NURSING NUR 3286 (exam)

Origin: Chapter 19- Urinary Function, 1 1.A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain related to urinary incontinence. Which of the following interventions is the highest priority? A) Administer diphenhydramine at bedtime. B) Assist the client to the bathroom prior to bedtime. C) Limit the fluid intake of the client to 1000 mL each day. D) Monitor bowels for diarrhea and constipation. Ans: B Feedback: Walking the client to the bathroom e...

Origin: Chapter 27- Caring for Older Adults During Illness, 1 1.Which of the following statements best captures the typical character of health problems in the lives of older adults? A) Older adults' lives are dominated by the increasing number of acute health problems due to age-related changes. B) Most older adults experience an interplay between a number of chronic conditions and occasional acute health problems. C) Older adults can expect a relatively consistent decline in their heal...

Origin: Chapter 28- Caring for Older Adults Experiencing Pain, 1 1.A nurse assesses an older adult following the repair of an abdominal hernia. The older adult client states, "I really hate to take pain medication." Which response by the nurse is best? A) "Early treatment of pain helps now and can reduce the incidence of chronic pain." B) "Pain medication today doesn't really have any side effects." C) "Tell me about your fears regarding pain medication." D) "This pain you are h...

Origin: Chapter 22- Mobility and Safety, 1 1.A nurse is teaching health interventions to an older adult with osteoarthritis. Which of these statements indicates that the individual needs additional teaching? A) "I will avoid high-impact exercises." B) "I will get adequate intake of calcium and vitamin D." C) "I will try to limit my use of walkers and assistive devices." D) "I will lose weight if it turns out that I need to." Ans: C Feedback: Walkers and other assistive devices h...

Origin: Chapter 18- Digestion and Nutrition, 1 1.A nurse teaches an older adult about changes to nutritional requirements. Which of the following meal choices would give evidence that the older adult understands the teaching? A) Baked chicken, carrots, and angel food cake B) Green salad, mashed potatoes, and an oatmeal cookie C) Vegetable beef soup, crackers, and Jell-O D) Baked pork chop, green beans, and sherbet Ans: A Feedback: Older adults need increased intake of foods with a high...

Origin: Chapter 24- Sleep and Rest, 1 1.A nurse presents at a conference about the concept of sleep. Which of the following statements should the nurse include in the teaching? A) "Increased sleep efficiency is considered a normal, age-related change." B) "Sleep efficiency is quite consistent across different age groups." C) "Both pathologic conditions and age-related changes influence sleep efficiency." D) "Older adults often experience increased sleep latency and decreased numbers...

Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 1 1.A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a colleague. Which of the nurse's statements reflects an accurate view of the relationship between aging and wellness? A) "It's important that the individual knows this is an expected part of growing older." B) "We need to teach the older adult how he can keep living a fruitful life in spite of his diagnosis." C) "We need to ...

Origin: Chapter 6- Health Care Settings for Older Adults, 1 1.A hospital nurse is discussing with an older adult the possibility transfer to a nursing home for skilled care after pneumonia. Which statement by the client indicates an understanding of this possible transfer? A) Old people who go to the nursing home don't get out. B) They will take my home if I go to the nursing home. C) I don't qualify for skilled care, I only had pneumonia. D) I have already used 45 Medicare days this ye...

Origin: Chapter 18- Digestion and Nutrition, 1 1.A nurse teaches an older adult about changes to nutritional requirements. Which of the following meal choices would give evidence that the older adult understands the teaching? A) Baked chicken, carrots, and angel food cake B) Green salad, mashed potatoes, and an oatmeal cookie C) Vegetable beef soup, crackers, and Jell-O D) Baked pork chop, green beans, and sherbet Ans: A Feedback: Older adults need increased intake of foods with a high...

Origin: Chapter 7- Assessment of Health and Functioning, 1 1.A nurse is responsible for assessing an older adult in an acute care setting. Which of the following statements most accurately captures the complexity involved in assessing the older adult? A) Older adults manifest fewer symptoms of illness than do younger clients. B) Signs and symptoms of illness are often obscure and less predictable among older adults. C) Care must be taken to avoid assessing normal, age-related changes. D)...