,Table of Contents
Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations Test Bank .......................................................... 7
Chapter 06: Maintaining Fluid Balance and Meeting Nutritional Needs Test Bank ................................................................................ 23
Chapter 07: Medications and Older Adults Test Bank ............................................................................................................................. 32
Chapter 09: Meeting Safety Needs of Older Adults Test Bank ................................................................................................................ 48
Chapter 10: Cognition and Perception Test Bank ..................................................................................................................................... 57
Chapter 11: Self-Perception and Self-Concept Test Bank ........................................................................................................................ 66
Chapter 12: Roles and Relationships Test Bank ....................................................................................................................................... 74
Chapter 13: Coping and Stress Test Bank................................................................................................................................................. 82
Chapter 14: Values and Beliefs Test Bank ............................................................................................................................................... 91
Chapter 15: End-of-Life Care Test Bank .................................................................................................................................................. 98
Chapter 16: Sexuality and Aging Test Bank ........................................................................................................................................... 107
Chapter 17: Care of Aging Skin and Mucous Membranes Test Bank .................................................................................................... 115
Chapter 19: Activity and Exercise Test Bank ......................................................................................................................................... 127
Chapter 20: Sleep and Rest Test Bank .................................................................................................................................................... 135
,Chapter 01: Theories of Aging
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. How does a theory differ from a fact?
a. A theory proves how different influences affect a particular phenomenon.
b. A theory attempts to explain and give some logical order to observations.
c. A theory is a collection of facts about a particular phenomenon.
d. A theory shows a relationship among facts about a particular phenomenon.
ANS: B
2. The biological theory of aging uses a genetic perspective and suggests that aging is a programmed
process in which .
a. each person will age exactly like those in the previous generation
b. a biological timeline predetermines number of cell divisions
c. genetic traits can overcome environmental influences
d. age-related physical changes are controlled only by genetic factors
ANS: B
3. The Gene Theory of aging suggests which of the following ?
a. The presence of a “master gene” prolongs youth.
b. Genes interact with each other to resist aging.
c.d. Specific genes target specific body systems to initiate system deterioration. The activation of
harmful genes initiates the aging process.
ANS: D
4. The theory that identifies an unstable molecule as the causative factor in aging is the theory.
a. free radical
b. molecular
c. neuroendocrine
d. crosslink
ANS: A
,Basic Geriatric Nursing 7th Edition Williams Test Bank
5. A patient uses good health maintenance practices. What aging theory most accurately relates to the
patient’s practices? a. Wear-and-tear
b. Free radical
c. Neuroendocrine
d. Molecular
ANS: A
6. The patient asks the nurse to describe the neuroendocrine theory of aging. What would be an
appropriate response by the nurse?
a. It relates thyroid function to age-related changes.
b. Adrenal corticosteroids inhibit the aging process.
c. The stimulation and/or inhibition of the hypothalamus causes age-related changes.
d. The adrenal medulla inhibits epinephrine, causing age-related changes.
ANS: C
7. What is true of the psychosocial theories of aging?
a. They focus on methods to delay the aging process.
b. They are directed at decreasing depression in the older adult.
c. They are organized to enhance the perception of aging.
d. They attempt to explain responses to the aging process.
ANS: D
8. What is the major objection to the disengagement theory?
a. The theory justifies ageism.
b. The theory addresses the diversity of older adults.
c. The theory does not clarify the aging process.
d. The theory diminishes the self-esteem of the older adult.
ANS: A
9. An 80-year-old teaches Sunday school each week and delivers food for Meals on Wheels. What
theory of aging would apply? a. Newman’s developmental
b. The life course
c. The activity
d. The disengagement
ANS: C
,Basic Geriatric Nursing 7th Edition Williams Test Bank
10. The nurse would recognize successful aging according to Jung’s theory when a long-term care
facility resident demonstrates which of the following behaviors?
a. The resident takes special care to dress for dinner in a manner that pleases his tablemates.
b. The resident asks permission to sit on the patio with other residents.
c. The resident asks persons in his hall if his television is bothering them.
d. The resident wears a large cowboy hat at all times because he likes it.
