3403 HOLISTIC CARE OF OLDER
ADULTS: EXAM #2 QUESTIONS WITH
CORRECT ANSWERS
When discussing aging, to whom does the term older adulthood apply?
a. Age 55 and above
b. Age 65 and above
c. Age 70 and above
d. Age 75 and above - Answer-ANS: B
Older adulthood begins at about age 65.
When the nurse discusses prevention of cardiac disease, falls, and depression with a
group of older adults, the benefits of what are important to stress?
a. Nutrition
b. Medications
c. Exercise
d. Sleep - Answer-ANS: C
Primary prevention stresses exercise for the prevention of cardiac disease, falls, and
depression.
When assessing the skin of an older adult patient who is complaining of pruritus, what
should the nurse advise the patient to avoid to reduce further drying of her skin?
a. Perfumed soap
b. Hard-milled soap
c. Antibacterial soap
d. Lotion soap - Answer-ANS: C
Antibacterial soap is very drying.
Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure
ulcers, the nurse alters the care plan to include turning the bedfast patient how often?
a. Once every shift
b. Every 4 hours
c. Each evening
d. Every 2 hours - Answer-ANS: D
Pressure ulcers can be avoided by repositioning the patient every 2 hours.
At mealtime, the older adult seems to be eating less food than would be adequate.
Compared to the younger adult, what is a requirement for the older adult?
a. More fluids
b. Less calcium
c. Fewer calories
d. More vitamins - Answer-ANS: C
The older adult requires 30 calories per kilogram of body weight, whereas the younger
adult requires 40 calories.
, The older patient informs the nurse that food has no taste and therefore the patient has
no appetite. What is this most likely caused by?
a. Tasteless food
b. Overuse of salt
c. Lack of variety
d. Loss of taste buds - Answer-ANS: D
Older adults may experience a loss of appetite. Change in taste as a result of
decreased saliva production and a decreased number of taste buds may make food
unappealing.
An older adult is having difficulty swallowing. What position should the nurse
recommend to aid in swallowing?
a. Chin parallel
b. Chin upward
c. Chin down
d. Chin to the side - Answer-ANS: C
The upright position, leaning slightly forward with the chin down, improves swallowing
with the assistance of gravity.
The patient complains to the nurse about a newly developed intolerance to milk. What
should the nurse suggest to fulfill calcium needs?
a. Rye bread
b. Yogurt
c. Apples
d. Raisins - Answer-ANS: B
Lactose, primarily found in milk, is a common source of food intolerance. Dairy products
are an important source of calcium, which is needed to prevent osteoporosis. Lactose-
intolerant individuals need to replace milk with cheese and yogurt, which are processed
and digested more easily.
The older adult patient complains to the nurse about nocturia. This problem is most
likely related to:
a. loss of bladder tone.
b. decrease in testosterone.
c. decrease in bladder capacity.
d. intake of caffeine. - Answer-ANS: C
At least 50% of older men and 70% of older women must get up two or more times
during the night to empty their bladders, a condition known as nocturia (excessive
urination at night). The most significant age-related change is the decrease in bladder
capacity.
The older adult female patient is concerned about incontinence when she sneezes.
What is the correct terminology for this type of incontinence?
a. Urge incontinence
b. Stress incontinence
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