Exam (elaborations)
Chapter 32 Health Promotion and Care of the Older Adult
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 32 Health Promotion and Care of the Older Adult
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Chapter 32: Health Promotion and Care of the Older AdultMULTIPLE CHOICE
1. When discussing aging, to whom does the term older adulthood apply?
a. Age 55 and above
b. Age 65 and above
c. Age 70 and above
d. Age 75 and above
ANS: B
Older adulthood begins at about age 65.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1068
OBJ: 1 TOP: Aging KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
2. When the nurse discusses prevention of cardiac disease, falls, and depression with a group of
older adults, the benefits of what are important to stress?
a. Nutrition
b. Medications
c. Exercise
d. Sleep
ANS: C
Primary prevention stresses exercise for the prevention of cardiac disease, falls, and
depression.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1069
OBJ: 1 TOP: Health promotion
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
3. When was the Social Security Act, which was the first major legislation providing financial
security for older adults, passed?
a. 1930
b. 1935
c. 1940
d. 1945
ANS: B
The first major legislation to provide financial security for older adults was the Social
Security Act of 1935.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1073
OBJ: 1 TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
4. When assessing the skin of an older adult patient who is complaining of pruritus, what should
the nurse advise the patient to avoid to reduce further drying of her skin?
, a. Perfumed soap
b. Hard-milled soap
c. Antibacterial soap
d. Lotion soap
ANS: C
Antibacterial soap is very drying.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1075
OBJ: 8 TOP: Integumentary alterations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5. Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure ulcers,
the nurse alters the care plan to include turning the bedfast patient how often?
a. Once every shift
b. Every 4 hours
c. Each evening
d. Every 2 hours
ANS: D
Pressure ulcers can be avoided by repositioning the patient every 2 hours.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1076
OBJ: 8 TOP: Integumentary alterations
KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance
6. At mealtime, the older adult seems to be eating less food than would be adequate. Compared
to the younger adult, what is a requirement for the older adult?
a. More fluids
b. Less calcium
c. Fewer calories
d. More vitamins
ANS: C
The older adult requires 30 calories per kilogram of body weight, whereas the younger adult
requires 40 calories.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1077
OBJ: 5 TOP: Gastrointestinal alterations
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
7. The older patient informs the nurse that food has no taste and therefore the patient has no
appetite. What is this most likely caused by?
a. Tasteless food
b. Overuse of salt
c. Lack of variety
d. Loss of taste buds
ANS: D
Older adults may experience a loss of appetite. Change in taste as a result of decreased saliva
production and a decreased number of taste buds may make food unappealing.
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