GNUR 290 Exam 1 | Questions with 100% Correct Answers

GNUR 290 Exam 1 | Questions with 100% Correct Answers A nurse is teaching an older person about the concept of successful aging. Which of the nurse's questions addresses an important contributor to successful aging? A. "Are you largely free of acute or chronic illnesses?" B. "Do you fell financially secure?" C. "Are you able to engage in activities of daily living, including social activities?" D. "Do you have a reliable support network?" A nurse is conducting a study on the needs and living situation of older adults in the community to provide quality discharge planning for clients. Which statement should the nurse take into account? A. A majority of older Americans will live in a nursing home at some point. B. More older men live alone than older women. C. Assisted living arrangements have become increasingly common alternative to nursing homes D. Most older Americans reside in some form of institutional arrangement. A nurse assess the risk of the members of an older adult community. Which individual is most likely to be living at or below the poverty line? A. An 83 year-old single woman B. A couple who are both 72 years old C. A White 73 year-old man D. A Hispanic couple who are both in their 60s A nurse hears a colleague make the statement, "The majority of older adults have nothing to worry about financially." Which response is most appropriate? A. "You have to remember that there's a huge economic disparity among older adults." B. "Actually, the number of older people living below the poverty line has ben increasing, not decreasing." C. "This isn't really true now, but it is true that the gaps that disadvantaged groups live with are expected to shrink." D. "This is true for some groups but not for minorities, who are less likely to be living with their relatives." A nurse interviews a centenarian while gathering data for a large student. In the interview, the centenarian defines aging as not growing older, but growing wiser. Which is the best response to this definition by the nurse? A. "Aging might make you wiser, but leads to eventual death." B. "Healthy maturity is characterized by wisdom." C. "How did you get to live this old?" D. "I will never make it to 100 like you." A nurse works to protect vulnerable populations and reduce health disparities. Which nursing actions work toward that goal? Select all that apply. A. The nurse teaches each client about preventive care. B. The nurse incorporates clients' belief systems into the plan of care. C. The nurse communicates a nonjudgmental attitude toward health belief systems. D. The nurse asks the client how the care system can incorporate the clients" health beliefs. E. The nurse acknowledges that the clients in subgroups will not change beliefs or actions. A nurse performs a reflective cultural self-assessment. Which outcome should the nurse expect? A. Identification of the flaws and weaknesses of the nurse's own culture. B. An accurate ranking of different cultures according to their specific merits. C. Progressive from judgmental views of other cultures to recognition of positive attributes. D. The ability to assess clients according to their cultural affiliation rather than their individual characteristics. A clinic nurse assesses a client who has limited English-speaking ability. The client's child interprets for the client. Which action by the nurse is most appropriate? A. Talk directly to the interpreter. B. Obtain a professional interpreter. C. Teach the family member the appropriate medical terminology. D. Use the family member as a source for improving cultural competence. A nurse has recently begun to provide care to older adults in a large, urban hospital. Having lived until recently in an ethnically homogenous region, the nurse recognizes the significant differences in priorities and perspectives of clients from other cultural groups and has taken action to learn about these groups. What stage of cultural self-assessment is this nurse demonstrating? A. Consciously competent B. Consciously incompetent C. Unconsciously competent D. Unconsciously incompetent Following knee replacement surgery 10 days earlier, an older adult client diagnosed with an infection in the knee has a synovial fluid culture ordered. Obtaining the sample helps to determine the causative microorganism and to select an appropriate antibiotic. The above course of events characterizes what major belief system? A. Holistic paradigm B. Scientific paradigm C. Analytic paradigm D. Magico-religious paradigm A nurse is teaching a colleague about the difference between age-related changes and risk factors. Of the following examples, which should the nurse use when discussing age-related changes? Select all that apply. A. An older adult with muscle weakness B. An older adult with obstructive lung disease C. An older adult with decreased bowel motility D. An older adult with cognitive changes from medications A nurse determines risk factors for an