MULTIPLE CHOICE
1. A nurse learns that the fastest growing subset of the older population is which group?
a. Elite old
b. Middle old
c. Old old
d.
... [Show More] Young old
ANS: C
The old old is the fastest growing subset of the older population. This is the group comprising
those 85 to 99 years of age. The young old are between 65 and 74 years of age; the middle old
are between 75 and 84 years of age; and the elite old are over 100 years of age.
DIF: Remembering TOP: Integrated Process: Teaching/Learning
KEY: Older adults MSC: Client Needs Category: Health Promotion and Maintenance
2. A nurse working with older adults in the community plans programming to improve morale
and emotional health in this population. What activity would best meet this goal?
a. Exercise program to improve physical function
b. Financial planning seminar series for older adults
c. Social events such as dances and group dinners
d. Workshop on prevention from becoming an abuse victim
ANS: A
All activities would be beneficial for the older population in the community. However, failure
in performing one’s own activities of daily living and participating in society has direct effects
on morale and life satisfaction. Those who lose the ability to function independently often feel
worthless and empty. An exercise program designed to maintain and/or improve physical
functioning would best address this need.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning
KEY: Older adult MSC: Client Needs Category: Psychosocial Integrity
3. A nurse caring for an older client on a medical-surgical unit notices the client reports frequent
constipation and only wants to eat softer foods such as rice, bread, and puddings. What
assessment would the nurse perform first?
a. Auscultate bowel sounds.
b. Check skin turgor.
c. Perform an oral assessment.
d. Weigh the client.
ANS: C
Poorly fitting dentures and other dental problems are often manifested by a preference for soft
foods and constipation from the lack of fiber. The nurse would perform an oral assessment to
determine if these problems exist. The other assessments are important, but will not yield
information specific to the client’s food preferences as they relate to constipation.
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lOMoARcPSD|25111999
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Older adult, Nutrition
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
4. A nurse caring for an older adult has provided education on high-fiber foods. Which menu
selection by the client [Show Less]