Exam (elaborations)
Chapter 33. The Aging Individual
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 33. The Aging Individual
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TownsendPMHN, 10e
Chapter 34 - ETB
abirb.com/test
Chapter 33. The Aging Individual
MULTIPLE CHOICE
1. A client has recently been placed in a long-term care facility because of marked confusion and
inability to perform most activities of daily living. Which nursing intervention is most
appropriate to maintain the client’s self-esteem?
1. Leave the client alone in the bathroom.
2. Assign a variety of caregivers.
3. Allow the client to choose between two different outfits.
4. Modify the daily schedule often to maintain variety.
ANS: 3
Chapter: Chapter 34, The Aging Individual
Objective: Apply the steps of the nursing process to the care of aging individuals. Page: 748
Heading: Application of the Nursing Process
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity Cognitive Level:
Application [Applying] Concept: Cognition
Difficulty: Easy
Feedback
1. This is incorrect. The nurse should provide appropriate supervision to keep the client
safe.
2. This is incorrect. The nurse should maintain consistency ofabcirabr.ceogmi/vteesrt s.
3. This is correct. The most appropriate nursing intervention to maintain this client’s
self-esteem is to allow the client to choose between two different outfits when dressing
for the day.
4. This is incorrect. The nurse should maintain a structured dabiliryb.cromu/teinste to
minimize
confusion.
CON: Cognition
2. A child who recently brought his extremely confused parent toabairbn.cuormsi/tnesgt home
for admission reports feelings of guilt. Which is the appropriate nursing reply?
1. “Support groups are held here on Mondays for children of residents.”
2. “You did what you had to do. I wouldn’t feel guilty if I were yaobuirb.”.com/test
3. “Support groups are available to low-income families.”
, Townsend
PMHN, 10e
Chapter 34 - ETB
abirb.com/test
4. “Your parent is doing just fine. We’ll take very good care of him.”
ANS: 1
Chapter: Chapter 34, The Aging Individual
Objective: Explain personal and sociological perspectives of long-term care of the aging
individual.
Page: 743
Heading: Special Concerns of the Elderly Population
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying] Concept:
Cognition
Difficulty: Easy
Feedback
1. This is correct. The most appropriate reply by the nurse is to normalize the son’s
feelings and provide a resource to help the son deal with feelings of guilt by giving
information about an available support group.
2. This is incorrect. This statement dismisses the son’s concerns.
3. This is incorrect. This statement could be interpreted as degrading to the son.
4. This is incorrect. This statement dismisses the concerns sc omn/.test
of atbhireb.
CON: Cognition
3. A family asks why their father is attending activity groups at the long-term care facility. The
son states, “My father worked hard all of his life. He just needs saobmirbe.cormes/ttesat t this
point.” Which is the appropriate nursing reply?
1. “I’m glad we discussed this. We’ll excuse him from the activity groups.”
2. “The groups benefit your father by providing sensory stimulataiobinrb.acnomd/treestality
orientation.”
3. “The groups are optional. Only clients at high-functioning levels would benefit.”
4. “If your father doesn’t go to these activity groups, he will develop dementia.”
ANS: 2
Chapter: Chapter 34, The Aging Individual
Objective: Describe biological, psychological, sociocultural, and sexual aspects of the normal
aging process. Page: 748
Heading: Application of the Nursing Process
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Easy
, Townsend
PMHN, 10e
Chapter 34 - ETB
abirb.com/test
Feedback
1. This is incorrect. This statement does not educate the family on the importance of
groups.
2. This is correct. The most appropriate nursing reply is to edaubcirab.tceomth/tesft
amily on the purpose of activity groups, which is to provide social interaction, sensory
stimulation, and reality orientation. Groups can also serve to increase self-esteem and
reduce depression.
3. This is incorrect. Low-functioning clients would also benefit and should be included in
group activities.
4. This is incorrect. This statement is misleading. Not participating in group activities
does not put the client at high risk for developing dementia.
CON: Cognition
4. A nursing instructor is teaching about reminiscence therapy. Wabhirabt.csotmu/tdeestnt
statement indicates that learning has occurred?
1. “Reminiscence therapy is a group in which participants create collages representing significant
aspects of their lives.”
2. “Reminiscence therapy encourages members to share significaanbtirbl.icfoemm/teestmories to
promote
resolution.”
3. “Reminiscence therapy is a social group where members chat about past events and future
plans.”
4. “Reminiscence therapy encourages members to share positive memories of significant life
transitions.”
ANS: 2
Chapter: Chapter 34, The Aging Individual
Objective: Apply the steps of the nursing process to the care of aging individuals.
Page: 748
Heading: Application of the Nursing Process
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying] Concept:
Cognition
Difficulty: Easy
Feedback
1. This is incorrect. This statement indicates that the student does not understand.
2. This is correct. Reminiscence therapy encourages members to share both positive
and negative significant life memories to promote resolutioanbi.rbS.ctoim/tuesltation
of life memories serves to help older clients work through their losses and
maintain self- esteem. Reminiscence therapy can take place in one-on-one or
3. group
This issettings.
incorrect. This statement indicates that further educaabtiribo.cnomis/tenset cessary.
4. This is incorrect. The student needs further education.
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