- Serious and well controlled research studies on aging have been available:
- Only in the past 50 years
- Since the turn of the 20th century
- Following the Great Depression
- Since the year 2000
ANS: A
Only in the past 50 years have serious and carefully controlled research studies flourished. Before that, anecdotal evidence was used to illustrate issues assumed to be universal, making all the remaining options incorrect.
DIF: Cognitive level: Knowledge TOP: Integrated Process: Teaching and Learning
MSC: Health Promotion and management
- When asked by new parents what the life expectancy is for their African-American newborn, the nurse replies that, “2010 statistics indicate that your son:
- “will benefit from a life expectancy of at least 78.4 years.”
- “can realistically expect to live into his 80s.”
- “has a good chance of celebrating his 70th birthday.”
- “is likely to live into his late 70’s.”
ANS: C
In 2010, the life expectancy for African-American males in the United States was 70.2 years while African-American females statically had a life expectancy of 77.2. The other options are not supported by reliable research.
DIF: Cognitive level: Comprehension TOP: Integrated Process: Teaching and Learning
MSC: Health Promotion and Management
- Which of the following culturally diverse male clients will most benefit from educational material related to “Staying Healthy into your 80s”
- Japanese
- Swedish
- Chinese
- Irish
ANS: A
Japan has the longest life expectancy at 82.6 years. Sweden has the second longest life expectancy at 81.7 years. The average life expectancy in China and Ireland is lower than in either Japan or Sweden.
DIF: Cognitive level: Comprehension TOP: Nursing Process: Planning
- A geriatric nurse shows an understanding of one of the major barriers to acquiring research-based geriatric nursing care when:
- recognizing the need to assess the need for sleep differently
- assuming the likelihood that the subjects will have hearing and vision problems
- planning for issues related to the cognitive abilities of the research participants
- planning specific enticements to encourage the geriatric subjects to participate
ANS: A
One of the major problems in aging research are that the older people, although statistically ranging from 65 to 115 years old, are often grouped into a single category. Recognizing the need to tailor assessment to specific groups is insightful. While aging affects vision, hearing, and, in some incidences, cognition, such deficiencies should not be assumed. The older adult population is not likely to need more incentives to participate than any other age group.
DIF: Cognitive level: Application TOP: Nursing Process: Planning
MSC: Health Promotion and Management
- Based on current demographic data, which statement identifies a predictive trend regarding the health care needs of society?
- There will be an increasing need for health programs for older males.
- More nursing services will be required to serve the needs of the population 85 years of age and older.
- Fewer nurses will be needed to care for the older, especially in long-term care facilities.
- North Dakota is likely to experience the greatest need for gerontological nurses.
ANS: B
The old-old, individuals older than age 85, are the fastest growing segment of the population. Therefore, more nursing services will be needed to care for these individuals. There are more older females than there are older males; women live longer than men. Because the number of older adults is growing, there will be a need for more nurses to deliver care to this population, not less. Florida, Pennsylvania, and West Virginia have the highest percentage of older adults.
DIF: Cognitive level: Comprehension TOP: Nursing Process: Planning
MSC: Health Promotion and Management
- To best assure the existence of competent entry level geriatric nurses among its graduates, a school of nursing:
- requires students take at least one geriatric-focused course.
- integrates geriatric content throughout its curriculum.
- stresses the importance of providing effective geriatric care.
- supports its faculty in acquiring efficiency in geriatric care topics.
ANS: D
Often geriatric content is difficult to present effectively since faculty with expertise in gerontological nursing are scarce; schools must support their faculty in acquiring and mastering the expertise to teach geriatric-focused care topics. Until facility is able to address these needs, requiring geriatric courses or even integrating geriatric care into existing courses will not be possible. Stressing the importance of effective geriatric care as a nursing responsibility will not assure competent entry-level geriatric nurses.
DIF: Cognitive level: Application TOP: Nursing Process: Planning
MSC: Health Promotion and Management
- The Scope and Standards of Gerontological Nursing Practice:
- identifies minimum nurse staffing levels for both acute and long-term care facilities.
- describes minimum gerontological nursing education required for nursing staff in long-term care facilities.
- mandates the presence of a full-time advanced practice nurse (APN), either a gerontological clinical nurse specialist or a geriatric nurse practitioner, for all patient care areas with greater than 50% of the population older than age 65.
- identifies levels of clinical gerontological care and gerontological nursing performance.
