NUR 353 EXAM 2 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS (GRADED A+)
Question: A 55-year-old female visits an outpatient clinic reporting hot
flashes and irregular menstrual cycles. Which response from the nurse is
most appropriate?
A. Suggest the patient cease regular exercise, as it likely triggers these
symptoms. B. Explain that these symptoms are considered abnormal during the
climacteric period. C. Forego a physical assessment, as these issues are
expected in older women. D. Inform the patient that her symptoms are
consistent with the natural process of menopause.
Answer: D. The patient's assessment points toward normal menopause.
Rationale: The average age for menopause is approximately 51, and the
symptoms of hot flashes and cycle irregularity are hallmark signs of the
perimenopausal transition. While an assessment is always performed to rule out
other issues, these findings are clinically expected for this age group. ✔✔
Question: A 50-year-old male patient presents to the clinic with a flat
affect. He shares that he recently became unemployed and is undergoing a
divorce after 26 years of marriage. His family history indicates his father
died by suicide at age 53. What should the nurse prioritize during the
assessment?
A. Screening for iron deficiency anemia. B. Testing for sexually transmitted
infections. C. Evaluation for cardiovascular disease. D. Screening for clinical
depression and suicide risk.
Answer: D. Depression
Rationale: The patient is experiencing significant life stressors (job loss and
marital breakdown) and exhibits a "flat affect," which is a common sign of
depression. Given the strong family history of suicide, a comprehensive mental
health screening and safety assessment are the highest nursing priorities. ✔✔
A nurse determines that a middle-aged patient is a typical example of the
"sandwich generation." What did the nurse discover the patient is caught
between?
Job responsibilities or family responsibilities
Stopping old habits and starting new ones
Advancing in career or retiring
,Caring for children and aging parents -ANSWER ✔✔Children & aging parents
A nurse is preparing a health promotion course for a group of middle adults.
Which of the following strategies should the nurse recommend? (select all that
apply.)
Decrease intake of calcium supplements
Eye examination every 1-3 years
Dexascan screening for osteoporosis
Screening for depressive disorders -ANSWER ✔✔All but decreased intake of
Ca
Upon assessment of a middle-aged adult, the nurse observes uneven weight
bearing and decreased range of joint motion. Which area is priority?
Abuse potential
Fall Precautions
Stroke prevention
Self-esteem issues -ANSWER ✔✔Fall precautions
What is the major component of life transitions in the older adult?
a. change
b. increased happiness
c. loss
d. independence -ANSWER ✔✔c loss
Life transitions, of which loss is a major component, include retirement and the
associated financial changes, changes in roles and relationships, alterations in
health and functional ability, changes in one's social network, and relocation. p.
180 Potter
The suicide rate of which group is the highest in the United States?
a. Black females over the age of 85
b. Black males over the age of 85
c. White females over the age of 85
d. White males over the age of 85 -ANSWER ✔✔d
In fact, white men age 85 and older have the highest suicide rate in the United
States (National Institute of Mental Health, n.d.Links to an external site.).
Potter p. 179
, An older adult who is subject to threats, insults, harassment and isolation is
receiving what kind of mistreatment?
a. physical abuse
b. financial exploitation
c. psychosocial/emotional abuse
d. self-neglect -ANSWER ✔✔c psycho/emotional
These are verbal and nonverbal acts that inflict mental pain, anguish and
distress. Potter p. 188
An example of therapeutic touch for the older age group includes all of the
following except:
a. Touching their arm
b. Standing close to another
c. Patting someone on the head
d. Reaching to hold someone's hand -ANSWER ✔✔c patting
p. 188 Potter, do not use touch in a condescending manner such as patting an
older adult on the head.
Forgetfulness is an expected consequence of aging.
True
False -ANSWER ✔✔false
Forgetfulness as an expected consequence of aging is a myth. Potter p. 179
What primary prevention measures are appropriate to implement to maintain
optimum mobility? SATA
a. Fall prevention measures
b. Optimal nutrition
c. Regular physical activity
d. Mobile mammography
e. PSA testing -ANSWER ✔✔abc. fall prevention, regular physical activity,
and optimal nutrition
The nurse will instruct the patient with a fractured left radius that the cast will
need to remain in place:
a. For at least 3 weeks
b. Until x-rays show incomplete bony union.
