Andersons Caring for Older Adults Holistically 6th Edition by Tamara R. Dahlkemper – Test Bank

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Andersons Caring for Older Adults Holistically 6th Edition by Tamara R. Dahlkemper – Test Bank

Chapter 6: Promoting Wellness

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   What is the popular standard by which health is being defined for older people?

1) The maintenance of independence
2) The absence of debilitating diseases
3) The ability to pay for needed health service
4) The ability to participate in aerobic exercises

 

 

____    2.   Which is NOT a goal when treating chronic diseases?

1) Symptom management
2) Prevention of disabling side effects
3) Maximizing the individual’s strengths
4) Focusing on curing the disease process

 

 

____    3.   Arthritis is a chronic disease process that affects the health of many older people. What is the best description of health promotion for individuals with arthritis?

1) Activity restrictions to minimize joint pain
2) Pain management to enhance normal physical activity
3) Referral of the person to herbalists and massage therapists to seek potential disease cures
4) Use of walkers and wheelchairs early in the disease process so that the older person is better able to use these aids when he or she is totally debilitated

 

 

____    4.   “One does not have to be free of disease to experience the benefits of wellness and the positive side of living.” What does this statement mean in relationship to the health of older people?

1) Illness is not a good excuse for being inactive.
2) People’s needs are important, even if they are ill.
3) A good attitude makes aging a positive learning experience.
4) Individuals do not have to limit their experience of health simply because they have an illness.

 

 

____    5.   Society is becoming very focused on health promotion. Which purpose statement would most likely appeal to older people selecting a health-promotion program?

1) Focus on extension of life.
2) Focus on prevention of aging.
3) Focus on enhancing the quality of life.
4) Focus on prevention of chronic disease processes.

 

 

____    6.   Which statement best describes the role of the gerontological nurse in developing treatment strategies for people experiencing a chronic disease process?

1) Administering ordered treatments to minimize debilitating symptoms
2) Assessing elderly clients and identifying treatable causes of pain and discomfort
3) Setting goals for elderly clients that consider the individual and the chronic disease process
4) Evaluating the impact of the disease process and treatment on individuals and their functional abilities

 

 

____    7.   What does compliance with a health-promotion program for an elderly person depend on?

1) The older person’s motivation
2) The time of day that the activity takes place
3) The older person’s recognition of a health problem
4) The disabling characteristics of the older person’s disease process

 

 

____    8.   What percentage of people older than 65 years reside in nursing homes?

1) 3%
2) 5%
3) 10%
4) 15%

 

 

____    9.   Which is NOT an environmental factor that affects the nutritional habits of older people?

1) Food storage
2) Transportation
3) Readability of food labels
4) Lack of nutritional knowledge

 

 

____  10.   Which program is designed to meet the nutritional and social needs of older people?

1) Food stamps
2) Meals on Wheels
3) Senior center–based meal programs
4) U.S. Department of Agriculture (USDA) commodities

 

 

____  11.   Which is an appropriate exercise program goal for a frail older adult?

1) Prevent pressure ulcers.
2) Regain strength to ambulate.
3) Maintain and increase functional ability.
4) Increase strength for transfers and physical stamina.

 

 

____  12.   What does aerobic exercise strengthen or increase?

1) Strength
2) Flexibility
3) Endurance
4) Relaxation

 

 

____  13.   Why is slow and gradual stretching of muscles important?

1) Increases muscle endurance
2) Reduces the risk of muscle injury
3) Is not part of a usual exercise program
4) Increases the strength and the bulk of muscles

 

 

____  14.   What is reduced by improving stress-management skills for older adults?

1) Functional disability
2) Many of the losses related to aging
3) The occurrence of stress-related events
4) Worsening of stress-related disease processes

 

 

____  15.   What should the nurse keep in mind when asking an older adult to keep a stress log or journal?

1) It can be too stressful for older adults.
2) It is usually an effective stress-management technique.
3) It is difficult because of the long-term nature of most stress for older adults.
4) It helps older adults recognize the stressful events in their lives and their responses to stress.

 

 

____  16.   Which should NOT be suggested to a patient as a quick relaxer to promote sleep?

1) Imagery
2) Life review
3) Roll breathing
4) Progressive muscle relaxation

 

 

____  17.   A 78-year-old patient having difficulty driving has been allowing his grandchildren to use his car if they agree to drive him to the senior center, grocery store, and other activities. The patient is upset because the grandchildren have not washed the interior or exterior of the car since they started using it and have been late to pick up the patient 4 days in a row. Which is a long-term stress-management skill that may help the patient deal with this stress?

1) Walk to the senior center to get physical exercise.
2) Use roll breathing when the grandchildren are late.
3) Take the car back to reduce the worry about the car.
4) Alter the stressor; establish rules for continued use of the car.

 

 

____  18.   What should the nurse keep in mind about alcohol or drug abuse in an older adult?

1) It is a serious social problem.
2) Symptoms are easily recognizable.
3) It negatively affects functional ability.
4) It is less dangerous and more socially acceptable.

 

 

____  19.   What is the most common health problem of older adults?

1) Acute disease
2) Chronic disease
3) Medication management
4) Repeated hospitalizations

 

 

____  20.   What is one of the commonly occurring changes in the aging body that directly affects nutrition?

1) Most elderly people have dentures.
2) Most elderly people live under the poverty level and cannot afford nutritious food.
3) There is no one left to eat with because of death of spouse or children leaving home.
4) The body’s rate of metabolism slows and the body no longer needs the same amount of food to do the same amount of work.

 

 

____  21.   What do health promotion activities emphasize?

1) Exercise
2) Weight loss
3) Illness management
4) Wellness management

 

 

____  22.   How should the nurse explain motivation to a group of nursing assistants?

1) It is the same for everyone.
2) It is being forced to make a change.
3) It is usually caused by something external.
4) It is the incentive or drive to make a change.

 

 

____  23.   What number of chronic diseases do 50% of older people over the age of 60 have?

1) One
2) Two
3) Four
4) Eight

 

 

____  24.   A group of senior citizens enjoy attending daily swimming lessons but complain that the instructor does not talk loud enough. What is the issue with the design of this health-promotion activity?

1) It is not accessible.
2) It is not reasonable.
3) It is not enjoyable and social.
4) It is not sensitive to the needs of the older adult.

 

 

____  25.   What strategies should the nurse emphasize to prevent osteoporosis in an older adult?

1) Take insulin
2) Add calcium to the diet, exercise, and avoid alcohol
3) Add calcium to the diet, avoid smoking, and take aspirin
4) Add calcium to the diet, take insulin, and decrease fat intake

 

 

____  26.   An 80-year-old patient is unable to leave the house but has good mobility in the home. What should the visiting nurse teach this patient to increase exercise?

1) Do deep knee bends.
2) Do 15 push-ups two times a day.
3) Do a range of motion with a can of soup.
4) Do nothing because the patient is 80 years old.

 

 

____  27.   Which is considered to be a part of the normal aging process?

1) Obesity
2) Diabetes
3) Osteoporosis
4) Loss of muscle elasticity and thickening of tissue around joints

 

 

____  28.   Twice a day an older patient sits in a favorite chair, closes his eyes, takes two deep breaths, and imagines being on the beach in Hawaii. What is occurring with this patient?

1) Exercising
2) Suffering from dementia
3) Decreasing his stress with a quick relaxer
4) Developing a long-term method to reduce stress

 

 

____  29.   The nurse is planning care for an older person experiencing expected body changes associated with aging. What should the nurse identify as an appropriate goal for this patient?

