Gerontological Nursing & Healthy Aging

Gerontological Nursing & Healthy Aging A man is terminally ill with end-stage prostate cancer. What is the best statement about this man's wellness? - d . Nursing interventions can help empower a patient to achieve a higher level of wellness. In differentiating between health and wellness in health care, which of the following statements is true? - Health is a broad term encompassing attitudes and behaviours. Which province or territory is predicted to have the fastest growing older-person population in Canada between the years 2006 and 2031? - Yukon Historical influences that have shaped the lives of the majority of the middle-old in Canada today include which of the following? - Post-World War II effects A nurse prepares for the arrival of older persons evacuated from a forest fire in northern Manitoba to a shelter for short-term care. Which of the following is the priority nursing intervention? - Use individual medical records to develop a medication plan. According to researchers, which characteristic will most centenarians share in the future? - Being female Which statement describes aging in developing countries? - c.) Most of the world's older persons are likely to reside in developing countries. The nurse develops a community program to promote exercise for older persons. Which of the following should the nurse include in the exercise program? - c. Describe ways to resume exercise after lapses. Determinants of health are the underlying causes of illness and wellness. Which of the following describes the older person who is likely to experience the best overall health and well-being? - d. Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends Which of the following nursing interventions represent a holistic approach to caring for an older person? - c. Assigns female nurses to older female persons who are Muslim, if requested An older-person male (pronouns he/him) who resides in a nursing home has very high cholesterol levels. Which nursing intervention is most likely to assist this man in achieving his highest level of wellness? - d. Review a menu with him to choose suitable foods. An older-adult male (pronouns he/him) living in an adult community becomes a widower one month after retirement. Two months later, he has not resumed a weekly outing with his fishing club. Which of the following should the nurse implement? - c. Meet with him to assess his interests. The nurse plans activities for female older adults born between 1930 and 1940 who reside in an assisted-living facility. Which is the best intervention for the nurse to implement? - b. Conduct interviews for specific interests. The nurse plans care for an older male adult (he/him) who lives on Old Age Security pension and a small pension after retirement, and has type 2 diabetes mellitus. Which aspect of this man's life should the nurse integrate into a positive approach to his health and well-being? - He practises effective glucose control. Mrs. McCloud (pronouns she/her), 70 years old, lives in Attawapiskat and speaks mostly Cree. She is transferred to a hospital in a larger city in Ontario for hemodialysis. While Mrs. McCloud is in hospital, what should the nurse take into account when developing nursing interventions based on health promotion? - c. Ask the older person about her home and how she accesses health care. Mr. Levesque (pronouns he/him), 65 years old, has been living on the street and in homeless shelters for the last three years after having lost his job as a maintenance attendant at a local store. He suffers from alcoholism and appears malnourished upon arrival at the hospital, after falling on the sidewalk and injuring his left shoulder. When implementing a primary health care approach, what is the main principle the nurse should consider with this older person? - a. Health promotion To help meet the needs of an increasingly ethnoculturally diverse older-person population, which of the following should be done? - d. Increase the number of health care providers from various cultures. 18. How is fertility rate defined? - b. The average number of children born to a person in their lifetime Which of the following is a true statement concerning communication with an older adult who has aphasia? - A nurse should pay attention to what speech and word recognition patterns the patient uses. Dysarthria is defined by which of the following descriptions? - b. Dysarthria is difficulty in physically producing the sounds of speech. Which of the following strategies is most useful for communicating with an older adult who is experiencing cognitive impairment? - Use multiple ways of communicating, such as by gesture and touch, as well as speech. A patient who has a speech impairment makes a statement that sounds like, "Peace wing we uh meng meng." What is your response? - "What would you like me to bring you?" Which of the following statements is true about forming a group with older adults? - Leaders must be prepared for members to fail to show up as a result of illness, death, or other reasons. Which of the following is a good strategy to use for teaching older-adult learners? - Provide extra time for the learner to respond. 