Gero GERONTOLOGICAL NURSING
5 5 5
& HEALTHY AGING 5TH EDITION TO
5 5 5 5 5
UHY
5
is5the5result5of5a5lesion5in5the5part5of5the5brain5
adjacent5to5the5primary5auditory5cortex5(Wernicke5area).5-5correct5answersANS:
Fluent5aphasia
Fluent5aphasia5is5also5known5as5sensory,5posterior,5or5Wernicke5aphasia.5The5person5s
peaks5easily5with5many5long5runs5of5words,5but5the5content5does5not5make5sense.5He5or5
she5has5problems5finding5the5correct5word5and5often5substitutes5an5incorrect5word.5The5
speech5sounds5are5similar5to5what5is5sometimes5referred5to5as5jabberwocky,5with5unrela
ted5words5strung5together5or5syllables5repeated.
TOUHY54TH5ED5TESTBANK
5 5
is5a5motor5speech5disorder5that5affects5the5ability5to5plan5and5seque
nce5voluntary5muscle5movements.5-5correct5answersANS:
Verbal5apraxia
The5muscles5of5speech5are5not5paralyzed;5rather,5a5disruption5occurs5in5the5brains5transm
ission5of5signals5to5the5muscles.5When5thinking5about5what5to5say,5the5person5may5be5una
ble5to5speak5at5all5or5may5struggle5to5say5any5words.5In5contrast,5the5person5may5be5able5t
o5say5many5words5or5sentences5correctly5when5not5thinking5about5the5words.5Apraxia5fre
quently5occurs5with5aphasia.
TOUHY54TH5ED5TESTBANK
1. An5older5woman5has5left-
sided5paralysis5from5a5thrombus5formation5in5the5cerebral5vasculature.5Rank5the5nursing5
goals5of5this5womans5plan5of5care5in5order5of5importance,5starting5with5the5most5important5
goal.5(Select5all5that5apply.)
A. Instruct5her5to5call5for5help5before5moving.
B. Maintain5her5blood5pressure5below5120/805mm5Hg.
C. Reinforce5occupational5therapy5for5feeding.
D. Use5range-of-motion5exercises5to5prevent5contractures.5-5correct5answersANS:
,B,5A,5D,5C
Using5Maslows5Hierarchy5of5Human5Needs,5the5most5important5goal5for5this5older5woman
5is5to5control5her5blood5pressure;5hypertension5and5other5factors5contributed5to5the5develo
pment5of5the5thrombus.5Thus5to5prevent5further5intimal5damage5to5cerebral5and5other5ves
sels,5the5nurse5maintains5the5blood5pressure5at5or5below5the5limit5as5determined5by5the5he
alth5care5provider.5The5second5priority5goal5for5the5nurse5is5to5maintain5safety5by5instructi
ng5the5older5woman5to5call5for5help5when5moving,5which5will5help5prevent5accidents5and5in
juries.5The5next5goal5in5importance5is5the5prevention5of5contractures;5joint5flexibility5is5easi
er5to5maintain5than5it5is5to5restore.5In5addition,5joint5flexibility5is5important5for5adapting5to5h
er5physical5limitations5as5she5learns5to5perform5activities5of5daily5living.5The5last5goal5is5usi
ng5joint5flexibility5and5muscle5strength5to5learn5self-
feeding.5The5order5of5these5goals5is5correct;5each5goal5is5dependent5on5the5preceding5go
al5for5its5success.
TOUHY54TH5ED5TESTBANK
3.5Which5of5the5following5is(are)5assessed5in5a5fall5prevention5assessment5of5an5older5adult?
5(Select5all5that5apply.)
a.Environment
b.Physical5status
c.Financial5status
d.Functional5status
e.Medical5history
f.Occupational5history5-5correct5answersANS:5A,5B,5D,5E
The5nurse5uses5information5about5lighting,5flooring,5apparel,5and5other5issues5from5the5en
vironmental5assessment5of5an5older5adult5to5plan5individualized5fall5prevention5measures.
