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 dhome dhealth dnurse dvisits dan dolder dpatient dwith dmild dforgetfulness.
Which dnew dinformationdis dof dmost dconcern dto dthe dnurse?
d
a) The dpatient dtells dthe dnurse dthat da dclose dfriend drecently ddied.
b) The dpatient dhas dlost d10 dlb d(4.5 dkg) dduring dthe dpast dmonth.
c) The dpatient dis dcared dfor dby da ddaughter dduring dthe dday dand dstays dwith da
dson dat dnight.
d) The dpatient’s dson duses da dmarked dpillbox dto dset dup dthe dpatient’s
dmedications dweekly.
ANS: dB
A d10-pound dweight dloss dmay dbe dan dindication dof delder dneglect dor ddepression
d and drequires dfurtherdassessment dby dthe dnurse. dThe duse dof da dmarked dpillbox
d and dplanning dby dthe dfamily dfor d24-hour dcare dare dappropriate dfor dthis dpatient.
d It dis dnot dunusual dthat dan d86-yr-old dwould dhave dfriends dwho dhave ddied.
Which dstatement, dif dmade dby dan dolder dadult dpatient, dwould dbe dof dmost
dconcern dto dthe dnurse? da.
“I dprefer dto dmanage dmy dlife dwithout dmuch dhelp dfrom dother dpeople.”
a) “I dprefer dto dmanage dmy dlife dwithout dmuch dhelp dfrom dother dpeople.”
b) “I dtake dthree ddifferent dmedications dfor dmy dheart dand djoint dproblems.”
c) “I ddon’t dgo don ddaily dwalks danymore dsince dI dhad dpneumonia d3 dmonths
d ago.”
d) “I dset dup dmy dmedications din da dmarked dpillbox dso dI ddon’t dforget dto dtake
dthem.”
ANS: dC
, Inactivity dand dimmobility dlead drapidly dto dloss dof dfunction din dolder dadults. dThe
d nurse dshould ddevelop da dplan dto dprevent dfurther ddeconditioning dand drestore
d function dfor dthe dpatient. dSelf- dmanagement dis dappropriate dfor dindependently
d living dolder dadults. dOn daverage, dan dolder dadult dtakes dseven ddifferent
medications dso dthe duse dof dthree dmedications dis dnot dunusual dfor dthis dpatient.
d
The duse dof dmemory ddevices dto dassist dwith dsafe dmedication dadministration dis
d
d recommended dfor dolder dadults.
The dnurse dassesses dan dolder dpatient dwho dtakes ddiuretics dand dhas da
possible durinary dtractdinfection d(UTI). dWhich daction dshould dthe dnurse
d
take dfirst?
d
a) Palpate dover dthe dsuprapubic darea.
b) Inspect dfor dabdominal ddistention.
c) Question dthe dpatient dabout dhematuria.
d) Request dthe dpatient dempty dthe dbladder.
ANS: dD
Before dbeginning dthe dassessment dof dan dolder dpatient dwith da dUTI dand don
d diuretics, dthe dnurse dshould dhave dthe dpatient dempty dthe dbladder dbecause
d bladder dfullness dor ddiscomfort dwill ddistractdfrom dthe dpatient’s dability dto
provide daccurate dinformation. dThe dpatient dmay dseem ddisoriented difddistracted
d
by dpain dor durgency. dThe dphysical dassessment ddata dare dobtained dafter dthe
d
patient dis dasdcomfortable das dpossible.
d
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 dhome dhealth dnurse dvisits dan dolder dpatient dwith dmild dforgetfulness.
Which dnew dinformationdis dof dmost dconcern dto dthe dnurse?
d
a) The dpatient dtells dthe dnurse dthat da dclose dfriend drecently ddied.
b) The dpatient dhas dlost d10 dlb d(4.5 dkg) dduring dthe dpast dmonth.
c) The dpatient dis dcared dfor dby da ddaughter dduring dthe dday dand dstays dwith da
dson dat dnight.
d) The dpatient’s dson duses da dmarked dpillbox dto dset dup dthe dpatient’s
dmedications dweekly.
ANS: dB
A d10-pound dweight dloss dmay dbe dan dindication dof delder dneglect dor ddepression
d and drequires dfurtherdassessment dby dthe dnurse. dThe duse dof da dmarked dpillbox
d and dplanning dby dthe dfamily dfor d24-hour dcare dare dappropriate dfor dthis dpatient.
d It dis dnot dunusual dthat dan d86-yr-old dwould dhave dfriends dwho dhave ddied.
Which dstatement, dif dmade dby dan dolder dadult dpatient, dwould dbe dof dmost
dconcern dto dthe dnurse? da.
“I dprefer dto dmanage dmy dlife dwithout dmuch dhelp dfrom dother dpeople.”
a) “I dprefer dto dmanage dmy dlife dwithout dmuch dhelp dfrom dother dpeople.”
b) “I dtake dthree ddifferent dmedications dfor dmy dheart dand djoint dproblems.”
c) “I ddon’t dgo don ddaily dwalks danymore dsince dI dhad dpneumonia d3 dmonths
d ago.”
d) “I dset dup dmy dmedications din da dmarked dpillbox dso dI ddon’t dforget dto dtake
dthem.”
ANS: dC
, Inactivity dand dimmobility dlead drapidly dto dloss dof dfunction din dolder dadults. dThe
d nurse dshould ddevelop da dplan dto dprevent dfurther ddeconditioning dand drestore
d function dfor dthe dpatient. dSelf- dmanagement dis dappropriate dfor dindependently
d living dolder dadults. dOn daverage, dan dolder dadult dtakes dseven ddifferent
medications dso dthe duse dof dthree dmedications dis dnot dunusual dfor dthis dpatient.
d
The duse dof dmemory ddevices dto dassist dwith dsafe dmedication dadministration dis
d
d recommended dfor dolder dadults.
The dnurse dassesses dan dolder dpatient dwho dtakes ddiuretics dand dhas da
possible durinary dtractdinfection d(UTI). dWhich daction dshould dthe dnurse
d
take dfirst?
d
a) Palpate dover dthe dsuprapubic darea.
b) Inspect dfor dabdominal ddistention.
c) Question dthe dpatient dabout dhematuria.
d) Request dthe dpatient dempty dthe dbladder.
ANS: dD
Before dbeginning dthe dassessment dof dan dolder dpatient dwith da dUTI dand don
d diuretics, dthe dnurse dshould dhave dthe dpatient dempty dthe dbladder dbecause
d bladder dfullness dor ddiscomfort dwill ddistractdfrom dthe dpatient’s dability dto
provide daccurate dinformation. dThe dpatient dmay dseem ddisoriented difddistracted
d
by dpain dor durgency. dThe dphysical dassessment ddata dare dobtained dafter dthe
d
patient dis dasdcomfortable das dpossible.
d