1) Improve physical endurance.
2) Avoid the onset of chronic illnesses.
3) Implement actions to reverse the aging process.
4) Achieve harmony between the body, mind, and spirit.

 

 

____  30.   A newly hired community nurse is identifying health-promotion activities available for aging members of the neighborhood. What action should the nurse take to learn what is currently available for these community members?

1) Count the number of older community members who have a disability.
2) Survey the community members to find out what activities they prefer.
3) Go to the community center to find out what activities are designed for older people.
4) Plan an afternoon hike and note the number of older community members who participate.

 

 

____  31.   During a home visit, the nurse learns that an older patient recovering from total knee replacement surgery has not been performing daily exercises as prescribed. What action should the nurse take first?

1) Cancel the physical therapy sessions.
2) Reinforce the safe use of the walker for ambulation.
3) Find out why the patient is not motivated to do the exercises.
4) Document that the patient is noncompliant with the prescribed medical plan.

 

 

____  32.   During a focused interview, the nurse learns that an older person likes to walk but doesn’t do it regularly because she finds the activity lonely and boring. What should the nurse suggest to this patient?

1) “Listen to a book on tape while you walk.”
2) “Consider walking with the Mall Walkers.”
3) “Do it anyway because it is good for your health.”
4) “Wear ear buds and listen to music while you walk.”

 

 

____  33.   An older patient who used to bowl but has not been able to do so because of arthritis in the shoulder and elbow misses playing with others and socializing. What should the nurse suggest to support this patient’s interest and encourage socialization?

1) Join the library sewing circle.
2) Learn to play shuffle board instead.
3) Find out if a computer bowling game can be installed in the community center.
4) Participate with the group that takes bird-watching walks once a week in the summer.

 

 

____  34.   An older patient wants to grocery shop, do laundry, cook, and perform routine household chores. Which function should the nurse identify as being a priority for this patient?

1) Relaxation
2) Amusement
3) Socialization
4) Independence

 

 

____  35.   An older person likes to swim but will not use the pool in the local gymnasium. What information should help the nurse understand why the person will not engage in this activity?

1) The pool is open from 6:00 am to midnight.
2) There are always children and young adults in the pool.
3) The pool has lifeguards seated on each side of the pool.
4) The pool is heated and has showers and lockers for use.

 

 

____  36.   The nurse observes an older person order an extra value meal in a fast food restaurant and wrap half of the meal in a napkin to take home. What might this behavior suggest to the nurse?

1) The older person does not like to waste food.
2) The older person is going to feed a pet with the leftovers.
3) The older person didn’t want to throw the food out in the restaurant.
4) The older person has limited income and the extra value meal provides food for later.

 

 

____  37.   The nurse notes that activities planned for a community day are limited for older people or those with physical limitations. Which activity should the nurse suggest be added to engage the older adults in physical activity?

1) Tennis
2) Volleyball
3) Nature walk
4) Chair aerobics

 

 

____  38.   During a routine health visit, an older patient states that he has never had a tetanus booster vaccination. What should the nurse instruct this patient about this immunization?

1) It has to be obtained every 5 years.
2) It should be obtained every 10 years.
3) It is something to think about getting in the years ahead.
4) It should be obtained yearly with the influenza vaccination.

 

 

____  39.   The nurse notes that an older patient has been losing weight despite having dentures and adequate financial resources to purchase food. What should the nurse ask the patient to gain more information?

1) “Are you having problems swallowing?
2) “When was your last dental examination?”
3) “How often do you clean your dentures?”
4) “Are you having problems with cooking?”

 

 

____  40.   An older person says that he sees no reason to have medical treatment for arthritis. What should the nurse respond to this statement?

1) “A doctor can help you cure the arthritis.”
2) “Medical care can help you manage the disorder.”
3) “It’s important to see a doctor to make sure it isn’t spreading.”
4) “There is no cure for the disease, so in many ways you are right.”

 

 

____  41.   During an assessment, the nurse notes that an older person has +2 pitting edema of both feet and ankles. Which information should the nurse use to help determine the reason for this patient’s fluid retention?

1) Adding extra salt to all foods
2) Sipping on water throughout the day
3) Drinking 8 ounces of water with all medication doses
4) Having 2 cups of hot tea in the evening after dinner

 

 

____  42.   An older patient asks what can be done to reduce the feelings of fatigue during the day. What should the nurse suggest to this patient?

1) Take a walk.
2) Sleep an hour longer each night.
3) Take frequent naps during the day.
4) Spend more time outside in the sun.

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____  43.   What should wellness activities for an older adult include? Select all that apply.

1) Exercise
2) Self-care
3) Finances
4) Nutrition
5) Relationships

 

 

____  44.   What would be incentives for a 79-year-old man with severe arthritis in the knees to attend biweekly aerobics class? Select all that apply.

1) Having fun
2) Preventing growing old
3) Helping to stay healthy
4) Preventing chronic diseases
5) Enjoying being with other people

 

 

____  45.   What can inactivity cause? Select all that apply.

1) Diabetes
2) Weak bones
3) Heart disease
4) Muscle wasting
5) Poor circulation

 

 

____  46.   An older patient on medication for hypertension, arrhythmias, and glaucoma takes over-the-counter medications for allergy symptoms and pain relief. Recently, the patient has had difficulty sleeping and has one to two glasses of wine nightly to help with relaxation. What is this patient at risk for experiencing? Select all that apply.

1) Sleep apnea
2) Joint stiffness
3) Increased falls
4) Increased depression
5) A toxic or lethal drug interaction

 

 

____  47.   The nurse is preparing a seminar on healthy aging for a group of community members. What should the nurse include as contributing to longer lives for older people? Select all that apply.

1) Food preservatives
2) Targeted treatments
3) Advances in surgery
4) Improved medications
5) Technology for diagnosis

 

 

____  48.   The nurse determines that a 68-year-old patient is experiencing normal changes associated with aging. What assessment findings did the nurse use to come to this conclusion? Select all that apply.

1) +1 bilateral ankle edema
2) New onset of right knee stiffness
3) Weight increase of 3 lb over 6 months
4) Difficulty hearing high pitched tones
5) Need to start wearing reading glasses

 

 

____  49.   At the conclusion of a physical assessment the nurse determines that an older patient is experiencing the most chronic conditions of an older person. What did the nurse assess to come to this conclusion? Select all that apply.

1) Hard of hearing
2) Heart rate 72 and irregular
3) Blood pressure 168/90 mm Hg
4) Bilateral hip and knee pain with movement
5) Skin tags over upper extremities and the back

 

 

____  50.   The nurse determines that an older patient is experiencing environmental stress. What information did the nurse obtain to make this clinical determination? Select all that apply.

1) Woke up four times during the night
2) Road construction blocking routine driving routes
3) Living alone after the death of the patient’s spouse
4) Snow and ice on the sidewalks and steps leading to the house
5) Having to wait for an adult daughter to pick the patient up for a doctor’s appointment

 

Chapter 6: Promoting Wellness

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  1

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 107

Heading: Introduction

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Nursing; Promoting Health

Difficulty: Easy

  Feedback
1 The maintenance of independence in self-care is the best answer.
2 Throughout the chapter and in related readings and references, the definition of health is referred to as more than just the absence of disease.
3 Financial security can positively affect one’s ability to access health-promotion services, but it is not a discriminating factor for defining health.
4 This addresses only one aspect of health promotion and is not a standard that measures health.