5The5nurse5examines5flexibility,5muscle5strength,5vital5signs,5and5other5clinical5
indicators5in
5the5physical5assessment5of5an5older5adult5to5plan5individualized5fall5prevention5measures
.5The5nurse5uses5information5about5gait,5balance,5and5ability5to5perform5activities5of5daily5li
ving5in5the5functional5status5assessment5of5an5older5adult5to5plan5individualized5fall5preven
tion5measures.5The5nurse5examines5medications,5previous5accidents5and5falls,5co-
morbid5conditions,5and5other5factors5in5the5historical5assessment5of5an5older5adult5to5plan5i
ndividualized5fall5prevention5measures.5Financial5issues5and5occupational5history5are5not5
directly5related5to5a5risk5for5falls.
TOUHY54TH5ED5TESTBANK
8. An5older5man5with5severe5knee5pain5tells5the5nurse5how5he5lost5his5job5and5his5home5af
ter5starting5a5new5business5when5he5was5485years5old.5Now5he5lives5alone5and5relies
,on5Social5Security.5Using5Jungs5theory,5what5in5this5individuals5life5is5the5most5pivotal5in5hi
s5personality5development?
a. Living5alone
b. Meager5income
c. Severe5knee5pain
d. Job5and5home5loss5-5correct5answersANS:5D
Jungs5theorizes5that5the5personality5forms,5in5part,5after5a5crisis,5as5an5individual5moves5fro
m5extroversion5to5introversion5in5aging.5Living5alone5is5a5situation5that5is5the5result5of5many5f
actors5coalescing5in5an5individuals5life.5A5meager5income5can5be5a5result5of5the5individuals5l
ife5work5and5other5individual5choices5and5events.5His5personality5can5affect5how5an5individu
al5deals5with5pain,5and5the5pain5can5affect5an5individuals5personality.
However,5whether5the5pain5is5old5or5new5is5not5known;5thus5a5determination5cannot5be5
made.
TOUHY54TH5ED5TESTBANK
9. The5nurse5plans5care5for5older5adults5who5are5in5good5health5but5isolated5from5their5f
amilies.5If5the5nurses5goal5is5to5move5the5adults5toward5gerotranscendence,5which5inter
vention5should5the5nurse5use5in5the5plan5of5care?
a. Give5a5daily5tea5party5for5the5group.
b. Call5each5family5to5encourage5visiting.
c. Assist5them5to5resume5midlife5patterns.
d. Help5each5person5with5individual5activities.5-5correct5answersANS:5D
In5Tornstams5theory,5aging5offers5the5potential5for5gerotranscendence,5a5culmination5of5an
5individuals5life,5wisdom,5and5spiritual5growth5that5allows5the5older5adult5to5live5contentedl
y5with5and5without5social5activities.5An5older5adult5spends5more5time5on5meditation5and5so
litude,5and5less5time5on5materialism5and5self-
consciousness5about5body5image.5Individual5activities5or5self-
selected5activities5are5satisfactory.5Solitude5is5satisfactory.5Midlife5patterns5are5no5longer5
relevant5to5contentment.
TOUHY54TH5ED5TESTBANK
A5case5manager5is5likely5to5have5how5many5years5of5nursing5education?
a.515to51.55
b.52
c.545to56
d.585or5more5-5correct5answersANS:5C
, A5case5manager5typically5has5a5bachelors5or5masters5degree.5This5amount5of5training5is5t
ypical5for5an5LPN,5who5typically5practices5at5a5nursing5home5or5on5a5home5nursing5staff.5Th
is5amount5of5training,5resulting5in5an5Associates5Degree5in5Nursing5(ADN),5is5typical5for5an
5associate5RN,5who5is5typically5found5on5hospital,5home,5and5nursing5home5staffs.5A5nurs
e5with585or5more5years5of5education,5as5well5as5a5doctorate,5is5typically5involved5in5researc
h5and5teaching.
