Nursing 103 exam 1
A nurse is caring for an older patient who is sedentary and does not want to participate in any
activities. What action by the nurse is best?
a. Inform the patient about the consequences of immobility.
b. Promote activity by explaining the "use it or lose it" concept.
c. Tell the patient he or she will feel better by being more active.
d. Explain the relationship of being active and being independent. - ANSWER-D explain the
relationship
The nurse working with older patients teaches the student about withdrawal in the older
population. What statement about withdrawal is accurate?
a. Fear of the unknown is a common cause of withdrawal.
b. Isolation is not a normal finding and should be assessed.
c. Anxiety about performing activities leads to withdrawal.
d. Malnutrition and weakness are common causes of withdrawal. - ANSWER-B isolation
The nurse working in a long-term care facility uses the activity theory of aging in practice. In
caring for a frail, nearly bed bound patient, how can the nurse use this theory?
a. Engage the patient in intellectually stimulating activities.
b. Encourage the patient to participate in chair exercises.
c. Ensure that the patient participates in all the group activities.
d. Give the patient small "chores" to do for the facility. - ANSWER-A engage the pt
The nurse working at a long-term care facility notes that one patient who is usually outgoing
refuses to participate in games that require keeping score. What action by the nurse is best?
a. Ask the patient why he or she won't participate.
b. Assess the patient's level of frustration with these activities. - ANSWER-B assess
The nurse planning community events for older people uses sociologic theories to guide
practice. Which activity planned by the nurse best fits these theories?
1
,a. Group exercise programs
b. Volunteering at a day care
c. Healthy cooking classes
d. Reminiscing therapy - ANSWER-b. Volunteering at a day care
What statement by a patient most indicates healthy aging according to Jung?
a. "I wish I had traveled more when I was younger because now I can't."
b. "I am proud of my past accomplishments at work and home raising my kids."
c. "My leg amputation makes things harder, but I still find a way to work."
d. "I still like to read the paper and novels and enjoy a little gardening." - ANSWER-C my leg
amputation
A nurse is trying to teach a hospitalized older patient how to self-inject insulin. The patient is
restless and does not seem to be paying attention. What action by the nurse is best?
a. Ask if the patient needs to use the bathroom.
b. Tell the patient you'll try again later in the day.
c. Ask if the patient prefers that you teach the family. d. Refer the patient for home health care
services. - ANSWER-A ask if the pt needs to use br
The new nurse at a long-term care center asks the director of nursing why he needs to learn so
many theories of aging. What response by the director is best?
a. "No theories have been proven yet."
b. "A wide range of theories allows for holistic care."
c. "It's required knowledge for certification exams."
d. "All the theories are important, so we use them all." - ANSWER-B a wide range
According to Maslow, a fully actualized person displays which traits? (Select all that apply.)
a. Spontaneity
b. Self-direction
c. Creativity
d. Ethical conduct
2
,e. Acceptance of self - ANSWER-a.
Spontaneity
b.
Self-direction
c.
Creativity
e.
Acceptance of self
In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate the concepts of health promotion, health maintenance, disease
prevention, and self-care - ANSWER-D incorporate the concepts of health promotion
When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one's personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans. - ANSWER-C self reflect and
formulate one's personal view of aging and the older patient
The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the priority criterion for continued independence to be the patient's
a. age.
b. financial status.
3
, c. gender.
d. functional status. - ANSWER-D functional status
A nurse working with the older adult population is most likely to assess a need for a financial
social service's referral for which person?
a. White male
b. Black female
c. Hispanic male
d. Asian American female - ANSWER-B black female
A nurse is preparing to complete a health assessment and history on an older patient. Which
statement reflects an understanding of the general health status of this population?
a. "I'll need to document the medications the patient is currently prescribed."
b. "I would like to understand how supportive the patient's family members are."
c. "Most older patients are being treated for a variety of chronic health care issues." d. "It will
be interesting to see whether this patient sees herself as being healthy." - ANSWER-D it will be
interesting to see whether this pt sees. Herself as being healthy
The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about their father's pending
transfer to a subacute care facility. What response by the nurse is best?
a. "Acute care facilities lack the long-term physical therapy your dad requires."
b. "Your dad will be much happier in a more serene, private environment."
c. "The subacute facility will focus on helping your dad to maintain his
independence."
d. "Insurance, including Medicare, will cover only a limited amount of time here." - ANSWER-C
the subacute facility will
To best assure both the quality of care and the safety of the older adult patient who requires in-
home unlicensed assistive personal (UAP) assistance, which action by the gerontologic nurse is
best?
a. Evaluates the competency of the UAP staff.
b. Assumes the roles of case manager and patient advocate.
