Chapter 12 Health Care of the Older Adult

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Chapter 12  Health Care of the Older Adult

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. You are performing an initial assessment on an 80-year-old male patient admitted for an infected right hand. The man tells you that he can no longer do as many things as he used to be able to do. What do recognize as impacting your patient’s life?
A) An infectious-disease state

B) Loss of independence C) Age-related changes D) Loneliness

Ans: C
Chapter: 12
Client Needs: C
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process Objective: 4
Page and Header: 202, Overview of Aging

Feedback: Age-related changes and risk factors may negatively interfere with patient outcomes and actually impair patient activity and quality of life. Though the patient was admitted for an infected hand, there is no place in this scenario that says this infection is long standing or that it

could impact the patient’s life; similarly, this scenario does not cite that the patient has lost his independence or that he is lonely, so these factors would not be impacting the patient’s life.

2. A gerontologic nurse practitioner has a large patient population with heart-disease problems. This nurse practitioner is aware that heart disease is the leading cause of death in the aged. What is the cause of this trend?
A) Heart muscle and arteries lose their elasticity.

B) Systolic blood pressure decreases.
C) Resting heart rate decreases with age.
D) The aged are less likely to adopt a healthy lifestyle.

Ans: A
Chapter: 12
Client Needs: D-4
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 3
Page and Header: 203, Age-Related Changes

Feedback: The leading cause of death for patients over the age of 65 years is cardiovascular disease. Malignant neoplasms are the second leading cause. As a person ages, systolic blood pressure does not decrease, resting heart rate does not decrease, and the aged are not less likely to adopt a healthy lifestyle.

3. An occupational health nurse overhears an employee talking to his manager about a 65-year- old coworker. What would the nurse be concerned about when she hears the employee state, “He should retire and make way for some new blood”?
A) Intolerance

B) Ageism
C) Dependence
D) Nonspecific prejudice

Ans: B
Chapter: 12
Client Needs: C
Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Caring Objective: 7

Page and Header: 209, Age-Related Changes

Feedback: Ageism refers to prejudice against the aged. Intolerance is implied by the employee’s statement, but the intolerance is aimed at the coworker’s age, making option A an incorrect answer. The employee’s statement does not raise concern about dependence. The prejudice exhibited in the statement is very specific.

4. The nurse is caring for a 65-year-old patient diagnosed with hypertension. Which of the following blood pressure readings demonstrates hypertension?
A) 140/90 mm Hg
B) 132/88 mm Hg

C) 129/75 mm Hg D) 120/68 mm Hg

Ans: A
Chapter: 12
Client Needs: D-4
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 3
Page and Header: 204, Age-Related Changes

Feedback: Hypertension is the diagnosis given when the diastolic pressure is greater than or equal to 90 mm Hg regardless of the systolic pressure. This makes the other options incorrect.

5. You are the nurse caring for a 75-year-old patient who has been hospitalized for a fractured radius. The patient’s daughter has accompanied the patient to the hospital and asks you what her father can do for his very dry skin. What would be your best response?
A) “Bathe one to two times a week.”

B) “Use makeup to cover the wrinkles.” C) “Avoid prolonged use of sunscreens.” D) “Drink more milk.”

Ans: A
Chapter: 12
Client Needs: D-1
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Teaching/Learning

Objective: 2
Page and Header: 205, Age-Related Changes

Feedback: Patients with dry skin should be instructed to use a lubricating cream daily, avoid prolonged exposure to the sun, bathe only one to two times per week, and maintain a safe indoor temperature. The nurse would not suggest using makeup to cover the wrinkles, avoiding prolonged used of sunscreens, or drinking more milk.

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