ANS: D
The Scope and Standards of Gerontological Nursing Practice identifies the levels of gerontological nursing practice, identifies levels of clinical gerontological nursing care, and gerontological nursing performance. This document does not address minimum staffing levels in any setting. The document does not address minimum educational requirements for any setting, nor does it mandate the presence of an APN in geriatric settings.
DIF: Cognitive level: Knowledge TOP: Nursing Process: Assessment
MSC: Health Promotion and Management
- The nurse is completing discharge instructions for an 88-year-old patient who is being discharged from the hospital following a myocardial infarction. He is provided with written literature on heart healthy diets, exercise, and smoking cessation. His daughter states, “I don’t know why you are bothering. What difference is it going to make? He has been smoking and eating poorly for years; he isn’t going to change now.” This statement reflects the concept of:
- reality orientation
- character assessment
- negative stereotyping
- senescence
ANS: C
People often characterize older adults in a negative manner, believing that things cannot change after a certain age. Reality orientation is a strategy that is used with individuals with dementia or delirium. Character assessment is a process of identifying parts of an individual’s personality. Senescence is the process of aging.
DIF: Cognitive level: Comprehension TOP: Nursing Process: Assessment
MSC: Health Promotion and Management
- A group of nursing students conducts a small research project examining the most effective means to deliver medication education to older adults. Their sample consists of 100 adults from ages 55 to 101 who live in the same community. The students conclude that individuals from ages 55 to 64 prefer computerized instructions, and individuals from ages 65 to 100+ prefer typewritten instructions. What is a potential problem with this study?
- The sample size of 100 is too small to draw any conclusions.
- The older adults ranging in age from 65 to 100+ were grouped into one category.
- It has been proven that older adults are not computer literate.
- The study design is not a randomized, controlled trial.
ANS: B
Combining all older adults into one category is not accurate, because the age range is large and the “group” may not share many similarities. One would not consider combining 13-year-olds and 3-year-olds in the same group; this is a similar situation. A sample size of 100 may be adequate, but it is not possible to draw the conclusion that it is not based on the very limited information. The study did not concern computer literacy. A randomized, controlled trial is not possible or necessary for every study.
DIF: Cognitive level: Application TOP: Nursing Process: Evaluation
MSC: Health Promotion and Management
MULTIPLE RESPONSE
- Research has shown that long-term care (LTC) facility nursing: Select all that apply.
- is comparable to the complexity and demand of intensive care nursing
- requires similar skills and knowledge as does critical care nursing
- is a nursing intensive environment
- demands both biomedical skills and knowledge
- crosses the continuum of care
ANS: A, C, E
ICU/critical care and LTC require different nursing skills, judgment, and knowledge, but research suggests that the work of nurses in LTC is as complex and demanding as ICU/critical care nursing work and there are many similarities in terms of uncertainty and nursing judgment, patient variability, and instability. LTC nursing crosses the continuum of care (rehabilitation, subacute, custodial, and palliative). While the ICU/critical care work environment is a biomedically intensive environment, the LTC nursing environment is a nursing intensive environment that is highly autonomous and centered on nursing care.
DIF: Cognitive level: Application TOP: Nursing Process: Assessment
MSC: Health Promotion and Management
Touhy: Ebersole & Hess’ Toward Healthy Aging, 8th Edition
Chapter 02: Health and Wellness
Test Bank
MULTIPLE CHOICE
- Of the following clients, all of whom are 65 years of age or older, the nurse anticipates that the one who will rate himself or herself as has having excellent health will be:
- an African-American male who lives with his granddaughter
- a white female who lives independently in a senior citizen community
- a Hispanic male who relies on his faith for comfort and peace
- a Latin American female who has recently immigrated to the United States
ANS: B
Recent surveys have shown that the older population tends to view their health in terms of their ability to care for themselves. White males and females consistently rate their health as very good or excellent more often than other ethnically diverse populations
DIF: Cognitive level: Comprehension TOP: Nursing Process: Assessment
MSC: Health Promotion and Maintenance
- When best promoting a sense of well-being, the role of the nurse caring for a terminally ill client is to:
- assume responsibility regarding medical decision making
- encourage the client to identify his/her idea of a peaceful death
- provide information regarding hospice care’s ability to prolong life
- help empower the client to achieve his/her potential for wellness
ANS: D
The role of the nurse in promoting wellness is to empower, enhance, support, and help the older person achieve his highest level of wellness. The individual needs to be part of the decision machining process regardless of his/her prognosis. A peaceful death is only one factor that will impact this client’s well-being.
