best directed towards the
assessment of a normal finding regarding physiological changes in an
older-adult client?
A. Any difficult y driving at night?
B. Are you experiencing any loss of libido?
C. Do you see yourself as becoming forgetful
D. Have you had your cholesterol tested lately?
ANS: A
A common physiological change in the older -adult client is an
increased sensitivit y to glare, which makes night driving difficult.
Decreased sexual drive is not a normal physiological change of aging.
Memory loss is not a normal physiological change of aging.
Hyperlipidemia is not a normal physiological change of aging, nor
should it be monitored onl y by the older adult.
DIF: C REF: 198 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
promotion and Maintenance/Aging Process; Physiological
Integrit y/S ystem Specific Assessmen t
,2. Which of the following responses by an older -adult client is most
reflective of a need for further education by the nurse regarding the
physiological changes associated with the older adult?
A. I call a cab if I want to go out after dark.
B. I cant help worrying about becoming forgetful.
C. I have m y eyes checked regularl y. Cant afford to fall.
D. I reall y enjoy eating good vanilla ice cream, but I have cut way
down.
ANS: B
Although some forgetfulness is accepted, memory loss is not a normal
physiological change o f aging. This expressed fear requires further
education by the nurse so as to help eliminate the clients concerns. A
common physiological change in the older -adult client is an increased
sensitivit y to glare, which makes night driving difficult. A common
physiological change in the older -adult client is an alteration in visual
acuit y, which would require regular vision check -ups. Hyperlipidemia
is a concern regarding cardiac health and should be considered by the
older adult.
DIF: C REF: 201 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan designation: Health
promotion and Maintenance/Aging Process; Physiological
Integrit y/S ystem Specific Assessment
3. Which of the following statements made by a famil y member of a client
recentl y diagnose d with Alzheimers disease is most reflective of an
understanding of this disease process?
A. Dad has always been a fighter; hell fight this too. He wont give up.
, B. We have an appointment with his care provider to see about
medication therapy.
C. Good thing we found out about this earl y so steps can be taken to
keep it from getting worse.
D. It usuall y progresses graduall y so we are hoping it will be a while
before his memory is gone.
ANS: B
Medications can slow the process of Alzheimers disease considerabl y
when prescribed appropriatel y. There is no cure for Alzheimers
disease. This option suggests that the famil y member still clings to the
hope that there is a cure. Alzheimers disease usuall y progresses
graduall y with a deterioration in function, but medications can be
given to slow the progression of symptoms, not halt them. Although
Alzheimers disease usuall y progresses graduall y with a deterioration in
function with some clients living years after the diagnosis of
Alzheimers disease, this option does not reflect t he best understanding
because no mention of management is made.
DIF: C REF: 202 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan designation: Physiological
Adaptation/Alteration in Body S ystems; Psychosocial
Integrit y/Sensory Percepti on Alterations
4. The nurse is planning client education for an older adult being prepared
for discharge home after hospitalization for a cardiac problem. Which
nursing action addresses the most commonl y determined need for this age -
group?
A. Suggest that he pu rchase an emergency in -home alert system.
B. Arrange for the client to receive meals delivered to his home dail y.