ANS: D
11. How would an elderly female be most likely to reduce the amount of the free radical lipofuscin?
a. Avoid animal fat
b. Take antioxidants daily
c. Build muscle mass
d. Perform outdoor exercise three times weekly
ANS: B
12. A recently widowed woman moved to an assisted living community because of her hypertension and
joined a group to learn how to do water color painting with other women her age. Which theory of
aging does the nurse assess the patient to be following? a. Jung
b. Havighurst
c. Erikson
d. Newman
ANS: B
MULTIPLE RESPONSE
1. What age-related illnesses are thought to cause the accumulation of free radicals? (Select all
that apply.)
a. Arthritis
b. Colon cancer
c. Osteoporosis
d. Diabetes
e. Atherosclerosis
ANS: A, D, E
2. The nurse emphasizes that the relatively new theory that correlates restricted caloric intake
to slowing of the aging process would probably extend the life span of the person, provided
that the person . (Select all that apply.)
a. consistently eats high-nutrient, low-calorie foods
b. maintains a regular exercise program consumes 2000–3000 mL of fluid a day
c. supports the diet with adequate fat-soluble vitamins
, Basic Geriatric Nursing 7th Edition Williams Test Bank
d. eats only organically grown foods
ANS: A, B
3. Which would be considered positive outcomes of Erikson’s “life review”? (Select all that apply.)
a. Wisdom and integrated self-image
b. Comparing self with others
c. Understanding self and relationships
d. Seeking another’s opinion of his or her achievement
e. Acceptance of self
ANS: A, C, E
4. Which of the following would be selected for a diet high in antioxidants? (Select all that apply.)
a. Fruits
b. Vegetables
c. Organ meat
d. Folic acid
e. Atherosclerosis .................................................................................................................................. 3
ANS: A, B. ........................................................................................................................................... 4
COMPLETION
1. The theory that proposes that defects in ribonucleic acid (RNA) protein production cause a
progressive decline in the function of all cells is the theory.
ANS: error
2. The nurse clarifies that the biologic theory that proposes that aging is based on the using up of a
finite number of breaths or heartbeats is the of theory.
ANS: rate living
Powered by TC PDF ( www.tc pdf.org)
,Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations
Test Bank
MULTIPLE CHOICE
1. A 70-year-old male patient has been newly diagnosed with hypertension. What would be the
most effective health practice to reduce sodium intake?
a.Avoid all salty foods.
b.Discontinue eating at restaurants.
c.Read food labels on food containers carefully.
d.Limit the amount of salt added to food.
ANS: C
Reading labels will prevent the purchase of sodium-laden foods. Sodium-restricted foods are
available on most menus. Simply avoiding salty foods does not guarantee less sodium because
there are many foods containing sodium that are not salty. Adding salt should be absolutely
restricted, not diminished.
DIF: Cognitive Level: Analysis REF: p. 74 OBJ: 1
TOP: Sodium Restriction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. An older adult states that her physician ordered her to drink a glass of wine daily. The nurse
understands that alcohol is occasionally recommended for which of the following reasons?
a. Memory enchancer
b. Appetite stimulant
c. Diuretic
ANS: B
Alcohol is occasionally prescribed as an appetite stimulant in certain situations.
DIF: Cognitive Level: Comprehension REF: p. 75 OBJ: 7
TOP: Alcohol Abuse KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. When the 70-year-old female patient says, “Keeping up with when to take the flu vaccine is a
big hassle. I’m not going to add trying to keep up with a pneumonia vaccine as well. It’s too
expensive.” Which response by the nurse would be the most helpful?
a. “Both vaccines can be taken at the same time every fall.”
b. “The pneumonia vaccine needs to be repeated every 10 years.”
c. “It is important to begin getting annual pneumonia shots at 80 years of age.”
d. “The flu vaccine must be taken every three years to remain effective.”