ANSWERS WITH COMPLETE
SOLUTIONS (GRADED A+)
Question: A 55-year-old female visits an outpatient clinic reporting hot
flashes and irregular menstrual cycles. Which response from the nurse is
most appropriate?
A. Suggest the patient cease regular exercise, as it likely triggers these
symptoms. B. Explain that these symptoms are considered abnormal during the
climacteric period. C. Forego a physical assessment, as these issues are
expected in older women. D. Inform the patient that her symptoms are
consistent with the natural process of menopause.
Answer: D. The patient's assessment points toward normal menopause.
Rationale: The average age for menopause is approximately 51, and the
symptoms of hot flashes and cycle irregularity are hallmark signs of the
perimenopausal transition. While an assessment is always performed to rule out
other issues, these findings are clinically expected for this age group. ✔✔
Question: A 50-year-old male patient presents to the clinic with a flat
affect. He shares that he recently became unemployed and is undergoing a
divorce after 26 years of marriage. His family history indicates his father
died by suicide at age 53. What should the nurse prioritize during the
assessment?
A. Screening for iron deficiency anemia. B. Testing for sexually transmitted
infections. C. Evaluation for cardiovascular disease. D. Screening for clinical
depression and suicide risk.
Answer: D. Depression
Rationale: The patient is experiencing significant life stressors (job loss and
marital breakdown) and exhibits a "flat affect," which is a common sign of
depression. Given the strong family history of suicide, a comprehensive mental
health screening and safety assessment are the highest nursing priorities. ✔✔
A nurse determines that a middle-aged patient is a typical example of the
"sandwich generation." What did the nurse discover the patient is caught
between?
Job responsibilities or family responsibilities
Stopping old habits and starting new ones
Advancing in career or retiring
,Caring for children and aging parents -ANSWER ✔✔Children & aging parents
A nurse is preparing a health promotion course for a group of middle adults.
Which of the following strategies should the nurse recommend? (select all that
apply.)
Decrease intake of calcium supplements
Eye examination every 1-3 years
Dexascan screening for osteoporosis
Screening for depressive disorders -ANSWER ✔✔All but decreased intake of
Ca
Upon assessment of a middle-aged adult, the nurse observes uneven weight
bearing and decreased range of joint motion. Which area is priority?
Abuse potential
Fall Precautions
Stroke prevention
Self-esteem issues -ANSWER ✔✔Fall precautions
What is the major component of life transitions in the older adult?
a. change
b. increased happiness
c. loss
d. independence -ANSWER ✔✔c loss
Life transitions, of which loss is a major component, include retirement and the
associated financial changes, changes in roles and relationships, alterations in
health and functional ability, changes in one's social network, and relocation. p.
180 Potter
The suicide rate of which group is the highest in the United States?
a. Black females over the age of 85
b. Black males over the age of 85
c. White females over the age of 85
d. White males over the age of 85 -ANSWER ✔✔d
In fact, white men age 85 and older have the highest suicide rate in the United
States (National Institute of Mental Health, n.d.Links to an external site.).
Potter p. 179
, An older adult who is subject to threats, insults, harassment and isolation is
receiving what kind of mistreatment?
a. physical abuse
b. financial exploitation
c. psychosocial/emotional abuse
d. self-neglect -ANSWER ✔✔c psycho/emotional
These are verbal and nonverbal acts that inflict mental pain, anguish and
distress. Potter p. 188
An example of therapeutic touch for the older age group includes all of the
following except:
a. Touching their arm
b. Standing close to another
c. Patting someone on the head
d. Reaching to hold someone's hand -ANSWER ✔✔c patting
p. 188 Potter, do not use touch in a condescending manner such as patting an
older adult on the head.
Forgetfulness is an expected consequence of aging.
True
False -ANSWER ✔✔false
Forgetfulness as an expected consequence of aging is a myth. Potter p. 179
What primary prevention measures are appropriate to implement to maintain
optimum mobility? SATA
a. Fall prevention measures
b. Optimal nutrition
c. Regular physical activity
d. Mobile mammography
e. PSA testing -ANSWER ✔✔abc. fall prevention, regular physical activity,
and optimal nutrition
The nurse will instruct the patient with a fractured left radius that the cast will
need to remain in place:
a. For at least 3 weeks
b. Until x-rays show incomplete bony union.
