HEALTH PROMOTION AND CARE OF
THE OLDER ADULT CH 33: EXAM
QUESTIONS WITH COMPLETE
ANSWERS
1. When discussing aging, the nurse clarifies that the term older adulthood applies to
those who are older than:
a. 55.
b. 65.
c. 70.
d. 75. - Answer-ANS: B
Older adulthood begins at about age 65.
REF: Page 1082 TOP: Aging
2. When the nurse discusses prevention of cardiac disease, falls, and depression with a
group of older adults, it is important to stress the benefits of:
a. nutrition.
b. medications.
c. exercise.
d. sleep. - Answer-ANS: C
Primary prevention stresses exercise for the prevention of cardiac disease, falls, and
depression.
REF: Page 1084 TOP: Health promotion
3. The first major legislation to provide financial security for older adults was the Social
Security Act passed in:
a. 1930.
b. 1935.
c. 1940.
d. 1945. - Answer-ANS: B
The first major legislation to provide financial security for older adults was the Social
Security Act of 1935.
REF: Page 1086 TOP: Legislation
4. When assessing the skin of an older adult patient who is complaining of pruritus, the
nurse advises the patient that to reduce further drying of her skin, she should avoid
using:
a. perfumed soap.
b. hard-milled soap.
, c. antibacterial soap.
d. antiseptic soap. - Answer-ANS: C
Antibacterial soap is very drying.
REF: Page 1089 TOP: Integumentary alterations
5. Because thin skin and lack of subcutaneous fat predisposes the older adult to
pressure ulcers, the nurse alters the care plan to include turning the bedfast patient
every:
a. shift.
b. 4 hours.
c. evening.
d. 2 hours. - Answer-ANS: D
Pressure ulcers can be avoided by repositioning every 2 hours.
REF: Page 1089
TOP: Integumentary alterations Step: Planning
6. At mealtime, the older adult seems to be eating less food than adequate. The nurse
recognizes that the older adult compared to the younger adult requires:
a. more fluids.
b. less calcium.
c. fewer calories.
d. more vitamins. - Answer-ANS: C
The older adult requires 30 calories per kilogram of body weight, whereas the younger
adult requires 40 calories.
REF: Page 1090
TOP: Gastrointestinal alterations
7. The older patient informs the nurse that food has no taste and therefore she has no
appetite. The nurse recognizes this is most likely caused by:
a. tasteless food.
b. overuse of salt.
c. lack of variety.
d. loss of taste buds. - Answer-ANS: D
Older adults may experience a loss of appetite. Change in taste as a result of
decreased saliva production and decreased number of taste buds may make food
unappealing.
REF: Page 1092
TOP: Gastrointestinal alterations
8. When the nurse attempts to assist an older adult who is having difficulty swallowing,
the nurse suggests a position in which the chin is held:
a. parallel.
THE OLDER ADULT CH 33: EXAM
QUESTIONS WITH COMPLETE
ANSWERS
1. When discussing aging, the nurse clarifies that the term older adulthood applies to
those who are older than:
a. 55.
b. 65.
c. 70.
d. 75. - Answer-ANS: B
Older adulthood begins at about age 65.
REF: Page 1082 TOP: Aging
2. When the nurse discusses prevention of cardiac disease, falls, and depression with a
group of older adults, it is important to stress the benefits of:
a. nutrition.
b. medications.
c. exercise.
d. sleep. - Answer-ANS: C
Primary prevention stresses exercise for the prevention of cardiac disease, falls, and
depression.
REF: Page 1084 TOP: Health promotion
3. The first major legislation to provide financial security for older adults was the Social
Security Act passed in:
a. 1930.
b. 1935.
c. 1940.
d. 1945. - Answer-ANS: B
The first major legislation to provide financial security for older adults was the Social
Security Act of 1935.
REF: Page 1086 TOP: Legislation
4. When assessing the skin of an older adult patient who is complaining of pruritus, the
nurse advises the patient that to reduce further drying of her skin, she should avoid
using:
a. perfumed soap.
b. hard-milled soap.
, c. antibacterial soap.
d. antiseptic soap. - Answer-ANS: C
Antibacterial soap is very drying.
REF: Page 1089 TOP: Integumentary alterations
5. Because thin skin and lack of subcutaneous fat predisposes the older adult to
pressure ulcers, the nurse alters the care plan to include turning the bedfast patient
every:
a. shift.
b. 4 hours.
c. evening.
d. 2 hours. - Answer-ANS: D
Pressure ulcers can be avoided by repositioning every 2 hours.
REF: Page 1089
TOP: Integumentary alterations Step: Planning
6. At mealtime, the older adult seems to be eating less food than adequate. The nurse
recognizes that the older adult compared to the younger adult requires:
a. more fluids.
b. less calcium.
c. fewer calories.
d. more vitamins. - Answer-ANS: C
The older adult requires 30 calories per kilogram of body weight, whereas the younger
adult requires 40 calories.
REF: Page 1090
TOP: Gastrointestinal alterations
7. The older patient informs the nurse that food has no taste and therefore she has no
appetite. The nurse recognizes this is most likely caused by:
a. tasteless food.
b. overuse of salt.
c. lack of variety.
d. loss of taste buds. - Answer-ANS: D
Older adults may experience a loss of appetite. Change in taste as a result of
decreased saliva production and decreased number of taste buds may make food
unappealing.
REF: Page 1092
TOP: Gastrointestinal alterations
8. When the nurse attempts to assist an older adult who is having difficulty swallowing,
the nurse suggests a position in which the chin is held:
a. parallel.
