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Exam View - CH0005 Harding 11e TB
concept of adult health (Rockford University)
, Chapter 05: Chronic Illness and Older Adults
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. When caring for an older patient with hypertension who has been hospitalized after a transient ischemi
most important for the nurse to include in the discharge teaching?
a. Mechanism of action of anticoagulant therapy
b. Effect of atherosclerosis on cerebral blood vessels
c. Symptoms indicating that the patient should contact the health care provider
d. Impact of the patient’s family history on likelihood of developing a serious stroke
ANS: C
One of the priority tasks for patients with chronic illnesses is to prevent and manage a crisis. The patie
recognition of symptoms of hypertension and TIA and appropriate actions to take if these symptoms oc
may also be included in patient teaching but is not as essential in the patient’s self-management of the
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
2. The nurse performs a comprehensive assessment of an older patient who is considering admission to an
Which question is the most important for the nurse to ask?
a. “Have you had any recent infections?”
b. “How frequently do you see a doctor?”
c. “Do you have a history of heart disease?”
d. “Are you able to prepare your own meals?”
ANS: D
The patient’s functional abilities, rather than the presence of an acute or chronic illness, are more usefu
the patient might adapt to an assisted living situation. The other questions will also provide helpful info
in providing a basis for determining patient needs or for developing interventions for the older patient.
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
3. An alert older patient who takes multiple medications for chronic cardiac and pulmonary diseases lives
during the day. During a clinic visit, the patient tells the nurse that she has a strained relationship with
enjoy being alone all day. In planning care for this patient, which problem should the nurse consider as
a. Risk for injury
b. Social isolation
c. Caregiver strain
d. Difficulty coping
ANS: A
The patient’s age and multiple medications indicate a risk for injury caused by interactions between the
and a decreased drug metabolism rate. Problems with social isolation, caregiver strain, or difficulty cop
priorities. Drug–drug interactions could cause the most harm to the patient and are therefore the priorit
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Diagnosis
MSC: NCLEX: Health Promotion and Maintenance
4. Which method should the nurse use to obtain a complete assessment of an older patient?
a. Review the patient’s health record for previous assessments.
b. Use a geriatric assessment instrument to evaluate the patient.
c. Ask the patient to write down medical problems and medications.
Exam View - CH0005 Harding 11e TB
concept of adult health (Rockford University)
, Chapter 05: Chronic Illness and Older Adults
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. When caring for an older patient with hypertension who has been hospitalized after a transient ischemi
most important for the nurse to include in the discharge teaching?
a. Mechanism of action of anticoagulant therapy
b. Effect of atherosclerosis on cerebral blood vessels
c. Symptoms indicating that the patient should contact the health care provider
d. Impact of the patient’s family history on likelihood of developing a serious stroke
ANS: C
One of the priority tasks for patients with chronic illnesses is to prevent and manage a crisis. The patie
recognition of symptoms of hypertension and TIA and appropriate actions to take if these symptoms oc
may also be included in patient teaching but is not as essential in the patient’s self-management of the
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
2. The nurse performs a comprehensive assessment of an older patient who is considering admission to an
Which question is the most important for the nurse to ask?
a. “Have you had any recent infections?”
b. “How frequently do you see a doctor?”
c. “Do you have a history of heart disease?”
d. “Are you able to prepare your own meals?”
ANS: D
The patient’s functional abilities, rather than the presence of an acute or chronic illness, are more usefu
the patient might adapt to an assisted living situation. The other questions will also provide helpful info
in providing a basis for determining patient needs or for developing interventions for the older patient.
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
3. An alert older patient who takes multiple medications for chronic cardiac and pulmonary diseases lives
during the day. During a clinic visit, the patient tells the nurse that she has a strained relationship with
enjoy being alone all day. In planning care for this patient, which problem should the nurse consider as
a. Risk for injury
b. Social isolation
c. Caregiver strain
d. Difficulty coping
ANS: A
The patient’s age and multiple medications indicate a risk for injury caused by interactions between the
and a decreased drug metabolism rate. Problems with social isolation, caregiver strain, or difficulty cop
priorities. Drug–drug interactions could cause the most harm to the patient and are therefore the priorit
DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Diagnosis
MSC: NCLEX: Health Promotion and Maintenance
4. Which method should the nurse use to obtain a complete assessment of an older patient?
a. Review the patient’s health record for previous assessments.
b. Use a geriatric assessment instrument to evaluate the patient.
c. Ask the patient to write down medical problems and medications.
