CHRONIC ILLNESS AND OLDER
ADULTS PRACTICE QUESTIONS EXAM
1 CHAPTER #5 QUESTIONS WITH
COMPLETE SOLUTIONS
When interviewing an elderly patient, it would be most appropriate for the nurse to
a) Ensure all assistive devices are in place.
b) Interview the patient and caregiver together.
c) Perform the interview before administering analgesics.
d) Move on to the next question if the patient does not respond quickly. - Answer-a
Which of the following assessment findings would alert the nurse to possible elder
mistreatment (select all that apply)?
e) Agitation
f) Depression
g) Weight gain
h) Weight loss
i) Hypernatremia - Answer-e, f, h, i
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit
of arriving 20 minutes early for church in order to ensure that she gets a seat near the
end of a row and close to the exit so that she has ready access to the restroom. Which
of the following tasks of the chronically ill is the woman enacting (select all that apply)?
j) Controlling symptoms
k) Preventing social isolation
l) Preventing and managing a crisis
m) Denying the reality of the problem
n) Adjusting to changes in the course of the disease - Answer-j, l
A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease
(COPD). At what point should the nurse begin to include the patient's wife in the
teaching around the management of the disease?
a) As soon as possible
b) When the patient requests assistance from his spouse and family
c) When the patient becomes unable to manage his symptoms independently
d) After the patient has had the opportunity to adjust to his treatment regimen - Answer-
a
A nurse who is providing care for an 81-year-old female patient recognizes the need to
maximize the patient's mobility during her recovery from surgery. Which of the following
statements provides the best rationale for the nurse's actions?
e) Continued activity prevents deconditioning.
, f) Pharmacokinetics are improved by patient mobility.
g) Lack of stimulation contributes to the development of cognitive deficits in older adults.
h) Regularly scheduled physical rehabilitation provides an important sense of purpose
for older patients. - Answer-e
Which of the following criteria must an older adult meet in order to qualify for Medicare
funding?
a) A documenting improvement in function
b) A documented absence of family caregivers
c) A validated need for long-term residential care
d) A history of failed responses to standard medical treatments - Answer-a
An appropriate care choice for an older adult living with an employed daughter but who
requires assistance with activities of daily living is:
A. Adult day care
B. Long term care
C. A retirement center
D. An assisted living facility - Answer-a
Examples of primary prevention strategies include:
a. colonoscopy at age 50
b. avoidance of tobacco products
c. intake of a diet low in saturated fat in a pt with high cholesterol
d. teaching the importance of exercise to a pt with hypertension - Answer-b
Nursing interventions directed at health promotion in the older adult are primarily
focused on:
a. disease management
b. controlling symptoms of illness
c. teaching positive health behaviors
d. teaching regarding nutrition to enhance longevity - Answer-c
An important nursing action helpful to a chronically ill older adult is to:
a. avoid discussing future lifestyle changes
b. assure the pt that the condition is stable
c. treat the pt as a competent manager of the disease
d. encourage the pt to fight the disease as long as possible - Answer-c
Ageism is characterized by:
a. denial of negative stereotypes regarding age
b. positive attitudes toward the elderly based on age
c. negative attitudes toward the elderly based on age
d. negative attitudes toward the elderly based on physical ability. - Answer-c
A characteristic of chronic illness is that it (select all):
a. has reversible pathologic changes
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