Test Bank For Advanced Practice Nursing in the Care of
Older Adults, 3rd Edition Malone Kennedy |
A student nurse visiting a senior center tells the instructor, "It's so depressing to see
all these old people. They are so weak and frail. They are probably all confused."
The student is expressing what attitude?
a. Reality
b. Ageism
c. Empathy
d. Distrust - ANSWER b. Ageism
Ageism is defined as a bias against older people because of their age. None of the
other options can be identified from the ideas expressed by the student.
A community mental health nurse plans an educational program for staff members at
a home health agency that specializes in the care of older adults. What topic is of
high priority?
a. Identifying depression in older adults
b. Providing cost-effective foot care for older adults
c. Identifying nutritional deficiencies in older adults
d. Psychosocial stimulation for those who live alone - ANSWER a. Identifying
depression in older adults
Which is the best statement for a nurse to use when beginning an interview with an
older adult patient?
a. "Hello, [call patient by first name]. I am going to ask you some questions to get to
know you better."
b. "Hello. My name is [nurse's name]. I am a nurse. Please tell me how you would
like to be addressed by the staff."
c. "I am going to ask you some questions about yourself. I would like to call you by
your first name if you don't mind."
d. "You look as though you are comfortable and ready to participate in an admission
interview. Shall we get started?" - ANSWER b. "Hello. My name is [nurse's name].
I am a nurse. Please tell me how you would like to be addressed by the staff."
A 75-year-old patient comes to the clinic reporting frequent headaches. After an
introduction at the beginning of the interview, what should the nurse address?
a. Initiate a neurological assessment.
b. Assess if the patient can hear the spoken word clearly.
c. Suggest that the patient lie down in a darkened room to rest.
d. Administer medication to relieve the patient's pain prior to the assessment. -
ANSWER b. Assess if the patient can hear the spoken word clearly.
, Before proceeding, the nurse should assess the patient's ability to hear questions.
Hearing ability often declines with age. Impaired hearing could lead to inaccurate
answers. The nurse should not administer medication (an intervention) until after the
assessment is complete.
Which statement about aging provides the best rationale for focused assessment of
older adult patients?
a. Older adults are often socially isolated and lonely.
b. As people age, they become more rigid in their thinking.
c. The majority of older adults sleep more than 12 hours per day.
d. The senses of vision, hearing, touch, taste, and smell decline with age. -
ANSWER d. The senses of vision, hearing, touch, taste, and smell decline with age.
A nurse asks the following questions while assessing an older adult. The nurse will
add the Geriatric Depression Scale as part of the assessment if the patient answers
"yes" to which question?
a. "Would you say your mood is often sad?"
b. "Are you having any trouble with your memory?"
c. "Have you noticed an increase in your alcohol use?"
d. "Do you often experience moderate-to-severe pain?" - ANSWER a. "Would you
say your mood is often sad?"
A 78-year-old nursing home resident diagnosed with hypertension and cardiac
disease is usually alert and oriented. This morning, however, the resident says, "My
family visited during the night. They stood by the bed and talked to me." In reality,
the patient's family lives 200 miles away. The nurse should first suspect what as the
trigger for the resident's experience?
a. A side effects associated with medications.
b. Early Alzheimer's disease associated with advanced age.
c. A transient ischemic attack and developed sensory perceptual alterations.
d. Previously unidentified alcohol abuse and is beginning alcohol withdrawal
delirium - ANSWER a. A side effects associated with medications.
A health care provider writes these new prescriptions for a resident in a skilled care
facility: "2 g sodium diet; restraint as needed; limit fluids to 2000 mL daily; 1 dose
milk of magnesia 30 mL orally if no bowel movement occurs for 3 days." Which
prescription should the nurse question?
a. Restraint
b. Fluid restriction
c. Milk of magnesia
d. Sodium restriction - ANSWER a. Restraint
Restraints may be applied only on the written order of the health care provider that
specifies the duration during which the restraints can be used. The Joint Commission
guidelines and Omnibus Budget Reconciliation Act regulations also mandate a
number of other conditions that must be considered and documented before
restraints are used. The other orders may be appropriate for implementation.