7. An older adult living in long-term care begins to forget where activities occur, so the nurse engages her in reminiscence. Which goal of reminiscence is the most relevant to improve the nurse's communication with this older adult? - Reminiscence provides cognitive stimulation. The nurse has to teach an 85-year-old male (pronoun he/him) and his family about a new medication. Which of the following interventions should the nurse implement to enhance patient teaching? - d. Face the patient directly and speak clearly in a quiet place. The nurse asks an older adult, "Which countries were your favourite travelling destinations?" Which strategy is the most important for the nurse to incorporate into communicating with this older adult? - b. Allocate more time for answering. The nurse needs to obtain information from an older adult who has dysarthria. If the nurse experiences difficulty in understanding the older adult, which one of the following actions would be the nurse's best response? - Repeat a part that is not understood. Which chronic condition is the most common sensory impairment in Canadians over the age of 60? - a. Hearing loss Which type of question should the nurse avoid when communicating with an older adult who has aphasia? - b. The nurse should avoid questions that have open-ended answers. An older adult male (pronouns he/him) who wears hearing aids waits in the radiology department. The department is busy and running behind for appointment times. Which of the following is the most important strategy for the nurse to implement for effective communication with this man? - Speak with him in a private, quiet setting. The vision of a female patient (pronouns she/her) is deteriorating, and she is depressed about her condition. Which of the following nursing interventions is most likely to address both conditions? - c. Train her with low-vision assistive devices. 15. An older adult receives speech therapy for dysarthria. Which advice should the nurse offer the older adult to enhance the speech therapist's work? - c. Practise facial exercises regularly. This is the most common and easily corrected of all interferences in the hearing of older adults. - c. Cerumen impaction 1. Which of the following statements is true about gerontological nursing for patients of different races and ethnic backgrounds? - d. Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from different ethnicities. Which of the following statements is true about differing health belief systems? - b. In most cultures, older persons are likely to treat themselves using traditional methods before turning to biomedical professionals. 3. When working with an interpreter, which of the following principles should the nurse understand? - d. The nurse should face the patient, rather than the interpreter. 4. A resident in a nursing home insists that a priest hear his confession. The resident is very anxious, and the nursing home does not have a Roman Catholic chaplain. Which one of the following interventions should the nurse implement? - d. Contact a Roman Catholic church, and request that the priest visit the resident. 5. An older person who is a Chinese man of traditional beliefs has a blood pressure of 80/54 mm Hg and refuses to remain in bed. Which intervention should the nurse use to promote and maintain his health? - c. Ask about his perceptions and treatment ideas. the nurse prepares a female older person, who is Polish, for discharge through an interpreter and notes that the older person becomes tense during the instructions about elimination. Which of the following interventions should the nurse implement? - b. Ask the older person how she feels about this topic. The nurse uses knowledge about and experience with cultures to care for older persons within the context of a culture. Which one of the following is the best method of providing culturally competent nursing care? - a. Apply assessment and cultural data. The health care provider discusses the need for surgery with an older person and her family. Which information about the older person's culture is important for the nurse to collect before this discussion to facilitate the process of informed consent? - b. Process of decision making The nurse plans care for an older adult who follows the beliefs of the personalistic or magicoreligious system. Which of the following should the nurse consider when planning care? - a. The older adult may attribute his illness to voodoo or a hex. Which health belief system uses treatments to repair a body part? - b. Biomedical The nurse is assessing an older adult from a culture different from the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment. In keeping with this model, which question should the nurse ask? - "What treatment can improve your condition?" The phenomenon known as "healthy migrant effect" states that recent immigrants tend to have better health than long-term immigrants or nonimmigrants, because of: - Canadian immigration policies. The nurse must inform an older adult whose first language is French and who does not speak any English about patient rights. The nurse also has to have the older adult sign the document about information access. Which intervention should the nurse use to maintain the confidentiality