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. All of the following are true of life transitions except
a. Challenging experiences that accompany aging may require life transitions
b. A person usually experiences only one transition in a lifetime
c. Sometimes there is more than one transition occurring at the same time
d. Each loss or change requires transitional effort from the person experiencing it
____ 2. Maria Hernandez, 76 years old, recently sustained a left hip fracture and dislocation while gardening in her
yard. She underwent left total hip replacement surgery and is recovering on the orthopedic unit. Maria tells
the nurse she is upset and does not feel at peace because she has been unable to attend church as a result of
the injury. What is the best response by the nurse?
a. Encourage her to read a book, magazine, or newspaper
b. Suggest that she watch television to keep her mind distracted
c. Offer to call the hospital’s chaplain or clergyman to come pray with her
d. Tell her to sleep so that her body can heal and return to a state of peacefulness
____ 3. Examples of transitional events include all of the following except
a. Marriage
b. Losing a job
c. Moving to a new home
d. Visiting an amusement park
____ 4. Researchers have determined four common features to transitions. Which of the following is not one of the
four features?
a. A stage of denial
b. An altered time perspective
c. Disturbances in bodily function
d. A phase of turmoil
____ 5. Which developmental growth objective is essential in reaching gerotranscendence?
a. Formal operational stage
b. Integrity vs. Despair stage
c. Concrete operational stage
d. Initiative vs. Guilt stage
____ 6. Mr. Smith, 79 years old, refuses to take any medications offered by the nurse. The nurse respects Mr. Smith’s
decision and right to refuse treatment and returns at a later time to offer the medication. Which of the
following factors influencing transitional outcomes applies to Mr. Smith’s situation?
a. Mr. Smith’s perception of change
b. Mr. Smith’s extent or degree of change
c. Mr. Smith’s degree of choice
d. Mr. Smith’s preparation for the change
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, ____ 7. The degree of change for an older person preparing to move can be minimized by all of the following
considerations except
a. Ensuring the new home is located near a senior citizen’s center
b. Finding a home with a nearby grocery store within walking distance
c. Selecting a home that meets the physical needs of the person
d. Choosing a smaller apartment so the person has fewer items to move
____ 8. Preparation is a key factor in managing future transitions. Which of the following is not an appropriate choice
in helping patients prepare for transitions?
a. Avoid discussing difficult topics with patients
b. Talking to patients and residents about changes to be anticipated
c. Repeating all necessary information about the transition
d. Involving family members when discussing future transitions
____ 9. The characteristics of an individual are important components to consider for transitions. Which of the
following characteristics should be considered when a person is transitioning?
a. The person’s height and weight
b. The person’s past experiences
c. The sex of the person
d. The person’s vital signs
____ 10. What aspects of the environment in a hospital room would most likely allow for smooth transitioning?
a. Cheerfulness and relaxation
b. Clean and colorful
c. Restrictive and demanding
d. Warm and dark
____ 11. Which of the following is not a common transition for an older adult?
a. Family role changes
b. Marriage
c. Job changes and retirement
d. Health changes
____ 12. Harriet Powell, age 68, has just been admitted to the oncology unit with a new diagnosis of lung cancer. This
is Mrs. Powell’s first time being admitted in the hospital, and she knows very little about her diagnosis. Which
of the following is the best action that the nurse can take to make Mrs. Powell’s transition easier?
a. Leave a printout about lung cancer at her bedside
b. Administer an antianxiety agent to keep her calm
c. Tell her a physician will be in to explain what is going on
d. Talk with her about her fears, questions, or concerns
____ 13. Spirituality is defined as
a. The organized practice of one’s belief in a higher power
b. Formal worship involving prescribed actions or practices
c. A feeling from within that communicates a higher power at work
d. The service and worship of God or the supernatural
____ 14. All of the following are ways to assess a patient’s spiritual needs except
a. Identifying the patient’s religious preference from their chart
b. Observing for identifying jewelry or artifacts in the patient’s personal belongings
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Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. All of the following are true of life transitions except
a. Challenging experiences that accompany aging may require life transitions
b. A person usually experiences only one transition in a lifetime
c. Sometimes there is more than one transition occurring at the same time
d. Each loss or change requires transitional effort from the person experiencing it
____ 2. Maria Hernandez, 76 years old, recently sustained a left hip fracture and dislocation while gardening in her
yard. She underwent left total hip replacement surgery and is recovering on the orthopedic unit. Maria tells
the nurse she is upset and does not feel at peace because she has been unable to attend church as a result of
the injury. What is the best response by the nurse?