DIF: Cognitive level: Application TOP: Integrated Processes: Caring
MSC: Health Promotion and Maintenance
- When focusing best on the goal of enhancing the health and well-being of the older residents of extended care living facility, the nurse:
- assures that they all receive their medications and treatments on time
- assesses each new resident to determine their food and beverage preferences
- asks the nursing assistant to “allow the residents to dress themselves but to check that they are dressed appropriately”
- documents that “the residents appeared to enjoy the opportunity to socialize at the weekly Sunday brunch”
ANS: C
An important nursing role in enhancing the health and well being of the older adult is to help maintain their functional independence. While providing appropriate and timely nursing care and documentation are nursing responsibilities, they are not necessarily as focused on enhancing well-being. When the nurse assesses for the clients’ preferences, caring for the client is being shown.
DIF: Cognitive level: Application TOP: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
- When assessing an older Asian adult for their personal perception of health and wellness, the nurse recognizes the most important question is:
- “Are you well enough to care for your own physical needs?”
- “Do you exercise regularly?”
- “Have you been sick lately?”
- “When do you believe a person possesses wellness?”
ANS: D
What is considered wellness to the individual must include his or her cultural orientation. Culture must stand equally so that health care providers can realize and more adequately respond to the significance of culture in the attainment of well-being. Culture affects a person’s understanding of health as well as health-related behaviors. While asking the client to comment on personal care, exercise and recent illness is appropriate during an assessment, the personal perception of wellness is not best assessed by these questions.
DIF: Cognitive level: Analysis TOP: Nursing Process: Assessment
MSC: Health Promotion and Maintenance
- An example of a wellness-based nursing intervention would include:
- Providing the Internet address of support groups and resources to the computer-literate, Internet-proficient daughter of your oncology client
- Lecturing a diabetic client that he would not have been admitted this time if he had been compliant with his treatment plan
- Encouraging the client on a low fat, low sodium diet to allow the staff to make menu selections for her meals.
- Responding to your older client’s request to be ambulated by stating, “You should take it easy and rest. You’re 90 years old—you deserve it!”
ANS: A
A wellness-based nursing intervention encourages involvement by the client and supports the client at his or her highest level, recognizing both strengths and weaknesses and providing access to resources. Lecturing your client; assuming responsibilities the client is capable of performing; and responding to your older client’s request to be ambulated by stating, “You should take it easy and rest. You’re 90 years old—you deserve it!” do not meet those criteria.
DIF: Cognitive level: Application TOP: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
- The nurse educates that client that Healthy People 2010:
- describes racial and ethnic differences in health practices
- provides measurements of health status for specific diseases across the life span
- offers direction for the achievement of improved quality of life across the life span
- presents criteria for Medicare reimbursement for preventive health care for older adults
ANS: C
Offering direction for the achievement of improved quality of life across the life span is one of the purposes of the Healthy People 2010 document. Racial and ethnic differences in health practices, measurements of health status for specific diseases across the life span, and presenting criteria for Medicare reimbursement for preventive health care are not included in Healthy People 2010.
DIF: Cognitive level: Knowledge TOP: Nursing Process: Implementation
MSC: Teaching and Learning
- The nurse shows an understanding of appropriate influenza vaccination guidelines for a client over the age of 65 when stating:
- “You need an annual flu shot only if your immune system is compromised or you have a chronic respiratory or cardiac condition.”
- “Regardless of your physical health you really should get a yearly flu shot.”
- “At age 65 or older, you need an influenza booster every 5 years.”
- “At your age flu shots are recommended every 2 to 5 years.”
ANS: B
The recommendations are for all individuals older than age 65 to be vaccinated for influenza yearly, regardless of health status. Currently, there is no such thing as an influenza booster.
