Basic Geriatric Nursing 7th Edition Williams Test Bank
Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
1. A 70-year-old male patient has been newly diagnosed with hypertension. What would be the
most effective health practice to reduce sodium intake?
a. Avoid all salty foods.
b. Discontinue eating at restaurants.
c. Read food labels on food containers carefully.
; d. Limit the amount of salt added to food.
ANS: C
2. An older adult states that her physician ordered her to drink a glass of wine daily. The nurse
understands that alcohol is occasionally recommended for which of the following reasons?
a. Memory enchancer
b. Appetite stimulant
c. Diuretic
d. Food source
ANS: B
3. When the 70-year-old female patient says, “Keeping up with when to take the flu vaccine is
a big hassle. I’m not going to add trying to keep up with a pneumonia vaccine as well. It’s
too expensive.” Which response
NURSbyIthe Gnurse
B.C would
M be the most helpful?
N T O
a. “Both vaccines can be taken at the same time every fall.”
b. “The pneumonia vaccine needs to be repeated every 10 years.”
c. “It is important to begin getting annual pneumonia shots at 80 years of age.”
d. “The flu vaccine must be taken every three years to remain effective.”
ANS: B
4. How often should a 75-year-old have a visual screening?
a. Every 6 months
b. Every 12 months
c. Every 2 years
d. On an as needed basis
ANS: B
5. What would be the most important suggestion for the nurse to give her 75-year-old patient
in an attempt to prevent a potential drug interaction?
a. Seek medical care from only one physician.
b. Read up on all drugs that are prescribed.
c. Keep a list of drugs that he is currently taking.
d. Use only one pharmacy to fill prescriptions.
ANS: C
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, Basic Geriatric Nursing 7th Edition Williams Test Bank
6. The 65-year-old male farmer who is overweigh and has hypertension, tells the home health
nurse that he eats two fried eggs, four pieces of bacon, and biscuits with gravy every
morning for breakfast because he believes that a robust breakfast keeps him healthy. What
would be the most appropriate response by the nurse?
a. “That sort of food is not on your low-sodium diet.”
b. “You won’t be healthy long with a diet like that.”
c. “One egg and whole wheat toast would be even healthier.”
d. “You should eat whole-grain cereal with fruit instead of all that fat and sodium.”
ANS: C
7. The 60-year-old Asian man tells the home health nurse that he has stopped taking his
antihypertensive medication because it causes him to be impotent. He reports that he is
using acupuncture to control his hypertension. What would be the most effective response
by the nurse?
a. “Uncontrolled hypertension is a real health problem.”
b. “Does your acupuncturist check your blood pressure?”
c. “Let me check your blood pressure to see how acupuncture is working.”
d. “You need to talk to your real doctor about stopping this drug.”
ANS: C
8. The nurse is teaching a newly diagnosed patient with diabetes regarding the diabetic diet.
Which of the following factors will have the biggest impact on compliance?
a. Clarity of the instructions
b. Severity of the disease
c. Timing of the instructions
N R I G B.COM
d. Motivation of the patientU S N T
ANS: D
9. What is the best predictor that a patient with hypertension will adhere to a newly prescribed
low-sodium diet?
a. The amount of knowledge about the patient has of the diet.
b. The amount of distress the patient has about his illness.
c. The patient’s previous ability to lose 15 lbs through following a weight reduction
program.
d. The patient’s desire to not suffer from hypertensive complications.
ANS: C
10. An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had
a tetanus booster when she was 75. The nurse’s response will be based on the knowledge
that tetanus boosters
a. should be repeated every 5 years.
b. are not necessary for persons older than 70.
c. do little good for the older adult.
d. should be repeated with every injury, regardless of the previous booster.
ANS: D
This study source was downloaded by 100000842568006 from CourseHero.com on 05-10-2022 21:25:37 GMT -05:00
https://www.coursehero.com/file/95877661/04pdf/ NURSINGTB.COM
Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations
Williams: Basic Geriatric Nursing, 7th Edition
MULTIPLE CHOICE
1. A 70-year-old male patient has been newly diagnosed with hypertension. What would be the
most effective health practice to reduce sodium intake?
a. Avoid all salty foods.
b. Discontinue eating at restaurants.
c. Read food labels on food containers carefully.
