Chapter 23 Kozier And Erbs Fundamentals of Nursing 10th Edition

Chapter 23  Kozier And Erbs Fundamentals of Nursing 10th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
A nurse is working with a group of clients in a community center, all over the age of 85. How should the nurse classify this group of clients?
1. Young-old
2. Middle-old
3. Old-old
4. Elite-old
Correct Answer: 3
Rationale 1: Those of age 65 to 74 years are referred to as the young-old.
Rationale 2: Those of age 75 to 84 are the middle-old.
Rationale 3: Those of age 85 to 100 are the old-old.
Rationale 4: Individuals over 100 are considered the elite-old.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2. Identify the different categories of older adults as they range from 65 to 100 years of age.
MNL Learning Outcome: 2.1.4. Analyze the older adult’s physiologic and psychosocial development.
Page Number: 365

Question 2
Type: MCMA
The nurse is planning care for an older adult client. On what should the nurse focus if following the Functional Consequences Theory on aging?

Standard Text: Select all that apply.

1. Promote safety.
2. Promote mental health.
3. Improve quality of life.
4. Promote spiritual health.
5. Promote growth and development.

Correct Answer: 1, 3

Rationale 1: Miller developed the Functional Consequences Theory in 1990. Functional consequences are age-related changes, actions that have placed the client at risk for illness or injury, and risk factors for disease. The nurse should design interventions that promote safety.

Rationale 2: In the Nursing Theory of Successful Aging developed by Flood, the client experiences spiritual connections and a sense of meaning and worth. Nurses must target interventions for the older adult in the promotion of mental health throughout the aging process.

Rationale 3: Miller developed the Functional Consequences Theory in 1990. Functional consequences are age-related changes, actions that have placed the client at risk for illness or injury, and risk factors for disease. The nurse should design interventions that improve the client’s quality of life.

Rationale 4: In the Nursing Theory of Successful Aging developed by Flood, the client experiences spiritual connections and a sense of meaning and worth. Nurses must target interventions for the older adult in the promotion of spiritual health throughout the aging process.

Rationale 5: The Theory of Thriving asserts that nurses must intervene to promote the older adult’s growth and development.

Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 7. List the common biological theories of aging.
MNL Learning Outcome: 2.1.4. Analyze the older adult’s physiologic and psychosocial development.
Page Number: 369

Question 3
Type: MCSA
A nurse is presenting a health education program to a group of older adults at a senior citizens center. Considering the physiological changes of this age group, how should the nurse set the temperature of the room?
1. It should be set at a temperature that is comfortable for the nurse.
2. It should be set cooler than what is comfortable for the nurse.
3. It should be set warmer than the nurse’s preference.
4. The temperature of the room is not one of the nurse’s concerns.
Correct Answer: 3
Rationale 1: Because elderly persons have a loss of subcutaneous fat, their tolerance of cold is decreased and they would not be comfortable in a temperature suited to a younger individual.
Rationale 2: Because elderly persons have a loss of subcutaneous fat, their tolerance of cold is decreased and they typically do not enjoy cooler temperatures.
Rationale 3: Because elderly persons have a loss of subcutaneous fat, their tolerance of cold is decreased and they typically enjoy warmer temperatures.
Rationale 4: If the environment is not comfortable to the audience, they will be distracted and not be able to focus or concentrate on the presentation and any information the nurse shares.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1. Describe the demographic, socioeconomic, ethnicity, and health characteristics of older adults in the United States.
MNL Learning Outcome: 2.1.4. Analyze the older adult’s physiologic and psychosocial development.
Page Number: 370

Question 4
Type: MCSA
In the review of an elderly client’s chart, the nurse reads that the client has sarcopenia. What should the nurse expect the client to report?
1. Weight loss and nausea
2. Hair loss and thin skin
3. Bleeding and bruising tendencies
4. Lack of strength and tiring easily
Correct Answer: 4
Rationale 1: Sarcopenia is not generally related to weight loss or nausea.
Rationale 2: Alopecia is loss of hair.
Rationale 3: Thrombocytopenia may cause bleeding and bruising.
Rationale 4: Sarcopenia is defined as a steady decrease in muscle fibers, a normal physiological change of aging. The age-related mechanism appears to be related to denervation of the muscle and causes elders to often complain about their lack of strength and how quickly they tire.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care
AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches
NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 8. Describe the usual physical changes that occur during older adulthood.
MNL Learning Outcome: 2.1.4. Analyze the older adult’s physiologic and psychosocial development.
Page Number: 370