of this older adult? - The nurse should explain the document to the older adult using an interpreter to ensure understanding. Which of the following statements is true about sociological theories of aging? - d. A person may choose to avoid pursuing inner discovery in old age. Which statement is true about the social, emotional, and spiritual well-being of older adults? - Nurses are often significant sources of social and emotional support for older adults. Which alterations in roles are most likely to have a significant effect on the type of aging process experienced by the older adult? - Losing employment or a spouse In which context are members of a cohort described when using the age-stratification theory to explain the effect of similar events, conditions, and circumstances? - Historical context An older male adult (pronouns he/him) with severe knee pain tells the nurse how he lost his job and his home after starting a new business when he was 48 years old. Now he lives alone and relies on welfare. Using Jung's theory, what in this individual's life is the most pivotal in his personality development? - d. Job loss and home loss The nurse plans care for older persons who are in good health but isolated from their families. If the nurse's goal is to move the adults toward gerotranscendence, which of the following interventions should the nurse use in the plan of care? - c. Encourage each person to focus on individual activities. The nurse observes older female adults learning advanced knitting techniques. The nurse concludes that this is a suitable learning activity for these women because it accomplishes which goal? - d. It adds to their existing knowledge base. The nurse at a nursing home wants to help decrease the risk of Alzheimer's disease among the residents. Which of the following should the nurse do to implement this goal? - Assist residents with ambulation to meals. Which physiological change in the brain is the reason the nurse allows more time for older persons to answer questions? - Atrophy of dendrites in the cerebral cortex The nurse provides opportunities for nursing home residents to read aloud to others. Which cognitive skill is this nursing intervention most likely to improve? - Verbal fluency Crystallized intelligence consists of: - knowledge and abilities that the person acquires through education and life. Psychological age is: - indicated by the person's ability and control in regard to memory, learning capacity, skills, emotions, and judgement. Which theory of aging suggests that the adverse physical effects of aging result from gradual loss of control mechanisms in the pituitary and hypothalamus? - Neuroendocrine theory Decreased functioning of which physical structure is likely to result in decreased metabolism in older persons? - Thyroid gland An older adult (pronouns they/them) is reading a large-print magazine and states that reading is difficult for them in the evening. Which following intervention should the nurse implement? - a. Put a high-intensity lamp at the head of the bed. Which change in the skin is abnormal in an older adult? - b. A tear in the skin after being assisted with transferring from the bed The nurse designs a group exercise program at an older-adult centre. Which room should the nurse choose for the program? - A room with an old hardwood floor and large windows overlooking a garden area. During a nursing assessment, an older adult tells the nurse about increasing loss of balance. Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance? - Stand on one foot at a time. The nurse cares for an older adult who appears to be malnourished and short of breath and has an infection in a large wound on his coccyx. Which intervention is the nurse's priority? - d. Maintain oxygen saturation above 95%. An older- adult male who spray-paints houses for a living has had a myocardial infarction (MI). Which intervention should the nurse implement to prevent adverse health effects from his occupational history? - c. Promote coughing and deep breathing. The nurse administers an antibiotic and naproxen, an anti-inflammatory medication, to an older female adult. Which laboratory test result should the nurse monitor to gauge if this older person's kidneys are able to metabolize the medication? - Urine creatinine An older person who recently had surgery complains of pain at a level of 3 out of 10 and constipation during the postoperative primary care visit. Which intervention should the nurse implement to first facilitate elimination in this older adult? - b. Review medication list. Which age-related change contributes to anorexia and weight loss in the older adult? - b. Fewer taste buds An older adult has been diagnosed with a nutrition imbalance. Which age-associated intestinal problem should the nurse be aware of when planning goals and interventions to improve this older adult's nutritional status? - b. Older persons have short, broad, small intestinal villi. Common health promotion advice for older adults is to not smoke, or to stop smoking. What other health teaching should the nurse provide to promote healthy lungs in an older adult? - a. Obtain annual influenza immunization. Xerostomia is defined as: - Excessively dry mouth