Test Bank.
Andersons Caring For Older Adults Holistically 6th
Edition By Tamara R. Dahlkemper – Test Bank
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Andersons Caring for Older Adults Holistically 6th
Edition by Tamara R. Dahlkemper – Test Bank
SAMPLE TEST
Chapter 3: Supporting Life Transitions and Spirituality in the Elderly
Multiple Choice
Identify the choice that best completes the statement or answers the question.
_ 1. Which statement is LEAST true about life transitions?
1) A person usually experiences only one transition in a lifetime.
2) Sometimes there is more than one transition occurring at the same time in a person’s life.
3) Challenging experiences that accompany aging may require life transitions.
4) Each loss or change requires transitional effort from the person experiencing it.
_ 2. A 76-year-old patient recovering from hip replacement surgery is upset and does not
feel at peace because of her inability to attend church as a result of the injury. What is the best
response by the nurse?
1) Encourage her to read a book, magazine, or newspaper.
,Andersons Caring For Older Adults Holistically 6th Edition By Tamara R. Dahlkemper -
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2) Suggest that she watch television to keep her mind distracted.
3) Offer to call the hospital’s chaplain or clergyman to come pray with her.
4) Tell her to sleep so that her body can heal and return to a state of peacefulness.
_ 3. Which would NOT be considered a transitional event?
1) Marriage
2) Losing a job
3) Moving to a new home
4) Visiting an amusement park
_ 4. Which is NOT an identified feature of a transition?
1) A stage of denial
2) A phase of turmoil
3) An altered time perspective
4) A disturbance in body function
_ 5. The nurse respects an older patient’s decision and right to refuse treatment and returns
at a later time to offer previously refused medication. Which factor influencing transitional
outcomes applies to this patient’s situation?
1) Degree of choice
2) Perception of change
3) Preparation for the change
4) Extent or degree of change
_ 6. Which action would LEAST likely support the degree of change that an older person
has to make when preparing to move?
1) Selecting a home that meets the physical needs of the person
2) Ensuring the new home is located near a senior citizen’s center
3) Choosing a smaller apartment so the person has fewer items to move
4) Finding a home with a grocery store within walking distance
_ 7. Which approach is LEAST appropriate when helping patients prepare for transitions?
1) Avoid discussing difficult topics with patients.
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2) Repeat all necessary information about the transition.
3) Involve family members when discussing future transitions.
4) Talk to patients and residents about changes to be anticipated.
_ 8. Which characteristics should be considered when a person is transitioning?
1) Gender
2) Vital signs
3) Past experiences
4) Height and weight
_ 9. What aspects of the environment in a hospital room would most likely allow for smooth
transitioning?
1) Warm and dark
2) Clean and colorful
3) Restrictive and demanding
4) Cheerful and relaxing
_ 10. Which is NOT a common transition for an older adult?
1) Marriage
2) Health changes
3) Family role changes
4) Job changes and retirement
_ 11. A 68-year-old patient has just been admitted to the oncology unit with a new diagnosisof
lung cancer. This is the patient’s first hospital admission and she knows very little about the
diagnosis. Which action should the nurse take to make this patient’s transition easier?
1) Administer an antianxiety agent to keep her calm.
2) Leave a printout about lung cancer at her bedside.
3) Talk with her about her fears, questions, or concerns.
4) Tell her a physician will be in to explain what is going on.
_ 12. Spirituality is defined as
1) The service and worship of God or the supernatural
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2) The organized practice of one’s belief in a higher power
3) Formal worship involving prescribed actions or practices
4) A feeling from within that communicates a higher power at work
_ 13. Which is the LEAST likely way to assess a patient’s spiritual needs?
1) Looking for any religious books in the patient’s room
2) Identifying the patient’s religious preference from the chart
3) Asking the patient’s neighbor if he or she has heard the patient praying
4) Looking for identifying jewelry or artifacts in the patient’s personal belongings
_ 14. A 73-year-old patient recovering from coronary artery bypass surgery is depressed andis
continuously asking, “Why is God doing this to me?” The best response by the nurse is to
1) Ask the patient if he has any specific spiritual needs to be addressed.
2) Call for a psychiatric consultation to screen the patient for depression.
3) Reassure the patient that he did nothing wrong and everything is okay.
4) Tell the patient that sadness usually occurs after undergoing heart surgery.
_ 15. A patient asks the nurse to pray with her, however, the nurse does not usually pray.
Which approach would be the LEAST supportive of the patient’s needs?
1) Hold the patient’s hands while she prays.
2) Sit near the patient and be reverent during the prayer.
3) Tell the patient to find someone else who will pray with her.
4) Find a coworker who would be willing to pray with the patient.
_ 16. Achieving gerotranscendence allows for an older person to
1) Live life without regret and die well.
2) Withdraw and disengage from life’s many hardships.
3) Become more involved with the self rather than others.
4) Reach a state of wealth and superfluous social interaction.
_ 17. Which is the LEAST likely reason to perform a life review?
1) To reflect on all the great accomplishments of one’s life
2) To identify strengths that can assist with current transitions