A nurse is planning to write a grant for a health-promotion project in the community. Which of considerations should the nurse make when determining the appropriate population for this project?
The fastest growing population is children under the age of 12
The fastest growing population is young Black American adults.
The fastest growing population is White middle-age adults
The fastest growing population is non-White older adults age 65 and older
Which of the following statements made by a client best identifies someone who would likely to be receptive to health-promotion interventions?
“I have a new grandchild and want to be part of her life.”
“My mother lived until she was 90, so a long life is in my genes.”
“Some chronic illness is just a part of aging.”
“I hope I’ll live a lot longer, but one never knows.”
Which of the following statements concerning nutrition and older adults is true?
Older adults who live in their own homes are more likely to be malnourished than older adults living in a nursing home.
Older adults lose their desire for high-fat, salty foods
Meals served in long-term care institutions are usually more well balanced than foods eaten by older adults living at home
Many older adults are not aware of food assistance programs
Which of the following statements concerning urinary incontinence is correct?
Urge incontinence occurs when one has the urge to void but is unable to do so
Stress incontinence is associated with emotional turmoil
Functional incontinence is associated with environmental barriers
Incontinence with high post-void residual occurs when someone laughs or sneezes
Which of the following measure is appropriate for treating urinary incontinence?
Increase caffeine to tighten urinary sphincter
Utilize voiding schedules
Decrease fiber to lessen pressure on the bladder from the colon
Avoid pilates, which have been shown to inflame pelvic floor in the elderly
A 75-year-old man tells the nurse that he has difficulty staying asleep during the night. Which of the following responses should be made by the nurse?
“It is best to avoid milk or reading before bedtime.”
“I’ll ask the nurse practitioner to prescribe a sleeping pill for you.”
“Taking naps during the day can help relieve excessive fatigue and will help you sleep better.”
“Let’s talk about your sleep schedule and things that may prevent you from getting a restful night’s sleep.”
A nurse is conducting a community education program about cognition in older adults. Which of the following information should be included?
Some form of mild dementia is a normal part of aging.
Confusion is a reliable indicator of dementia
Assessment for dementia should be part of routine physical exams.
Elders who score below 27 points on the Mini-Mental State Exam (MMSE) are not likely to have a cognition problem
A nurse has recently accepted the position of unit nurse manager on a long-term care unit. Which of the following directives should the nurse give to the staff nurses?
Encourage residents to participate in unit activities such as Scrabble™ and bingo
Demonstrate the caring aspect of nursing by dressing residents before breakfast
Discourage exercise for patients with Parkinson because it has been shown to accelerate muscle stiffness
Switch places at the table every 3 weeks and change roommates every 6 weeks to alleviate boredom
Which of the following statements is correct concerning the “obesity paradox” as it pertains to older adults?
Obesity in older adults is more detrimental than it is for younger adults
Unlike younger people, fruits and vegetables cause obesity in elderly people
Obesity in older adults is not related to caloric intake or exercise
Obesity in older adults is not clearly linked with shorter life span
Which of the following is correct concerning heat regulation in the older adult?
Remaining indoors where temps are 90 degrees or higher is recommended
Increased sweating, characteristic of older adults, increases the risk of dehydration
Increased use of salt, secondary to declining taste, increases the risk for heat stroke
The ability to feel heat and cold is typically enhanced in the elderly due to thinner skin
According to Erikson’s theory of development, which of the following older adults has successfully navigated the stage of ego integrity versus despair?
72-year-old man who is reluctant to retire because “work is everything to me”
78-year-old woman who has scheduled her third face lift
80-year-old man who has informed his children that he has made his funeral arrangements
67-year-old woman who is depressed because she has not been promoted at work for the past 10 years
A couple in their sixties has assumed responsibility for raising their two grandchildren ages 9 and 12 because the children’s parents died in a car accident. Which of the following is nursing interventions is a priority to help the grandparents cope with the responsibility of raising their grandchildren?
Connecting them with the “Grandparents Raising Grandchildren” support group
Encouraging them by reminding them how they successfully raised their own children
Volunteering to provide respite time for them as needed
Assuring them that their stress level will lessen, as they gain confidence
A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements is accurate?
“The desire for sexual intimacy declines rapidly with age.”
“Older adults are very well-informed about sexuality.”
“Older adults need to practice safe sex.”
“The danger of contracting STDs during sexual intimacy is extremely low in older adults.”
The clinic nurse has seen the following four widows today. Which of the following persons is demonstrating a healthy coping pattern for her loss?
The widow who discusses very little except the loss of her husband 3 years ago
The widow who talks about the “good times” she and her husband had before his illness and death 1 year ago
The widow who states that life is not worth living without her husband, who died 2 years ago
The widow who blames herself for her husband’s death because she did not “make him go” to the doctor
A nurse is assigned to provide care for a 96-year-old bedridden man who experiences severe pain from a chronic neurological disease. The man asks the nurse to please help him leave this world so that his suffering will end. Which of the following actions would be most appropriate for the nurse to take?
