Older Adult Mid-Term Exam
1. The nurse planning for an older adult who has recently been diagnosed with rheumatoid arthritis view the priority
criterion for continued independence to be the clients:
a. Age
b. Financial status
c. Gender
d. Functional ability
2. According to Maslow’s Hierarchy of need: the elder client hopes to successfully achieve:
a. Love and belonging
b. Self-actualization
c. Generativity vs Stagnation
d. Ego transcendence vs Ego preoccupation
3. A nurse is responsible of 20 older adults living in a skilled nursing facility. In order to best address the needs of
each individual client the nurse:
a. Strictly adheres to the facilities policies so that the clients will be treated equally
b. Encourages specific age cohorts to gather in the dayroom because they can share similar interests
c. Has the unit vote on which television program would be watched each evening.
d. Schedules the clients bathing time according to their preference.
4. A 66-year-old Hispanic client revels to the nurse she has not been taking her prescription medication because her
culture believes that dietary management would be just as effective in managing her problems. What action by the
nurse illustrates cultural accommodation?
a. Asking the client to give more details regarding the belief
b. Discussing with the client the possibility of adding dietary believe into her treatment plan
c. Offering to have a registered nutritionist discuss the situation with the client
d. Researching the clients proposed dietary belief
5. The nurse in an assisted living facility is preparing to admit an older client who speaks very little English. The
nurse decides it is most important for the interpreter to be present when the client
a. Indicated she wants to speak with the physical
b. Is being oriented to the facility
c. Is required to sign official documents
d. Begins crying and is inconsolable
6. When attempting to minimize the effect of ageism on the practice of nursing of the older adult population, a nurse
needs to first:
a. Recognize that nurses must act as advocates for aging clients
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 client
d. Recognize ageism as a form of bigotry shared by many Americans.
7. The programed theory of aging maintains that
a. Replication of cells slows with aging
b. Each species has a genetically determined maximum life span; cells will divide a certain number of times.
c. The body’s proteins undergo changes, decreasing elasticity of skin
d. The body loses its ability to discern foreign bacteria and viruses as it ages.
8. The nurse who believes in the Free Radical Theory of Aging is likely to recommend that the older adult
a. Avoid excessive intake of zinc and magnesium
b. Supplement his or her diet with vitamins C and E
c. Increase intake of complex carbohydrates
d. Avoid the use of alcohol or tobacco
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https://www.coursehero.com/file/38416745/Older-Adult-Midtermdocx/
, 9. A 61-year-old Asian client receiving physical therapy after hip surgery has developed a low-grade fever. The
client explains his fever will lessen if his treatment includes the principles of yin/yang. The nurse expects to
support the client by:
a. Providing privacy when his shaman visits
b. Diet to include cold foods and liquids
c. Planning his PT so it does not conflict with his medications
d. Keeping a medical amulet under his pillow.
10. A nurse’s aide working in a geriatric dining room in a skilled nursing facility notes that a client who was alert and
oriented this AM is now confused. The nurse appropriately directs the nurse’s aide to:
a. Take the client back t her room and put her in safely
b. Place a falls risk bracelet on the client
c. Immediately take the clients vital signs and report them to her
d. Reorient the client frequently and document response
11. An older client reports ‘loosing urine’ when coughing or sneezing. In light of her symptoms the nurse expects her
plan of care to include altered urinary function _____ incontinence?
a. Overflow
b. Urge
c. Functional
d. Stress
12. Which option is part of a program that addresses incontinence in the older adult?
a. Ensuring that a toilet or commode is readily accessible.
b. Encouraging the intake of 1 liter of water a day
c. Expecting a rapid and full recovery
d. Hold fluid intake after 4 p.m.
13. You are the admitting nurse for an older woman transferred from a long-term care facility. She has a documented
Stage 3 decubitus on her sacral area. Which of the following would you expect to note on assessment?
a. Intact skin
b. Partial thickness skin loss of the epidermis
c. A shallow crater like appearance.
d. A deep crater like appearance.
14. The nurse is aware that the client at greatest risk for a fall related injury is:
a. Male with a history of vitamin deficiency
b. Female with a history or osteoporosis
c. Male with a cognitive deficit
d. Female with a history of depression
15. An older adult has been diagnosed with presbyopia. In order to minimize their risk of falling, the nurse suggests:
a. That the edges of the steps be painted a contrasting color
b. That the elder adult wear sunglasses while driving
c. That the elder adult wear a wide brim hat when outdoors
d. That blinds be placed on sunny windows
16. The effects of aging on the cardiovascular system are evidenced when the nurse notes that an older adult
performing a stress test experiences the following?
