NUR 169 CHP 10, 32 Practice Questions With Correct Answers

NUR 169 CHP 10, 32 Pr acti ce Q uestions With Correct An swers 1. The nurse works in an extend care facility and recognizes that some residents are likely experiencing frequent loss of friends, family members, and physical capabilities. Which client does the nurse identify as likely to fall within this category? 1. A 68-year-old man who is anticipating retirement this year 2. A 71-year-old woman who volunteers with her church three times a week 3. A 77-year-old woman who lives alone in her own home 4. An 89-year-old woman who lives in an assisted living facility - ANSWER ANS: 3. A 77-year-old woman who lives alone in her own home This is correct. The "middle-old" are individuals who are aged 75 to 85 years. These are people who have often retired from working and who are experiencing the losses of spouses, family members, and friends. 2. The nurse recruiter at a large hospital researched the projected need for nurses by the year 2020. Which finding best supports the nurse recruiter's need to recruit and retain more nurses? 1. The birth rates are likely to continue to drop due to the aging of society. 2. Eight and one-half percent of people worldwide are age 65 and older. 3. The number of centurions increases steadily due to better health care. 4. The supply of nurses will fall more than one million below the need. - ANSWER ANS: 4 The supply of nurses will fall more than one million below the need. This is correct. The number of nurses who practice is decreasing because of the increased age of nurses in general. Because greater numbers of nurses are going to be needed to care for the aging population, this finding best supports the need to recruit and retain nurses. 3. A nurse is notified that a new admission is expected to the unit. The nurse is told that the client is 101 years old and is being admitted from a nearby extended care facility. Which assumption about the client's need is appropriate? 1. The client will be blind. 2. The client's risk for falls will be high. 3. The client will be confused. 4. The client will need complete care. - ANSWER ANS: 2. The client's risk for falls will be high. This is correct. Nursing care should always be personalized and based on the needs of the individual, not on assumptions about a person based on age. Fall risk is a safety concern, so this is the most appropriate assumption to ensure safety. 4. The nurse is approached by a resident in a long-term care facility. The client is considered to be middle-old, walks with a cane, has notable facial droop, and takes a long time to formulate verbal expression. Which is the best response by the nurse? 1. Face the individual and directly ask, "What can I do for you?" 2. Loudly assess for the client's need by saying, "What do you need?" 3. Use hand motions and ask, "Are you hungry, thirsty, or in pain?" 4. Make eye contact, and say, "I'll have the aide come to your room in a minute." - ANSWER ANS: 1. Face the individual and directly ask, "What can I do for you?" This is correct. When communicating with an individual who may have had a cerebrovascular accident or is dealing with other manifestations of aging, the nurse should speak slowly, face the client, and allow plenty of time for the client to respond. 5. The nurse is offering support to a family member who is caring for a client diagnosed with Alzheimer disease. Which comment by the family member does the nurse recognize as a possible contributor for client abuse? 1. "It is just a turnabout. First she cared for me, and now I care for her." 2. "What makes me crazy is the wandering at night. I try to keep her safe." 3. "Poor mother, she doesn't know who we are and can't even talk to us." 4. "I feel like I am caring for a stranger; I don't relate to this person at all." - ANSWER ANS: "I feel like I am caring for a stranger; I don't relate to this person at all." This is correct. Caring for a client with Alzheimer disease is very stressful for the caregiver. When the client loses personality characteristics and is unable to identify family members, the caregiver may also lose emotional attachment with the client. This is the statement that the nurse can identify as a possible indicator for client abuse.