NURSING NUR 3286 (exam)

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 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...

1.A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain related to urinary incontinence. Which of the following interventions is the highest priority? A) Administer diphenhydramine at bedtime. B) Assist the client to the bathroom prior to bedtime. C) Limit the fluid intake of the client to 1000 mL each day. D) Monitor bowels for diarrhea and constipation. Ans: B Feedback: Walking the client to the bathroom encourages voiding prior to bedtime. Urina...

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 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...

1.A 76-year-old Hispanic woman has been admitted to the hospital. There are no advance directives in the chart. Which of the following questions will best prepare the nurse to begin a dialogue with this client about advance directives? A) "With whom do you talk to about your health care decisions?" B) "I see that you have no advanced directives on your chart, could you tell me about that?" C) "Is there someone we should call to join us while we discuss your care?" D) "Tell me about...

Origin: Chapter 8- Medications and Other Bioactive Substances, 1 1.A nurse assesses the eating habits of a 75-year-old client who takes iron supplements for iron deficiency anemia. Which of the following statements by the client indicates a need for further teaching? A) "I drink orange juice with my iron." B) "I prefer coffee to take my pills." C) "I take all my pills with a glass of warm water." D) "I take my iron in between my meals." Ans: B Feedback: Foods that change the pH...

Origin: Chapter 18- Digestion and Nutrition, 1 1.A nurse teaches an older adult about changes to nutritional requirements. Which of the following meal choices would give evidence that the older adult understands the teaching? A) Baked chicken, carrots, and angel food cake B) Green salad, mashed potatoes, and an oatmeal cookie C) Vegetable beef soup, crackers, and Jell-O D) Baked pork chop, green beans, and sherbet Ans: A Feedback: Older adults need increased intake of foods with a high...

Origin: Chapter 13- Psychosocial Assessment, 1 1.A nurse performs a psychosocial assessment of an older adult living in the community. Which of the following statements best captures the nature of psychosocial assessment? A) It is a formalized psychological test of the individual's condition and needs. B) It aids in identifying and analyzing personality traits of the individual. C) It helps to identify the individual's need for psychiatric care. D) It is a component of holistic nursing c...

1.A nurse presents at a conference about the concept of sleep. Which of the following statements should the nurse include in the teaching? A) "Increased sleep efficiency is considered a normal, age-related change." B) "Sleep efficiency is quite consistent across different age groups." C) "Both pathologic conditions and age-related changes influence sleep efficiency." D) "Older adults often experience increased sleep latency and decreased numbers of awakenings." Ans: C Feedback: ...