Test Bank For Ebersole and Hess' Gerontological Nursing &
Healthy Aging 5th Edition By Theris A. Touhy; DNP; CNS;
DPNAP and Kathleen F Jett; PhD; GNPBC 9780323401678
Chapter 1-28 Complete Guide .
Which of the follow is a true statement about osteoporosis?
a. Osteoporosis is indicative of an underlying health problem.
b. The most common site for related fractures is in long bones.
c. Men of all races have the highest risk for osteoporosis.
d. A high risk of death follows an osteoporosis-related fracture. - ANSWER: D. A high risk of dealth
follows an osteoporosis- related fracture.
Which is a healthy practice recommended for a persona t risk for Osteoarthritis( OA)?
a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with
spinach covered with melted cheese for dinner; and ice cream for dessert
b. Long-term estrogen administration as adjunct therapy
c. A bisphosphonate medication taken with a snack just before bedtime
d. Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog
on a high-fiber bun at lunch; cocktails before dinner; steak with brown rice, celery, and red wine for
dinner - ANSWER: a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with
spinach covered with melted cheese for dinner; and ice cream for dessert
Which of the following is a true statement about joints in older adults?
a. Osteoarthritis (OA) is an inflammatory joint disorder.
b. Surgical joint replacement can effectively manage OA pain.
c. Joint damage in OA is reversed with medication.
d. Very old clients should avoid joint replacement surgery. - ANSWER: b. Surgical joint replacement
can effectively manage OA pain.
Which of the following statements is true about rhematoid arthritis(RA)?
a. Strikes unilaterally
b. Affects more men than women.
c. Can affect body systems other than the joints.
d.Morning stiffness in RA lasts less than 30 minutes. - ANSWER: c. Can affect body systems other than
the joints.
WHich of the following nursing interventions are suitable as a last resort treatment for gout?
a. Nonsteroidal anti-inflammatory drugs (NSAIDs)
b. Liquid paraffin hand baths
c.Colchicine by mouth
d. Hyaluronic acid injections - ANSWER: c. Colchicine by mouth
An older woman seeks advice from her nurse about preventing further bone loss after being
diagnosed with osteopenia. To achieve the women's goal, which of the following client teachings
should the nurse provide to enhance the activity of the osteoblasts?
a. Limit sodium intake.
b. Refrain from alcohol use.
c. Eat high-fiber foods.
d. Engage in weight-bearing exercise. - ANSWER: d. Engage in weight-bearing exercise.
After living with osteoporosis for 2 years, an older adult's bone density scan shows no improvement,
despite consistent bisphophonate therpay. Which intervention should the nurse implement to reduce
bone loss for this older adult?
, a. Add tai chi or yoga exercises.
b. Instruct the client to drink fortified milk.
c. Increase weight-bearing exercises
d. Review the client's daily nutritional habits. - ANSWER: d. Review the client's daily nutritional habits.
Which assessment is typical for a client with osteoarthritis (OA)?
a. Narrow joint spaces with crepitus
b. Effects in symmetrical joints
c. Morning stiffness for at least an hour
d. Swelling from excess synovial fluid - ANSWER: a. Narrow joint spaces with crepitus
The nurse prepares an older adult diagnnosed with osteoarthritis (OA) for discharge. Which
instruction does the nurse include in client teaching to maintain safety for this client?
a. Take ibuprofen rather than opioid analgesics.
b. Increase rest periods to slow disease progression.
c. Report joint instability to the health care provider.
d. Avoid stretching the affected joint during exercise. - ANSWER: c. Report joint instability to the
health care provider.
The nurse sees an older adult diagnosed with osteoarthritis (OA) who presents with a low-grade fever.
The client tells the nurse that the pain is changing; it is worse at night and in the shoulder muscles.
Which of the following does the nurse perform to prevent complications of this client's condition?
a. Assess all joints for swelling and redness.
b. Obtain blood specimens for blood cultures.
c. Direct the client to report temporal or scalp pain.
d. Direct the client to apply moist heat for 20 minutes. - ANSWER: c. Direct the client to report
temporal or scalp pain.
Which of the following characteristics of rheumatoid arthritis(RA) are unlike those of osteoporosis
(OA)?
a. Myalgia and stiffness
b. Joint pain that is curable
c. Crepitus and instability
d. Systemic and symmetrical - ANSWER: d. Systemic and symmetrical
A nurse is teaching an older adult who is ecperiencing an acute attack of gout. Which of the following
should the nurse include in the teaching?
a. Avoid foods high in purine.
b. Encourage the client to take in 1 L of fluid daily.
c. Consume one glass of red wine daily.
d. Recommend that the client eat 12 to 16 ounces of foods high in protein such as red
meat. - ANSWER: a. Avoid foods high in purine.
A nurse plans for the discharge of a 75-year-old client diagnosed with osteoporosis. Which of these
actions would the nurse consider first to best address safety needs?
a. Avoid stressful situations.
b. Schedule an annual DXA/DEXA scan.
c. Remove clutter from the floors of the home.
d. Encourage the consumption of a high-protein diet. - ANSWER: c. Remove clutter from the floors of
the home.