older adult client's plan of care. Which characteristics of the client would the nurse consider risk factors? Select all that apply. A. Chronic bronchitis B. Loss of bone density C. Decreased vital lung capacity D. Delayed gastric emptying E. Digoxin toxicity An older adult client is depressed that a primary care provider referred the client for a driving evaluation because the client experiences vision problems and slower reaction time. Of the following concepts, which best illustrates this scenario? A. Risk factors B. Age-related changes C. Positive functional consequences D. Wellness outcomes A nurse assesses an older adult client who has smoked for 43 years. Which are negative functional consequences of smoking for this client? Select all that apply. A. Pulmonary disease B. Abnormal breath sounds C. The ability to run a 5 kilometer race D. Low oxygen-carrying capacity E. Exposing children to secondhand smoke An older adult client is on broad-spectrum antibiotics for sepsis. The client has a history of rheumatoid arthritis and a recurring problem with pneumonia. Which theory best explains why the client has had these issues? A. Genetic theory B. Immunity theory C. Free radical theory D. Wear-and-tear theory A 55-year old client recently diagnosed with Type 2 Diabetes completed a diabetes education class. The client does water aerobics three times a week. The client's blood sugar ranges from 126 mg/dl to 143 mg/dL, the client's hemoglobin A1c decreased from 10.5 to 8.1, and the client lost 20 lbs (9.07 kg). Which statement best describes this client's actions? A. Activity theory B. Age stratification theory C. Functional consequences theory D. Life-course development theory A client, who retired from work this year, asks the nurse the secret to successful aging. Which response by the nurse is most helpful? A. "Life is a bowl of cherries, if you are in the pits, crawl out." B. "The body is senescent and you will find you slow down each year." C. "Studies show that volunteering and helping others improve satisfaction with life." D. "Later life can be a time of engagement, contribution, and well-being; you must work to make it so." The child of an older adult client asks the nurse about vitamins, antioxidants, and age-related macular degeneration. Which theory of aging is the most appropriate to this topic? A. Free radical theory B. Immunosenescence theory C. Program theory D. Wear-and-tear theory An older adult is sore from "doing too much in the yard yesterday". Which statement by the nurse best promotes healthy aging? A. "Its time to start exercising and eating right." B. "You need to act your age and let others do that work." C. "Let's look at how we can improve your health so you can do more." D. "Of course you can't do as much as you did before, you need to pace yourself." A nurse uses the Functional Consequences Theory to assess older adults. Which situation best demonstrates the effect of physical environment on the older adult? A. A resident of a care facility experiences a fall because there are not grab bars outside the bathtub. B. An older adult cannot afford a wheeled walker and suffers a fall while trying to ambulate using a cane. C. An assisted living resident requires care for emphysema that resulted from a 70 year history of cigarette smoking. D. A hospital client develops Clostridium difficile-related diarrhea because a care provider did not perform adequate handwashing. A nurse in a nursing home performs assessments and develops client-based problems, so a plan of ongoing care can be developed. Which of these statements is true of the functional assessments the nurse is likely to perform? A. The nurse will utilize various functional assessment models. The nurse will address core ADLs but not more complex instrumental activities of daily living (IADLs). B. The nurse will include both core activities of daily living (ADLs) and more complex (IADLs). C. The nurse will identify the older adult's function at the time of screening. D. The nurse's main goal of the functional assessments will be to ensure older adult safety. Assessment of an older adult's activities of daily living (ADLs) reveals specific functional deficits. Which component should the functional assessment also include? A. Pain B. Mental status C. Previous medical history D. Integumentary assessment A nurse assesses older adults in their own homes. Which questions are appropriate to include in this assessment of the bathroom? Select all that apply. A. "Is there a lock for the bathroom door?" B. "Is the height of the toilet seat appropriate?" C. "Can the person enter and exit the tub safely?" D. "Does the tub have skid-proof strips or a rubber mat in the bathroom?" E. "Does the color of the toilet seat contrast with surrounding colors?" A home care nurse assesses the home environment of an older adult client. Which environmental condition positively affects the functioning and quality of life for the client? A. The client shares a bathroom with a teenager.