TEST BANK FOR Foundations of Nursing, 8th Edition

Chapter 33: Health Promotion and Care of the Older Adult Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. When discussing aging, to whom does the term older adulthood apply? a. Age 55 and above b. Age 65 and above c. Age 70 and above d. Age 75 and above ANS: B Older adulthood begins at about age 65. DIF: Cognitive Level: Knowledge REF: 1060 OBJ: 1 TOP: Aging KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 2. When the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, the benefits of what are important to stress? a. Nutrition b. Medications c. Exercise d. Sleep ANS: C Primary prevention stresses exercise for the prevention of cardiac disease, falls, and depression. DIF: Cognitive Level: Comprehension REF: 1061 OBJ: 1 TOP: Health promotion KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 3. When was the Social Security Act, which was the first major legislation providing financial security for older adults, passed? a. 1930 b. 1935 c. 1940 d. 1945 ANS: B The first major legislation to provide financial security for older adults was the Social Security Act of 1935. DIF: Cognitive Level: Knowledge REF: 1064 OBJ: 1 TOP: Legislation KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 4. When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid to reduce further drying of her skin? a. Perfumed soap NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank NU RS IN GT B.CO M b. Hard-milled soap c. Antibacterial soap d. Lotion soap ANS: C Antibacterial soap is very drying. DIF: Cognitive Level: Application REF: 1067 OBJ: 8 TOP: Integumentary alterations KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 5. Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often? a. Once every shift b. Every 4 hours c. Each evening d. Every 2 hours ANS: D Pressure injuries can be avoided by repositioning the patient every 2 hours. DIF: Cognitive Level: Application REF: 1067 OBJ: 8 TOP: Integumentary alterations KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance 6. At mealtime, the older adult seems to be eating less food than would be adequate. Compared to the younger adult, what is a requirement for the older adult? a. More fluids b. Less calcium c. Fewer calories d. More vitamins ANS: C The older adult requires 30 calories per kilogram of body weight, whereas the younger adult requires 40 calories. DIF: Cognitive Level: Application REF: 1069 OBJ: 5 TOP: Gastrointestinal alterations KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 7. The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by? a. Tasteless food b. Overuse of salt c. Lack of variety d. Loss of taste buds ANS: D Older adults may experience a loss of appetite. Change in taste as a result of decreased saliva production and a decreased number of taste buds may make food unappealing. DIF: Cognitive Level: Application REF: 1070 OBJ: 5 TOP: Gastrointestinal alterations KEY: Nursing Process Step: Assessment NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank NU RS IN GT B.CO M MSC: NCLEX: Physiological Integrity 8. An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing? a. Chin parallel b. Chin upward c. Chin down d. Chin to the side ANS: C The upright position, leaning slightly forward with the chin down, improves swallowing with the assistance of gravity. DIF: Cognitive Level: Application REF: 1071 OBJ: 8 TOP: Gastrointestinal alterations KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 9. The patient complains to the nurse about a newly developed intolerance to milk. What should the nurse suggest to fulfill calcium needs? a. Rye bread b. Yogurt c. Apples d. Raisins ANS: B Lactose, primarily found in milk, is a common source of food intolerance. Dairy products are an important source of calcium, which is needed to prevent osteoporosis. Lactose-intolerant individuals need to replace milk with cheese and yogurt, which are processed and digested more easily. DIF: Cognitive Level: Application REF: 1070 OBJ: 8 TOP: Gastrointestinal alterations KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 10. The older adult patient complains to the nurse about nocturia. This problem is most likely related to: a. loss of bladder tone. b. decrease in testosterone. c. decrease in bladder capacity. d. intake of caffeine. ANS: C At least 50% of older men and 70% of older women must get up two or more times during the night to empty their bladders, a condition known as nocturia (excessive urination at night). The most significant age-related change is the decrease in bladder capacity. DIF: Cognitive Level: Application REF: 1073 OBJ: 5 TOP: Incontinence KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 11. The older adult female patient is concerned about incontinence when she sneezes. What is the correct terminology for this type of incontinence?