 

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 109

Heading: Chronic Disease

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Nursing; Promoting Health

Difficulty: Easy

  Feedback
1 Treatment of chronic disease includes symptom management.
2 Treatment of chronic disease includes prevention of disabling side effects.
3 Treatment of chronic disease includes maximizing the individual’s strengths.
4 Chronic diseases cannot be cured, but are managed for symptom control, prevention of side effects, and promotion of the highest level of self-care and function.

 

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 111

Heading: Chronic Disease

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Mobility; Nursing; Promoting Health

Difficulty: Easy

  Feedback
1 Activity restrictions to minimize joint pain would have a negative effect on self-care and self-esteem.
2 Maintaining physical activity has the positive effect of increasing bone mass, promoting muscle tone, preventing disability, promoting independence, and fostering emotional health.
3 The use of alternatives to medical care often has a positive effect on the symptoms of chronic diseases, but these alternatives would not cure the person of the chronic disease.
4 Using walkers and wheelchairs early in the disease process would have a negative effect on self-care and self-esteem.

 

 

PTS:   1                    CON:  Mobility | Nursing | Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 107

Heading: Introduction

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Nursing; Promoting Health

Difficulty: Moderate

  Feedback
1 Illness is not a good excuse for being inactive may be true, however, it does not explain the intention for older people.
2 People’s needs are important, even if they are ill may be true, however, it does not explain the intention for older people.
3 A good attitude makes aging a positive learning experience may be true, however, it does not explain the intention for older people.
4 Health and health promotion can address the vitality and independence of older people, even if they have a chronic disease. The experience of health is not reserved for only persons who do not have an illness.

 

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 109

Heading: Health-Promotion Activities

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Nursing; Promoting Health

Difficulty: Easy

  Feedback
1 Focusing on extension of life is a youth-based purpose for health promotion.
2 Focusing on the prevention of aging is a youth-based purpose for health promotion.
3 Programs designed for the purpose of enhancing one’s life would be the most appealing.
4 Focusing on prevention of chronic disease processes is a youth-based purpose for health promotion.

 

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 111

Heading: Treatment Strategies

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Nursing; Promoting Health

Difficulty: Easy

  Feedback
1 Administering ordered treatments to minimize debilitating symptoms addresses parts of the nurse’s responsibilities but does not consider the individuality of the older person.
2 Assessing elderly clients and identifying treatable causes of pain and discomfort addresses parts of the nurse’s responsibilities but does not consider the individuality of the older person.
3 Setting goals for elderly clients that consider the individual and the chronic disease process addresses parts of the nurse’s responsibilities but does not consider the individuality of the older person.
4 The gerontological nurse must constantly question and evaluate nursing care. Does the nursing care build on the older person’s strengths or does it foster dependency?

 

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  1

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 4. Examine the importance motivation plays in an older person’s ability to participate in health-promotion and disease-prevention activities.

Chapter page reference: 108

Heading: Motivation

Integrated Processes: Nursing Process: Planning

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Nursing; Promoting Health

Difficulty: Easy

  Feedback
1 Motivation is the driving force behind compliance with any prescribed or individually developed health-promotion program.
2 An elderly patient often cites time of day as an obstacle to following through with a health-promotion activity.
3 Simple recognition of a problem does not provide incentive or motivation to participate in a health-promotion program.
4 An elderly patient often cites illness as an obstacle to following through with a health-promotion activity.

 

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 106

Heading: Introduction

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Coordinated Care

Cognitive level: Remembering [Knowledge]

Concept: Nursing

Difficulty: Easy

  Feedback
1 More than 3% of people age 65 or older reside in nursing homes.
2 Only 5% of people 65 years old or older reside in nursing homes.
3 Less than 10% of people age 65 or older reside in nursing homes.
4 Less than 15% of people age 65 or older reside in nursing homes.

 

 

PTS:   1                    CON:  Nursing

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 112

Heading: Nutrition

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Remembering [Knowledge]

Concept: Nutrition

Difficulty: Easy

  Feedback
1 Food storage is an environmental factor that can affect an older person’s nutritional habits.
2 Transportation is an environmental factor that can affect an older person’s nutritional habits.
3 Readability of food labels is an environmental factor that can affect an older person’s nutritional habits.
4 Lack of nutritional knowledge is a personal barrier that affects nutrition.

 

 

PTS:   1                    CON:  Nutrition

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 112

Heading: Nutrition

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Nutrition

Difficulty: Easy

  Feedback
1 The food stamps program is state and federally funded. It provides food vouchers for low-income people of all ages.
2 Meals on Wheels delivers meals to older adults, but does not provide social contact.
3 Senior centers across the United States provide activities for older adults, and most serve a meal once a day during the week while groups of seniors are at the centers.
4 The USDA distributes food commodities, such as butter and cheese, to older adults and low-income families, but does not provide social contact.

 

 

PTS:   1                    CON:  Nutrition

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 113

Heading: Exercise and Fitness

Integrated Processes: Nursing Process: Planning

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Mobility

Difficulty: Moderate

  Feedback
1 This assumes that the older adult is bedbound.
2 This assumes that the older adult is unable to ambulate.
3 Activities that assist older adults in preserving their ability to function independently would be appropriate for frail older adults.
4 Increased strength for transfers and physical stamina may be appropriate but does not address the necessity of relating strength and stamina to function.

 

 

PTS:   1                    CON:  Mobility

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 115

Heading: Endurance

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Mobility

Difficulty: Easy

  Feedback
1 Strengthening requires movement against resistance.
2 Flexibility requires stretching.
3 Aerobic exercise increases endurance through improving the functions of the heart, lungs, and blood vessels.
4 Relaxation uses deep or rhythmic breathing to relax muscles and relieve stress.

 

 

PTS:   1                    CON:  Mobility

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 114

Heading: Flexibility

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Mobility

Difficulty: Easy

  Feedback
1 Stretching muscles increases functional range of motion, but does not increase muscle endurance.
2 Stretching of all muscle groups increases flexibility and range of motion and assists in preventing muscle injury.
3 Stretching is viewed as an important part of all exercise programs.
4 Stretching muscles increases functional range of motion, but does not increase muscle strength.

 

 

PTS:   1                    CON:  Mobility

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 116

Heading: Stress

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Knowledge [Remembering]

Concept: Stress

Difficulty: Easy

  Feedback
1 Older people can be immobilized by stress but the functional disability is usually associated with a stress-related disease process.
2 Stress-management techniques do not reduce the amount of stress related to aging.
3 Stress-management techniques do not reduce the occurrence of stress-related events.
4 Stress is related to worsening of many disease processes.

 

 

PTS:   1                    CON:  Stress

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 116

Heading: Stress

Integrated Processes: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Stress

Difficulty: Moderate

  Feedback
1 Stress logs assist with increasing an older adult’s awareness of stress.
2 Keeping a stress log is not a stress-management technique.
3 Older adults have the potential to identify and adjust effectively to stressors in their lives.
4 A log or journal is one way to assist older adults in identifying stress in their lives.

 

 

PTS:   1                    CON:  Stress

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 116

Heading: Stress

Integrated Processes: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Stress

Difficulty: Moderate

  Feedback
1 Imagery is a stress-management strategy that enhances relaxation and promotes sleep.
2 Life review is a structured and time-consuming exercise. Life review often produces stress.
3 Roll breathing is a stress-management strategy that enhances relaxation and promotes sleep.
4 Progressive muscle relaxation is a stress-management strategy that enhances relaxation and promotes sleep.

