NURSE-UN 311 AE CRITICAL THINKING TEST BANK
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE
Week 1
Care of Older Adults: Culture, Spirituality, Communication,Sexuality, Infection
Control
Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical
Nursing,10th Edition
MULTIPLE CHOICE
The nurse cares for an alert, homeless older adult patient who was admitted to
the hospital with a chronic foot infection. Which intervention is the most
appropriate for the nurse to include in the discharge plan for this patient?
a) Teach the patient how to assess and care for the foot infection.
b) Refer the patient to social services for assessment of resources.
c) Schedule the patient to return to outpatient services for foot care.
d) Give the patient written information about shelters and meal sites.
ANS: B
An interprofessional approach, including social services, is needed when caring
for homeless older adults. Even with appropriate teaching, a homeless individual
may not be able to maintain adequate foot care because of a lack of supplies or a
suitable place to accomplish care. Older homeless individuals are less likely to use
shelters or meal sites. A homeless person may fail to keep appointments for
outpatient services because of factors such as fear of institutionalization or lack of
transportation.
The home health nurse cares for an older adult patient who lives alone and
takes several different prescribed medications for chronic health problems.
Which intervention, if implemented by the nurse, would best encourage
,medication compliance?
a) Use a marked pillbox to set up the patient’s medications.
b) Discuss the option of moving to an assisted living facility.
c) Remind the patient about the importance of taking medications.
d) Visit the patient daily to administer the prescribed medications.
ANS: A
Because forgetting to take medications is a common cause of medication errors in
older adults, the use of medication reminder devices is helpful when older adults
have multiple medications to take. There is no indication that the patient needs to
move to assisted living or that the patient does not understand the importance of
medication compliance. Home health care is not designed for the patient who
needs ongoing assistance with activities of daily living or instrumental ADLs.
, The fhome fhealth fnurse fvisits fan folder fpatient fwith fmild fforgetfulness. fWhich
new finformationfis fof fmost fconcern fto fthe fnurse?
f
a) The fpatient ftells fthe fnurse fthat fa fclose ffriend frecently fdied.
b) The fpatient fhas flost f10 flb f(4.5 fkg) fduring fthe fpast fmonth.
c) The fpatient fis fcared ffor fby fa fdaughter fduring fthe fday fand fstays fwith fa fson
at fnight.
f
d) The fpatient’s fson fuses fa fmarked fpillbox fto fset fup fthe fpatient’s fmedications
weekly.
f
ANS: fB
A f10-pound fweight floss fmay fbe fan findication fof felder fneglect for fdepression
and frequires ffurtherfassessment fby fthe fnurse. fThe fuse fof fa fmarked fpillbox fand
f
planning fby fthe ffamily ffor f24-hour fcare fare fappropriate ffor fthis fpatient. fIt fis
f
not funusual fthat fan f86-yr-old fwould fhave ffriends fwho fhave fdied.
f
Which fstatement, fif fmade fby fan folder fadult fpatient, fwould fbe fof fmost fconcern
to fthe fnurse? fa.
f
“I fprefer fto fmanage fmy flife fwithout fmuch fhelp ffrom fother fpeople.”
a) “I fprefer fto fmanage fmy flife fwithout fmuch fhelp ffrom fother fpeople.”
b) “I ftake fthree fdifferent fmedications ffor fmy fheart fand fjoint fproblems.”
c) “I fdon’t fgo fon fdaily fwalks fanymore fsince fI fhad fpneumonia f3 fmonths fago.”
d) “I fset fup fmy fmedications fin fa fmarked fpillbox fso fI fdon’t fforget fto ftake
them.”
f
ANS: fC
Inactivity fand fimmobility flead frapidly fto floss fof ffunction fin folder fadults. fThe
, nurse fshould fdevelop fa fplan fto fprevent ffurther fdeconditioning fand frestore
f
function ffor fthe fpatient. fSelf- fmanagement fis fappropriate ffor findependently
f
living folder fadults. fOn faverage, fan folder fadult ftakes fseven fdifferent fmedications
f
so fthe fuse fof fthree fmedications fis fnot funusual ffor fthis fpatient.fThe fuse fof
f
f memory fdevices fto fassist fwith fsafe fmedication fadministration fis frecommended
for folder fadults.
f
The fnurse fassesses fan folder fpatient fwho ftakes fdiuretics fand fhas fa
possible furinary ftractfinfection f(UTI). fWhich faction fshould fthe fnurse ftake
f
first?
f
a) Palpate fover fthe fsuprapubic farea.
b) Inspect ffor fabdominal fdistention.
c) Question fthe fpatient fabout fhematuria.
d) Request fthe fpatient fempty fthe fbladder.