ANS: B
The pneumonia vaccine is given to individuals usually between the ages of 65 and 70 years
and is repeated every 10 years. The flu vaccine must be received every year in the fall,
because the strain of the virus changes frequently.
DIF: Cognitive Level: Application REF: p. 75 OBJ: 9
TOP: Pneumonia Vaccine KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. How often should a 75-year-old have a visual screening?
a. Every 6 months
b. Every 12 months
c. Every 2 years
d. On an as needed basis
ANS: B
Annual examinations for vision to check for glaucoma are recommended.
DIF: Cognitive Level: Knowledge REF: p. 75 OBJ: 1
TOP: Visual and Hearing Evaluations KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. What would be the most important suggestion for the nurse to give her 75-year-old patient in
an attempt to prevent a potential drug interaction?
a. Seek medical care from only one physician.
b. Read up on all drugs that are prescribed.
c. Keep a list of drugs that he is currently taking.
d. Use only one pharmacy to fill prescriptions.
ANS: C
Keeping a current drug list as a quick reference for any licensed professional to review before
prescribing medication is one method to prevent possible drug-drug interactions.
DIF: Cognitive Level: Comprehension REF: p. 76 OBJ: 1
TOP: Preventative Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
e. “That sort of food is not on your low-sodium diet.”
f. “You won’t be healthy long with a diet like that.”
g. “One egg and whole wheat toast would be even healthier.”
h. “You should eat whole-grain cereal with fruit instead of all that fat and sodium.”
ANS: C
Health maintenance practices of the older adult are influenced by personal, religious, and
cultural beliefs. Using the patient’s beliefs as a basis for changing eating habits will be more
successful than radically departing from lifetime habits or suggesting that they are ineffective.
DIF: Cognitive Level: Application REF: p. 78 OBJ: 2
TOP: Cultural Beliefs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
6. The 60-year-old Asian man tells the home health nurse that he has stopped taking his
antihypertensive medication because it causes him to be impotent. He reports that he is using
acupuncture to control his hypertension. What would be the most effective response by the
nurse?
This study source was downloaded by 100000761823232 from CourseHero.com on 03-28-2021 16:13:57 GMT -05:00
https://www.coursehero.com/file/33082583/c4rtf/
, a. “Uncontrolled hypertension is a real health problem.”
b. “Does your acupuncturist check your blood pressure?”
c. “Let me check your blood pressure to see how acupuncture is working.”
d. “You need to talk to your real doctor about stopping this drug.”
ANS: C
Problems can occur when cultural remedies are used in place of conventional medicine.
Assessment of the effectiveness of the alternate therapy for treating hypertension is necessary
to encourage further discussion about his treatment choice. Acupuncture can be very effective.
DIF: Cognitive Level: Analysis REF: p. 78 OBJ: 2
TOP: Cultural Beliefs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. The nurse is teaching a newly diagnosed diabetic regarding the diabetic diet. Which of the
following factors will have the biggest impact on compliance?
a. Clarity of the instructions
b. Severity of the disease
c. Timing of the instructions
d. Motivation of the patient
ANS: D
Motivation is necessary for mastery of material and compliance with the new health
information.
DIF: Cognitive Level: Comprehension REF: pp. 78-79 OBJ: 9
TOP: Knowledge and Motivation KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
8. What is the best predictor that a hypertension patient will comply with a newly prescribed
low-sodium diet?
a. The amount of knowledge about the patient has of the diet.
b. The amount of distress the patient has about his illness.
c. The patient’s previous ability to lose 15 lbs. through following a weight reduction
program.
d. The patient’s desire to not suffer from hypertensive complications.
ANS: C
Previous behavior is a good indicator of future practice.
DIF: Cognitive Level: Application REF: p. 79 OBJ: 9
TOP: Predicting Compliance KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
9. An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had a
tetanus booster when she was 75. The nurse’s response will be based on the knowledge that
tetanus boosters
a. should be repeated every 5 years.
b. are not necessary for persons older than 70.
c. do little good for the older adult.
d. should be repeated with every injury, regardless of the previous booster.
