Test Bank For Ebersole and Hess' Gerontological
Nursing & Healthy Aging, Canadian Edition
A nurse is caring for an older client who has gout and refuses to eat. The client's
provider authorized the client's family to bring food from home. Which of the following
foods should the nurse recommend that the client avoid?
A. Lentil Soup
B. Cheese sandwich
C. Yogurt
D. Raisins - ANSWER A. Lentil Soup
A nurse is caring for an older client who has a new onset of type 2 diabetes mellitus.
Which of the following psychological changes can contribute to the development of
type 2 diabetes?
A. Increased production of insulin by the pancreas
B. Decreased sensitivity to the circulating insulin
C. Increased rate of glucose metabolism
D. Decreased release of glycogen by the liver - ANSWER B. Decreased sensitivity
to the circulating insulin
A nurse at a long-term care facility notes that a client with dementia is having
problems with orientation. Which of the following actions should the nurse take to
improve the client's level of orientation?
A. Encourage the client to make choices about meals and activities
B. Use written signs to label specific rooms
C. Post a large calendar on the bulletin board
D. Place an electronic wander alert bracelet on the clients wrist - ANSWER C. Post
a large calendar on the bulletin board
A nurse is administering intermittent IV antibiotic therapy for a client who has
Alzheimer's disease. The client repeatedly attempts to remove the IV access line
during the medication administration. Which of the following actions should the nurse
take?
A. Assign an assistive personnel to remain with the client during the medication
administration
B. Call the provider and request a prescription for an oral antibiotic
C. Give the client a PRN sedative 30min before the IV medication is scheduled
D. Place bilateral wrist restraints on the client during the antibiotic infusion -
ANSWER A. Assign an assistive personnel to remain with the client during the
medication administration
,A community health nurse is visiting the home of an older adult client and her
caregiver. The client has excoriations to her wrists and ankles. Which of the following
actions should the nurse take first?
A. Refer the caregiver to a support group
B. Interview the client in private
C. Document the client's wounds
D. Contact adult protective services - ANSWER B. Interview the client in private
A nurse is teaching a newly hired assistive personnel about helping older adult
clients with activities of daily living (ADLs). Which of the following is the most
common factor that affects a client's performance of ADLs?
A. Social withdrawal
B. Chronic physical disability
C. Emotional impairment
D. Cognitive dysfunction - ANSWER B. Chronic physical disability
A nurse is caring for an older adult client who has dementia. The client becomes
agitated and confused at night and wanders into the hallway. Which of the following
actions should the nurse take?
A. Place the client's mattress on the floor
B. Restrain the client during the nighttime hours
C. Provide continuous orientation to the client
D. Turn out the lights in the client's room at night - ANSWER A. Place the client's
mattress on the floor
A nurse at a long-term care facility is teaching an older adult client about ambulating
with a quad-cane. Which of the following statements should the nurse include in the
teaching?
A. "Adjust the height of the cane so that you can flex your elbow at 45 degrees."
B. "Hold the cane in the hand on the stronger side of your body."
C. "Place the flat side of the cane away from your foot."
D. "Move the cane and your stronger leg at the same time." - ANSWER B. "Hold
the cane in the hand on the stronger side of your body."
A nurse is planning care for a group of older adult clients in an assisted-living facility.
Which of the following health-promoting behaviors should the nurse plan in order to
help these clients increase endurance and maintain muscle strength?
A. Regular exercise program
B. Frequent small meals
C. Adequate rest periods
D. Vitamin supplements - ANSWER A. Regular exercise program
A nurse is assessing an older adult client who has right-sided heart failure. Which of
the following findings is the nurse's priority?
, A. The client's oxygen saturation is 92% on room air.
B. The client consumes 20% of her meals.
C. The client's weight has increased by 0.91 kg (2lb) in 24 hr.
D. The client has 1+ edema in the lower extremities - ANSWER C. The client's
weight has increased by 0.91 kg (2lb) in 24 hr.
A nurse is caring for a client who has aphasia following a stroke. Which of the
following actions should the nurse take?
A. Present a single idea in a sentence
B. Avoid using nonverbal communication techniques
C. Speak loudly
D. Use simplified language - ANSWER A. Present a single idea in a sentence
A nurse is assessing an older adult client for signs of dehydration. Which of the
following findings is an expected part of the aging process?
A. Elevation of urine specific gravity
B. Decreased creatinine clearance
C. Dry oral mucous membranes
D. Poor skin turgor over the sternum - ANSWER B. Decreased creatinine
clearance
A nurse is caring for an older adult client who has aspiration pneumonia. Which of
the following age-related changes contributes to the development of aspiration
pneumonia?
A. Decreased gastric secretions
B. Diminished cough reflex
C. Decreased sense of smell
D. Degenerative joint changes - ANSWER B. Diminished cough reflex
An older adult client tells a nurse at a health fair "I am always forgetting things. I can't
even remember where I parked my car! Do you think I have Alzheimer's disease?"
Which of the following is a therapeutic response by the nurse?
A. "Perhaps you should discuss your concerns with your doctor."
B. "I am forgetful too. I can't remember where I parked my car either!"
C. "You're probably just having 'senior moments.' Everyone has memory lapses."
D. "That must be very upsetting. Can you tell me about your forgetfulness?" -
ANSWER D. "That must be very upsetting. Can you tell me about your
forgetfulness?"
A nurse is teaching an older client about osteoporosis. Which of the following
statements should the nurse include in the teaching?