DIF: Cognitive level: Application TOP: Teaching and Learning
MSC: Health Promotion and Maintenance
- The nurse best addresses the spirit of the Healthy People 2020 project regarding the older adult when:
- providing information regarding where free flu vaccinations are being given to those over 65 years of age
- facilitating a “Walking for your Health” program for residents of a senior living apartment complex
- arranging for a registered nutritionist to hold a “Grandparents and their Grandchildren Cooking Together” class
- encouraging their utilization of government sponsored health and wellness programs that target the senior citizen
ANS: C
Recommendations for the framework of Healthy People 2020 include attention to the effect of early-life factors, together with later life-factors, on health outcomes. Proposed goals include creation of social and physical environments that promote good health for all and promotion of healthy development and healthy behaviors at every stage of life. An event that is directed at various age groups best addresses this goal. Facilitating flu prevention, exercise programs and wellness programs in general are appropriate but lack the specific aspect of affecting clients across the lifespan
DIF: Cognitive level: Application TOP: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
MULTIPLE RESPONSE
- The nurse shows an understanding of the older client’s preventable risk factors for early death when: Select all that apply.
- volunteering at an annual depression screening held at a senior citizens center
- providing clients with information regarding the effectiveness of a nicotine patch
- monitoring the blood pressure of those living at a homeless shelter each month
- weighing the clients who visit a walk-in clinic that is located in an economically depressed neighborhood
- educating the diabetic residents of a low rent apartment complex on how to monitor their blood glucose levels
ANS: B, C, D, E
Preventable risk factors that currently reduce life expectancy in the United States include smoking, high blood pressure, elevated blood glucose, and overweight and obesity. By engaging in the monitoring of blood pressure and weight as well as diabetic and smoking cessation related education, the nurse is affectively impacting these risk factors in the older population. While an appropriate intervention, depression is not currently considered among this population’s preventable risk factors.
DIF: Cognitive level: Analysis TOP: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
- The nurse shows an understanding of the factors affecting physical wellness of the older adult client when: Select all that apply.
- Providing the client with a list of senior centers offering age appropriate exercise programs
- Asking each client if “they come from a healthy family”
- Scheduling a community education session entitled “Healthy Eating for Active Seniors”
- Being sure to comment on the weight loss an obese client has achieved
- Providing smoking cessation classes that focus on the older adult client
ANS: A, C, D, E
Physical wellness is enhanced through regular physical activity, diet and nutrition, and avoidance of tobacco use. Healthy lifestyles are more influential than genetic factors in helping older people avoid the deterioration traditionally associated with aging. People who are physically active, eat a healthy diet, do not use tobacco, and practice other healthy behaviors reduce their risk of chronic diseases and have half the rate of disability of those who do not.
DIF: Cognitive level: Application TOP: Nursing Process: Implementation
MSC: Health Promotion and Maintenance
Touhy: Ebersole & Hess’ Toward Healthy Aging, 8th Edition
Chapter 05: Culture, Gender, and Aging
Test Bank
MULTIPLE CHOICE
- It has been projected that the cultural group presenting the greatest growth rate among the older adult population will be the:
- African-Americans
- Asian/Pacific Island Americans
- Native Americans
- Hispanic Americans
- Select the true statement regarding cohort effect:
- Birth cohort is important in understanding how one experiences a world event
- Each individual within a cohort experiences events in a similar manner
- Cohort effect would likely cause brothers to share the same expectation for treatment
- All generations share a similar perspective on life events
- A paper on culture and illness would be likely to include the statement that:
- Culture is the same as ethnicity
- Ethnic groups always share common geographic origin and religion
- Ethnicity involves recognized traditions, symbols and literature
- Most members of an ethnic group exhibit identical cultural traits
- Ethnocentrism is defined as:
- an understanding of another’s cultural beliefs and practices
- a conflict that occurs when an individual interacts with another whose beliefs differ from his own
- application of limited knowledge about one person with characteristics specific to another person
- a belief that one’s ethnic group is superior to that of another
- Regarding health care disparities, it is true that older adults of color have:
- equal risk factors for vulnerability as do all older adults
- equal risk factors for vulnerability as do the young adults of color
- increased risk factors for vulnerability if they are female
- an increase in risk factors for vulnerability if care is provided by public facilities
MULTIPLE RESPONSE
- The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an understanding of the LEARN model to direct the assessment process when: Select all that apply.