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, ANS: D
Tetanus boosters should be repeated every 10 years, unless an injury prompts the need for a
booster. The age of the resident is not relevant. Any age group can contract tetanus.
DIF: Cognitive Level: Comprehension REF: p. 75 OBJ: 1
TOP: Tetanus Booster KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
10. A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he
should take the vaccination to prevent shingles. What would be the nurse’s most helpful
response?
a. “No. Persons with impaired immune systems should not take that vaccine.”
b. “Yes. It would be a good idea to protect yourself from shingles.”
c. “No. That vaccine is only effective in about 10% of the cases.”
d. “Yes. The vaccine is very inexpensive and very effective.”
ANS: A
The shingles vaccine should not be given to anyone with an impaired immune system.
Corticosteroids impair the immune system. The vaccine is very expensive and is only
effective in about 50% of the cases.
DIF: Cognitive Level: Analysis REF: p. 76 OBJ: 1
TOP: Shingles Vaccine KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
11. The home health nurse suggests to the 82-year-old man that he should wear a Medic Alert
bracelet. Which of the following health conditions prompted the nurse to make this
suggestion?
a. Artificial leg
b. Congestive heart failure
c. Pacemaker
d. Eye prosthesis
ANS: C
Such health information as pacemakers, heparin therapy, and drug allergies should be made
available to emergency workers.
DIF: Cognitive Level: Application REF: p. 76 OBJ: 9
TOP: Medic Alert Bracelets KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
12. The home health nurse observes that there is still about half a month’s supply of Glucophage
in the medicine bottle at the end of the month. What question would be the most appropriate
for the nurse to ask?
a. “Do you know what inadequately treated diabetes can do?”
b. “Have you told your physician you are not taking your prescription?”
c. “Are you trying to make the medication stretch for 2 months?”
d. “Why are you being so noncompliant?”
ANS: C
Many older adults with limited finances and limited access to a pharmacy will take less of a
prescribed drug to conserve money.
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https://www.coursehero.com/file/33082583/c4rtf/
Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations Test Bank .......................................................... 7
Chapter 06: Maintaining Fluid Balance and Meeting Nutritional Needs Test Bank ................................................................................ 23
Chapter 07: Medications and Older Adults Test Bank ............................................................................................................................. 32
Chapter 09: Meeting Safety Needs of Older Adults Test Bank ................................................................................................................ 48
Chapter 10: Cognition and Perception Test Bank ..................................................................................................................................... 57
Chapter 11: Self-Perception and Self-Concept Test Bank ........................................................................................................................ 66
Chapter 12: Roles and Relationships Test Bank ....................................................................................................................................... 74
Chapter 13: Coping and Stress Test Bank................................................................................................................................................. 82
Chapter 14: Values and Beliefs Test Bank ............................................................................................................................................... 91
Chapter 15: End-of-Life Care Test Bank .................................................................................................................................................. 98
Chapter 16: Sexuality and Aging Test Bank ........................................................................................................................................... 107
Chapter 17: Care of Aging Skin and Mucous Membranes Test Bank .................................................................................................... 115
Chapter 19: Activity and Exercise Test Bank ......................................................................................................................................... 127
Chapter 20: Sleep and Rest Test Bank .................................................................................................................................................... 135
,Chapter 01: Theories of Aging
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. How does a theory differ from a fact?
a. A theory proves how different influences affect a particular phenomenon.
b. A theory attempts to explain and give some logical order to observations.
c. A theory is a collection of facts about a particular phenomenon.
d. A theory shows a relationship among facts about a particular phenomenon.
ANS: B
2. The biological theory of aging uses a genetic perspective and suggests that aging is a programmed
process in which .
a. each person will age exactly like those in the previous generation
b. a biological timeline predetermines number of cell divisions
c. genetic traits can overcome environmental influences
d. age-related physical changes are controlled only by genetic factors
ANS: B
3. The Gene Theory of aging suggests which of the following ?
a. The presence of a “master gene” prolongs youth.
b. Genes interact with each other to resist aging.
c.d. Specific genes target specific body systems to initiate system deterioration. The activation of
harmful genes initiates the aging process.
