NURSING NUR 3286 (exam)

Origin: Chapter 15- Impaired Affective Function- Depression, 1 1.A nurse monitors older adults in a long-term care facility. Which of the following symptoms would require follow-up by the nurse to assess for depression in the older adult? A) Anorexia B) Weakness C) Labile affect D) Impaired perceptions Ans: A Feedback: Appetite disturbances, particularly anorexia, are among the most common physical complaints of depressed older adults. Individuals with dementia have the following sym...

Origin: Chapter 28- Caring for Older Adults Experiencing Pain, 1 1.A nurse assesses an older adult following the repair of an abdominal hernia. The older adult client states, "I really hate to take pain medication." Which response by the nurse is best? A) "Early treatment of pain helps now and can reduce the incidence of chronic pain." B) "Pain medication today doesn't really have any side effects." C) "Tell me about your fears regarding pain medication." D) "This pain you are h...

Origin: Chapter 20- Cardiovascular Function, 1 1.Which of the following individuals is likely at the highest risk for orthostatic hypotension? A) A 75-year-old woman who uses a walker B) An 80-year-old man who strains to void when using the bedside commode C) A 60-year-old who has a long leg cast on his right leg D) An 80-year-old woman who is taking Premarin Ans: B Feedback: Orthostatic hypotension rises significantly after the age of 75. A risk factor for orthostatic hypotension is d...

Origin: Chapter 14- Impaired Cognitive Function- Delirium and Dementia, 1 1.Which of the following is a priority nursing intervention for the management of delirium? A) Giving the client low-dose oxygenation and maintaining his or her fluid and electrolyte balance B) Reducing noise and placing familiar objects in the client's environment C) Giving the client a clock, a watch, and calendars to provide the client with temporal orientation D) Providing psychological support through cognitiv...

Origin: Chapter 22- Mobility and Safety, 1 1.A nurse is teaching health interventions to an older adult with osteoarthritis. Which of these statements indicates that the individual needs additional teaching? A) "I will avoid high-impact exercises." B) "I will get adequate intake of calcium and vitamin D." C) "I will try to limit my use of walkers and assistive devices." D) "I will lose weight if it turns out that I need to." Ans: C Feedback: Walkers and other assistive devices h...

Origin: Chapter 27- Caring for Older Adults During Illness, 1 1.Which of the following statements best captures the typical character of health problems in the lives of older adults? A) Older adults' lives are dominated by the increasing number of acute health problems due to age-related changes. B) Most older adults experience an interplay between a number of chronic conditions and occasional acute health problems. C) Older adults can expect a relatively consistent decline in their heal...

Origin: Chapter 10- Elder Abuse and Neglect, 1 1.An 80-year-old is seen in the emergency department for a fall. The client has bruises on the upper arms and appears depressed. The client is accompanied by a grandchild, who is unkempt, glassy-eyed, and whose breath smells of alcohol. Which of the following should be a priority with the nurse? A) Assess whether the older adult is safe in the home environment. B) Determine whether legal interventions are appropriate. C) Assess the client's ...

Origin: Chapter 20- Cardiovascular Function, 1 1.Which of the following individuals is likely at the highest risk for orthostatic hypotension? A) A 75-year-old woman who uses a walker B) An 80-year-old man who strains to void when using the bedside commode C) A 60-year-old who has a long leg cast on his right leg D) An 80-year-old woman who is taking Premarin Ans: B Feedback: Orthostatic hypotension rises significantly after the age of 75. A risk factor for orthostatic hypotension is d...

Origin: Chapter 11- Cognitive Function, 1 1.A nurse is leading a word-quiz game with a group of nursing home residents because the nurse knows this activity will assist the residents in maintaining: A) Fluid intelligence B) Adaptive thinking C) Crystallized intelligence D) Psychomotor memory Ans: C Feedback: Crystallized intelligence refers to vocabulary skills, information, and verbal comprehension. Fluid intelligence involves a person's inherent abilities, such as memory and recogn...

Origin: Chapter 21- Respiratory Function, 1 1.A nurse assesses an older adult's overall respiratory function. Which of the following interview questions would be most appropriate? A) "Would you be interested in finding out more about environmental smoke?" B) "Did either of your parents experience lung diseases?" C) "Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?" D) "What do you do to actively maintain your respiratory health?" A...