Chapter 1
1. Primary prevention strategies for older adults include which of the following? (Select all that apply.) a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening programs
d. A cardiac rehabilitation programs
e. A meal planning education prog...
older adult review questions and answers 100amp verified updated
1 primary prevention strategies for older adults include which of the following select all that apply
2 one reason why many “
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Older Adult - Review Questions And Answers 100& verified updated
Chapter 1
1. Primary prevention strategies for older adults include which of the following? (Select all that apply.)
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening programs
d. A cardiac rehabilitation programs
e. A meal planning education program for type 2 diabetics
2. One reason why many “baby boomers” have multiple chronic conditions such as heart disease, diabetes, and
arthritis is that:
a. they have less access to medication and other treatment regimens.
b. there was a lack of importance placed on healthy living as they were growing up.
c. they did not have access to immunizations against communicable disease when they were children.
d. they grew up in an era of rampant poverty and malnutrition.
3. A nursing student is preparing a presentation on the Wellness-Based Model for Healthy Aging. Which of the
following concepts should the student include in the presentation? (Select all that apply.)
a. Healthy aging is defined by the absence of physical illness alone
b. Healthy aging is individually defined and can change over time
c. There are many strategies to promote healthy aging that are believed to be helpful but do not have
empirical evidence to support them
d. Healthy aging cannot be achieved by only focusing on later life. It is a lifelong process
e. According to this model, an individual with a chronic disease would not be considered healthy
4. When asked by new parents what the life expectancy is for their African American newborn, the nurse replies
that, “2010 statistics indicate that your son:
a. can realistically expect to live into his late 80s.”
b. has a good chance of celebrating his 75th birthday.
c. is likely to live into his late 90s.”
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse promotes
functional wellness by which of the following activities?
a. Encouraging the client maintains current levels of physical activities
b. Assisting the client to receive all the recommended preventive screenings that are appropriate for his
age group
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer distances
6. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority areas identified
by the National Prevention Council**. Which of the following activities should the nurse include? (SATA)
a. Smoking cessation
b. Depression screening
c. Recognizing elder abuse
d. Cholesterol screening
e. Fitness training
7. A nurse is planning an education program on wellness in a local senior citizen center. The nurse plans to provide
education on the importance of immunizat ions, annual physical examinations, screening for diabetes, and vision
and hearing screening. It is important for the nurse to understand which of the following?
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 and over age group
c. The research on health promotion strategies in older adults demonstrates that they have low efficacy
d. There is an abundance of research specific to health promotion and aging
8. The “in-between” generation (individuals born between 1915 and 1945) were subject to which of the following
health challenges during their childhood? (Select all that apply.)
a. Polio
b. Lack of fluoride in the water causing teeth to be soft and cavity prone
c. “Pigeon Chest,” a malformation of the rib cage due to a lack of vitamin D
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,Older Adult - Review Questions And Answers 100& verified updated
9. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse considers
which of the following?
a. Most super-centenarians are functionally independent or require minimal assistance with activities of
daily living
b. The majority of super-centenarians have cognitive impairment
c. The number of super-centenarians is expected to decrease in coming years as a result of heart disease
and stroke
d. It is theorized that super-centenarians survived as long as they have due to genetic mutations that made
them less susceptible to common diseases
10. Based on the census reports of 2010, the typical profile of a centenarian in the United States includes which of
the following characteristics?
a. A Caucasian woman who lives in an urban area of a Southern state
b. An African American woman who lives in a rural area of a Southern state
c. A Hispanic man who lives in an urban area of a Midwestern state
d. A Caucasian man who lives in a rural area of a Midwestern state
Chapter 4
1. A paper on culture and illness would be likely to include the statement that:
a. culture is the same as ethnicity.
b. ethnic groups always share common geographic origin and religion.
c. ethnicity involves recognized traditions, symbols, and literature.
d. most members of an ethnic group exhibit identical cultural traits.
2. Ethnocentrism is defined as:
a. a belief that one's ethnic group is superior to that of another
3. Regarding health care disparities, it is true that older adults of color have:
a. equal risk factors for vulnerability as do all older adults.
b. equal risk factors for vulnerability as do the young adults of color.
c. increased risk factors for vulnerability if they are female.
d. an increase in risk factors for vulnerability if care is provided by public facilities.
4. An older female patient tells a nurse the following: "In my culture, women are the silent partner in the family.
Men make all of the decisions. However, when we came to the United States, all that changed. I became an
American. I am in charge of my family just like my husband." This is an example of:
a. Acculturation
5. A home care nurse is caring for an older patient from a different culture who is bed -bound and high risk for
development of a pressure ulcer. The nurse discusses the plan of care with the patient's daughter, emphasizing
the importance of turning every 2 hours and posts a turning clock on the wall. When the nurse returns later in
the week, the turning clock has been removed, and the patient's daughter reports that she turns her mother
occasionally. She states, "I am taking very good care of my mother. You just don't understand; our ways do not
involve doing things on schedules." The best response by the nurse is:
a. d. "How can we best work together to provide the best care for your mother?"
6. An older patient learns that he has metastatic cancer. The patient states: "I must have angered God." This is an
example of which type of belief?
a. Biomedical
b. Magico-religious
c. Naturalistic
d. Ayurvedic
7. A female nurse is caring for an older woman from the Hasidic Jewish community. The woman's son is at the
patient's bedside. The nurse notes that when she communicates with the patient and her son, the son does not
maintain eye contact with her and also notes that he withdraws when she attempts to shake his hand. The best
response by the nurse is to:
a. continue conversing with both the patient and the son.