ANS: D
4. The theory that identifies an unstable molecule as the causative factor in aging is the theory.
a. free radical
b. molecular
c. neuroendocrine
d. crosslink
ANS: A
,Basic Geriatric Nursing 7th Edition Williams Test Bank
5. A patient uses good health maintenance practices. What aging theory most accurately relates to the
patient’s practices? a. Wear-and-tear
b. Free radical
c. Neuroendocrine
d. Molecular
ANS: A
6. The patient asks the nurse to describe the neuroendocrine theory of aging. What would be an
appropriate response by the nurse?
a. It relates thyroid function to age-related changes.
b. Adrenal corticosteroids inhibit the aging process.
c. The stimulation and/or inhibition of the hypothalamus causes age-related changes.
d. The adrenal medulla inhibits epinephrine, causing age-related changes.
ANS: C
7. What is true of the psychosocial theories of aging?
a. They focus on methods to delay the aging process.
b. They are directed at decreasing depression in the older adult.
c. They are organized to enhance the perception of aging.
d. They attempt to explain responses to the aging process.
ANS: D
8. What is the major objection to the disengagement theory?
a. The theory justifies ageism.
b. The theory addresses the diversity of older adults.
c. The theory does not clarify the aging process.
d. The theory diminishes the self-esteem of the older adult.
ANS: A
9. An 80-year-old teaches Sunday school each week and delivers food for Meals on Wheels. What
theory of aging would apply? a. Newman’s developmental
b. The life course
c. The activity
d. The disengagement
ANS: C
,Basic Geriatric Nursing 7th Edition Williams Test Bank
10. The nurse would recognize successful aging according to Jung’s theory when a long-term care
facility resident demonstrates which of the following behaviors?
a. The resident takes special care to dress for dinner in a manner that pleases his tablemates.
b. The resident asks permission to sit on the patio with other residents.
c. The resident asks persons in his hall if his television is bothering them.
d. The resident wears a large cowboy hat at all times because he likes it.
ANS: D
11. How would an elderly female be most likely to reduce the amount of the free radical lipofuscin?
a. Avoid animal fat
b. Take antioxidants daily
c. Build muscle mass
d. Perform outdoor exercise three times weekly
ANS: B
12. A recently widowed woman moved to an assisted living community because of her hypertension and
joined a group to learn how to do water color painting with other women her age. Which theory of
aging does the nurse assess the patient to be following? a. Jung
b. Havighurst
c. Erikson
d. Newman
ANS: B
MULTIPLE RESPONSE
1. What age-related illnesses are thought to cause the accumulation of free radicals? (Select all
that apply.)
a. Arthritis
b. Colon cancer
c. Osteoporosis
d. Diabetes
e. Atherosclerosis
ANS: A, D, E
2. The nurse emphasizes that the relatively new theory that correlates restricted caloric intake
to slowing of the aging process would probably extend the life span of the person, provided
that the person . (Select all that apply.)
a. consistently eats high-nutrient, low-calorie foods
b. maintains a regular exercise program consumes 2000–3000 mL of fluid a day
c. supports the diet with adequate fat-soluble vitamins
, Basic Geriatric Nursing 7th Edition Williams Test Bank
d. eats only organically grown foods
ANS: A, B
3. Which would be considered positive outcomes of Erikson’s “life review”? (Select all that apply.)
a. Wisdom and integrated self-image
b. Comparing self with others
c. Understanding self and relationships
d. Seeking another’s opinion of his or her achievement
e. Acceptance of self
ANS: A, C, E
4. Which of the following would be selected for a diet high in antioxidants? (Select all that apply.)
a. Fruits
b. Vegetables
c. Organ meat
d. Folic acid
e. Atherosclerosis .................................................................................................................................. 3
ANS: A, B. ........................................................................................................................................... 4
COMPLETION
1. The theory that proposes that defects in ribonucleic acid (RNA) protein production cause a
progressive decline in the function of all cells is the theory.
