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AE Exam 1 Nursing Test Bank .docx - AE 1
TEXTBOOKS TEST...
AE 1 TEXTBOOKS TEST BANK
QUESTIONS AE 1 WEEK 1
FON Chapter 14: Older
Adults Test Bank
MULTIPLE CHOICE
1. As the aging population in the United States increases, the nurse knows that the
a. Baby boomer generation accounts for a very small percentage of this group.
b. Extension of the average life span has also increased.
c. Population segment over age 85 is decreasing.
d. Diversity of this age group will certainly
decrease. ANS: B
According to estimates, the number of older adults will increase to 72.1 million by 2030. Part of that increase is due to
extension of the average life span. Two other factors that contribute to the projected increase in the number of older adults
are the aging of the baby boom generation and the growth of the population segment over age 85. The baby boomers are
the large group of adults born between 1946 and 1964.The diversity of the group over age 65 will also
2. As a patient ages, the nursing plan of care
a. Should be standardized because all geriatric patients have the same needs.
b. Needs to be individualized to the patient’s unique needs.
c. Should be based on chronological age alone.
d. Focuses on the disabilities that all aging persons
face. ANS: B
Every older adult is unique, and the nurse needs to approach each one as a unique individual. The nursing care of older
adults poses special challenges because of great variation in their physiological, cognitive, and psychosocial health.
Nurses need to take into account the cultural, ethnic, and racial diversity represented by these numbers (not just age) as
they care for older adults from these groups. Aging does not inevitably lead to disability and dependence.
3. Which of these findings, if identified in a patient on a gerontological unit, would be most surprising to a
culturally sensitive nurse?
a. The older person not being functionally independent
b. Preferences in food, music, and religion
c. Use of conventions of the handshake, silence, and eye contact
d. Personal health practices and spiritual
resources ANS: A

,AE Exam 1 Nursing Test Bank .docx - AE 1
TEXTBOOKS TEST...
Most older people remain functionally independent despite the increasing prevalence of chronic disease. Examples of
culturally competent nursing approaches to older adults include respect for preferences in food, music, and religion;
appropriate use of conventions of the handshake, silence, and eye contact; use of interpreters; use of physical assessment
norms appropriate for the ethnic group; and asking about personal health practices, family customs, lifestyle
preferences, and spiritual resources.

,AE Exam 1 Nursing Test Bank .docx - AE 1
TEXTBOOKS TEST...
4. Which of the following statements by a new graduate nurse should be corrected by an experienced nurse?
a. “Most older patients are ill and disabled. That’s why we care for so many of them in the hospital.”
b. “Older adults are many times still interested in sexual relations.”
c. “Patients over age 65 are still lifelong learners.”
d. “Many older adult patients remain independent enough to live
alone.” ANS: A
Although many experience chronic conditions or have at least one disability that limits their performance of activities of
daily living, in 2004, 37.4% of noninstitutionalized older adults assessed their health as excellent or very good. Older
adults do report continued enjoyment of sexual relationships. Although changes in vision or hearing and reduced energy
and endurance sometimes affect the process of learning, older adults are lifelong learners. Most older adults live in
noninstitutional settings with family members or alone.
5. Which teaching strategy is best to utilize with older adult patients?
a. Provide several topics of discussion at once to promote independence and making choices.
b. Avoid uncomfortable silences after questions by helping patients complete their statements.
c. Ask patients to recall past experiences that correspond with their interests.
d. Speak in a high pitch to help patients hear
better. ANS: C
Teaching strategies include the use of past experiences to connect new learning with previous knowledge, focusing on
a single topic to help the patient concentrate, giving the patient enough time in which to respond because older adults’
reaction times are longer than those of younger persons, and keeping the tone of voice low; older adults are able to hear
low sounds better than high-frequency sounds.
6. An older patient has fallen and broken his hip. As a consequence, the patient’s family is concerned about his ability
to care for himself, especially during his convalescence. What should the nurse do?
a. Stress that older patients usually ask for help when needed.
b. Inform the family that placement in a nursing center is a permanent solution.
c. Tell the family to enroll the patient in a ceramics class to maintain his quality of life.
d. Provide information and answer questions as family members make choices among care
options. ANS: D
Nurses assist older adults and their families by providing information and answering questions as they make choices
among care options. Some older adults deny functional declines and refuse to ask for assistance with tasks that place their
safety at great risk. The decision to enter a nursing center is never final, and a nursing center resident sometimes is
discharged to home or to another less-acute residence. What defines quality of life varies from person to person. Nurses
must listen to what the older adult considers to be most important rather than making assumptions about the individual’s
priorities.

, AE Exam 1 Nursing Test Bank .docx - AE 1
TEXTBOOKS TEST...
7. What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?
a. Suggest choosing a nursing center that is as sanitary as possible. The closer the center is to hospital standards,
the better.
b. Have family members evaluate nursing home staff according to their ability to get tasks done efficiently.

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