 

 

PTS:   1                    CON:  Stress

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 116

Heading: Stress

Integrated Processes: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Stress

Difficulty: Moderate

  Feedback
1 Exercise is a good stress reliever and the patient would not have to deal with the worry and stress related to the condition of his car and his lack of transportation, however, this is not appropriate for the patient’s health status.
2 Roll breathing is a good stress-management strategy, but it is a quick technique and does not change the stressor.
3 Taking the car back would cause stress of being unable to go to the senior center and shopping.
4 Altering the stressor by making rules for the car use would change the stress at its source.

 

 

PTS:   1                    CON:  Stress

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 117

Heading: Alcohol, Drugs, and Aging

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Comprehension [Understanding]

Concept: Addiction

Difficulty: Easy

  Feedback
1 The negative physical effects of alcohol and drugs can increase potential for injury and disability.
2 Alcoholism and drug abuse are often missed in reviewing the problems of older adults.
3 Alcohol and drug abuse are serious problems for many older adults. The physical effects and social isolation associated with alcohol and drug abuse are serious threats to the functional independence of older adults.
4 Alcohol or drug abuse are not socially accepted, but rather are socially ignored.

 

 

PTS:   1                    CON:  Addiction

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 110

Heading: Chronic Disease

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Nursing

Difficulty: Easy

  Feedback
1 Acute diseases are not the most common problem for older adults.
2 The most common health problem in older adults is chronic diseases.
3 Medication management is not a health problem.
4 Repeated hospitalizations are not a health problem.

 

 

PTS:   1                    CON:  Nursing

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 112

Heading: Nutrition

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Nutrition

Difficulty: Easy

  Feedback
1 More and more elderly people have their own teeth because of modern dentistry techniques.
2 This is not a commonly occurring change in the aging body.
3 This is not a commonly occurring change in the aging body.
4 With aging the metabolism rate slows.

 

 

PTS:   1                    CON:  Nutrition

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 109

Heading: Health-Promotion Activities

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Promoting Health

Difficulty: Easy

  Feedback
1 Exercise may be a component of wellness management.
2 Weight loss may be a component of wellness management.
3 Traditional medicine focuses on the illness end of a continuum.
4 Health promotion focuses on wellness management.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 4. Examine the importance motivation plays in an older person’s ability to participate in health-promotion and disease-prevention activities.

Chapter page reference: 108

Heading: Motivation

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 Motivation is different for everyone.
2 Motivation is not being forced to make a change.
3 Motivation can be caused by internal or external factors.
4 Motivation is an individualized desire to make a change.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 110

Heading: Chronic Disease

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Nursing

Difficulty: Easy

  Feedback
1 50% of older people over the age of 60 have more than one chronic disease.
2 50% of older people over the age of 60 have two chronic diseases.
3 50% of older people over the age of 60 do not have four chronic diseases.
4 50% of older people over the age of 60 do not have eight chronic diseases.

 

 

PTS:   1                    CON:  Nursing

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 110

Heading: Health-Promotion Activities

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 The program is accessible because the senior citizens attend it every day.
2 It is reasonable because it is the right activity for the correct reason.
3 It is enjoyable and social because the people attend together
4 It is not sensitive to the hearing issues of the older adult.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 112

Heading: Nutrition

Integrated Processes: Nursing Process: Implementation; Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing Roles

Difficulty: Moderate

  Feedback
1 Taking insulin is for people with diabetes, with a physician’s orders only.
2 Adding calcium to the diet, exercising, and avoiding alcohol are key strategies to prevent osteoporosis.
3 Taking aspirin has no impact on the development of osteoporosis.
4 Decreasing fat intake has no impact on the development of osteoporosis.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 114

Heading: Exercise and Fitness

Integrated Processes: Nursing Process: Implementation; Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing Roles

Difficulty: Moderate

  Feedback
1 Deep knee bends may be a little aggressive for an older adult who is home alone.
2 Push-ups may be a little aggressive for an older adult who is home alone.
3 Simple exercises with a small can assist an older adult in strength building.
4 Exercise, when appropriately planned, can be done with all ages—regardless of circumstances.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 114

Heading: Flexibility

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Mobility; Promoting Health; Nursing

Difficulty: Easy

  Feedback
1 Obesity is not part of the normal aging process.
2 Diabetes is not part of the normal aging process.
3 Osteoporosis is not part of the normal aging process.
4 Loss of muscle elasticity and thickening of tissue around joints are a part of the normal aging process.

 

 

PTS:   1                    CON:  Mobility | Promoting Health | Nursing

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 116

Heading: Stress

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Stress; Promoting Health

Difficulty: Moderate

  Feedback
1 This action is not exercise.
2 The patient does not have dementia.
3 Imagining a pleasant place or situation is a quick technique to relax and counteract distress.
4 This tool is not for long-term stress management.

 

 

PTS:   1                    CON:  Stress | Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 107

Heading: Introduction

Integrated Processes: Nursing Process: Planning

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing

Difficulty: Moderate

  Feedback
1 The objective is not to run a marathon.
2 The objective is not to never experience illness.
3 The fountain of youth does not exist.
4 Harmony between the body, mind, and spirit can occur if individuals strive for gerotranscendence as they age. When aging individuals achieve this developmental stage, they are able to accept the naturally occurring losses of the aging experience.

 

 

PTS:   1                    CON:  Promoting Health | Nursing

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 107

Heading: Priority Setting 6.1

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing

Difficulty: Moderate

  Feedback
1 Counting the number of older community members with a disability will not help the nurse learn what health-promotion activities are currently available for aging community members.
2 Surveying the community members to find out what activities they prefer will not help the nurse learn what health-promotion activities are currently available for aging community members.
3 The nurse should visit the local senior citizens’ center and become familiar with what they offer. The center can refer the nurse to other organizations that assist elderly people to be healthy.
4 Planning an afternoon hike and noting the number of older community members who participate will not help the nurse learn what health-promotion activities are currently available for aging community members.

 

 

PTS:   1                    CON:  Promoting Health | Nursing

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 4. Examine the importance motivation plays in an older person’s ability to participate in health-promotion and disease-prevention activities.

Chapter page reference: 109

Heading: Motivation

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing

Difficulty: Moderate

 

  Feedback
1 It is premature to cancel the patient’s physical therapy sessions.
2 Reinforcing the safe use of a walker is a nursing action for safety, however, it does not help identify why the patient does not want to do the exercises.
3 The nursing challenge is to assist older adults in identifying their own incentives for participation in health-promotion and disease-prevention activities.
4 The nurse needs to find out why the patient is noncompliant and not just document this as a finding.

 

 

PTS:   1                    CON:  Promoting Health | Nursing

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 4. Examine the importance motivation plays in an older person’s ability to participate in health-promotion and disease-prevention activities.

Chapter page reference: 109

Heading: Incentives

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 Listening to a book on tape will not remove the feelings of loneliness and boredom.
2 The patient finds walking alone lonesome and boring. The nurse should suggest that the patient walk with the Mall Walkers to help with socialization.
3 The patient needs to be motivated beyond walking as being good for health.
4 Listening to music will not help remove the feelings of loneliness and boredom.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  3

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 4. Examine the importance motivation plays in an older person’s ability to participate in health-promotion and disease-prevention activities.

Chapter page reference: 109

Heading: Incentives

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 Sewing is not a physical activity.
2 Shuffle board has not been identified as a sport that the patient likes to perform.
3 There are computer games that simulate sports. Finding out if this game can be installed in the community center would support the patient’s need for participating in a sport that she loves while encouraging the socialization of bowling with other people.
4 Bird watching is not an activity that the patient identified as something of interest.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 4. Examine the importance motivation plays in an older person’s ability to participate in health-promotion and disease-prevention activities.