ANS: error
2. The nurse clarifies that the biologic theory that proposes that aging is based on the using up of a
finite number of breaths or heartbeats is the of theory.
ANS: rate living
Powered by TC PDF ( www.tc pdf.org)
,Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations
Test Bank
MULTIPLE CHOICE
1. A 70-year-old male patient has been newly diagnosed with hypertension. What would be the
most effective health practice to reduce sodium intake?
a.Avoid all salty foods.
b.Discontinue eating at restaurants.
c.Read food labels on food containers carefully.
d.Limit the amount of salt added to food.
ANS: C
Reading labels will prevent the purchase of sodium-laden foods. Sodium-restricted foods are
available on most menus. Simply avoiding salty foods does not guarantee less sodium because
there are many foods containing sodium that are not salty. Adding salt should be absolutely
restricted, not diminished.
DIF: Cognitive Level: Analysis REF: p. 74 OBJ: 1
TOP: Sodium Restriction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. An older adult states that her physician ordered her to drink a glass of wine daily. The nurse
understands that alcohol is occasionally recommended for which of the following reasons?
a. Memory enchancer
b. Appetite stimulant
c. Diuretic
ANS: B
Alcohol is occasionally prescribed as an appetite stimulant in certain situations.
DIF: Cognitive Level: Comprehension REF: p. 75 OBJ: 7
TOP: Alcohol Abuse KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. When the 70-year-old female patient says, “Keeping up with when to take the flu vaccine is a
big hassle. I’m not going to add trying to keep up with a pneumonia vaccine as well. It’s too
expensive.” Which response by the nurse would be the most helpful?
a. “Both vaccines can be taken at the same time every fall.”
b. “The pneumonia vaccine needs to be repeated every 10 years.”
c. “It is important to begin getting annual pneumonia shots at 80 years of age.”
d. “The flu vaccine must be taken every three years to remain effective.”
ANS: B
The pneumonia vaccine is given to individuals usually between the ages of 65 and 70 years
and is repeated every 10 years. The flu vaccine must be received every year in the fall,
because the strain of the virus changes frequently.
DIF: Cognitive Level: Application REF: p. 75 OBJ: 9
TOP: Pneumonia Vaccine KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. How often should a 75-year-old have a visual screening?
a. Every 6 months
b. Every 12 months
c. Every 2 years
d. On an as needed basis
ANS: B
Annual examinations for vision to check for glaucoma are recommended.
DIF: Cognitive Level: Knowledge REF: p. 75 OBJ: 1
TOP: Visual and Hearing Evaluations KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. What would be the most important suggestion for the nurse to give her 75-year-old patient in
an attempt to prevent a potential drug interaction?
a. Seek medical care from only one physician.
b. Read up on all drugs that are prescribed.
c. Keep a list of drugs that he is currently taking.
d. Use only one pharmacy to fill prescriptions.
ANS: C
Keeping a current drug list as a quick reference for any licensed professional to review before
prescribing medication is one method to prevent possible drug-drug interactions.
DIF: Cognitive Level: Comprehension REF: p. 76 OBJ: 1
TOP: Preventative Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
e. “That sort of food is not on your low-sodium diet.”
f. “You won’t be healthy long with a diet like that.”
g. “One egg and whole wheat toast would be even healthier.”
h. “You should eat whole-grain cereal with fruit instead of all that fat and sodium.”
ANS: C
Health maintenance practices of the older adult are influenced by personal, religious, and
cultural beliefs. Using the patient’s beliefs as a basis for changing eating habits will be more
successful than radically departing from lifetime habits or suggesting that they are ineffective.
DIF: Cognitive Level: Application REF: p. 78 OBJ: 2
TOP: Cultural Beliefs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
6. The 60-year-old Asian man tells the home health nurse that he has stopped taking his
antihypertensive medication because it causes him to be impotent. He reports that he is using
acupuncture to control his hypertension. What would be the most effective response by the
nurse?
