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2024 GERONTOLOGICAL NURSING TOUHY TB 1-4 EXAM WITH CORRECT ANSWERS
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2024 GERONTOLOGICAL NURSING TOUHY TB 1-4 EXAM WITH CORRECT ANSWERS
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2024 GERONTOLOGICAL NURSINGTOUHY TB 1-4 EXAM WITH
CORRECT ANSWERS
A man is terminally ill with end-stage prostate cancer. Which is the best
statement about this man's wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher level
of wellness - CORRECT-ANSWERSANS: D
Nursing interventions can help empower a client to achieve a higher level of
wellness; a nurse can foster wellness in his or her clients. Wellness is defined
by the individual and is multidimensional. It is not just the absence of
disease. A wellness perspective is based on the belief that every person has
an optimal level of health independent of his or her situation or functional
level. Even in the presence of chronic illness or while dying, a movement
toward wellness is possible if emphasis of care is placed on the promotion of
well-being in a supportive environment.
Which statements are true about aging and the brain? (Select all that apply.)
a. Most areas of the brain do not lose brain cells.
b. Memory decline is inevitable as people age.
c. Basic intelligence remains unchanged with age.
d. The brain does not continue to make new brain cells.
e. There are decrements in the ability to process information. - CORRECT-
ANSWERSANS: A, C, E
Most areas of the brain do not lose brain cells. Although older adults may
lose some nerve connections, this can be part of the reshaping of the brain
that comes with experience. Basic intelligence remains unchanged with age,
and older adults should be provided with opportunities for continued
learning. There are decrements in the ability to process information. Many
people reach older age and have no memory problems. Having a healthy diet
and participation in physical exercise, stimulating mental activity,
socialization, and stress management help brain health.
,The nurse is admitting a patient to a long-term care facility. During the
admission, the patient verbalizes a concern about getting dementia now that
he is in a nursing home. In which activities should the nurse encourage the
patient to participate to maintain brain health? (Select all that apply.)
a. Physical exercise
b. Stimulating mental activity
c. Socialization
d. Increasing dietary intake
e. Crossword puzzles - CORRECT-ANSWERSANS: A, B, C, E
Many people reach older age and have no memory problems. Having a
healthy diet and participation in physical exercise, stimulating mental
activity, socialization, and stress management help brain health. Puzzles are
a cognitive stimulating activity. An increase in dietary intake has not been
shown to influence brain health.
A nurse in an assisted living facility is planning an educational program on
exercise for the residents. The nurse needs to consider which of the following
when planning the activity? (Select all that apply.)
a. Very simple language must be used so that the residents will understand
the material.
b. Large size fonts must be used on all written material provided to the
residents.
c. The educational program should be provided in a quiet area without
excessive background noise.
d. The material discussed should focus only on the consequences of failure to
exercise.
e. The material discussed should build on the prior knowledge of the
residents. - CORRECT-ANSWERSANS: B, C, E
When educating older adults, one needs to pay attention to potential sensory
deficits common in this population such as vision and hearing. Older adults
do not normally experience a decline in intelligence. When teaching older
adults, it is beneficial to present practical information that builds on the prior
knowledge of the participants. There is no evidence that older adults learn
better by focusing on the effects of nonadherence.
Which of the following are true statements about older adults and use of
computer technology? (Select all that apply.)
a. Older adults comprise the fastest growing population using computers and
the Internet.
b. Older adults tend to be reluctant to use social networking sites.
c. Older adults perceive the Internet as a valuable resource.
, d. Older adults do not routinely use the Internet to connect with their health
care providers.
e. Older adults have much difficulty learning to use technology. - CORRECT-
ANSWERSANS: A, C
Older adults comprise the fastest growing population using computers and
the Internet. Older women comprise the fastest growing group using social
networking sites such as Facebook, Twitter, and Myspace. Older adults
perceive the Internet as a valuable resource and use it to communicate with
friends, families, and health care providers and access health-related
information. There is no evidence that older adults have difficulty learning to
use technology.
A nurse in a long-term care facility is using the TimeSlips program with a
group of cognitively impaired older adults. The nurse is using which of the
following techniques? (Select all that apply.)
a. Provides a picture for all group members to look at and use to create a
story
b. Records the number of correct answers that each participant provides
c. Records the responses of all participants
d. Compliments each member for his or her contribution to the story
e. Reads the story back during the session, noting the contributions of each
participant - CORRECT-ANSWERSANS: A, C, D, E
Using the TimeSlips format, group members looking at a picture are
encouraged to create a story about the picture. All contributions are
encouraged and welcomed, there are no right or wrong answers, and
everything that the individuals say is included in the story and written down
by the scribe. Stories are read back to the participants during the session
using their names to identify their contributions. At the beginning of each
session, the story from the last session is read to the participants. Care is
taken to compliment each member for his or her contribution to the
wonderful story. There are no right or wrong answers.
An older adult who lives in an assisted living facility tells a nurse that she is
engaged in life review. The nurse understands which of the following about
life review? (Select all that apply.)
a. Life review is only useful at the very end of an individual's life as he or she
is close to death.
b. Life review and reminiscence are the same phenomenon.
c. Life review is a highly personal activity.
d. Life review can help an individual change course or set new goals.
e. Life review can be helpful to an individual experiencing a depressive
episode. - CORRECT-ANSWERSANS: C, D, E Life review is considered more of
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