Chapter 08 Health Assessment of Older Adults

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Chapter 08  Health Assessment of Older Adults

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse clarifies that the difference between a health screening and health assessment is that 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: Comprehension REF: 151 OBJ: 1
TOP: Screening vs. Assessment KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2. The nurse charts that the “Patient stated abdominal pain is still 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°.” The objective information recorded is the:

  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: 151 OBJ: 2
TOP: Objective Data KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. The nurse reminds the 55-year-old woman that the American Cancer Society (ACS) recommendation for persons older than 50 years is to have an annual:

  1. fecal occult blood test.
  2. sigmoidoscopy.
  3. Pap smear.
  4. pelvic examination.

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 8-2

ANS: A
The ACS recommends an annual fecal occult blood test for persons older than 50. Sigmoidoscopy is recommended every 3 to 5 years. Pap smears and pelvic examinations are recommended every 2 to 3 years.
DIF: Cognitive Level: Comprehension REF: 152, Table 8-1
OBJ: 3 TOP: American Cancer Society Recommendations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

4. The nurse is aware that the most common health threat for the older adult, regardless of ethnicity, is:

  1. hypertension.
  2. cancer.
  3. diabetes.
  4. glaucoma.

ANS: C
Diabetes is the most common health threat for the older adult, regardless of ethnicity. DIF: Cognitive Level: Comprehension REF: 158 OBJ: 3
TOP: Diabetes KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

5. The statement that would put the older woman most at ease during the lengthy health interview would be:

  1. “This interview will take about an hour.”
  2. “Please have a seat over there across from the desk.”
  3. “There are 75 questions we need to get answered in the next hour.”
  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. DIF: Cognitive Level: Application REF: 153 OBJ: 4
TOP: Physical Setting for Health Interview
KEY: Nursing Process Step: Implementation
MSC: NCLEX:PsychosocialIntegrity:PsychosocialAdaptation

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