- Recognizing that the client’s hands are clenched as she answers the assessment questions
- Asking the client to describe what he thinks will help him feel better
- Explaining to the client that herbal remedies may not be sufficient treatment for his chest congestion
- Acknowledging that the client has a different view of the appropriate treatment
- Suggesting to the client that it would be beneficial if she would trust her health care provider to prescribe the correct treatment
Touhy: Ebersole & Hess’ Toward Healthy Aging, 8th Edition
Chapter 10: The Use of Herbs and Supplements
Test Bank
MULTIPLE CHOICE
- The nurse preparing an educational program focused on herbal supplement targets as a likely interested group:
- Inner city females who lives below the poverty level
- White females who own their own successful businesses
- Male Hispanic Americans who are single, divorced, or widowed
- Men and women from small rural communities who are self-employed farmers
- During an admission interview, a patient tells the nurse about taking Ginkgo biloba The nurse responds to this information by inquiring whether the client:
- has ever been screened for depression
- experiences gastrointestinal (GI) upset
- has concerns regarding impotence
- has re-occurring bouts of bronchitis
- An older adult client is being seen for the first time at the outpatient geriatric clinic. As a component of the nursing admission history, the nurse inquires about the use of herbs and other supplements. The basis for this inquires is that such herbal therapy:
- may interact with prescription medications
- are hazardous when used by older adults
- replace the need for prescription medications
- cause excessive sedation in older adults
- The nurse is conducting a pre-surgical interview when it is noted that the older adult patient’s medication list includes Tylenol 650 mg four times a day for arthritic pain, gingko 80 mg twice a day, and glucosamine chondroitin 500 mg three times per day. The nurse proceeds to share with the client that in order to minimize the risk for postsurgical complications, there is the need to refrain from taking:
- glucosamine chondroitin for 1 to 2 weeks due to a potential for excess anesthetic sedation
- ginkgo for 2 weeks due to the potential for increased bleeding
- Tylenol for 24 to 48 hours due to the potential for increased bleeding
- gingko for 1 week due to the potential for an allergic reaction during surgery
- When a nursing interview identifies that a client is daily taking doses of herbal supplements, the nurse’s priority is to:
- evaluate the effectiveness of the herbal supplement self-treatment
- determine why the client feels the need to take the herbal supplements
- identify when the herbal supplementation began
- discuss the client’s knowledge regarding the herbal supplements’ side effects
- The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client’s statement that:
- “Will I start taking my St John’s Wort as soon as I can eat again?”
- “I’ve haven’t taken my ginkgo for exactly 10 days.”
- “I didn’t want to risk catching a cold so I took my Echinacea with just a sip of water.”
- “It seemed strange not taking my garlic pill this morning.”
- When a client who routinely takes the herb St. John’s Wort (SJW) shares that their “hay fever is really bad right now,” the nurse initially:
- notifies the primary care provider that the client has been self-medicating for hay fever
- compares the client’s current blood pressure to his/her baseline blood pressure
- stresses the need to avoid over-the-counter (OTC) medications containing monoamines
- suggests that the client stop taking the herb until the hay fever has improved
- The major focus regarding nursing education for the older adult regarding the use of herbal supplements is the:
- high risk of herbal overdose since the manufacturing process lacks effective controls
- likelihood that the client will substitute herbals for more expensive prescribed medications
- expense of the herbal supplements since they are seldom covered by insurance
- possibility of herbals interaction dangerously with the client’s prescribed medications
MULTIPLE RESPONSE
- The nurse is confident that the client who takes glucosamine sulfate daily is conscientious of the safety issues involved when hearing the client state: Select all that apply.
- “I’m always careful to buy the same brand of glucosamine sulfate.”
- “If glucosamine sulfate wasn’t safe the drug store wouldn’t sell it.”
- “My pharmacist is so helpful when I have questions about the herbals I take.”
- “The liquid form of glucosamine sulfate is what I consistently take.”
- “I made sure my physician knew that I was allergic to strawberries.”
- The nurse is confident that the client who chooses to take red rice yeast daily for dyslipidemia has an understanding of its possible side effects when the client: Select all that apply.
- has regular laboratory work to monitor cholesterol levels
- shows caution by slowly rising from the chair
- states, “If I start noticing muscle pain, I’ll stop taking the pills”
- schedules regular, yearly glaucoma screenings
- takes the supplement with breakfast and dinner
Touhy: Ebersole & Hess’ Toward Healthy Aging, 8th Edition
Chapter 13: Environmental Safety and Security
Test Bank
MULTIPLE CHOICE
- Which factor is the greatest barrier to an older adult living independently?