The nurse identifies which risk factor(s) for arthritis. (Select all that apply)
a. men
b. American Indian
c. Advanced age
d. Steroid Use
e. History of Paget's disease - ANSWER: B. American Indian
Healthy Aging 5th Edition By Theris A. Touhy; DNP; CNS;
DPNAP and Kathleen F Jett; PhD; GNPBC 9780323401678
Chapter 1-28 Complete Guide .
Which of the follow is a true statement about osteoporosis?
a. Osteoporosis is indicative of an underlying health problem.
b. The most common site for related fractures is in long bones.
c. Men of all races have the highest risk for osteoporosis.
d. A high risk of death follows an osteoporosis-related fracture. - ANSWER: D. A high risk of dealth
follows an osteoporosis- related fracture.
Which is a healthy practice recommended for a persona t risk for Osteoarthritis( OA)?
a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with
spinach covered with melted cheese for dinner; and ice cream for dessert
b. Long-term estrogen administration as adjunct therapy
c. A bisphosphonate medication taken with a snack just before bedtime
d. Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog
on a high-fiber bun at lunch; cocktails before dinner; steak with brown rice, celery, and red wine for
dinner - ANSWER: a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with
spinach covered with melted cheese for dinner; and ice cream for dessert
Which of the following is a true statement about joints in older adults?
a. Osteoarthritis (OA) is an inflammatory joint disorder.
b. Surgical joint replacement can effectively manage OA pain.
c. Joint damage in OA is reversed with medication.
d. Very old clients should avoid joint replacement surgery. - ANSWER: b. Surgical joint replacement
can effectively manage OA pain.
Which of the following statements is true about rhematoid arthritis(RA)?
a. Strikes unilaterally
b. Affects more men than women.
c. Can affect body systems other than the joints.
d.Morning stiffness in RA lasts less than 30 minutes. - ANSWER: c. Can affect body systems other than
the joints.
WHich of the following nursing interventions are suitable as a last resort treatment for gout?
a. Nonsteroidal anti-inflammatory drugs (NSAIDs)
b. Liquid paraffin hand baths
c.Colchicine by mouth
d. Hyaluronic acid injections - ANSWER: c. Colchicine by mouth
An older woman seeks advice from her nurse about preventing further bone loss after being
diagnosed with osteopenia. To achieve the women's goal, which of the following client teachings
should the nurse provide to enhance the activity of the osteoblasts?
a. Limit sodium intake.
b. Refrain from alcohol use.
c. Eat high-fiber foods.
d. Engage in weight-bearing exercise. - ANSWER: d. Engage in weight-bearing exercise.
After living with osteoporosis for 2 years, an older adult's bone density scan shows no improvement,
despite consistent bisphophonate therpay. Which intervention should the nurse implement to reduce
bone loss for this older adult?
, a. Add tai chi or yoga exercises.
b. Instruct the client to drink fortified milk.
c. Increase weight-bearing exercises
d. Review the client's daily nutritional habits. - ANSWER: d. Review the client's daily nutritional habits.
Which assessment is typical for a client with osteoarthritis (OA)?
a. Narrow joint spaces with crepitus
b. Effects in symmetrical joints
c. Morning stiffness for at least an hour
d. Swelling from excess synovial fluid - ANSWER: a. Narrow joint spaces with crepitus
The nurse prepares an older adult diagnnosed with osteoarthritis (OA) for discharge. Which
instruction does the nurse include in client teaching to maintain safety for this client?
a. Take ibuprofen rather than opioid analgesics.
b. Increase rest periods to slow disease progression.
c. Report joint instability to the health care provider.
d. Avoid stretching the affected joint during exercise. - ANSWER: c. Report joint instability to the
health care provider.
The nurse sees an older adult diagnosed with osteoarthritis (OA) who presents with a low-grade fever.
The client tells the nurse that the pain is changing; it is worse at night and in the shoulder muscles.
Which of the following does the nurse perform to prevent complications of this client's condition?
a. Assess all joints for swelling and redness.
b. Obtain blood specimens for blood cultures.
c. Direct the client to report temporal or scalp pain.
d. Direct the client to apply moist heat for 20 minutes. - ANSWER: c. Direct the client to report
temporal or scalp pain.
Which of the following characteristics of rheumatoid arthritis(RA) are unlike those of osteoporosis
(OA)?
a. Myalgia and stiffness
b. Joint pain that is curable
c. Crepitus and instability
d. Systemic and symmetrical - ANSWER: d. Systemic and symmetrical
A nurse is teaching an older adult who is ecperiencing an acute attack of gout. Which of the following
should the nurse include in the teaching?
a. Avoid foods high in purine.
b. Encourage the client to take in 1 L of fluid daily.
c. Consume one glass of red wine daily.
d. Recommend that the client eat 12 to 16 ounces of foods high in protein such as red
meat. - ANSWER: a. Avoid foods high in purine.
A nurse plans for the discharge of a 75-year-old client diagnosed with osteoporosis. Which of these
actions would the nurse consider first to best address safety needs?
a. Avoid stressful situations.
b. Schedule an annual DXA/DEXA scan.
c. Remove clutter from the floors of the home.
d. Encourage the consumption of a high-protein diet. - ANSWER: c. Remove clutter from the floors of
the home.
The nurse identifies which risk factor(s) for arthritis. (Select all that apply)
a. men
b. American Indian
c. Advanced age
d. Steroid Use
e. History of Paget's disease - ANSWER: B. American Indian