Older Adults, 3rd Edition Malone Kennedy |
A student nurse visiting a senior center tells the instructor, "It's so depressing to see
all these old people. They are so weak and frail. They are probably all confused."
The student is expressing what attitude?
a. Reality
b. Ageism
c. Empathy
d. Distrust - ANSWER b. Ageism
Ageism is defined as a bias against older people because of their age. None of the
other options can be identified from the ideas expressed by the student.
A community mental health nurse plans an educational program for staff members at
a home health agency that specializes in the care of older adults. What topic is of
high priority?
a. Identifying depression in older adults
b. Providing cost-effective foot care for older adults
c. Identifying nutritional deficiencies in older adults
d. Psychosocial stimulation for those who live alone - ANSWER a. Identifying
depression in older adults
Which is the best statement for a nurse to use when beginning an interview with an
older adult patient?
a. "Hello, [call patient by first name]. I am going to ask you some questions to get to
know you better."
b. "Hello. My name is [nurse's name]. I am a nurse. Please tell me how you would
like to be addressed by the staff."
c. "I am going to ask you some questions about yourself. I would like to call you by
your first name if you don't mind."
d. "You look as though you are comfortable and ready to participate in an admission
interview. Shall we get started?" - ANSWER b. "Hello. My name is [nurse's name].
I am a nurse. Please tell me how you would like to be addressed by the staff."
A 75-year-old patient comes to the clinic reporting frequent headaches. After an
introduction at the beginning of the interview, what should the nurse address?
a. Initiate a neurological assessment.
b. Assess if the patient can hear the spoken word clearly.
c. Suggest that the patient lie down in a darkened room to rest.
d. Administer medication to relieve the patient's pain prior to the assessment. -
ANSWER b. Assess if the patient can hear the spoken word clearly.
, Before proceeding, the nurse should assess the patient's ability to hear questions.
Hearing ability often declines with age. Impaired hearing could lead to inaccurate
answers. The nurse should not administer medication (an intervention) until after the
assessment is complete.
Which statement about aging provides the best rationale for focused assessment of
older adult patients?
a. Older adults are often socially isolated and lonely.
b. As people age, they become more rigid in their thinking.
c. The majority of older adults sleep more than 12 hours per day.
d. The senses of vision, hearing, touch, taste, and smell decline with age. -
ANSWER d. The senses of vision, hearing, touch, taste, and smell decline with age.
A nurse asks the following questions while assessing an older adult. The nurse will
add the Geriatric Depression Scale as part of the assessment if the patient answers
"yes" to which question?
a. "Would you say your mood is often sad?"
b. "Are you having any trouble with your memory?"
c. "Have you noticed an increase in your alcohol use?"
d. "Do you often experience moderate-to-severe pain?" - ANSWER a. "Would you
say your mood is often sad?"
A 78-year-old nursing home resident diagnosed with hypertension and cardiac
disease is usually alert and oriented. This morning, however, the resident says, "My
family visited during the night. They stood by the bed and talked to me." In reality,
the patient's family lives 200 miles away. The nurse should first suspect what as the
trigger for the resident's experience?
a. A side effects associated with medications.
b. Early Alzheimer's disease associated with advanced age.
c. A transient ischemic attack and developed sensory perceptual alterations.
d. Previously unidentified alcohol abuse and is beginning alcohol withdrawal
delirium - ANSWER a. A side effects associated with medications.
A health care provider writes these new prescriptions for a resident in a skilled care
facility: "2 g sodium diet; restraint as needed; limit fluids to 2000 mL daily; 1 dose
milk of magnesia 30 mL orally if no bowel movement occurs for 3 days." Which
prescription should the nurse question?
a. Restraint
b. Fluid restriction
c. Milk of magnesia
d. Sodium restriction - ANSWER a. Restraint
Restraints may be applied only on the written order of the health care provider that
specifies the duration during which the restraints can be used. The Joint Commission
guidelines and Omnibus Budget Reconciliation Act regulations also mandate a
number of other conditions that must be considered and documented before
restraints are used. The other orders may be appropriate for implementation.