TOUHY54TH5ED5TESTBANK
A5definitive5diagnosis5of5Alzheimer5disease5(AD)5can5be5made5by5detecting5or5using5whi
ch5one5of5the5following5methods?
a.Clinical5observation5of5dementia
b.Inability5to5speak5with5relevance
c.Development5of5neurofibrillary5tangles
d.Computed5axial5tomographic5(CAT)5scan5-5correct5answersANS:5C
Confirming5the5development5of5neurofibrillary5tangles5is5the5only5accurate5method5for5di
agnosing5AD.5Patients5with5AD5can5be5observed5for5dementia5and5delirium,5but5these5ind
icators5are5nonspecific5for5the5disease.5The5inability5to5speak5with5relevance5is5a5feature5
of5dementia;5if5other5causes5of5dementia5are5ruled5out,5then5it5may5be5dementia5of5the5Alz
heimer5type.5A5CAT5scan5is5the5most5useful5means5for5diagnosing5a5stroke.
TOUHY54TH5ED5TESTBANK
A5dermatologist5should5promptly5evaluate5which5one5of5the5following5skin5lesions?
a.Circumscribed,5raised5area5resembling5a5blob5of5brown5wax
b.Multicolored5raised5lesion5with5a5fuzzy5border
c.Bright5red,5glazed5area5with5satellite5lesions5around5it
d.Brown5spot5on5the5skin5with5no5raised5area5-5correct5answersANS:5B
A5multicolored5raised5lesion5with5a5fuzzy5border5must5be5promptly5evaluated;5this5lesion5is
5a5malignant5melanoma.5A5circumscribed,5raised5area5resembling5a5blob5of5brown5wax5 refl
ects5seborrheic5keratosis.5A5bright5red,5glazed5area5with5satellite5lesions5around5it5is5a5Ca
ndida5infection.5A5brown5spot5on5the5skin5with5no5raised5area5is5lentigo.
TOUHY54TH5ED5TESTBANK
A5family5is5touring5selected5nursing5homes5in5preparation5for5their5mothers5future.5Which5q
ualities5of5a5nursing5home5should5the5family5include5if5they5decide5on5a5person-
5centered5nursing5home?5(Select5all5that5apply.)
5 5 5
& HEALTHY AGING 5TH EDITION TO
5 5 5 5 5
UHY
5
is5the5result5of5a5lesion5in5the5part5of5the5brain5
adjacent5to5the5primary5auditory5cortex5(Wernicke5area).5-5correct5answersANS:
Fluent5aphasia
Fluent5aphasia5is5also5known5as5sensory,5posterior,5or5Wernicke5aphasia.5The5person5s
peaks5easily5with5many5long5runs5of5words,5but5the5content5does5not5make5sense.5He5or5
she5has5problems5finding5the5correct5word5and5often5substitutes5an5incorrect5word.5The5
speech5sounds5are5similar5to5what5is5sometimes5referred5to5as5jabberwocky,5with5unrela
ted5words5strung5together5or5syllables5repeated.
TOUHY54TH5ED5TESTBANK
5 5
is5a5motor5speech5disorder5that5affects5the5ability5to5plan5and5seque
nce5voluntary5muscle5movements.5-5correct5answersANS:
Verbal5apraxia
The5muscles5of5speech5are5not5paralyzed;5rather,5a5disruption5occurs5in5the5brains5transm
ission5of5signals5to5the5muscles.5When5thinking5about5what5to5say,5the5person5may5be5una
ble5to5speak5at5all5or5may5struggle5to5say5any5words.5In5contrast,5the5person5may5be5able5t
o5say5many5words5or5sentences5correctly5when5not5thinking5about5the5words.5Apraxia5fre
quently5occurs5with5aphasia.
TOUHY54TH5ED5TESTBANK
1. An5older5woman5has5left-
sided5paralysis5from5a5thrombus5formation5in5the5cerebral5vasculature.5Rank5the5nursing5
goals5of5this5womans5plan5of5care5in5order5of5importance,5starting5with5the5most5important5
goal.5(Select5all5that5apply.)