4
A nurse is caring for an older patient who is sedentary and does not want to participate in any
activities. What action by the nurse is best?
a. Inform the patient about the consequences of immobility.
b. Promote activity by explaining the "use it or lose it" concept.
c. Tell the patient he or she will feel better by being more active.
d. Explain the relationship of being active and being independent. - ANSWER-D explain the
relationship
The nurse working with older patients teaches the student about withdrawal in the older
population. What statement about withdrawal is accurate?
a. Fear of the unknown is a common cause of withdrawal.
b. Isolation is not a normal finding and should be assessed.
c. Anxiety about performing activities leads to withdrawal.
d. Malnutrition and weakness are common causes of withdrawal. - ANSWER-B isolation
The nurse working in a long-term care facility uses the activity theory of aging in practice. In
caring for a frail, nearly bed bound patient, how can the nurse use this theory?
a. Engage the patient in intellectually stimulating activities.
b. Encourage the patient to participate in chair exercises.
c. Ensure that the patient participates in all the group activities.
d. Give the patient small "chores" to do for the facility. - ANSWER-A engage the pt
The nurse working at a long-term care facility notes that one patient who is usually outgoing
refuses to participate in games that require keeping score. What action by the nurse is best?
a. Ask the patient why he or she won't participate.
b. Assess the patient's level of frustration with these activities. - ANSWER-B assess
The nurse planning community events for older people uses sociologic theories to guide
practice. Which activity planned by the nurse best fits these theories?
1
,a. Group exercise programs
b. Volunteering at a day care
c. Healthy cooking classes
d. Reminiscing therapy - ANSWER-b. Volunteering at a day care
What statement by a patient most indicates healthy aging according to Jung?
a. "I wish I had traveled more when I was younger because now I can't."
b. "I am proud of my past accomplishments at work and home raising my kids."
c. "My leg amputation makes things harder, but I still find a way to work."
d. "I still like to read the paper and novels and enjoy a little gardening." - ANSWER-C my leg
amputation
A nurse is trying to teach a hospitalized older patient how to self-inject insulin. The patient is
restless and does not seem to be paying attention. What action by the nurse is best?
a. Ask if the patient needs to use the bathroom.
b. Tell the patient you'll try again later in the day.
c. Ask if the patient prefers that you teach the family. d. Refer the patient for home health care
services. - ANSWER-A ask if the pt needs to use br
The new nurse at a long-term care center asks the director of nursing why he needs to learn so
many theories of aging. What response by the director is best?
a. "No theories have been proven yet."
b. "A wide range of theories allows for holistic care."
c. "It's required knowledge for certification exams."
d. "All the theories are important, so we use them all." - ANSWER-B a wide range
According to Maslow, a fully actualized person displays which traits? (Select all that apply.)
a. Spontaneity
b. Self-direction
c. Creativity
d. Ethical conduct
2
,e. Acceptance of self - ANSWER-a.
Spontaneity
b.
Self-direction
c.
Creativity
e.
Acceptance of self
In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The
nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate the concepts of health promotion, health maintenance, disease
prevention, and self-care - ANSWER-D incorporate the concepts of health promotion
When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate one's personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans. - ANSWER-C self reflect and
formulate one's personal view of aging and the older patient
The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the priority criterion for continued independence to be the patient's
a. age.
b. financial status.
3
, c. gender.
d. functional status. - ANSWER-D functional status
A nurse working with the older adult population is most likely to assess a need for a financial
social service's referral for which person?
a. White male
b. Black female
c. Hispanic male
d. Asian American female - ANSWER-B black female
A nurse is preparing to complete a health assessment and history on an older patient. Which
statement reflects an understanding of the general health status of this population?
a. "I'll need to document the medications the patient is currently prescribed."
b. "I would like to understand how supportive the patient's family members are."
c. "Most older patients are being treated for a variety of chronic health care issues." d. "It will
be interesting to see whether this patient sees herself as being healthy." - ANSWER-D it will be
interesting to see whether this pt sees. Herself as being healthy
The nurse is caring for an older adult who has been admitted to an acute care hospital for
treatment of a fractured femur. The family expresses concern about their father's pending
transfer to a subacute care facility. What response by the nurse is best?
a. "Acute care facilities lack the long-term physical therapy your dad requires."
b. "Your dad will be much happier in a more serene, private environment."
c. "The subacute facility will focus on helping your dad to maintain his
independence."
d. "Insurance, including Medicare, will cover only a limited amount of time here." - ANSWER-C
the subacute facility will
To best assure both the quality of care and the safety of the older adult patient who requires in-
home unlicensed assistive personal (UAP) assistance, which action by the gerontologic nurse is
best?
a. Evaluates the competency of the UAP staff.
b. Assumes the roles of case manager and patient advocate.
4
