Chapter 16: Caring for the Older Adult
1. Which of the following factors contributes to sleep disturbances in older
persons?
a. Exercise
b. Regular bedtime
c. Decreased caffeine
d. Beta-blockers
CORRECT ANSWER: D
Feedback:
Older persons experience impairment of sleep. Beta -blockers contribute
to sleep disturbances.
2. Changes in T-cell function in the elderl y will result in
a. Active immunit y
b. Inadequate nutrition
c. Risk of infection
d. Onset of chronic disease
CORRECT ANSWER: C
Feedback:
Humoral immunit y declines because of changes in T -cell function, and
older adults have lower antibody response to microorganisms that
cause pneumonia and infection.
, 3. A patient has an unsteady gait related to arthritis. His daughter states he
walks better when he is at the grocery store pushi ng a cart. The nurse
should recommend
a. A total knee replacement
b. An appointment with the orthopedist
c. The patient use a wheeled walker
d. The physician review the medications
CORRECT ANSWER: C
Feedback:
Instituting appropriate interventions relies on a thorough assessment of
the persons mobilit y impairments. Interventions may include muscle
strengthening, range -of- motion exercises, gait and balance training,
and assistive devices such as canes or walkers.
4. Which of the following activities performed by an elderl y patient would
make the patients famil y suspicious of the onset of dementia?
a. The patients air conditioning is broken and he has not reported it
b. The patient is an accountant and has had three episodes of
bookkeeping errors
c. The patient has not attended church services for one month
d. The patient has become confused with medications since two new
medications were added
CORRECT ANSWER: B
Feedback:
1. Which of the following factors contributes to sleep disturbances in older
persons?
a. Exercise
b. Regular bedtime
c. Decreased caffeine
d. Beta-blockers
CORRECT ANSWER: D
Feedback:
Older persons experience impairment of sleep. Beta -blockers contribute
to sleep disturbances.
2. Changes in T-cell function in the elderl y will result in
a. Active immunit y
b. Inadequate nutrition
c. Risk of infection
d. Onset of chronic disease
CORRECT ANSWER: C
Feedback:
Humoral immunit y declines because of changes in T -cell function, and
older adults have lower antibody response to microorganisms that
cause pneumonia and infection.
, 3. A patient has an unsteady gait related to arthritis. His daughter states he
walks better when he is at the grocery store pushi ng a cart. The nurse
should recommend
a. A total knee replacement
b. An appointment with the orthopedist
c. The patient use a wheeled walker
d. The physician review the medications
CORRECT ANSWER: C
Feedback:
Instituting appropriate interventions relies on a thorough assessment of
the persons mobilit y impairments. Interventions may include muscle
strengthening, range -of- motion exercises, gait and balance training,
and assistive devices such as canes or walkers.
4. Which of the following activities performed by an elderl y patient would
make the patients famil y suspicious of the onset of dementia?
a. The patients air conditioning is broken and he has not reported it
b. The patient is an accountant and has had three episodes of
bookkeeping errors
c. The patient has not attended church services for one month
d. The patient has become confused with medications since two new
medications were added
CORRECT ANSWER: B
Feedback:
