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ARM 401 EXAM 1 | 113 QUESTIONS | WITH ALL PASSED SOLUTIONS!!
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ARM 401 EXAM 1 | 113 QUESTIONS | WITH ALL PASSED SOLUTIONS!!
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ARM 401 EXAM 1| 113 QUESTIONS
| WITH ALL
PASSED
SOLUTIONS!!
Evatee 8/11/24 ARM 401
,ARM 401 EXAM 1 | 113 QUESTIONS | WITH
ALL PASSED SOLUTIONS!!
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 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.
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 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 handshake, silence, and eye
contact; use of interpreters; use of physical assessment norms appropriate for
the ethnic group; and asking about personal health practices, family customs,
lifestyle preferences, and spiritual resources.
Which of these patient statements is the most reliable indicator that an older
adult has the correct understanding of health promotion activities?
a. I need to increase my fat intake and limit protein.
b. I should discontinue my fitness club membership for safety reasons.
c. Im up to date on my immunizations, but at my age, I dont need the tetanus
vaccine.
d. I still keep my dentist appointments even though I have partials now.
Answer - ANS: D
General preventive measures for the nurse to recommend to older adults
include keeping periodic dental appointments to promote good oral hygiene,
eating a low-fat, well-balanced diet, exercising regularly, and maintaining
immunizations for influenza, pneumococcal pneumonia, and tetanus.
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