A. Instruct5her5to5call5for5help5before5moving.
B. Maintain5her5blood5pressure5below5120/805mm5Hg.
C. Reinforce5occupational5therapy5for5feeding.
D. Use5range-of-motion5exercises5to5prevent5contractures.5-5correct5answersANS:
,B,5A,5D,5C
Using5Maslows5Hierarchy5of5Human5Needs,5the5most5important5goal5for5this5older5woman
5is5to5control5her5blood5pressure;5hypertension5and5other5factors5contributed5to5the5develo
pment5of5the5thrombus.5Thus5to5prevent5further5intimal5damage5to5cerebral5and5other5ves
sels,5the5nurse5maintains5the5blood5pressure5at5or5below5the5limit5as5determined5by5the5he
alth5care5provider.5The5second5priority5goal5for5the5nurse5is5to5maintain5safety5by5instructi
ng5the5older5woman5to5call5for5help5when5moving,5which5will5help5prevent5accidents5and5in
juries.5The5next5goal5in5importance5is5the5prevention5of5contractures;5joint5flexibility5is5easi
er5to5maintain5than5it5is5to5restore.5In5addition,5joint5flexibility5is5important5for5adapting5to5h
er5physical5limitations5as5she5learns5to5perform5activities5of5daily5living.5The5last5goal5is5usi
ng5joint5flexibility5and5muscle5strength5to5learn5self-
feeding.5The5order5of5these5goals5is5correct;5each5goal5is5dependent5on5the5preceding5go
al5for5its5success.
TOUHY54TH5ED5TESTBANK
3.5Which5of5the5following5is(are)5assessed5in5a5fall5prevention5assessment5of5an5older5adult?
5(Select5all5that5apply.)
a.Environment
b.Physical5status
c.Financial5status
d.Functional5status
e.Medical5history
f.Occupational5history5-5correct5answersANS:5A,5B,5D,5E
The5nurse5uses5information5about5lighting,5flooring,5apparel,5and5other5issues5from5the5en
vironmental5assessment5of5an5older5adult5to5plan5individualized5fall5prevention5measures.
5The5nurse5examines5flexibility,5muscle5strength,5vital5signs,5and5other5clinical5
indicators5in
5the5physical5assessment5of5an5older5adult5to5plan5individualized5fall5prevention5measures
.5The5nurse5uses5information5about5gait,5balance,5and5ability5to5perform5activities5of5daily5li
ving5in5the5functional5status5assessment5of5an5older5adult5to5plan5individualized5fall5preven
tion5measures.5The5nurse5examines5medications,5previous5accidents5and5falls,5co-
morbid5conditions,5and5other5factors5in5the5historical5assessment5of5an5older5adult5to5plan5i
ndividualized5fall5prevention5measures.5Financial5issues5and5occupational5history5are5not5
directly5related5to5a5risk5for5falls.
TOUHY54TH5ED5TESTBANK
8. An5older5man5with5severe5knee5pain5tells5the5nurse5how5he5lost5his5job5and5his5home5af
ter5starting5a5new5business5when5he5was5485years5old.5Now5he5lives5alone5and5relies
,on5Social5Security.5Using5Jungs5theory,5what5in5this5individuals5life5is5the5most5pivotal5in5hi
s5personality5development?
a. Living5alone
b. Meager5income
c. Severe5knee5pain
d. Job5and5home5loss5-5correct5answersANS:5D
Jungs5theorizes5that5the5personality5forms,5in5part,5after5a5crisis,5as5an5individual5moves5fro
m5extroversion5to5introversion5in5aging.5Living5alone5is5a5situation5that5is5the5result5of5many5f
actors5coalescing5in5an5individuals5life.5A5meager5income5can5be5a5result5of5the5individuals5l
ife5work5and5other5individual5choices5and5events.5His5personality5can5affect5how5an5individu
al5deals5with5pain,5and5the5pain5can5affect5an5individuals5personality.
However,5whether5the5pain5is5old5or5new5is5not5known;5thus5a5determination5cannot5be5
made.