Chapter page reference: 109

Heading: Incentives

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 Shopping, laundry, cooking, and household chores would not be relaxing.
2 Shopping, laundry, cooking, and household chores would not be done for amusement.
3 Shopping, laundry, cooking, and household chores are usually done as solo activities and not in a group for socialization.
4 The patient is identifying activities that support independent living.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 109

Heading: Health-Promotion Activities

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 The pool’s hours of operation should not be an issue.
2 The emphasis on young and healthy-appearing people might be intimidating to the older person.
3 Lifeguards would be a safety feature.
4 Heated water and shower and locker facilities would be positive features.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 109

Heading: Health-Promotion Activities

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 It is unlikely that the older person is going to waste the food.
2 It is unlikely that the older person is going to feed a pet with the fast food obtained.
3 It is unlikely that the older person is concerned about throwing food away in the restaurant.
4 Self-responsibility for health might be limited based on personal circumstances. By ordering the extra value meal the person is getting more food for less money. The extra food can be saved for later.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  4

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 109

Heading: Health-Promotion Activities

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Mobility; Promoting Health

Difficulty: Moderate

  Feedback
1 Tennis would not be appropriate for older people with physical limitations.
2 Volleyball would not be appropriate for older people with physical limitations.
3 A nature walk would not be appropriate for older people with physical limitations.
4 Chair aerobics would be appropriate for older people with physical limitations.

 

 

PTS:   1                    CON:  Mobility | Promoting Health

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 110

Heading: Regular Examinations

Integrated Processes: Nursing Process: Implementation; Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing Roles

Difficulty: Moderate

 

  Feedback
1 A tetanus booster is not needed every 5 years.
2 A tetanus booster is needed every 10 years.
3 A tetanus booster is not something to consider in the years ahead.
4 A tetanus booster is not needed annually.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 110

Heading: Regular Examinations

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 Asking if the patient is having problems swallowing could be assessed if the patient has been having routine dental examinations.
2 Even with dentures the patient should have routine dental examinations to check for denture fit, mouth soreness, or oral cancer. This could be why the patient is losing weight despite having adequate teeth and resources to purchase food.
3 Cleaning the dentures most likely is not contributing to the patient’s weight loss.
4 Asking about cooking could be assessed after determining if the patient is having routine dental examinations and is able to safely swallow.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  2

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 110

Heading: Chronic Disease

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health

Difficulty: Moderate

  Feedback
1 Chronic diseases do not have a cure.
2 Chronic diseases can and do need to be managed.
3 Arthritis is not a disease that “spreads.”
4 Saying that the patient is correct is not an appropriate health-promotion response.

 

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  1

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 112

Heading: Nutrition

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Nutrition; Perfusion; Promoting Health

Difficulty: Moderate

  Feedback
1 The sense of taste and smell change with aging. The additional salt on foods is contributing to the excess fluid in the patient’s feet and ankles.
2 Sipping water throughout the day will not cause edema of the feet and ankles.
3 Drinking 8 ounces of water with each medication dose will not cause edema of the feet and ankles.
4 Hot tea will not cause edema of the feet and ankles.

 

 

PTS:   1                    CON:  Nutrition | Perfusion | Promoting Health

 

  1. ANS:  1

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 115

Heading: Endurance

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing Roles

Difficulty: Moderate

  Feedback
1 The patient is having an issue with endurance. An endurance-building activity is walking.
2 Sleeping longer each night will not build endurance.
3 Taking frequent naps throughout the day will not build endurance.
4 Spending more time outside in the sun will not build endurance.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles

 

MULTIPLE RESPONSE

 

  1. ANS:  1, 2, 4, 5
Feedback
1. Health promotion for older adults should include exercise.
2. Health promotion for older adults should include self-care.
3. Health promotion for older adults does not include finances.
4. Health promotion for older adults should include nutrition.
5. Health promotion for older adults should include relationships.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 107

Heading: Introduction

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Nursing; Promoting Health

Difficulty: Easy

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  1, 3, 5
Feedback
1. Incentives for older adults to participate in classes or group activities include having fun.
2. Prevention of growing old is unrealistic and most likely not a motivating factor.
3. Incentives for older adults to participate in classes or group activities include staying healthy.
4. Preventing chronic illnesses is unrealistic. The patient already has arthritis, a chronic disease.
5. Incentives for older adults to participate in classes or group activities include socializing.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 4. Examine the importance motivation plays in an older person’s ability to participate in health-promotion and disease-prevention activities.

Chapter page reference: 108

Heading: Motivation

Integrated Processes: Nursing Process: Planning

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Nursing; Promoting Health

Difficulty: Moderate

 

PTS:   1                    CON:  Nursing | Promoting Health

 

  1. ANS:  2, 4
Feedback
1. Inactivity does not cause diabetes.
2. Inactivity leads to weak bones.
3. Inactivity does not cause heart disease.
4. Inactivity leads to muscle wasting.
5. Inactivity does not cause poor circulation. Poor circulation can lead to inactivity.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 113

Heading: Exercise and Fitness

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Promoting Health

Difficulty: Easy

 

PTS:   1                    CON:  Promoting Health

 

  1. ANS:  3, 4, 5
Feedback
1. Combining alcohol, over-the-counter medications, and prescription drugs is not identified as causing sleep apnea.
2. Combining alcohol, over-the-counter medications, and prescription drugs is not identified as causing joint stiffness.
3. Combining alcohol, over-the-counter medications, and prescription drugs can lead to an increase in falls secondary to impairment.
4. Combining alcohol, over-the-counter medications, and prescription drugs can lead to an exacerbation of depression.
5. Combining alcohol, over-the-counter medications, and prescription drugs can lead to a toxic or lethal drug reaction.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 3. Recommend key health-promotion and disease-prevention activities appropriate for older people.

Chapter page reference: 118

Heading: Alcohol, Drugs, and Aging

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Reduction of Risk Potential

Cognitive level: Analysis [Analyzing]

Concept: Addiction; Safety

Difficulty: Moderate

 

PTS:   1                    CON:  Addiction | Safety

 

  1. ANS:  2, 3, 4, 5
Feedback
1. Food preservatives have not contributed to prolonging the life of older people.
2. The remarkable advances in treatments have made tremendous contributions to the prolonging of life for older people.
3. The remarkable advances in surgery have made tremendous contributions to the prolonging of life for older people.
4. The remarkable advances in pharmacology have made tremendous contributions to the prolonging of life for older people.
5. The remarkable advances in diagnosis have made tremendous contributions to the prolonging of life for older people.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 107

Heading: Introduction

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Promoting Health; Nursing Roles

Difficulty: Moderate

 

PTS:   1                    CON:  Promoting Health | Nursing Roles

 

  1. ANS:  2, 3, 4, 5
Feedback
1. Lower extremity edema is not a normal process of aging.
2. Normal processes of aging include some decrease in joint mobility from arthritis.
3. Normal processes of aging may include some weight gain.
4. Normal processes of aging include some decrease in hearing.
5. Normal processes of aging include some decrease in vision.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 1. Recognize aging as a normal process of living rather than a disease process.