- Deficits in vision and/or hearing resulting in safety issues
- Limited finances that prevent upkeep and maintenance of a residence
- Depression that occurs after the death of a spouse or significant other occurs
- The manifestation of cognitive impairment resulting from dementia or Alzheimer’s
- The nurse is preparing educational material concerning fire safety in the home. What research data will be included in the material?
- older women are more likely to die in fires than older men
- fire mortality is highest in adults older than 65 years of age
- most people who die in fires are killed by the flames
- most fires occur outside the home
- The nurse is recommending that a client diagnosed with moderate stage Alzheimer’s disease attend a support group when he becomes defensive about not driving his automobile and the effects it will have on, “being stuck at home.” Which is the priority outcome expected for this client when attending the group sessions?
- facilitates socialization thus minimizing the effects of social isolation
- helps with minimizing the loss as a factor in causing depression
- provides caregivers with respite while assuring the client is well attended to
- allows for the opportunity for a mental health professional to assess the client
- A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite its being 90 degrees F outside, the windows are closed and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to:
- cognitive changes that diminish the individual’s awareness of temperature changes
- age-related neurosensory changes that diminish awareness of temperature changes
- delirium-related to an acute illness that is affecting body heat production
- age-related motor deficiencies that result in self-neglect
- A home care nurse in an area of the country that is prone to tornadoes routinely discusses disaster preparedness with older adult clients. What is the primary rationale for this intervention?
- Older adults are less likely to seek formal and informal help when affected by natural disasters.
- The older adult is more likely to live in a communal environment which provides assistance in times of natural disasters.
- Most older adults have insurance to help them recover from material losses due to a natural disaster.
- Federal and private assistance agencies generally provide older adults with priority attention in time of natural disasters.
- A home care nurse is conducting a home fire safety assessment for an older client who lives alone. Which observation is a particular worrisome for the nurse?
- The client shows the nurse a copy of the apartment complex’s fire evacuation plan.
- The home has 3 fire alarms positioned above windows in the kitchen, bedroom and living room.
- The bedroom and bathroom both have solid wood doors installed.
- The client recites the ‘Stop, Drop and Roll’ mantra when asked what to do if her clothes caught fire while cooking.
- Which nursing intervention will best initially help an older client who is about to move to a new apartment feel safe living alone for the first time?
- Join and actively participate in the local community watch organization.
- Have a ‘peep hole’ installed in the apartment door and never open the door to strangers.
- Arrange with the local police to have a home security assessment done and then follow through with their suggestions.
- Consider having a dog as a pet since even a small dog can provide protection and, as a bonus, companionship.
MULTIPLE RESPONSE
- The nurse is treating a frail, older client for possible hypothermia. Which assessment data suggests the condition is resolving? Select all that apply.
- client is shivering
- client’s hands are warm and pink
- client is in a fetal position
- client’s temperature is 97.4°
- The client’s feet are “tingling”
- What information should be included in an informational program to be presented on burn prevention to a senior citizens group? Select all that apply.
- Do not smoke in bed or when sleepy
- Wear well fitted clothing when cooking or when grilling outdoors
- Have the contact information for the local fire department easily accessible
- Establish a plan for exiting each room of your home in the case of a fire
- Have a fire extinguisher readily available in the kitchen
- Which precaution would be beneficial in minimizing an older adult’s risk of being a victim of fraud? Select all that apply.
- Do not allow uninvited sales persons into your home.
- Never provide personal information to telephone sales solicitors.
- Rely on the advice of people who only friends have recommended.
- Contact the local Medicare or Medicaid service office for information when needed.
- Keep your bank account and credit card numbers with you at all times.
- The nurse documents that an older adult client is living independently in a safe environment. Which assessment data supports this evaluation? Select all that apply.
- The client demonstrates the home’s security alarm system.
- Various safety features were installed when the bathroom was remodeled.
- The client has access to a financially generous retirement benefit.
- The nurse observes the client wearing a safety alarm bracelet.
- The client’s home is within walking distance of a grocery store.
- The nurse is managing the care of an older client experiencing the symptoms of heat fatigue. Which intervention will the nurse implement to help resolve the condition? Select all that apply.
- Helping the client assume a comfortable resting position.
- Monitoring the client’s intake of electrolyte replacement fluids.
- Withholding the client’s prescribed antidiuretic medication.
- Documenting that the client’s skin remains pale, moist and cool.
- Keeping the environmental humidity low and temperature cool.