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,Older Adult - Review Questions And Answers 100& verified updated
8. The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an
understanding of the LEARN Model** to direct the assessment process when: (Select all that apply.)
a. recognizing that the client's hands are clenched as she answers the assessment questions.
b. asking the client to describe what he thinks will help him feel better.
c. explaining to the client that herbal remedies may not be sufficient treatment for his chest congestion.
d. acknowledging that the client has a different view of the appropriate treatment.
9. A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility.
Reasons for completing a cultural assessment include: (Select all that apply.)
a. culture guides decision-making about health, illness, and preventive care.
b. culture provides direction for individuals on how to interact during health care encounters.
c. culture impacts attitudes toward aging.
d. all members of a culture react in the same way in similar situations.
e. knowledge of culture eliminates health care disparities
10. A nurse in the ambulatory care setting is preparing to do an interview with a non-English-speaking client. The
nurse secures an interpreter. In order to have the most effective interview, the nurse should do which of the
following? (Select all that apply.)
a. Look and speak to the interpreter
b. Use technical terminology to ensure accuracy
c. Allow more time for the interview
d. Watch the client's nonverbal communication
e. Have the interpreter check whether the client understands the communication
Chapter 5
1. An older resident in a senior community tells a nurse: “I am really worried. I joined an exercise class, and I just
learned everyone’s name yesterday, and I cannot remember them all today. Am I developing Alzheimer’s
disease?” The best response by the nurse is:
a. “You should be concerned. It is very unusual to forget something that you just learned.”
b. “There is no reason to be concerned. Short-term memory decreases with age.”
c. “Don’t worry, a decline in both short- and long-term memory is a normal part of getting older.”
d. “Although it is normal to have some changes in memory, forgetting names is very unusual.”
2. A nurse is planning a fall prevention education refresher session for the residents of a long- term care facility.
The individuals are all cognitively intact and range in age from 80 to 100. The previous education on fall
prevention was presented 2 months ago. What special considerations should the nurse take in relation to
teaching this group of older adults? (Select all that apply.)
a. Make sure that all pamphlets are in large readable font (14-16 points) and include upper and lower case
lettering
b. Start education on falls from the beginning. It is unlikely that anyone remembers previous material
c. Present all the information at once in one long session
d. Ensure that there is adequate lighting in the room and that the temperature is comfortable
e. Provide ongoing positive feedback during the session
3. A nurse hears a colleague state the following: “Can you believe that Mr. Jones’ daughter just bought him a tablet
computer? He is 90 years old. It is ridiculous to think that he can learn to use it.” The nurse formulates a
response based on research that shows: (Select all that apply.)
a. older adults comprise the fastest growing population using computers and the Internet.
b. Internet use is less prevalent in individuals over age 75 than those ages 65-74.
c. older American men are the fastest growing group of social networking site users.
d. older adults use the Internet only for social networking and recreational uses.
e. technology has the potential to improve quality of life for older adults.
4. An older female resident of an assisted living facility says the following to a nurse: “I am very frightened about
getting dementia. I have read a lot about brain exercises, but I am not sure what I should be doing.” The nurse
formulates a response based on knowledge of which of the following? (Select all that apply.)
a. Individuals should engage in some type of brain fitness activity a couple of times a week for at least 25
minutes
b. Brain fitness activities are only effective if an individual has not experienced any memory problems at
all
c. Brain fitness activities may include computer-based games, memory training, board games, reading,
and engaging in conversation
d. Physical activity is important for wellness but is unrelated to brain fitness
e. Individuals should choose brain exercise activities that are unfamiliar, challenging, and fun
5. The daughter of an older hospitalized patient tells a nurse: “I am worried about my father. His memory is
sharper when he is at home. He is forgetful but is functional. Since he has been hospitalized his memory
problems are much worse.” The best response by the nurse is:
a. “It is common for long-term memory to be more impacted by age-related changes than short-term
memory.”
b. “Memory changes are often worse when an individual is in an unfamiliar or stressful situation.”
c. “Perhaps you are just noticing your father’s memory loss now that he is hospitalized.”
d. “There is a lot of new information for your father to process here in the hospital; he is overloaded.”
6. Health literacy is defined as:
a. the capacity to obtain, process, and understand basic health information needed to make appropriate
health decisions.
7. A nurse is developing an educational session for a group of older adults at a senior center. Which of the
following would the nurse include in the education? (Select all that apply.)
a. Attention span, language, and communication skills typically remain stable with increasing age
b. Older brains slow down and take longer to process constantly increasing amounts of information
c. In order to preserve brain function, it is important to engage in challenging cognitive activities
d. Older adults are not able to develop new cognitive abilities
e. Individuals over age 100 have a higher prevalence of dementia than younger individuals
Chapter 7
1. A nurse completes a functional status assessment of an older person using the Lawton IADL instrument, a self-
reported instrument. The nurse knows that limitations of self-reported measures include that: (SATA)
a. individuals tend to overestimate their functional ability.
b. self-reports often differ from that of proxy reports.
c. older adults are not able to complete self-reported measurements.
2. A limitation of the Katz Index of activities of daily living (ADLs) is that:
a. all ADLs are weighted equally.
3. A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful
lately, and she is concerned that he might be “senile.” The advanced practice nurse administers the clock-
drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape.
Based on his performance, the nurse concludes that the patient:
a. needs further evaluation.
b. needs a functional status assessment
4. A nurse utilizes the SPICES tool (Sleep d isorders, Problems with eating, Incontinence, Confusion, Evidence of
falls, and Skin breakdown) to assess an older female patient in the hospital. The nurse notes that the patient has
new onset urinary incontinence. The first action by the nurse is to:
a. conduct a more in-depth focused assessment of the urinary incontinence.
5. When comparing the Older A merican’s Resources and Services (OA RS**) with the Kat z Index of ADLs, what
is true?
a. The Katz Index and the OARS both measure only ADL performance
4
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