QUESTIONS AND VERIFIED ANSWERS RECENT AND
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1. You are providing care for an 82-year-old man whose signs and symptoms of Parkinson's
disease have become more severe over the past several months. The man tells you that he can no
longer do as many things for himself as he used to be able to do. What factor should you
recognize as impacting your patient's life most significantly?
A) Neurologic deficits
B) Loss of independence
C) Age-related changes
D) Tremors and decreased mobility
ANSWER: B
Rationale:
This patients statement places a priority on his loss of independence. This is undoubtedly a result
of the
neurologic changes associated with his disease, but this is not the focus of his statement. This is a
disease process, not an age-related physiological change.
2. A gerontologic nurse practitioner provides primary care for a large number of older adults who
are living with various forms of cardiovascular disease. This nurse is well aware that heart
disease is the leading cause of death in the aged. What is an age-related physiological change that
contributes to this
trend?
A) Heart muscle and arteries lose their elasticity.
B) Systolic blood pressure decreases.
C) Resting heart rate decreases with age.
D) Atrial-septal defects develop with age.
,ANSWER: A
Rationale:
The leading cause of death for patients over the age of 65 years is cardiovascular disease. With
age,
heart muscle and arteries lose their elasticity, resulting in a reduced stroke volume. As a person
ages,
systolic blood pressure does not decrease, resting heart rate does not decrease, and the aged are
not less
likely to adopt a healthy lifestyle.
3. An occupational health nurse overhears an employee talking to his manager about a 65-year-
old
coworker. What phenomenon would the nurse identify when hearing the employee state, He
should just
retire and make way for some new blood.?
A) Intolerance
B) Ageism
C) Dependence
D) Nonspecific prejudice
ANSWER: B
Rationale:
Ageism refers to prejudice against the aged. Intolerance is implied by the employees statement,
but the
intolerance is aimed at the coworkers age. The employees statement does not raise concern about
dependence. The prejudice exhibited in the statement is very specific.
, 4. The nurse is caring for a 65-year-old patient who has previously been diagnosed with
hypertension. Which of the following blood pressure readings represents the threshold between
high-normal blood pressure and hypertension?
A) 140/90 mm Hg
B) 145/95 mm Hg
C) 150/100 mm Hg
D) 160/100 mm Hg
ANSWER: A
Rationale:
Hypertension is the diagnosis given when the blood pressure is greater than 140/90 mm Hg. This
makes
the other options incorrect.
5. You are the nurse caring for an 85-year-old patient who has been hospitalized for a fractured
radius. The patient's daughter has accompanied the patient to the hospital and asks you what her
father can do for his
very dry skin, which has become susceptible to cracking and shearing. What would be your best
response?
A) He should likely take showers rather than baths, if possible.
B) Make sure that he applies sunscreen each morning.
C) Dry skin is an age-related change that is largely inevitable.
D) Try to help your father increase his intake of dairy products.
ANSWER: A
Rationale:
Showers are less drying than hot tub baths. Sun exposure should indeed be limited, but daily
application
of sunscreen is not necessary for many patients. Dry skin is an age-related change, but this does
not
mean that no appropriate interventions exist to address it. Dairy intake is unrelated.