ANS: fD
Before fbeginning fthe fassessment fof fan folder fpatient fwith fa fUTI fand fon
diuretics, fthe fnurse fshould fhave fthe fpatient fempty fthe fbladder fbecause fbladder
f
fullness for fdiscomfort fwill fdistractffrom fthe fpatient’s fability fto fprovide faccurate
f
information. fThe fpatient fmay fseem fdisoriented fiffdistracted fby fpain for furgency.
f
The fphysical fassessment fdata fare fobtained fafter fthe fpatient fis fasfcomfortable fas
f
possible.
f
EXAM QUESTIONS AND ANSWERS BEST GRADED A+
LATEST UPDATE
Week 1
Care of Older Adults: Culture, Spirituality, Communication,Sexuality, Infection
Control
Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical
Nursing,10th Edition
MULTIPLE CHOICE
The nurse cares for an alert, homeless older adult patient who was admitted to
the hospital with a chronic foot infection. Which intervention is the most
appropriate for the nurse to include in the discharge plan for this patient?
a) Teach the patient how to assess and care for the foot infection.
b) Refer the patient to social services for assessment of resources.
c) Schedule the patient to return to outpatient services for foot care.
d) Give the patient written information about shelters and meal sites.
ANS: B
An interprofessional approach, including social services, is needed when caring
for homeless older adults. Even with appropriate teaching, a homeless individual
may not be able to maintain adequate foot care because of a lack of supplies or a
suitable place to accomplish care. Older homeless individuals are less likely to use
shelters or meal sites. A homeless person may fail to keep appointments for
outpatient services because of factors such as fear of institutionalization or lack of
transportation.
The home health nurse cares for an older adult patient who lives alone and
takes several different prescribed medications for chronic health problems.
Which intervention, if implemented by the nurse, would best encourage
,medication compliance?
a) Use a marked pillbox to set up the patient’s medications.
b) Discuss the option of moving to an assisted living facility.
c) Remind the patient about the importance of taking medications.
d) Visit the patient daily to administer the prescribed medications.
ANS: A
Because forgetting to take medications is a common cause of medication errors in
older adults, the use of medication reminder devices is helpful when older adults
have multiple medications to take. There is no indication that the patient needs to
move to assisted living or that the patient does not understand the importance of
medication compliance. Home health care is not designed for the patient who
needs ongoing assistance with activities of daily living or instrumental ADLs.
, The fhome fhealth fnurse fvisits fan folder fpatient fwith fmild fforgetfulness. fWhich
new finformationfis fof fmost fconcern fto fthe fnurse?
f
a) The fpatient ftells fthe fnurse fthat fa fclose ffriend frecently fdied.
b) The fpatient fhas flost f10 flb f(4.5 fkg) fduring fthe fpast fmonth.
c) The fpatient fis fcared ffor fby fa fdaughter fduring fthe fday fand fstays fwith fa fson
at fnight.
f
d) The fpatient’s fson fuses fa fmarked fpillbox fto fset fup fthe fpatient’s fmedications
weekly.
f
ANS: fB
A f10-pound fweight floss fmay fbe fan findication fof felder fneglect for fdepression
and frequires ffurtherfassessment fby fthe fnurse. fThe fuse fof fa fmarked fpillbox fand
f
planning fby fthe ffamily ffor f24-hour fcare fare fappropriate ffor fthis fpatient. fIt fis
f
not funusual fthat fan f86-yr-old fwould fhave ffriends fwho fhave fdied.
f
Which fstatement, fif fmade fby fan folder fadult fpatient, fwould fbe fof fmost fconcern
to fthe fnurse? fa.
f
“I fprefer fto fmanage fmy flife fwithout fmuch fhelp ffrom fother fpeople.”
a) “I fprefer fto fmanage fmy flife fwithout fmuch fhelp ffrom fother fpeople.”
b) “I ftake fthree fdifferent fmedications ffor fmy fheart fand fjoint fproblems.”
c) “I fdon’t fgo fon fdaily fwalks fanymore fsince fI fhad fpneumonia f3 fmonths fago.”
d) “I fset fup fmy fmedications fin fa fmarked fpillbox fso fI fdon’t fforget fto ftake
them.”
f
ANS: fC
Inactivity fand fimmobility flead frapidly fto floss fof ffunction fin folder fadults. fThe
, nurse fshould fdevelop fa fplan fto fprevent ffurther fdeconditioning fand frestore
f
function ffor fthe fpatient. fSelf- fmanagement fis fappropriate ffor findependently
f
living folder fadults. fOn faverage, fan folder fadult ftakes fseven fdifferent fmedications
f
so fthe fuse fof fthree fmedications fis fnot funusual ffor fthis fpatient.fThe fuse fof
f
f memory fdevices fto fassist fwith fsafe fmedication fadministration fis frecommended
for folder fadults.
f
The fnurse fassesses fan folder fpatient fwho ftakes fdiuretics fand fhas fa
possible furinary ftractfinfection f(UTI). fWhich faction fshould fthe fnurse ftake
f
first?
f
a) Palpate fover fthe fsuprapubic farea.
b) Inspect ffor fabdominal fdistention.
c) Question fthe fpatient fabout fhematuria.
d) Request fthe fpatient fempty fthe fbladder.
ANS: fD
Before fbeginning fthe fassessment fof fan folder fpatient fwith fa fUTI fand fon
diuretics, fthe fnurse fshould fhave fthe fpatient fempty fthe fbladder fbecause fbladder
f
fullness for fdiscomfort fwill fdistractffrom fthe fpatient’s fability fto fprovide faccurate
f
information. fThe fpatient fmay fseem fdisoriented fiffdistracted fby fpain for furgency.
f
The fphysical fassessment fdata fare fobtained fafter fthe fpatient fis fasfcomfortable fas
f
possible.
f