Chapter page reference: 107

Heading: Introduction

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Nursing

Difficulty: Moderate

 

PTS:   1                    CON:  Nursing

 

  1. ANS:  1, 2, 3, 4
Feedback
1. The most common health problems of older adults are associated with chronic diseases. The most frequent chronic conditions include hearing impairments.
2. The most common health problems of older adults are associated with chronic diseases. The most frequent chronic conditions include heart conditions.
3. The most common health problems of older adults are associated with chronic diseases. The most frequent chronic conditions include hypertension.
4. The most common health problems of older adults are associated with chronic diseases. The most frequent chronic conditions include arthritis.
5. Skin tags are not identified as being a chronic health problem.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 110

Heading: Chronic Disease

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Nursing

Difficulty: Moderate

 

PTS:   1                    CON:  Nursing

 

  1. ANS:  2, 4, 5
Feedback
1. Lack of sleep contributes to body stress.
2. Road construction contributes to environmental stress.
3. Living alone contributes to mind stress.
4. Inclement weather contributes to environmental stress.
5. Waiting for someone else contributes to environmental stress.

 

Chapter number and title: Chapter 6: Promoting Wellness

Chapter/learning objective: 2. Describe the role nurses play in health-promotion and disease-prevention activities for older people.

Chapter page reference: 116

Heading: Stress

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Stress; Nursing

Difficulty: Moderate

 

PTS:   1                    CON:  Stress | Nursing

 

Chapter 7: Safety

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse is preparing an educational session for community members. What should the nurse include about falls in the older population?

1) After a fall the older person will need to be institutionalized.
2) Falls alter the older person’s metabolism and electrolyte balance.
3) Falls are the most prevalent cause of death due to unintentional injury.
4) Healthy People 2020 has a goal to reduce the number of falls in older adults by 50%.

 

 

____    2.   The licensed nurse is reviewing medications prescribed for an older patient. Which medication should be administered during the day to reduce the risk of falls?

1) Diuretic
2) Narcotic
3) Sedative
4) Antihypertensive

 

 

____    3.   The certified nursing assistant (CNA) is completing the bath for an older patient. What should be done to ensure for this patient’s skin integrity?

1) Apply cocoa butter.
2) Apply lotion to the skin.
3) Dry the skin well with a rough towel.
4) Sprinkle cornstarch between skin folds.

 

 

____    4.   While inspecting the skin of an older patient on bedrest the nurse notes several new long scratches along the back and buttocks. What should the nurse suspect as being the cause of these wounds?

1) Mattress tears
2) Wrinkled bed sheets
3) Rough edges on bed clothes
4) Long fingernails of the primary caregiver

 

 

____    5.   An older patient on bedrest was turned and repositioned at 1100 hours. At which time should the patient be turned next?

1) 1200 hours
2) 1300 hours
3) 1500 hours
4) 1700 hours

 

 

____    6.   When entering the home of an older patient during a hot summer day, the nurse notes that a table fan is positioned directly onto the patient’s face and chest. What should the nurse do first?

1) Measure vital signs.
2) Open all of the doors and windows.
3) Ensure cool drinking water is available.
4) Move the fan away from blowing directly onto the patient.

 

 

____    7.   An older patient in the community becomes confused and begins to wander during the evening hours. For which health problem should the nurse plan care for this patient?

1) Anxiety
2) Depression
3) Sundowning
4) Schizophrenia

 

 

____    8.   The daughter of an older patient with occasional confusion asks what can be done in the event the patient becomes confused while out shopping. What should the nurse suggest to this daughter?

1) Schedule around-the-clock in-home caregivers.
2) Obtain a memory-impaired identification bracelet.
3) Have the patient examined by a psychiatric professional.
4) Consider relocating to a personal care home in the neighborhood.

 

 

____    9.   During a home visit the nurse decides to spend additional time assessing an older patient’s mental status. What did the nurse observe to make this clinical determination?

1) Losing track of hospital discharge instructions
2) Forgetting to put the milk back in the refrigerator
3) Increasing isolation from friends, family, and activities
4) Not remembering if morning medication was taken before or after breakfast

 

 

____  10.   The intensive care unit has a policy that restricts visitors to immediate family members. What should the nurse do when a patient states that his domestic partner is his only family?

1) Discuss the issue with the hospital administrator.
2) Identify the domestic partner as being immediate family.
3) Suggest that the patient be transferred to another care area.
4) Document that the patient has no immediate family members.

 

 

____  11.   An older female patient refuses to answer questions regarding sexuality and asks, “What difference does it make?” How should the nurse respond to this patient?

1) “It’s a part of the nursing assessment.”
2) “Sexual preference is a piece of data collected on all patients.”
3) “It is used to identify potential health problems you might have.”
4) “This is one way to make sure that all of your needs are being met.”

 

 

____  12.   When an older male patient is observed kissing his partner he asks the nurse “not to tell anyone.” What should the nurse suspect that this patient’s statement means?

1) Fear that his family will find out
2) Embarrassed to be a homosexual
3) Afraid that he will receive substandard care
4) Shame that he was caught in an intimate moment

 

 

____  13.   An adult daughter of an older patient is overheard telling a friend that it’s “payback time” because the patient loved to yell and scream at the daughter when she was a child. What should the nurse be alert for when assessing this patient?

1) Neglect
2) Abandonment
3) Physical abuse
4) Psychological abuse

 

 

____  14.   An older patient holds the nurse’s hand and states, “Please don’t leave me alone here when my son comes to visit.” What should this indicate to the nurse?

1) The patient is afraid to die.
2) The patient wants the nurse to meet her son.
3) The patient is afraid of what her son might do.
4) The patient wants the nurse to answer the son’s questions.

 

 

____  15.   During a home visit, an older patient who lives with adult children is frantically going through desk drawers and purses looking for a beloved brooch that was her mother’s. The patient also cannot find money that she had taken out of the bank a few days ago and recalls not buying anything. What should the nurse suspect is occurring with this patient?

1) Delirium
2) Dementia
3) Material abuse
4) Early Alzheimer’s disease

 

 

____  16.   When entering the home of an older patient the nurse smells gas. What should be done first?

1) Call the gas company.
2) Check the stove for unlit burners.
3) Open all of the windows and doors.
4) Take the patient outside in the fresh air.

 

 

____  17.   An older patient is sitting in the kitchen with the lights out, watching the next door neighbor’s yard. When asked about this behavior, the patient states that the kids next door have BB guns and she doesn’t want to be shot. What should the nurse be concerned about with this patient?

1) Fall risk
2) Elder abuse
3) Personal safety
4) Mental health status

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____  18.   The nurse is concerned that an older patient is at risk for falling. What observations caused the nurse to have this concern? Select all that apply.

1) Urinary frequency
2) 20 lb overweight
3) Cataract forming in left eye
4) History of chronic bronchitis
5) Diagnosed with spinal stenosis

 

 

____  19.   Because of extreme heat and humidity, the nurse moves blood pressure screenings from being outdoors to the community center. Which older patients should the nurse suspect are experiencing the effects of the hot summer day? Select all that apply.

1) 90-year-old female wearing a sweater
2) 72-year-old female talking with family members
3) 77-year-old male with a headache and rapid heart rate
4) 68-year-old male who is sweating and asking for water
5) 82-year-old female experiencing nausea and calling for her dead husband

 

 

____  20.   An older patient walks to the community clinic in a snow storm. Which assessment findings should indicate to the nurse that this patient is experiencing adverse effects of being outside in the cold weather? Select all that apply.

1) Shivering
2) Heart rate 112 bpm
3) Respiratory rate 28
4) Temperature 98.1°F
5) Blood pressure 158/92 mm Hg

 

 

____  21.   The nurse is preparing a community educational program on the preparation of a safety bag. What contents should the nurse emphasize be placed in this bag? Select all that apply.

