ARM 401 Holistically Assessing Risk 2025 Latest
Exam Test Bank 1 with 214 Questions and Correct
Answers / ARM 401 Exam Prep Qs and As
As the aging population in the United States increases,
the nurse knows that the
a. Baby boomer generation accounts for a very small
percentage of this group.
b. Extension of the average life span has also increased.
c. Population segment over age 85 is decreasing.
d. Diversity of this age group will certainly decrease. -
...ANSWER...✓✓ ANS: B
According to estimates, the number of older adults will
increase to 72.1 million by 2030. Part of that increase is
due to extension of the average life span. Two other
factors that contribute to the projected increase in the
number of older adults are the aging of the baby boom
generation and the growth of the population segment
over age 85. The baby boomers are the large group of
adults born between 1946 and 1964.The diversity of the
group over age 65 will also possibly increase.
A recently widowed 80-year-old male is dehydrated and
is admitted to the hospital for intravenous fluid
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replacement. During the evening shift, the patient
becomes acutely confused. The nurses best action is to
assess the patient for which of the following reversible
causes? (Select all that apply.)
a. Electrolyte imbalance
b. Hypoglycemia
c. Drug effects
d. Dementia
e. Cerebral anoxia - ...ANSWER...✓✓ ANS: A, B, C, E
Delirium, or acute confusional state, is a potentially
reversible cognitive impairment that is often due to a
physiological event. Physiological causes of delirium can
include electrolyte imbalances, cerebral anoxia,
hypoglycemia, medications, drug effects, tumors,
subdural hematomas, and cerebrovascular infection,
infarction, or hemorrhage. Unlike delirium, dementia is a
gradual, progressive, irreversible cerebral dysfunction.
As a patient ages, the nursing plan of care
a. Should be standardized because all geriatric patients
have the same needs.
b. Needs to be individualized to the patients unique needs.
c. Should be based on chronological age alone.
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d. Focuses on the disabilities that all aging persons face.
- ...ANSWER...✓✓ ANS: B
Every older adult is unique, and the nurse needs to
approach each one as a unique individual. The nursing
care of older adults poses special challenges because of
great variation in their physiological, cognitive, and
psychosocial health. Nurses need to take into account the
cultural, ethnic, and racial diversity represented by these
numbers (not just age) as they care for older adults from
these groups. Aging does not inevitably lead to disability
and dependence.
A 72-year-old woman was recently widowed. She worked
as a teller at a bank for 40 years and has been retired for
the past 5 years. She never learned how to drive. She
lives in a rural area that does not have public
transportation. Which of the following psychosocial
changes does the nurse focus on as a priority?
a. Sexuality
b. Housing and environment
c. Retirement
d. Social isolation - ...ANSWER...✓✓ ANS: D
The highest priority at this time is the potential for social
isolation. This woman does not know how to drive and
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lives in a rural community that does not have public
transportation. All of these factors contribute to her
social isolation. Other possible changes she may be going
through right now include sexuality related to her
advanced age and recent death of her spouse; however,
this is not the priority at this time. She has been retired
for 5 years, so this is also not an immediate need. She
may eventually experience needs related to housing and
environment, but the data do not support this as an issue
at this time.
Which of these findings, if identified in a patient on a
gerontological unit, would be most surprising to a
culturally sensitive nurse?
a. The older person not being functionally independent
b. Preferences in food, music, and religion
c. Use of conventions of the handshake, silence, and eye
contact
d. Personal health practices and spiritual resources -
...ANSWER...✓✓ ANS: A
Most older people remain functionally independent
despite the increasing prevalence of chronic disease.
Examples of culturally competent nursing approaches to
older adults include respect for preferences in food,
music, and religion; appropriate use of conventions of the