; d. Limit the amount of salt added to food.
ANS: C
2. An older adult states that her physician ordered her to drink a glass of wine daily. The nurse
understands that alcohol is occasionally recommended for which of the following reasons?
a. Memory enchancer
b. Appetite stimulant
c. Diuretic
d. Food source
ANS: B
3. When the 70-year-old female patient says, “Keeping up with when to take the flu vaccine is
a big hassle. I’m not going to add trying to keep up with a pneumonia vaccine as well. It’s
too expensive.” Which response
NURSbyIthe Gnurse
B.C would
M be the most helpful?
N T O
a. “Both vaccines can be taken at the same time every fall.”
b. “The pneumonia vaccine needs to be repeated every 10 years.”
c. “It is important to begin getting annual pneumonia shots at 80 years of age.”
d. “The flu vaccine must be taken every three years to remain effective.”
ANS: B
4. How often should a 75-year-old have a visual screening?
a. Every 6 months
b. Every 12 months
c. Every 2 years
d. On an as needed basis
ANS: B
5. What would be the most important suggestion for the nurse to give her 75-year-old patient
in an attempt to prevent a potential drug interaction?
a. Seek medical care from only one physician.
b. Read up on all drugs that are prescribed.
c. Keep a list of drugs that he is currently taking.
d. Use only one pharmacy to fill prescriptions.
ANS: C
This study source was downloaded by 100000842568006 from CourseHero.com on 05-10-2022 21:25:37 GMT -05:00
https://www.coursehero.com/file/95877661/04pdf/ NURSINGTB.COM
, Basic Geriatric Nursing 7th Edition Williams Test Bank
6. The 65-year-old male farmer who is overweigh and has hypertension, tells the home health
nurse that he eats two fried eggs, four pieces of bacon, and biscuits with gravy every
morning for breakfast because he believes that a robust breakfast keeps him healthy. What
would be the most appropriate response by the nurse?
a. “That sort of food is not on your low-sodium diet.”
b. “You won’t be healthy long with a diet like that.”
c. “One egg and whole wheat toast would be even healthier.”
d. “You should eat whole-grain cereal with fruit instead of all that fat and sodium.”
ANS: C
7. The 60-year-old Asian man tells the home health nurse that he has stopped taking his
antihypertensive medication because it causes him to be impotent. He reports that he is
using acupuncture to control his hypertension. What would be the most effective response
by the nurse?
a. “Uncontrolled hypertension is a real health problem.”
b. “Does your acupuncturist check your blood pressure?”
c. “Let me check your blood pressure to see how acupuncture is working.”
d. “You need to talk to your real doctor about stopping this drug.”
ANS: C
8. The nurse is teaching a newly diagnosed patient with diabetes regarding the diabetic diet.
Which of the following factors will have the biggest impact on compliance?
a. Clarity of the instructions
b. Severity of the disease
c. Timing of the instructions
N R I G B.COM
d. Motivation of the patientU S N T
ANS: D
9. What is the best predictor that a patient with hypertension will adhere to a newly prescribed
low-sodium diet?
a. The amount of knowledge about the patient has of the diet.
b. The amount of distress the patient has about his illness.
c. The patient’s previous ability to lose 15 lbs through following a weight reduction
program.
d. The patient’s desire to not suffer from hypertensive complications.
ANS: C
10. An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had
a tetanus booster when she was 75. The nurse’s response will be based on the knowledge
that tetanus boosters
a. should be repeated every 5 years.
b. are not necessary for persons older than 70.
c. do little good for the older adult.
d. should be repeated with every injury, regardless of the previous booster.
ANS: D
This study source was downloaded by 100000842568006 from CourseHero.com on 05-10-2022 21:25:37 GMT -05:00
https://www.coursehero.com/file/95877661/04pdf/ NURSINGTB.COM