1) Money
2) Cell phone and charger
3) Medications for 10 days
4) Weapon and ammunition
5) Food and water for 3 days

 

 

____  22.   The nurse is preparing to make a visit to an older patient in the home. What should the nurse keep in mind when planning this patient’s safety? Select all that apply.

1) Obtain items to be placed in the patient’s safety bag.
2) Carry personal protective equipment in the home visit bag.
3) Visually inspect the patient’s home environment for safety hazards.
4) Listen for potential safety issues that the patient might mention in conversation.
5) Identify community resources available to the patient in the event of a safety issue.

 

Chapter 7: Safety

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  3

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 1. Identify potential fall risks based on diagnosis, medication, and environment.

Chapter page reference: 126

Heading: Fall Risks

Integrated Processes: Teaching/Learning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Safety

Difficulty: Moderate

  Feedback
1 Not all older people need to be institutionalized after a fall.
2 Falls are not identified as altering metabolism or electrolyte levels.
3 Falls are the most prevalent cause of death due to unintentional injury among older adults.
4 Healthy People 2020 has a goal to reduce the number of fall-related emergency department visits among older adults by 10%.

 

 

PTS:   1                    CON:  Safety

 

  1. ANS:  1

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 1. Identify potential fall risks based on diagnosis, medication, and environment.

Chapter page reference: 128

Heading: Fall Prevention Measures

Integrated Processes: Nursing Process: Planning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Safety

Difficulty: Moderate

  Feedback
1 Diuretics are best given during the day to decrease injuries that may be sustained by rising too quickly from a lying position or moving through a dark room.
2 Medications that cause drowsiness or dizziness, such as narcotics, are often best given at night, as the patient is going to bed and will not be ambulating as much.
3 Medications that cause drowsiness or dizziness, such as sedatives, are often best given at night, as the patient is going to bed and will not be ambulating as much.
4 Medications that cause drowsiness or dizziness, such as blood pressure medications, are often best given at night, as the patient is going to bed and will not be ambulating as much.

 

 

PTS:   1                    CON:  Safety

 

  1. ANS:  2

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 2. Give examples of measures that can be taken to promote optimal skin integrity.

Chapter page reference: 130

Heading: Skin Integrity

Integrated Processes: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Skin Integrity

Difficulty: Moderate

  Feedback
1 Proper levels of moisturizer allow the skin to not be as fragile or tear as easily, compared to when the skin is too moist.
2 Routine application of emollients such as lotion helps to maintain skin integrity.
3 A rough towel could cause tearing of the older patient’s fragile skin.
4 Proper levels of moisturizer allow the skin to not be as fragile or tear as easily, compared to when the skin is too dry.

 

 

PTS:   1                    CON:  Skin Integrity

 

  1. ANS:  4

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 2. Give examples of measures that can be taken to promote optimal skin integrity.

Chapter page reference: 129

Heading: Skin Integrity

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Analysis [Analyzing]

Concept: Skin Integrity

Difficulty: Moderate

  Feedback
1 It is unlikely that mattress tears caused the scratches on that specific location of the patient’s skin.
2 Wrinkled sheets would not cause skin scratches.
3 Rough edges on bed clothes would cause skin scratches on other parts of the patient’s body and not just along the back and buttocks.
4 The nurse should ensure that anyone else in close contact with the patient does not have any sharp edges, such as long fingernails, which could injure those with impaired skin integrity

 

 

PTS:   1                    CON:  Skin Integrity

 

  1. ANS:  2

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 2. Give examples of measures that can be taken to promote optimal skin integrity.

Chapter page reference: 130

Heading: Skin Integrity

Integrated Processes: Nursing Process: Planning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Skin Integrity

Difficulty: Moderate

  Feedback
1 After 1 hour might be too soon to turn and reposition the patient.
2 Regular repositioning of the patient should be done at least once every 2 hours to redistribute areas of pressure and increase circulation.
3 4 hours is too long to wait to turn and reposition the patient.
4 6 hours is too long to wait to turn and reposition the patient.

 

 

PTS:   1                    CON:  Skin Integrity

 

  1. ANS:  4

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 3. Compare and contrast the manifestations of hyper and hypothermia in the older adult.

Chapter page reference: 130

Heading: Risks Associated with Heat

Integrated Processes: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Thermo-regulation

Difficulty: Moderate

  Feedback
1 Measuring vital signs can be done after moving the fan away from the patient.
2 Opening all of the doors and windows might increase the amount of heat in the home.
3 Checking for a water supply can be done after moving the fan away from the patient.
4 The patient should not be directly in front of a fan to reduce the risk of developing hypothermia.

 

 

PTS:   1                    CON:  Thermo-regulation

 

  1. ANS:  3

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 4. Apply knowledge of behavioral patterns to help identify potential mental health concerns.

Chapter page reference: 131

Heading: Dementia and Delirium

Integrated Processes: Nursing Process: Planning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

  Feedback
1 Anxiety may manifest as increasing insomnia, verbalization of worry, and increasing apprehension about the world around them.
2 Depression may be indicated through verbalization of sadness, decreased socialization, increased sleeping, and verbalization of suicidal ideations, which may include frequent mentioning of wanting to be with loved ones who have passed away.
3 Wandering or confusion that occurs in the evening hours is termed sundowning.
4 Schizophrenia is a personality disorder characterized by paranoia and different types of hallucinations.

 

 

PTS:   1                    CON:  Cognition

 

  1. ANS:  2

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 4. Apply knowledge of behavioral patterns to help identify potential mental health concerns.

Chapter page reference: 131

Heading: Dementia and Delirium

Integrated Processes: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

  Feedback
1 The patient is occasionally confused. An around-the-clock caregiver is not necessary.
2 A memory-impaired identification bracelet that includes the patient’s name, a reliable contact number, and a recent photograph of the patient with information such as height, weight, and full name indicated on the back, is helpful in the event the patient becomes confused.
3 A psychiatric evaluation is not required at this time.
4 A personal care home might be considered in the future, but for occasional confusion this would not be necessary.

 

 

PTS:   1                    CON:  Cognition

 

  1. ANS:  3

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 4. Apply knowledge of behavioral patterns to help identify potential mental health concerns.

Chapter page reference: 132

Heading: Dementia and Delirium

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Analysis [Analyzing]

Concept: Cognition

Difficulty: Moderate

  Feedback
1 Losing track of hospital discharge instructions does not indicate a pending mental health issue.
2 Forgetfulness does not indicate a mental health issue.
3 One manifestation of decreased cognition or mental health issues, including depression, anxiety, post-traumatic stress disorder, and substance abuse is often isolation.
4 Not recalling if medication was taken before or after breakfast is not an indication of a mental health issue.

 

 

PTS:   1                    CON:  Cognition

 

  1. ANS:  2

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 5. Analyze if concerns for LGBT persons are being addressed with resources in their area.

Chapter page reference: 133

Heading: Box 7.3 Concerns for LGBT Older Adults

Integrated Processes: Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

  Feedback
1 This does not need to be discussed with the hospital administrator.
2 The patient’s domestic partner is his family and should be identified as such.
3 The patient would not be in the intensive care unit if the patient’s health condition did not warrant it.
4 Documenting no immediate family members is not true. The patient has a domestic partner.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  4

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 5. Analyze if concerns for LGBT persons are being addressed with resources in their area.

