Chapter 08 Health Assessment for Older Adults

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Chapter 08  Health Assessment for Older Adults

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1.

What is the purpose of a health screening?

  1. Identifies persons with unmet health needs who may need a referral.
  2. Assesses local health needs for the Public Health Department.
  3. Collects data that will be used for research.
  4. Provides appropriate treatment for identified health needs.

ANS: A
Screenings are to identify unmet health needs and to refer identified persons to an appropriate resource for assessment and treatment.

DIF: Cognitive Level: Knowledge REF: p. 148 OBJ: 1
TOP: Screening vs. Assessment KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

The nurse charts, “Patient stated pain is at a level of 8 on a scale of 1 to 10 and that he is still nauseated. Patient complains of feeling cold and has an oral temperature of 97.8°.” What information would be considered objective findings?

  1. Pain measurement
  2. Presence of nausea
  3. Sense of cold
  4. Oral temperature

ANS: D
The objective concrete measurement of the temperature is the only objective data in the nurse’s record.

DIF: Cognitive Level: Application REF: p. 149 OBJ: 2
TOP: Objective Data KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

Which of the following tests should be performed annually in a 55-year-old woman?

  1. Fecal occult blood test
  2. Sigmoidoscopy
  3. Hearing screening
  4. Mammogram

ANS: A
The American Cancer Society recommends an annual fecal occult blood test for persons older than 50. Sigmoidoscopy is recommended every 3–5 years. A hearing screening is recommended every ten years. A mammogram should be performed every two years between the ages of 50 and 74.

DIF: Cognitive Level: Comprehension REF: Table 8-1, p. 149
OBJ: 3 TOP: American Cancer Society Recommendations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2.

3.

4.

What statement would put the older woman most at ease during a health interview?

  1. “The interview will take quite a while.”
  2. “Please have a seat over there across from the desk.”
  3. “There are lots of questions that we must finish.”
  4. “The bathroom is behind that green door. We’ll be taking a break in about 30 minutes.”

ANS: D
The “permission” to go to the bathroom and knowledge of its location will set the patient at ease. It is helpful to provide information about the probable time limits of the interview. The interview should be conducted in a private area.

DIF: Cognitive Level: Application REF: p. 150 OBJ: 4 TOP: Physical Setting for Health Interview
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

Which statement by the nurse would be the most appropriate at the beginning of the health

interview?

  1. “Hello, Mrs. Smith. My name is Alice. We’ll start with a few questions before the

    physical exam.”

  2. “Welcome, Sara. I’m Alice. Let’s get down to some questions about your health.”
  3. “I’m Alice Jones. I’m here to do an interview about your health.”
  4. “Hey, Mrs. Smith! Are you ready for some questions about your health?”

ANS: A
Addressing the patient formally and identifying yourself, as well as informing the patient of the expectation of the interview, is an appropriate approach to the older adult.

DIF: Cognitive Level: Application REF: p. 150 OBJ: 4
TOP: Establishing Rapport KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation

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