Nurs medi surg final 2020 exams

1. The nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a colleague. Which of the nurse's statements reflects an accurate view of the relationship between aging and wellness? A) ìIt's important that the individual knows this is an expected part of growing older.î B) C) ìWe need to make sure our teaching is not too detailed for someone of his age.î D) ìWe need to ensure his expectations of continuing to live alone are realistic.î 2. The nurse is teaching an older person about the concept of successful aging. Which of the nurse's questions addresses an important contributor to successful aging? A) ìAre you largely free of acute or chronic illnesses?î B) ìDo you feel financially secure?î C) D) ìDo you have a reliable support network?î 3. An older adult has recently begun to display unprecedented lapses in short-term memory. The nurse overhears a colleague reassuring the person by saying, ìTry not to worry; it's just a part of growing older.î The nurse recognizes that this is an example of what phenomenon? A) Multiple jeopardy B) Gerontophobia C) D) Implicit ageism 4. The nurse hears a colleague make the statement, ìMost older adults have nothing to worry about financially.î Which of the following statements reflects an accurate response to this? A) B) ìActually, the number of older people living below the poverty line has been increasing, not decreasing.î C) ìThis isn't really true now, but it is true that the gaps that disadvantaged groups live with are expected to shrink.î D) ìThis is true for some groups, but not for minorities who are less likely to be living with their relatives.î 5. The nurse is conducting a study on the needs and living situations of older adults in the community. Which of the following statements should the nurse take into account? A) A majority of older Americans will live in a nursing home at some point. B) More older men live alone than older women. C) D) Most older Americans reside in some form of institutional arrangement. 6. A nurse who provides care to many older adults recognizes the importance of implementing a wellness approach to care. What principle underlies this approach to the health care of older adults? A) Older adults have decreasing expectations for wellness as they move through the aging process. B) Health problems are a Western cultural construct that has no objective, physiological basis. C) Older adults must come to accept a decline in wellness as they age. D) 7. A diabetes nurse is providing care for a 73-year-old man who is a regular client of the hospital's outpatient diabetes clinic. What assessment question most clearly addresses this client's potential for optimal function? A) B) ìHow can we help you to take ownership of your own health?î C) ìIs there anything that you're doing that might be exacerbating your diabetes?î D) ìHow long do you think that you'll be able to live independently?î 8. Mr. Say is an 81-year-old man whose current hospital admission has been prompted by an exacerbation of his chronic renal failure. The nurse who is caring for Mr. Say is aware of the importance of fostering his wellness, a goal that can be achieved by emphasizing which of the following? A) Comparing Mr. Say's health to other patients who are more ill B) C) Advocating that Mr. Say's code status be changed to ìdo not resuscitateî D) Teaching Mr. Say that his health problems do not have to affect his daily routines 9. A nurse administrator is involved in strategic planning for a large long-term care facility that has locations in numerous regions of the country. The nurse should anticipate what trend when planning for the future care of older adults? A) A gradual decline in overall life expectancy B) A decrease in the proportion of older adults who are members of minority groups C) Average longevity of males exceeding that of females D) 10. A notable demographic trend that is expected to become more pronounced involves the sandwich generation. Which of the following individuals exemplifies the demands and challenges experienced by the sandwich generation? A) B) A 58-year-old man whose elderly parents have been forced to live in separate care facilities C) An 83-year-old man who is the sole caregiver for his 79-year-old wife. D) A 70-year-old woman who must accommodate her own health problems with the care of her grandson Answer Key 1. B 2. C 3. C 4. A 5. C 6. D 7. A 8. B 9. D 10. A 1. The nurse is attempting to justify the need for education in cultural competence in the health care venue. Which of the following statements accurately reflects the need for nurses to be culturally competent? A) Life expectancies among minorities are expected to increase while those among nonminorities are expected to decrease. B) Government and health care organizations have ignored the need for culturally appropriate care. C) D) Nurses have a moral obligation to achieve cultural competency with all cultural groups. 2. The nurse is beginning a new job in an area with a large African American population. Which of the following statements recognized by the nurse best captures a characteristic of African Americans? A) Older African Americans are more likely than other Americans to live alone. B) C) African Americans have a more positive subjective self-perception of health than do other Americans. D) Lifestyle and risk factors account for the differences in health between African Americans and other Americans. 3. The nurse has observed an increasing number of Asian patients in the hospital. Which of the following statements is true of older Asian Americans? A) Chinese and Japanese Americans are likely to be recent immigrants to the United States. B) C) Older Asian Americans are more likely than other Americans to live alone. D) Care of elders is commonly provided in institutional environments such as nursing homes. 4. The nurse's colleague states, ìOlder people who live in the country are a lot healthier than city folk.î How can the nurse respond most accurately to this statement? A) ìThe differences aren't large, but rural adults do have better health outcomes than do city dwellers.î B)