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2024 GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUHY EXAM WITH CORRECT ANSWERS
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2024 GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION TOUHY EXAM WITH CORRECT ANSWERS
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2024 GERONTOLOGICAL NURSING& HEALTHY AGING 5TH EDITION
TOUHY EXAM WITH CORRECT
ANSWERS
Which option refers to the highest level of human functioning according to
Maslow?
a.Biological and physical integrity
b.Safety and security
c.Self-esteem
d.Self-actualization - CORRECT-ANSWERSANS: D
According to Maslow, persons whose basic physical needs are met, who feel
safe and secure, and who possess self-esteem and self-efficacy can achieve
self-actualization, reaching out beyond themselves to make their lives
meaningful.
Biological and physical integrity is the lowest level in Maslows hierarchy,
below safety and security. Safety and security are the second-lowest level,
below self-esteem. Self-esteem is the second-highest level, below self-
actualization.
TOUHY 4TH ED TESTBANK
Which of the following is a true statement about loss, dying, and death for
older adults?
a.Men and women tend to respond similarly to the loss of a spouse.
b.Visions on the part of a person who has lost a spouse are not normal grief
reactions and should be regarded as signs of underlying defects.
c.The grieving process is not rigidly structured.
d.Bereaved persons regain their normal capability approximately 6 months
after loss, and regressive behavior after that time should be discouraged. -
CORRECT-ANSWERSANS: C
,Men and women do not always respond similarly to the loss of a spouse. The
grieving process is not rigidly structured and is not always predictable.
Visions, hallucinations, and an inability to communicate in a logical,
sustained manner on the part of a person who has lost a spouse are not
normal grief reactions and should be regarded as signs of underlying defects;
all these reactions are common in the first several months of bereavement. A
bereaved person ordinarily begins to recover personal control and
capabilities after approximately 6 months; at first, recovery is sporadic and
interspersed with periods of depression.
TOUHY 4TH ED TESTBANK
Which of the following characteristics are associated with acute grief? (Select
all that apply.)
a.
Preoccupation with the loss of a loved one
b.Waves of grief or distressing emotion
c.Prolonged inability to sleep after a loss
d.Exacerbations of grief on specific dates
e.Change in attitude toward the future loss
f.Inability to perform simple self-care tasks - CORRECT-ANSWERSANS: A, B, F
In acute grief, the bereaved is preoccupied with the deceased or the loss in a
manner similar to daydreaming, combined with a sense of unreality. Specific
activities, items, people, or other things can trigger an overwhelming pain in
acute grief. The bereaved can be incapacitated by acute grief, making simple
tasks such as dressing nearly impossible to complete or taking much longer
to complete a task.
Chronic grief is characterized by prolonged insomnia and an extended period
of inhibited activities and suboptimal performance. Chronic grief is
characterized by periods of pain exacerbated on specific dates such as
anniversaries, birthdays, and holidays, among others. Anticipatory grief is
characterized by a change in attitude toward the individual who is about to
die when the death does not occur as planned.
TOUHY 4TH ED TESTBANK
,Which of the following indicate a person is effectively coping? (Select all that
apply.)
a.Avoids avoidance
b.Confronts realities
c.Focuses on solutions
d.Redefines problems - CORRECT-ANSWERSANS: B, C, D
People who cope well confront reality and deal with situations. They focus on
the solution and redefine the problem. People who cope well avoid
avoidance.
TOUHY 4TH ED TESTBANK
Those who cope less effectively may exhibit which of the following? (Select
all that apply.)
a.Avoids avoidance
b.Confronts reality
c.Is demanding
d.Is rigid - CORRECT-ANSWERSANS: C, D
Those who cope less effectively have few if any of these abilities listed by
Weisman. They tend to be more rigid and pessimistic, are demanding, and
are given to emotional extremes. Those who cope well avoid avoidance and
confront reality.
TOUHY 4TH ED TESTBANK
ANS: A, B, C
Wide rear-view mirrors, pedal extensions, and GPS devices are all suggested
adaptations. The use of antiroll bars has not been identified as an
adaptation. - CORRECT-ANSWERS
The nurse plans care to prevent a dangerous thermal environment for an
older man who lives in a northern climate of the United States. Which patient
assessment data does the nurse recognize that can contribute to his risk of
hypothermia? (Select all that apply.)
a.Has a history of a cerebrovascular accident (CVA)
, b.Has a history of diabetes mellitus
c.Builds miniature cars for a hobby
d.Bathes three to four times a week
e.Gets heat from a boiler in the cellar
f.Becomes diaphoretic on warm days - CORRECT-ANSWERSANS: A, B, C, E
A CVA can impair an older adults thermoregulatory center and potentially
diminish the individuals awareness of temperature changes or the ability to
respond suitably to a temperature change. In addition, if the older adult is
left with a cognitive deficit or aphasia, then the older adults ability to
communicate a thermal problem is potentially impaired. A history of diabetes
mellitus can contribute to a dangerous thermal environment for the older
adult. A complication of diabetes is peripheral neuropathy, which potentially
impairs the ability to sense temperature change. In addition, peripheral
arterial disease associated with diabetes contributes to the individuals ability
to compensate to temperature changes with vasodilation or vasoconstriction.
Building miniature cars is a sedentary activity. The associated metabolic
activity is low, the older adult generates less heat from metabolic activity,
and the individual is at a higher risk for hypothermia when the temperature
is cool. Household heat from a boiler in the cellar creates a potential
regulatory problem for the older adult living in the building because
adjustments to temperature affect the entire household and are only made
in the cellar. Thermostats in individual rooms do not exist in such a heating
system. If the individual has impaired mobility, then he might be unable to
navigate the stairs to the cellar and adjust the temperature. Bathing three to
four times a week limits the exposure of bare skin to the cooling effects of
evaporation to reduce the risk of hypothermia. Diaphoresis on a warm day is
a suitable response to heat.
A man is terminally ill with end-stage prostate cancer. Which is the best
statement about this mans wellness?
a.Wellness is possible in the management of his medical care.
b.Wellness is unfortunately not a real option for this client.
c.Wellness is the same thing as faith healing, and if the client would be more
receptive, then he could be back at work in a few weeks.
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