HEALTH CARE CONCEPTS (RNSG
1430) EXAM QUESTIONS AND
ACCURATE SOLUTIONS RATED A.
,Promoting Healthy Adaptation to Aging
MULTIPLE CHOICE
1. An 82-year-old man is alert and oriented and in good physical health
except for some arthritic pain that ―slows me down, but I just keep moving.‖
He lives alone in an apartment in a senior citizen complex but enjoys the
company of other residents and takes part in the social activities there. His
lifestyle is an example of:
a. an exception to the expected norm.
b. the disengagement theory.
c. the activity theory.
d. the biological theory.
ANS: C
2. The nurse understands that the best explanation of why a particular
person lives into his 90s in relatively good health is that the person:
a. had healthy parents who passed on to him ―good‖ genes and no
hereditary diseases.
b. has lived a healthful lifestyle, which has included preventative care,
good nutrition, exercise, and a positive outlook.
c. has treated illness with ―old-fashioned‖ home remedies while avoiding
the use of many prescription drugs.
d. reads a lot about the newest advances in health care and tries these
approaches as soon as they are publicized.
ANS: B
3. An 85-year-old widow who lives alone has fallen several times in the
last month and has been noted by her children to be confused about her
medications and to frequently ―forget‖ what is cooking on the stove until it
is burned. These observations indicate that:
a. she needs to be hospitalized to determine the cause of her confusion
,and falls.
b. home delivery of a hot meal every day would solve her cooking risk.
c. nursing home placement would be the best solution to her problems of
aging.
d. further assessment is needed to evaluate an increased level of
assistance.
NURSINGTB.COM
ANS: D
The widow is showing signs of needing additional assistance. It might include
home delivered meals or nursing home placement, but further assessment
needs to be performed. Acute care hospitalization is not indicated in this
situation.
DIF: Cognitive Level: Analysis REF: p. 180
OBJ: Clinical Practice #5 TOP: Aging Parents
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. The nurse clarifies that the immune system failure theory states that:
, a. older adults lose their ability to effectively respond to infections and
are more likely to die from them.
b. the body no longer recognizes itself and begins to attack itself, causing
illness.
c. toxins and harmful chemicals (free radicals) in the environment cause
damage to body cells.
d. the diminished activity of older adults make them susceptible to
illness.
ANS: A
With advancing age, the immune system of older adults has less ability to
fight infections.
DIF: Cognitive Level: Knowledge REF: p. 173 OBJ: Theory #1
TOP: Theories of Aging KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. The nurse seeks out residents in an interview regarding the resident‘s
life story. The value of this activity is that:
a. it gives the staff more time to care for other residents and perform
routine care.
b. it can affirm the positives of the resident‘s life and lead to ego integrity
for the resident.
c. nursing home residents have long days to pass, and any activity helps
the time pass more quickly.
d. students learn about the ―good old days‖ and better appreciate the
modern conveniences available today.
ANS: B
Erikson‘s psychosocial task for older adults is ego integrity, which can be
assisted by life review and reminiscence.
1430) EXAM QUESTIONS AND
ACCURATE SOLUTIONS RATED A.
,Promoting Healthy Adaptation to Aging
MULTIPLE CHOICE
1. An 82-year-old man is alert and oriented and in good physical health
except for some arthritic pain that ―slows me down, but I just keep moving.‖
He lives alone in an apartment in a senior citizen complex but enjoys the
company of other residents and takes part in the social activities there. His
lifestyle is an example of:
a. an exception to the expected norm.
b. the disengagement theory.
c. the activity theory.
d. the biological theory.
ANS: C
2. The nurse understands that the best explanation of why a particular
person lives into his 90s in relatively good health is that the person:
a. had healthy parents who passed on to him ―good‖ genes and no
hereditary diseases.
b. has lived a healthful lifestyle, which has included preventative care,
good nutrition, exercise, and a positive outlook.
c. has treated illness with ―old-fashioned‖ home remedies while avoiding
the use of many prescription drugs.
d. reads a lot about the newest advances in health care and tries these
approaches as soon as they are publicized.
ANS: B
3. An 85-year-old widow who lives alone has fallen several times in the
last month and has been noted by her children to be confused about her
medications and to frequently ―forget‖ what is cooking on the stove until it
is burned. These observations indicate that:
a. she needs to be hospitalized to determine the cause of her confusion
,and falls.
b. home delivery of a hot meal every day would solve her cooking risk.
c. nursing home placement would be the best solution to her problems of
aging.
d. further assessment is needed to evaluate an increased level of
assistance.
NURSINGTB.COM
ANS: D
The widow is showing signs of needing additional assistance. It might include
home delivered meals or nursing home placement, but further assessment
needs to be performed. Acute care hospitalization is not indicated in this
situation.
DIF: Cognitive Level: Analysis REF: p. 180
OBJ: Clinical Practice #5 TOP: Aging Parents
KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. The nurse clarifies that the immune system failure theory states that:
, a. older adults lose their ability to effectively respond to infections and
are more likely to die from them.
b. the body no longer recognizes itself and begins to attack itself, causing
illness.
c. toxins and harmful chemicals (free radicals) in the environment cause
damage to body cells.
d. the diminished activity of older adults make them susceptible to
illness.
ANS: A
With advancing age, the immune system of older adults has less ability to
fight infections.
DIF: Cognitive Level: Knowledge REF: p. 173 OBJ: Theory #1
TOP: Theories of Aging KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. The nurse seeks out residents in an interview regarding the resident‘s
life story. The value of this activity is that:
a. it gives the staff more time to care for other residents and perform
routine care.
b. it can affirm the positives of the resident‘s life and lead to ego integrity
for the resident.
c. nursing home residents have long days to pass, and any activity helps
the time pass more quickly.
d. students learn about the ―good old days‖ and better appreciate the
modern conveniences available today.
ANS: B
Erikson‘s psychosocial task for older adults is ego integrity, which can be
assisted by life review and reminiscence.
