College of Southern Nevada

1. Why is drug testing done by pharmaceutical companies not always appropriate for the older adult? a. The testing is not done long enough. b. The testing does not require adequate follow-up. c. The testing is not well regulated by the U.S. Food and Drug Administration. d. The testing is usually conducted on healthy young persons. ANS: D 2. What is a cause for increased rate of drug absorption in an older patient? a. Change of the chemical composition of the drug b. Increased gastric pH...

1. What does an advance directive indicate to the home health nurse? a. The degree of intervention desired for life support b. Who is to manage medical decisions in case of debilitating illness c. Who will manage finances in case of debilitating illness d. The mortuary to be used in the case of death ANS: A 2. The totally competent 76-year-old female with terminal cancer is fatigued and tearful about the ineffectiveness of her treatment. She tells the nurse that she wishes she had never s...

1. How does the nurse define a role? a. Positive standard of behavior b. Accepted behavior standard c. Sexually linked standard d. Unchangeable standard ANS: B 2. What is the status of any role based upon? a. Age b. Responsibility c. Society d. Health ANS: C 3. Which of the following accurately reflects a homogenous society? a. Members share a common cultural history b. Members are diverse in role expectation c. Members have conflicted role status d. Members may choose or change ...

1. What stage of sleep is the initial phase of deep sleep? a. Stage 1 nonrapid eye movement (NREM) b. Stage 3 NREM c. Stage 5 NREM d. Rapid eye movement (REM) sleep ANS: B 2. In what stage of sleep is sleepwalking most likely to occur? a. Stage 1 NREM b. Stage 2 NREM c. Stage 4 NREM d. REM sleep ANS: C 3. Which can attribute to a sleep-wake cycle disturbance in the older adult? a. Increase in angiotensin b. Decrease in insulin c. Increase in growth hormone d. Decrease in melatoni...

1. What is true of sexuality? a. It becomes absent with age. b. It remains part of life until death. c. As expressed through intercourse is not possible after the age of 65 years. d. It must be expressed in sexual intercourse. ANS: B 2. A 72-year-old patient is on menopausal hormone therapy (MHT). What should the nurse suggest for the patient? a. Semiweekly douche to wash out cervical debris b. Liver function assessment annually c. Mammogram biannually d. Pap smear annually ANS: D 3...

1. What does perception refer to in the environment? a. Intellect b. Memory c. Judgment d. Interpretation ANS: D 2. What observation would cause the nurse to suspect cataracts in the older adult? a. Holds the newspaper a good distance away while attempting to read small print b. Seeks an area in a room that is free from glare in order to read the newspaper c. Holds a hand over one eye while attempting to read small print d. Uses only peripheral vision while attempting to read a newspap...

1. When are stress-related physical, behavioral, and cognitive changes more likely to occur? a. When the stress has a sudden onset b. When stress is low level but constant c. When stress is varied and cumulative d. When stress is suppressed or denied ANS: C 2. How does the body respond physically to stress? a. Decreased heart rate b. Decreased production of digestive enzymes c. Decreased blood glucose levels d. Decreased blood pressure ANS: B 3. A woman is in the emergency department...

1. At what age is a person’s value system well established? a. 5 b. 8 c. 10 d. 12 ANS: C 2. How does a culturally sensitive nurse care for a patient with a different value system? a. The nurse is open and nonjudgmental. b. The nurse treats all patients the same without concern for their value system. c. The nurse explains the differences between the two value systems. d. The nurse abandons his or her own value system. ANS: A 3. An 80-year-old Orthodox Jewish patient dies in the hos...

MULTIPLE CHOICE 1. What causes the greatest damage to self-worth? a. Measuring self against internal ideals b. Measuring self against individual values c. Measuring self against external standards d. Measuring self against expressions of positive feedback ANS: C 2. What would have the largest impact on maintaining a positive self-perception? a. Ability to control life’s choices b. Financial success attained in life c. Family relationships d. Degree of wellness ANS: A 3. What would...