Healthy Aging 4th Edition by Touhy Jett – Test Bank
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Ebersole And Hess Gerontological Nursing And Healthy Aging 4th
Edition by Touhy Jett – Test Bank
Sample Questions
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Chapter 3: Care Across the Continuum
Test Bank
MULTIPLE CHOICE
1. An older female resident in the residential facility keeps a large collection of
personal items and photographs of her late husband on her bedside table, but
the nursing assistant and resident frequently argue about this. Why should the
nurse intervene between the resident and the nursing assistant?
a. Resident is attempting to maintain her sense of personal space.
b. Resident needs to accept the reality of her spouse’s death.
c. Resident’s argumentative nature can indicate early dementia.
d. Clutter from all the personal items is a safety and liability risk.
ANS: A
A thoughtful nurse respects and supports the resident’s boundaries. Even if the resident
needed to accept the reality of her spouse’s death, the resident’s grief process and
,personal space should be respected. Although the resident’s argumentative nature can
indicate early dementia, the resident’s behavior can also be understood as a healthy
defense of personal space. Although the rationale of the nurse assistant is probably that
the clutter from all the personal items is a safety and liability risk, the assistant should
realize that this resident is entitled to the personal use of her personal space.
PTS: 1 DIF: Apply REF: 12 TOP: Nursing Process:
Evaluation
MSC: Psychosocial Integrity
2. Which statement is true about living arrangements for older adults?
a. Older adults are more independent in their own homes than in a residential community.
b. The increase in real estate values makes home ownership essential to security.
c. Program for All-Inclusive Care for the Elderly (PACE) is a community alternative to nursing
d. Florida is an example of a naturally occurring retirement community (NORC).
ANS: C
PACE is an alternative to nursing home care for frail older people who want to live
independently in the community with a high quality of life. Although relief from the
burden of home maintenance can free a person for more independent living, this
statement can or cannot be accurate, depending on the real estate market at the time.
In addition, taxes and maintenance costs have also risen. A NORC is an organization
formed by older adults living at home in geographic proximity to each other to provide
supportive services for each other.
PTS: 1 DIF: Understand REF: 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
, 3. As the nurse admits an older woman to a long-term care facility from her home of
50 years, she mistakes the nurse for her daughter. Which diagnosis does the nurse
use to plan care for this woman?
a. Hypoxia as a result of chronic disease
b. Relocation stress syndrome
c. Alzheimer disease (AD)
d. Attention-seeking behavior
ANS: B
Relocation, especially if sudden, causes stress that may lead to altered mental status.
Many conditions other than hypoxia can cause altered mental status, including
relocation stress. Many conditions other than AD can cause altered mental status,
including relocation stress. The nurse has no confirmatory evidence to regard the older
woman’s error as something other than a mistake; in addition, it can be understood as
relocation stress syndrome.
PTS: 1 DIF: Apply REF: 16 TOP: Nursing
Process: Diagnosis
MSC: Safe, Effective Care Environment
4. Which statement is true about residential living for older adults?
a. A residential care facility is the new term for a nursing home.
b. An assisted living facility (ALF) must have an registered nurse (RN) on staff.
c. Administrators are realizing that their duty is to care for the residents as people.
d. A “granny flat” is an apartment in a high-rise building reserved for seniors.