Chapter page reference: 133

Heading: Point of Interest

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 Questions about sexuality are not asked because it’s a part of the nursing assessment.
2 Questions about sexuality are not asked because sexual preference data is collected on all patients.
3 Questions about sexuality are not asked because they help identify health problems.
4 Questions about sexuality are asked to make sure that the patient receives holistic care and all needs are being met.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  3

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 5. Analyze if concerns for LGBT persons are being addressed with resources in their area.

Chapter page reference: 132

Heading: Sexuality

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

  Feedback
1 There is not enough information to determine if the patient’s family is unaware of his sexual preference.
2 There is no reason to believe that the patient is embarrassed by being a homosexual.
3 13% of LGBT patients believe that they would receive substandard care if their sexuality is revealed.
4 There is no reason to believe that the patient is ashamed to be seen kissing his partner.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  4

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 6. Compare and contrast possible indications of the various forms of elder abuse.

Chapter page reference: 135

Heading: Elder Abuse

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Violence

Difficulty: Moderate

  Feedback
1 There is not enough information to determine if the patient is experiencing neglect.
2 The patient has not been abandoned.
3 There is no information to support that the patient has experienced physical abuse.
4 The adult daughter stated that the patient yelled and screamed at her as a child. This could mean that the daughter is prepared to do the same to the older patient. This is a form of psychological abuse.

 

 

PTS:   1                    CON:  Violence

 

  1. ANS:  3

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 6. Compare and contrast possible indications of the various forms of elder abuse.

Chapter page reference: 135

Heading: Elder Abuse

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Analysis [Analyzing]

Concept: Violence

Difficulty: Moderate

  Feedback
1 There is no reason to believe that the patient is afraid to die.
2 This comment does not sound like the patient wants the nurse to stay just to meet the son.
3 By holding the nurse’s hand and asking not be left alone with the son the patient might be afraid of what the son might do. This could indicate a fear of physical or psychological abuse.
4 There is no information to support that the son has questions that only the nurse can answer.

 

 

PTS:   1                    CON:  Violence

 

  1. ANS:  3

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 6. Compare and contrast possible indications of the various forms of elder abuse.

Chapter page reference: 135

Heading: Elder Abuse

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Analysis [Analyzing]

Concept: Violence

Difficulty: Moderate

  Feedback
1 The patient is not demonstrating signs of delirium.
2 The patient is not demonstrating signs of dementia.
3 Material abuse is the taking of money, possessions, or property from older adults without their permission. This is what the nurse should suspect is occurring with this patient.
4 Although forgetfulness can occur with aging, the patient is not demonstrating signs of early Alzheimer’s disease.

 

 

PTS:   1                    CON:  Violence

 

  1. ANS:  4

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 7. Predict what emergency situations may arise in their community, and evaluate what resources are available for each situation.

Chapter page reference: 136

Heading: Safety in Emergency Situations

Integrated Processes: Nursing Process: Implementation

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Trauma; Safety

Difficulty: Moderate

  Feedback
1 Although important, personal and patient safety are priorities.
2 Although this can be done, personal and patient safety are priorities.
3 Although this can be done, the patient should be removed from the environment first.
4 This is the priority. The patient should be removed from the area and placed in a safe location away from the source of the gas leak.

 

 

PTS:   1                    CON:  Trauma | Safety

 

  1. ANS:  3

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 8. Assess what safety issues are present for older adults in the home environment.

Chapter page reference: 139

Heading: Safety Issues to Check on During Home Visits

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Safety

Difficulty: Moderate

  Feedback
1 Although it might be an issue that the patient is sitting in a dark room, the risk of falling is not as important as the risk of personal safety.
2 There is no evidence that the patient has been or is being threatened with elder abuse.
3 The fear of being shot with a BB gun is a threat to the patient’s safety.
4 The patient is not demonstrating behavior that would cause the nurse to question mental health status.

 

 

PTS:   1                    CON:  Safety

 

MULTIPLE RESPONSE

 

  1. ANS:  1, 2, 3, 5
Feedback
1. Urinary frequency for continent older adults promotes increased need for frequent trips to the bathroom, increasing the opportunity for injury.
2. Obese patients are at a great risk of sustaining injury from the impact of their own weight on their frame.
3. Cataracts may be dangerous to the patient if he or she cannot see obstacles.
4. Chronic bronchitis is not identified as being a risk factor for falls.
5 Chronic back pain may result in increased painful sensations during ambulation, increasing the risk of falls if they result in an abnormal or stuttered gait and impaired reflexes.

 

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 1. Identify potential fall risks based on diagnosis, medication, and environment.

Chapter page reference: 127

Heading: Fall Risks

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Analysis [Analyzing]

Concept: Safety

Difficulty: Moderate

 

PTS:   1                    CON:  Safety

 

  1. ANS:  3, 5
Feedback
1. Older people have less adipose tissue and may feel cold in warm environments.
2. There is no reason for the nurse to suspect that this patient is experiencing effects from the heat.
3. A headache and rapid heart rate are manifestations of hyperthermia in an older person.
4. Sweating is expected in the heat. Experiencing thirst is expected in the heat.
5 Nausea and confusion are manifestations of hyperthermia in an older person.

 

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 3. Compare and contrast the manifestations of hyper and hypothermia in the older adult.

Chapter page reference: 131

Heading: Box 7.1 Signs of Hyperthermia

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Analysis [Analyzing]

Concept: Thermo-regulation

Difficulty: Moderate

 

PTS:   1                    CON:  Thermo-regulation

 

  1. ANS:  1, 2, 3, 5
Feedback
1. Signs of hypothermia include shivering.
2. Signs of hypothermia include increased heart rate.
3. Signs of hypothermia include rapid breathing.
4. A temperature of 98.1°F is within normal limits.
5. Signs of hypothermia include increased blood pressure.

 

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 3. Compare and contrast the manifestations of hyper and hypothermia in the older adult.

Chapter page reference: 131

Heading: Box 7.2 Signs of Hypothermia

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Analysis [Analyzing]

Concept: Thermo-regulation

Difficulty: Moderate

 

PTS:   1                    CON:  Thermo-regulation

 

  1. ANS:  1, 2, 3, 5
Feedback
1. Money should be available in the safety bag.
2. A cell phone and charger should be in the safety bag.
3. A 10-day supply of medication should be in the safety bag.
4. Weapons and ammunition are not identified as essentials in a safety bag.
5. Food and water for at least 3 days should be in the safety bag.

 

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 7. Predict what emergency situations may arise in their community, and evaluate what resources are available for each situation.

Chapter page reference: 137

Heading: Safety in Emergency Situations

Integrated Processes: Teaching/Learning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Trauma; Safety; Nursing Roles

Difficulty: Moderate

 

PTS:   1                    CON:  Trauma | Safety | Nursing Roles

 

  1. ANS:  2, 3, 4, 5
Feedback
1. It is not the nurse’s responsibility to obtain the items for a patient’s safety bag.
2. Carrying personal protective equipment in the home visit bag ensures for the nurse’s safety.
3. It is within the nurse’s role to visually survey the environment in a way that maintains privacy.
4. It is important for the nurse to hear what the older adult has to say, using keen observation skills to listen for potential indicators of safety breaches and then following up on these.
5. The nurse should be aware of community resources that may be able to also help in the multidisciplinary efforts to promote safety for the older adult.

 

Chapter number and title: Chapter 7: Safety

Chapter/learning objective: 8. Assess what safety issues are present for older adults in the home environment.

Chapter page reference: 138

Heading: Safety Issues to Check on During Home Visits

Integrated Processes: Nursing Process: Planning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Trauma; Safety

Difficulty: Moderate

 

PTS:   1                    CON:  Trauma | Safety