a. Exercise induced dyspnea
b. Stress induced arrhythmias
c. Chest pain during exercise
d. Slow increase of heart rate in response to stress
This study source was downloaded by 100000901561514 from CourseHero.com on 10-14-2025 05:48:11 GMT -05:00
https://www.coursehero.com/file/38416745/Older-Adult-Midtermdocx/
1. The nurse planning for an older adult who has recently been diagnosed with rheumatoid arthritis view the priority
criterion for continued independence to be the clients:
a. Age
b. Financial status
c. Gender
d. Functional ability
2. According to Maslow’s Hierarchy of need: the elder client hopes to successfully achieve:
a. Love and belonging
b. Self-actualization
c. Generativity vs Stagnation
d. Ego transcendence vs Ego preoccupation
3. A nurse is responsible of 20 older adults living in a skilled nursing facility. In order to best address the needs of
each individual client the nurse:
a. Strictly adheres to the facilities policies so that the clients will be treated equally
b. Encourages specific age cohorts to gather in the dayroom because they can share similar interests
c. Has the unit vote on which television program would be watched each evening.
d. Schedules the clients bathing time according to their preference.
4. A 66-year-old Hispanic client revels to the nurse she has not been taking her prescription medication because her
culture believes that dietary management would be just as effective in managing her problems. What action by the
nurse illustrates cultural accommodation?
a. Asking the client to give more details regarding the belief
b. Discussing with the client the possibility of adding dietary believe into her treatment plan
c. Offering to have a registered nutritionist discuss the situation with the client
d. Researching the clients proposed dietary belief
5. The nurse in an assisted living facility is preparing to admit an older client who speaks very little English. The
nurse decides it is most important for the interpreter to be present when the client
a. Indicated she wants to speak with the physical
b. Is being oriented to the facility
c. Is required to sign official documents
d. Begins crying and is inconsolable
6. When attempting to minimize the effect of ageism on the practice of nursing of the older adult population, a nurse
needs to first:
a. Recognize that nurses must act as advocates for aging clients
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 client
d. Recognize ageism as a form of bigotry shared by many Americans.
7. The programed theory of aging maintains that
a. Replication of cells slows with aging
b. Each species has a genetically determined maximum life span; cells will divide a certain number of times.
c. The body’s proteins undergo changes, decreasing elasticity of skin
d. The body loses its ability to discern foreign bacteria and viruses as it ages.
8. The nurse who believes in the Free Radical Theory of Aging is likely to recommend that the older adult
a. Avoid excessive intake of zinc and magnesium
b. Supplement his or her diet with vitamins C and E
c. Increase intake of complex carbohydrates
d. Avoid the use of alcohol or tobacco
This study source was downloaded by 100000901561514 from CourseHero.com on 10-14-2025 05:48:11 GMT -05:00
https://www.coursehero.com/file/38416745/Older-Adult-Midtermdocx/
, 9. A 61-year-old Asian client receiving physical therapy after hip surgery has developed a low-grade fever. The
client explains his fever will lessen if his treatment includes the principles of yin/yang. The nurse expects to
support the client by:
a. Providing privacy when his shaman visits
b. Diet to include cold foods and liquids
c. Planning his PT so it does not conflict with his medications
d. Keeping a medical amulet under his pillow.
10. A nurse’s aide working in a geriatric dining room in a skilled nursing facility notes that a client who was alert and
oriented this AM is now confused. The nurse appropriately directs the nurse’s aide to:
a. Take the client back t her room and put her in safely
b. Place a falls risk bracelet on the client
c. Immediately take the clients vital signs and report them to her
d. Reorient the client frequently and document response
11. An older client reports ‘loosing urine’ when coughing or sneezing. In light of her symptoms the nurse expects her
plan of care to include altered urinary function _____ incontinence?
a. Overflow
b. Urge
c. Functional
d. Stress
12. Which option is part of a program that addresses incontinence in the older adult?
a. Ensuring that a toilet or commode is readily accessible.
b. Encouraging the intake of 1 liter of water a day
c. Expecting a rapid and full recovery
d. Hold fluid intake after 4 p.m.
13. You are the admitting nurse for an older woman transferred from a long-term care facility. She has a documented
Stage 3 decubitus on her sacral area. Which of the following would you expect to note on assessment?
a. Intact skin
b. Partial thickness skin loss of the epidermis
c. A shallow crater like appearance.
d. A deep crater like appearance.
14. The nurse is aware that the client at greatest risk for a fall related injury is:
a. Male with a history of vitamin deficiency
b. Female with a history or osteoporosis
c. Male with a cognitive deficit
d. Female with a history of depression
15. An older adult has been diagnosed with presbyopia. In order to minimize their risk of falling, the nurse suggests:
a. That the edges of the steps be painted a contrasting color
b. That the elder adult wear sunglasses while driving
c. That the elder adult wear a wide brim hat when outdoors
d. That blinds be placed on sunny windows
16. The effects of aging on the cardiovascular system are evidenced when the nurse notes that an older adult
performing a stress test experiences the following?
a. Exercise induced dyspnea
b. Stress induced arrhythmias
c. Chest pain during exercise
d. Slow increase of heart rate in response to stress
This study source was downloaded by 100000901561514 from CourseHero.com on 10-14-2025 05:48:11 GMT -05:00
https://www.coursehero.com/file/38416745/Older-Adult-Midtermdocx/