a. Encourage her to read a book, magazine, or newspaper
b. Suggest that she watch television to keep her mind distracted
c. Offer to call the hospital’s chaplain or clergyman to come pray with her
d. Tell her to sleep so that her body can heal and return to a state of peacefulness
____ 3. Examples of transitional events include all of the following except
a. Marriage
b. Losing a job
c. Moving to a new home
d. Visiting an amusement park
____ 4. Researchers have determined four common features to transitions. Which of the following is not one of the
four features?
a. A stage of denial
b. An altered time perspective
c. Disturbances in bodily function
d. A phase of turmoil
____ 5. Which developmental growth objective is essential in reaching gerotranscendence?
a. Formal operational stage
b. Integrity vs. Despair stage
c. Concrete operational stage
d. Initiative vs. Guilt stage
____ 6. Mr. Smith, 79 years old, refuses to take any medications offered by the nurse. The nurse respects Mr. Smith’s
decision and right to refuse treatment and returns at a later time to offer the medication. Which of the
following factors influencing transitional outcomes applies to Mr. Smith’s situation?
a. Mr. Smith’s perception of change
b. Mr. Smith’s extent or degree of change
c. Mr. Smith’s degree of choice
d. Mr. Smith’s preparation for the change
This study source was downloaded by 100000858936669 from CourseHero.com on 02-03-2023 00:41:05 GMT -06:00
https://www.coursehero.com/file/37485565/Chapter-3-Supporting-Life-Transitions-and-Spirituality-in-the-Elderlyrtf/
, ____ 7. The degree of change for an older person preparing to move can be minimized by all of the following
considerations except
a. Ensuring the new home is located near a senior citizen’s center
b. Finding a home with a nearby grocery store within walking distance
c. Selecting a home that meets the physical needs of the person
d. Choosing a smaller apartment so the person has fewer items to move
____ 8. Preparation is a key factor in managing future transitions. Which of the following is not an appropriate choice
in helping patients prepare for transitions?
a. Avoid discussing difficult topics with patients
b. Talking to patients and residents about changes to be anticipated
c. Repeating all necessary information about the transition
d. Involving family members when discussing future transitions
____ 9. The characteristics of an individual are important components to consider for transitions. Which of the
following characteristics should be considered when a person is transitioning?
a. The person’s height and weight
b. The person’s past experiences
c. The sex of the person
d. The person’s vital signs
____ 10. What aspects of the environment in a hospital room would most likely allow for smooth transitioning?
a. Cheerfulness and relaxation
b. Clean and colorful
c. Restrictive and demanding
d. Warm and dark
____ 11. Which of the following is not a common transition for an older adult?
a. Family role changes
b. Marriage
c. Job changes and retirement
d. Health changes
____ 12. Harriet Powell, age 68, has just been admitted to the oncology unit with a new diagnosis of lung cancer. This
is Mrs. Powell’s first time being admitted in the hospital, and she knows very little about her diagnosis. Which
of the following is the best action that the nurse can take to make Mrs. Powell’s transition easier?
a. Leave a printout about lung cancer at her bedside
b. Administer an antianxiety agent to keep her calm
c. Tell her a physician will be in to explain what is going on
d. Talk with her about her fears, questions, or concerns
____ 13. Spirituality is defined as
a. The organized practice of one’s belief in a higher power
b. Formal worship involving prescribed actions or practices
c. A feeling from within that communicates a higher power at work
d. The service and worship of God or the supernatural
____ 14. All of the following are ways to assess a patient’s spiritual needs except
a. Identifying the patient’s religious preference from their chart
b. Observing for identifying jewelry or artifacts in the patient’s personal belongings
This study source was downloaded by 100000858936669 from CourseHero.com on 02-03-2023 00:41:05 GMT -06:00
https://www.coursehero.com/file/37485565/Chapter-3-Supporting-Life-Transitions-and-Spirituality-in-the-Elderlyrtf/