This study source was downloaded by 100000761823232 from CourseHero.com on 03-28-2021 16:13:57 GMT -05:00
https://www.coursehero.com/file/33082583/c4rtf/
, a. “Uncontrolled hypertension is a real health problem.”
b. “Does your acupuncturist check your blood pressure?”
c. “Let me check your blood pressure to see how acupuncture is working.”
d. “You need to talk to your real doctor about stopping this drug.”
ANS: C
Problems can occur when cultural remedies are used in place of conventional medicine.
Assessment of the effectiveness of the alternate therapy for treating hypertension is necessary
to encourage further discussion about his treatment choice. Acupuncture can be very effective.
DIF: Cognitive Level: Analysis REF: p. 78 OBJ: 2
TOP: Cultural Beliefs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. The nurse is teaching a newly diagnosed diabetic regarding the diabetic diet. Which of the
following factors will have the biggest impact on compliance?
a. Clarity of the instructions
b. Severity of the disease
c. Timing of the instructions
d. Motivation of the patient
ANS: D
Motivation is necessary for mastery of material and compliance with the new health
information.
DIF: Cognitive Level: Comprehension REF: pp. 78-79 OBJ: 9
TOP: Knowledge and Motivation KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
8. What is the best predictor that a hypertension patient will comply with a newly prescribed
low-sodium diet?
a. The amount of knowledge about the patient has of the diet.
b. The amount of distress the patient has about his illness.
c. The patient’s previous ability to lose 15 lbs. through following a weight reduction
program.
d. The patient’s desire to not suffer from hypertensive complications.
ANS: C
Previous behavior is a good indicator of future practice.
DIF: Cognitive Level: Application REF: p. 79 OBJ: 9
TOP: Predicting Compliance KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
9. An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had a
tetanus booster when she was 75. The nurse’s response will be based on the knowledge that
tetanus boosters
a. should be repeated every 5 years.
b. are not necessary for persons older than 70.
c. do little good for the older adult.
d. should be repeated with every injury, regardless of the previous booster.
This study source was downloaded by 100000761823232 from CourseHero.com on 03-28-2021 16:13:57 GMT -05:00
https://www.coursehero.com/file/33082583/c4rtf/
, ANS: D
Tetanus boosters should be repeated every 10 years, unless an injury prompts the need for a
booster. The age of the resident is not relevant. Any age group can contract tetanus.
DIF: Cognitive Level: Comprehension REF: p. 75 OBJ: 1
TOP: Tetanus Booster KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
10. A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he
should take the vaccination to prevent shingles. What would be the nurse’s most helpful
response?
a. “No. Persons with impaired immune systems should not take that vaccine.”
b. “Yes. It would be a good idea to protect yourself from shingles.”
c. “No. That vaccine is only effective in about 10% of the cases.”
d. “Yes. The vaccine is very inexpensive and very effective.”
ANS: A
The shingles vaccine should not be given to anyone with an impaired immune system.
Corticosteroids impair the immune system. The vaccine is very expensive and is only
effective in about 50% of the cases.
DIF: Cognitive Level: Analysis REF: p. 76 OBJ: 1
TOP: Shingles Vaccine KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
11. The home health nurse suggests to the 82-year-old man that he should wear a Medic Alert
bracelet. Which of the following health conditions prompted the nurse to make this
suggestion?
a. Artificial leg
b. Congestive heart failure
c. Pacemaker
d. Eye prosthesis
ANS: C
Such health information as pacemakers, heparin therapy, and drug allergies should be made
available to emergency workers.
DIF: Cognitive Level: Application REF: p. 76 OBJ: 9
TOP: Medic Alert Bracelets KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
12. The home health nurse observes that there is still about half a month’s supply of Glucophage
in the medicine bottle at the end of the month. What question would be the most appropriate
for the nurse to ask?
a. “Do you know what inadequately treated diabetes can do?”
b. “Have you told your physician you are not taking your prescription?”
c. “Are you trying to make the medication stretch for 2 months?”
d. “Why are you being so noncompliant?”
ANS: C
Many older adults with limited finances and limited access to a pharmacy will take less of a
prescribed drug to conserve money.
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