Chapter 25 The Aging Individual

Chapter 25  The Aging Individual

Complete Chapter Questions And Answers
 

Sample Questions

____ 1. A client has recently been placed in a long-term care facility, because of marked confusion and inability to perform most activities of daily living. Which nursing intervention is most appropriate to maintain the client’s self-esteem?
1.
Leave the client alone in the bathroom to test ability to perform self-care.
2.
Assign a variety of caregivers to increase potential for socialization.
3.
Allow client to choose between two different outfits when dressing for the day.
4.
Modify the daily schedule often to maintain variety and decrease boredom.

____ 2. A son, who recently brought his extremely confused parent to a nursing home for admission, reports feelings of guilt. Which is the appropriate nursing response?
1.
“Support groups are held here on Mondays for children of residents in similar situations.”
2.
“You did what you had to do. I wouldn’t feel guilty if I were you.”
3.
“Support groups are available to low-income families.”
4.
“Your parent is doing just fine. We’ll take very good care of him.”

____ 3. A family asks why their father is attending activity groups at the long-term care facility. The son states, “My father worked hard all of his life. He just needs some rest at this point.” Which is the appropriate nursing response?
1.
“I’m glad we discussed this. We’ll excuse him from the activity groups.”
2.
“The groups benefit your father by providing social interaction, sensory stimulation, and reality orientation.”
3.
“The groups are optional. Only clients at high functioning levels would benefit.”
4.
“If your father doesn’t go to these activity groups, he will be at high risk for developing cognitive problems.”

____ 4. A nursing instructor is teaching about reminiscence therapy. What student statement indicates that learning has occurred?
1.
“Reminiscence therapy is a group in which participants create collages representing significant aspects of their lives.”
2.
“Reminiscence therapy encourages members to share both positive and negative significant life memories to promote resolution.”
3.
“Reminiscence therapy is a social group where members chat about past events and future plans.”
4.
“Reminiscence therapy encourages members to share positive memories of significant life transitions.”

Answer Section

MULTIPLE CHOICE

1. ANS: 3
Chapter: Chapter 25, The Aging Individual
Objective: Apply the steps of the nursing process to the care of aging individuals.
Page: 689–692
Heading: Table 25-2 Care Plan for the Elderly Client
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
The nurse should also provide appropriate supervision to keep the client safe.
2
The nurse should also maintain consistency of caregivers.
3
The most appropriate nursing intervention to maintain this client’s self-esteem is to allow the client to choose between two different outfits when dressing for the day.
4
The nurse should also maintain a structured daily routine to minimize confusion.

PTS: 1 CON: Cognition

2. ANS: 1
Chapter: Chapter 25, The Aging Individual
Objective: Apply the steps of the nursing process to the care of aging individuals.
Page: 689–692
Heading: Table 25-2 Care Plan for the Elderly Client
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
The most appropriate response by the nurse is to offer support to the son by presenting available support groups. Caregivers can often experience negative emotions and guilt. Release of these emotions can serve to prevent caregivers from developing psychopathology such a depression.
2
This statement does not offer solutions to the son’s feelings.
3
This statement may degrade what the son is feeling.
4
This statement does not validate the son’s feelings.

PTS: 1 CON: Cognition

3. ANS: 2
Chapter: Chapter 25, The Aging Individual
Objective: Apply the steps of the nursing process to the care of aging individuals.
Page: 689–692
Heading: Table 25-2 Care Plan for the Elderly Client
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
Group activities help better the life of the client.
2
The most appropriate nursing response is to educate the family that the purpose of activity groups is to provide social interaction, sensory stimulation, and reality orientation. Groups can also serve to increase self-esteem and reduce depression.
3
All clients would benefit in some manner from group activities.
4
This statement does not provide education to the family.

PTS: 1 CON: Cognition

4. ANS: 2
Chapter: Chapter 25, The Aging Individual
Objective: Apply the steps of the nursing process to the care of aging individuals.
Page: 693
Heading: Box 25-3 Reminiscence Therapy and Life Review With the Elderly
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
This statement indicates that learning has not occurred.
2
Reminiscence therapy encourages members to share both positive and negative significant life memories to promote resolution. Stimulation of life memories serve to help older clients work through their losses and maintain self-esteem. Reminiscence therapy can take place in one-on-one or group settings.
3
This statement indicates that further education is necessary.
4
This statement indicates that teaching has not been effective.

PTS: 1 CON: Cognition