A. "Cottage cheese is a good source of calcium."
B. "Increase your caffeine intake."
C. "Brisk walking will help prevent bone loss."
Nursing & Healthy Aging, Canadian Edition
A nurse is caring for an older client who has gout and refuses to eat. The client's
provider authorized the client's family to bring food from home. Which of the following
foods should the nurse recommend that the client avoid?
A. Lentil Soup
B. Cheese sandwich
C. Yogurt
D. Raisins - ANSWER A. Lentil Soup
A nurse is caring for an older client who has a new onset of type 2 diabetes mellitus.
Which of the following psychological changes can contribute to the development of
type 2 diabetes?
A. Increased production of insulin by the pancreas
B. Decreased sensitivity to the circulating insulin
C. Increased rate of glucose metabolism
D. Decreased release of glycogen by the liver - ANSWER B. Decreased sensitivity
to the circulating insulin
A nurse at a long-term care facility notes that a client with dementia is having
problems with orientation. Which of the following actions should the nurse take to
improve the client's level of orientation?
A. Encourage the client to make choices about meals and activities
B. Use written signs to label specific rooms
C. Post a large calendar on the bulletin board
D. Place an electronic wander alert bracelet on the clients wrist - ANSWER C. Post
a large calendar on the bulletin board
A nurse is administering intermittent IV antibiotic therapy for a client who has
Alzheimer's disease. The client repeatedly attempts to remove the IV access line
during the medication administration. Which of the following actions should the nurse
take?
A. Assign an assistive personnel to remain with the client during the medication
administration
B. Call the provider and request a prescription for an oral antibiotic
C. Give the client a PRN sedative 30min before the IV medication is scheduled
D. Place bilateral wrist restraints on the client during the antibiotic infusion -
ANSWER A. Assign an assistive personnel to remain with the client during the
medication administration
,A community health nurse is visiting the home of an older adult client and her
caregiver. The client has excoriations to her wrists and ankles. Which of the following
actions should the nurse take first?
A. Refer the caregiver to a support group
B. Interview the client in private
C. Document the client's wounds
D. Contact adult protective services - ANSWER B. Interview the client in private
A nurse is teaching a newly hired assistive personnel about helping older adult
clients with activities of daily living (ADLs). Which of the following is the most
common factor that affects a client's performance of ADLs?
A. Social withdrawal
B. Chronic physical disability
C. Emotional impairment
D. Cognitive dysfunction - ANSWER B. Chronic physical disability
A nurse is caring for an older adult client who has dementia. The client becomes
agitated and confused at night and wanders into the hallway. Which of the following
actions should the nurse take?
A. Place the client's mattress on the floor
B. Restrain the client during the nighttime hours
C. Provide continuous orientation to the client
D. Turn out the lights in the client's room at night - ANSWER A. Place the client's
mattress on the floor
A nurse at a long-term care facility is teaching an older adult client about ambulating
with a quad-cane. Which of the following statements should the nurse include in the
teaching?
A. "Adjust the height of the cane so that you can flex your elbow at 45 degrees."
B. "Hold the cane in the hand on the stronger side of your body."
C. "Place the flat side of the cane away from your foot."
D. "Move the cane and your stronger leg at the same time." - ANSWER B. "Hold
the cane in the hand on the stronger side of your body."
A nurse is planning care for a group of older adult clients in an assisted-living facility.
Which of the following health-promoting behaviors should the nurse plan in order to
help these clients increase endurance and maintain muscle strength?
A. Regular exercise program
B. Frequent small meals
C. Adequate rest periods
D. Vitamin supplements - ANSWER A. Regular exercise program
A nurse is assessing an older adult client who has right-sided heart failure. Which of
the following findings is the nurse's priority?
, A. The client's oxygen saturation is 92% on room air.
B. The client consumes 20% of her meals.
C. The client's weight has increased by 0.91 kg (2lb) in 24 hr.
D. The client has 1+ edema in the lower extremities - ANSWER C. The client's
weight has increased by 0.91 kg (2lb) in 24 hr.
A nurse is caring for a client who has aphasia following a stroke. Which of the
following actions should the nurse take?
A. Present a single idea in a sentence
B. Avoid using nonverbal communication techniques
C. Speak loudly
D. Use simplified language - ANSWER A. Present a single idea in a sentence
A nurse is assessing an older adult client for signs of dehydration. Which of the
following findings is an expected part of the aging process?
A. Elevation of urine specific gravity
B. Decreased creatinine clearance
C. Dry oral mucous membranes
D. Poor skin turgor over the sternum - ANSWER B. Decreased creatinine
clearance
A nurse is caring for an older adult client who has aspiration pneumonia. Which of
the following age-related changes contributes to the development of aspiration
pneumonia?
A. Decreased gastric secretions
B. Diminished cough reflex
C. Decreased sense of smell
D. Degenerative joint changes - ANSWER B. Diminished cough reflex
An older adult client tells a nurse at a health fair "I am always forgetting things. I can't
even remember where I parked my car! Do you think I have Alzheimer's disease?"
Which of the following is a therapeutic response by the nurse?
A. "Perhaps you should discuss your concerns with your doctor."
B. "I am forgetful too. I can't remember where I parked my car either!"
C. "You're probably just having 'senior moments.' Everyone has memory lapses."
D. "That must be very upsetting. Can you tell me about your forgetfulness?" -
ANSWER D. "That must be very upsetting. Can you tell me about your
forgetfulness?"
A nurse is teaching an older client about osteoporosis. Which of the following
statements should the nurse include in the teaching?
A. "Cottage cheese is a good source of calcium."
B. "Increase your caffeine intake."
C. "Brisk walking will help prevent bone loss."