TOUHY54TH5ED5TESTBANK
9. The5nurse5plans5care5for5older5adults5who5are5in5good5health5but5isolated5from5their5f
amilies.5If5the5nurses5goal5is5to5move5the5adults5toward5gerotranscendence,5which5inter
vention5should5the5nurse5use5in5the5plan5of5care?
a. Give5a5daily5tea5party5for5the5group.
b. Call5each5family5to5encourage5visiting.
c. Assist5them5to5resume5midlife5patterns.
d. Help5each5person5with5individual5activities.5-5correct5answersANS:5D
In5Tornstams5theory,5aging5offers5the5potential5for5gerotranscendence,5a5culmination5of5an
5individuals5life,5wisdom,5and5spiritual5growth5that5allows5the5older5adult5to5live5contentedl
y5with5and5without5social5activities.5An5older5adult5spends5more5time5on5meditation5and5so
litude,5and5less5time5on5materialism5and5self-
consciousness5about5body5image.5Individual5activities5or5self-
selected5activities5are5satisfactory.5Solitude5is5satisfactory.5Midlife5patterns5are5no5longer5
relevant5to5contentment.
TOUHY54TH5ED5TESTBANK
A5case5manager5is5likely5to5have5how5many5years5of5nursing5education?
a.515to51.55
b.52
c.545to56
d.585or5more5-5correct5answersANS:5C
, A5case5manager5typically5has5a5bachelors5or5masters5degree.5This5amount5of5training5is5t
ypical5for5an5LPN,5who5typically5practices5at5a5nursing5home5or5on5a5home5nursing5staff.5Th
is5amount5of5training,5resulting5in5an5Associates5Degree5in5Nursing5(ADN),5is5typical5for5an
5associate5RN,5who5is5typically5found5on5hospital,5home,5and5nursing5home5staffs.5A5nurs
e5with585or5more5years5of5education,5as5well5as5a5doctorate,5is5typically5involved5in5researc
h5and5teaching.
TOUHY54TH5ED5TESTBANK
A5definitive5diagnosis5of5Alzheimer5disease5(AD)5can5be5made5by5detecting5or5using5whi
ch5one5of5the5following5methods?
a.Clinical5observation5of5dementia
b.Inability5to5speak5with5relevance
c.Development5of5neurofibrillary5tangles
d.Computed5axial5tomographic5(CAT)5scan5-5correct5answersANS:5C
Confirming5the5development5of5neurofibrillary5tangles5is5the5only5accurate5method5for5di
agnosing5AD.5Patients5with5AD5can5be5observed5for5dementia5and5delirium,5but5these5ind
icators5are5nonspecific5for5the5disease.5The5inability5to5speak5with5relevance5is5a5feature5
of5dementia;5if5other5causes5of5dementia5are5ruled5out,5then5it5may5be5dementia5of5the5Alz
heimer5type.5A5CAT5scan5is5the5most5useful5means5for5diagnosing5a5stroke.
TOUHY54TH5ED5TESTBANK
A5dermatologist5should5promptly5evaluate5which5one5of5the5following5skin5lesions?
a.Circumscribed,5raised5area5resembling5a5blob5of5brown5wax
b.Multicolored5raised5lesion5with5a5fuzzy5border
c.Bright5red,5glazed5area5with5satellite5lesions5around5it
d.Brown5spot5on5the5skin5with5no5raised5area5-5correct5answersANS:5B
A5multicolored5raised5lesion5with5a5fuzzy5border5must5be5promptly5evaluated;5this5lesion5is
5a5malignant5melanoma.5A5circumscribed,5raised5area5resembling5a5blob5of5brown5wax5 refl
ects5seborrheic5keratosis.5A5bright5red,5glazed5area5with5satellite5lesions5around5it5is5a5Ca
ndida5infection.5A5brown5spot5on5the5skin5with5no5raised5area5is5lentigo.
TOUHY54TH5ED5TESTBANK
A5family5is5touring5selected5nursing5homes5in5preparation5for5their5mothers5future.5Which5q
ualities5of5a5nursing5home5should5the5family5include5if5they5decide5on5a5person-
5centered5nursing5home?5(Select5all5that5apply.)