Assist the doctor with the man’s request.
Refuse to care for the man
Contact the pain care specialist
Provide the man with names of doctors who participate in assisted suicide
A nurse is conducting a home visit for an older adult in the summer. Which of the following items should the nurse should locate in the home in the interest of preventing a heat stroke?
Fan
Porch chair
Synthetic blend clothing
Air thermometer
The community health nurse has obtained a grant to offer a “Safe Driving” series for older adults. Which of the following information should the nurse stress during the series?
Traffic fatalities involving older adults occur mainly at dusk
The cause of two-vehicle accidents is frequently an older driver striking another car.
The average blood alcohol level in older adults involved in accidents is higher than the blood alcohol level of younger drivers involved in accidents
Relearning the art of defensive driving can reduce the likelihood that an older driver will be involved in a motor vehicle accident
As part of a community-wide flu vaccination program for older adults, the nurse is assisting at a vaccination clinic. Which of the following questions should the nurse ask before administering the vaccine?
“Do you have any food allergies?”
“Have you had the pneumococcal vaccine?”
“Have you had the flu in the past 5 years?”
“Do you have Medicare?”
A man tells a nurse that he is concerned about his risk and his wife’s risk of developing cancer. Which of the following statements concerning cancer is accurate?
PSA assessment alone is not ideal for purposes of screening for prostate cancer
Breast cancer risks are lower in women who have never had children
Smoking does increase the risk of cancer but non-smoking tobacco products do not increase risk
Increased immune function to adults after age 65 impacts cancer rates
Which of the following statements is the best definition of polypharmacy?
The use of more than five medications prescribed by different physicians
The use of multiple medications for the same or different health problems
The use of multiple pharmacies and self-management of medications
The use of multiple medications and supplements simultaneously
A person is preparing to return home following a 2-week hospital stay for congestive heart failure and pneumonia. Which of the following referrals would be most beneficial for the person?
Transportation assistance
Home-delivered meals
Adult day care
Home health nursing
The son of a 70-year-old man dying of cancer asks the nurse to tell him about the hospice program, so he can help his father decide if the program would be of benefit to him. Which of the following responses should be given by the nurse?
“At hospice, your father will be heavily medicated, so he will not have pain.”
“All of your father’s care will be provided by nurses at hospice.”
“Hospice care can take place either at home or in a hospice facility.”
“Visiting hours are about the same at hospice as they are here in the hospital.”
A community health nurse is working with a diverse population of older adults within the community. Based on the data from the National Health Interview Survey, which of the following assumptions should be made by the nurse when working with this diverse population?
White Non-Hispanic older adults tend to require more assistance with their activities of daily living.
Hispanic older adults tend to rate their health as poorer than other ethnic groups.
Older adults who tend to rate their health as fair or poor are also financially poor
Older adults tend to require more assistance with activities of daily living than with meeting their routine needs
A woman who is being discharged from the hospital is oriented to person, place, and time, and her memory is intact. She has occasional forgetfulness without a consistent pattern of memory loss. Which of the following housing options would be most appropriate for this woman?
Independent living
Retirement community
Assisted living
Nursing facility
Which of the following interventions will have the greatest impact on reducing constipation in older adults? (SELECT ALL THAT APPLY.)
Offering strained fruit and vegetable juices to increase fiber content in the diet
Encouraging fluids between meals
Administering laxatives on a daily basis
Assisting with ambulation
Which of the following factors would be considered predictors of satisfaction with retirement? (SELECT ALL THAT APPLY.)
Participation in competitive sports but most especially golf
Adequate income
Having grandchildren
Good functional ability
The nurse working in a retirement community for older adults is conducting a psychosocial assessment of all residents to screen for depression and suicidal ideation. Which of the following questions should the nurse ask during the assessment process? (SELECT ALL THE APPLY.)
“Have you thought about harming yourself?”
“Are you still playing bridge every Thursday?”
“How does your congestive heart failure affect your life?”
“Do you still have any money left in your IRA account”
Which of the following nursing interventions implies respect for a person’s spirituality? (SELECT ALL THAT APPLY.)
Changing the position of the bed in a Muslim client’s room so that it faces east
At the request of a Buddhist patient, asking the home health aide to pick up incense when she next shops for the patient
Saying a silent prayer with a client, at the client’s request
Praying out loud in the room of a dying client
A nurse is conducting a community health-education program about osteoporosis with a group of older adults. Which of the following individuals in attendance is at greatest risk for developing osteoporosis? (SELECT ALL THAT APPLY.)
65-year-old Asian woman who smokes one pack of cigarettes per week
80-year-old White man who has three glasses of wine per day
74-year-old White woman on daily oral prednisone for emphysema
68-year-old Black man who has a sedentary lifestyle
An 80-year-old person is admitted to the hospital. During the health assessment process, the nurse should screen for which of the following conditions? (SELECT ALL THAT APPLY.)
Polypharmacy
Renal insufficiency
Illegal drug use
Alcoholism