Touhy: Ebersole & Hess’ Toward Healthy Aging, 8th Edition
Chapter 16: Care Across the Continuum
Test Bank
MULTIPLE CHOICE
- Which housing arrangement would best address the family who wants to provide housing for an older family member who has a large degree of physical and cognitive independence and a desire to be closely involved with the family?
- Dedicating the spare bedroom in the home to the family member
- A house at a senior retirement community
- A “granny” apartment in a separate part of the house
- Private room at a residential care facility
- Which older adult meets the criteria for foster care housing?
- An individual newly diagnosed with HIV
- A newly retired lesbian woman who has moved to a warmer climate
- A widower who is experiencing loneliness and mild depression since his loss
- A cognitively impaired homeless individual diagnosed with congestive heart failure
- Which statement is the basis for the revision of a long-term care facility’s certified nursing assistant’s (CNAs) pay and benefits?
- The CNA should be paid in accordance with their training, experience and responsibilities
- Caring for older adult is challenging and the pay and benefits should reflect that challenge
- All health care providers deserve to be adequately paid for the care services they provide
- The work of the CNA is an invaluable component to the quality care for our older citizens
- Which older adult client has the greatest risk for readmission into the acute care health system and so is the focus of extensive nursing follow-up post discharge?
- The African-American diagnosed with Type 2 diabetes
- The client recovering from an exacerbation of congestive heart failure
- The cognitively impaired individual with a poorly healing leg wound
- The depressed individual with exercise-induced asthma
- Which nursing intervention will have the greatest impact on minimizing an older adult’s risk for re-hospitalization within 30 days of discharge?
- Providing a depressed individual with a list of suicide prevention hotlines
- Assessment of the cognitive abilities of a individual who lives alone
- Evaluation of a cardiac client’s comprehension of their prescribed medication therapy
- Working on balance and strength exercises with a mobility-challenged individual
- An older adult client will require extensive rehabilitative therapy after a fall that resulted in several fractures and reconstructive surgeries. Which intervention will have the greatest impact on the individual’s relocation to a rehabilitation facility?
- Actively seeking the individual’s input regarding the decisions relating to the move
- Selecting a facility that is close to family, support system and home community
- Arranging for personal items to be delivered to the facility for the purpose of personalization
- Providing the individual with a timetable that identifies when discharge to home is expected
- It is imperative that nursing take a leadership role in providing effective health care across the lifespan and in various health care settings. Which intervention will have the greatest impact on achieving positive outcomes concerning that issue?
- An acute care facility providing continuing education credits for geriatric nursing in-services
- A baccalaureate degree nursing program including a geriatric care course into the curriculum
- A professional nursing organization provides advanced practice status as a geriatric specialist
- A long-term care facility’s nursing director is a certified geriatric nurse practitioner
- Which intervention addresses a guiding principle for creating an elder-friendly acute care facility?
- Each bathroom is equipped with safety bars and low wattage lighting
- A client is asked when they would prefer to bathe; morning, afternoon or evening
- Televisions include a closed captioned function to assist the hearing impaired
- Families are encouraged to bring foods from home that are allowed on the individual’s diet
- Which intervention addresses a right guaranteed a long-term care facility resident?
- Ethnic foods are made available to culturally diverse residents who would like them
- Each resident has access to a telephone in their room
- Family members are welcome at anytime
- A professional hairdresser is available 3 days a week
- Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Long-Term Care Residents’ Bill of Rights?
- “It’s so nice to have my hometown newspaper available here.”
- “Going out to the theater with the other residents is a nice social activity.”
- “I was told that if I didn’t want to change rooms, I didn’t have to.”
- “The whole place was decorated so beautifully for the holidays.”
- Which statement made by a nurse regarding a resident of a long-term care facility requires follow up by the nurse manager?
- “If he doesn’t take his medication, he’ll get no dessert tonight.”
- “She can’t take a walk outdoors today, it’s much too cold and snowy.”
- “The grandchildren have colds so they should not visit this week.”
- “I don’t understand why but she wants a different doctor to see her.”
MULTIPLE RESPONSE
- Which nursing evaluation supports the fact that the goals of long-term client care has been achieved? Select all that apply.
- Resident has participated in bath with minimal assistance from the staff
- Resident has experienced no falls since admission three months ago
- Resident continues to show loss of strength in upper extremities
- Resident is not required to dress or feed self since assistance is always available
Resident demonstrates improved weight bearing on affected leg; discharge to be
