NUR3400 AGING BLUEPRINT MIDTERM Questions and Answers Latest updated 2022
BLUEPRINT NUR3400 MIDTERM
1. Health is a broad term that encompasses attitudes and behaviors; holistically, health includes wellness, which involves one’s whole being.
In differentiating between health and wellness i...
nur3400 aging blueprint midterm questions and answers latest updated 2022
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NUR3400 AGING BLUEPRINT MIDTERM Questions and Answers Latest
updated 2022
BLUEPRINT NUR3400 MIDTERM
1. Health is a broad term that encompasses attitudes and behaviors; holistically,
health includes wellness, which involves one’s whole being.
In differentiating between health and wellness in health care, which of the following statements
is true?
a. Health is a broad term encompassing attitudes and behaviors.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves one’s whole being. The concept of illness prevention was never
considered by previous generations;
throughout history, basic self-care requirements have been recognized. Wellness and self-
actualization develop through learning and growth—as basic needs are met, higher level needs
can be satisfied in turn, with ever- deepening richness to life. Wellness is possible when one’s
health is compromised—even with chronic illness, with multiple disabilities, or in dying,
movement toward a higher level of wellness is possible.
2. Individual interviews with the women to determine their interests and to avoid
generalizing.
The nurse plans activities for older women born between 1920 and 1930 and who reside in
an assisted-living facility. Which is the best intervention for the nurse to implement?
b. Conduct interviews for specific interests.
ANS: B
The nurse conducts individual interviews with the women to determine their interests and to
avoid generalizing; as people live longer, they become more and more unique. Because most of
these women are in their 80s and 90s were born between 1920 and 1930 and have generally
spent their lives as homemakers, the nurse presumes to know what activities they will enjoy.
The nurse avoids arranging group activities until individual interests are determined. In addition,
the nurse must assess for allergies and individual fears of animals before exposing an older
adult to a pet visit. Unless it is organized on a voluntary basis, the nurse avoids arranging visits
by guest speakers. In addition, the nurse will assess each older woman before an outside visit to
avoid embarrassing events, including incontinence and hearing and vision problems.
3. Older adults in most cultures usually have had experience with traditional
methods that have worked as well as expected.
,Which of the following is a true statement about differing health belief systems?
b. In most cultures, older adults are likely to treat themselves using traditional methods
before turning to biomedical professionals.
ANS: B
Older adults in most cultures usually have had experience with traditional methods that have
worked as well as expected. After these treatments fail, older adults turn to the formal health
care system. Even in the United States, it is common for older adults to pray for cures or
wonder what they did to incur an illness as punishment. The Ayurvedic system is a naturalistic
health belief system practiced in India and in some neighboring countries. This belief is
characteristic of a holistic or naturalistic approach.
,4. Using the LEARN model (listen with sympathy to the patient’s perception of the
problem, explain your perception of the problem, acknowledge the differences and
similarities, recommend treatment, and negotiate agreement)
An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
his health?
c. Ask about his perceptions and treatment ideas.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
explain your perception of the problem, acknowledge the differences and similarities,
recommend treatment, and negotiate agreement), the nurse gathers information from the patient
about cultural beliefs concerning health care and avoids stereotyping the patient. In the
assessment, the nurse determines what the patient believes about caregiving, decision making,
treatment, and other pertinent health-related information. Speaking with the health care provider
is premature until the assessment is complete. Unless he accepts the beliefs, principles of the
holistic health system can be potentially unsuitable and insulting for this patient. Unless he
accepts the treatments, consulting with a practitioner of Chinese medicine can also be
unsuitable and insulting for this patient.
5. Working with an interpreter
The nurse prepares an older woman, who is Polish, for discharge through an interpreter
and notes that she becomes tense during the instructions about elimination. Which
intervention should the nurse implement?
b. Ask the older woman how she feels about this topic.
ANS: B
When working with an interpreter, the nurse closely watches the older adult for nonverbal
communication and emotion regarding a specific topic and therefore validates the assessment
about the older adult’s tension before proceeding. Because the nurse notices her tension, the
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
and the older adult is uncomfortable discussing elimination, then important instructions can be
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
ignores her needs.
6. Normal changes in older adults (Secretion of thyroid hormones tends to decrease with
age. Decreased kidney function.)
Decreased functioning of which physical structure is likely to result in decreased metabolism in
older adults?
b. Thyroid gland
, ANS: B
Secretion of thyroid hormones tends to decrease with age, resulting in a greater likelihood of a
slower metabolism, hypothyroidism, and thinning hair and nails. Decreased kidney function
leads to decreased glomerular filtration rate and the ability of the kidneys to concentrate urine
and clear waste. Decreasing brain function tends to result in decreased cognitive functioning.
Osteoclastic activity tends to decrease with age, increasing the risk for osteopenia and
osteoporosis.
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