1. Primary prevention strategies for older adults include which of the following? (Select all that apply.) a. An annual influenza immunization
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b. A smoking cessation program
c. A prostate screening programs
d. A cardiac rehabilitation programs
e. A meal planning education program for type 2 diabetics
2. One reason why many “baby boomers” have multiple chronic conditions such as heart disease, diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens.
b. there was a lack of importance placed on healthy living as they were growing up.
c. they did not have access to immunizations against communicable disease when they were children.
d. they grew up in an era of rampant poverty and malnutrition.
3. A nursing student is preparing a presentation on the Wellness-Based Model for Healthy Aging. Which of the following concepts should the student include in the presentation? (Select all that apply.)
a. Healthy aging is defined by the absence of physical illness alone b. Healthy aging is individually defined and can change over time
c. There are many strategies to promote healthy aging that are believed to be helpful but do not have empirical evidence to support them
d. Healthy aging cannot be achieved by only focusing on later life. It is a lifelong process
e. According to this model, an individual with a chronic disease would not be considered healthy
4. When asked by new parents what the life expectancy is for their African American newborn, the nurse replies that, “2010 statistics indicate that your son:
a. can realistically expect to live into his late 80s.”
b. has a good chance of celebrating his 75th birthday.
c. is likely to live into his late 90s.”
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse promotes functional wellness by which of the following activities?
a. Encouraging the client maintains current levels of physical activities
b. Assisting the client to receive all the recommended preventive screenings that are appropriate for his age group
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer distances
6. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority areas identified by the National Prevention Council**. Which of the following activities should the nurse include? (SATA)
a. Smoking cessation
b. Depression screening
c. Recognizing elder abuse
d. Cholesterol screening
e. Fitness training
7. A nurse is planning an education program on wellness in a local senior citizen center. The nurse plans to provide education on the importance of immunizations, annual physical examinations, screening for diabetes, and vision and hearing screening. It is important for the nurse to understand which of the following?
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 and over age group
c. The research on health promotion strategies in older adults demonstrates that they have low efficacy
d. There is an abundance of research specific to health promotion and aging
8. The “in-between” generation (individuals born between 1915 and 1945) were subject to which of the following health challenges during their childhood? (Select all that apply.)
a. Polio
b. Lack of fluoride in the water causing teeth to be soft and cavity prone
c. “Pigeon Chest,” a malformation of the rib cage due to a lack of vitamin D
9. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse considers which of the following?
a. Most super-centenarians are functionally independent or require minimal assistance with activities of daily living
b. The majority of super-centenarians have cognitive impairment
c. The number of super-centenarians is expected to decrease in coming years as a result of heart disease and stroke
d. It is theorized that super-centenarians survived as long as they have due to genetic mutations that made them less susceptible to common diseases
10. Based on the census reports of 2010, the typical profile of a centenarian in the United States includes which of the following characteristics?
a. A Caucasian woman who lives in an urban area of a Southern state
b. An African American woman who lives in a rural area of a Southern state
c. A Hispanic man who lives in an urban area of a Midwestern state
d. A Caucasian man who lives in a rural area of a Midwestern state
Chapter 4
1. A paper on culture and illness would be likely to include the statement that:
a. culture is the same as ethnicity.
b. ethnic groups always share common geographic origin and religion. c. ethnicity involves recognized traditions, symbols, and literature.
d. most members of an ethnic group exhibit identical cultural traits.
2. Ethnocentrism is defined as:
a. a belief that one's ethnic group is superior to that of another
3. Regarding health care disparities, it is true that older adults of color have:
a. equal risk factors for vulnerability as do all older adults.
b. equal risk factors for vulnerability as do the young adults of color. c. increased risk factors for vulnerability if they are female.
d. an increase in risk factors for vulnerability if care is provided by public facilities.
4. An older female patient tells a nurse the following: "In my culture, women are the silent partner in the family. Men make all of the decisions. However, when we came to the United States, all that changed. I became an American. I am in charge of my family just like my husband." This is an example of:
a. Acculturation
5. A home care nurse is caring for an older patient from a different culture who is bed-bound and high risk for development of a pressure ulcer. The nurse discusses the plan of care with the patient's daughter, emphasizing the importance of turning every 2 hours and posts a turning clock on the wall. When the nurse returns later in the week, the turning clock has been removed, and the patient's daughter reports that she turns her mother occasionally. She states, "I am taking very good care of my mother. You just don't understand; our ways do not involve doing things on schedules." The best response by the nurse is:
a. d. "How can we best work together to provide the best care for your mother?"
6. An older patient learns that he has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief?
a. Biomedical
b. Magico-religious
c. Naturalistic
d. Ayurvedic
7. A female nurse is caring for an older woman from the Hasidic Jewish community. The woman's son is at the patient's bedside. The nurse notes that when she communicates with the patient and her son, the son does not maintain eye contact with her and also notes that he withdraws when she attempts to shake his hand. The best response by the nurse is to:
a. continue conversing with both the patient and the son.
8. The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an understanding of the LEARN Model** to direct the assessment process when: (Select all that apply.)
a. recognizing that the client's hands are clenched as she answers the assessment questions. b. asking the client to describe what he thinks will help him feel better.
c. explaining to the client that herbal remedies may not be sufficient treatment for his chest congestion. d. acknowledging that the client has a different view of the appropriate treatment.
9. A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility. Reasons for completing a cultural assessment include: (Select all that apply.)
a. culture guides decision-making about health, illness, and preventive care.
b. culture provides direction for individuals on how to interact during health care encounters. c. culture impacts attitudes toward aging.
d. all members of a culture react in the same way in similar situations.
e. knowledge of culture eliminates health care disparities
10. A nurse in the ambulatory care setting is preparing to do an interview with a non-English-speaking client. The nurse secures an interpreter. In order to have the most effective interview, the nurse should do which of the following? (Select all that apply.)
a. Look and speak to the interpreter
b. Use technical terminology to ensure accuracy c. Allow more time for the interview
d. Watch the client's nonverbal communication
e. Have the interpreter check whether the client understands the communication
Chapter 5
1. An older resident in a senior community tells a nurse: “I am really worried. I joined an exercise class, and I just learned everyone’s name yesterday, and I cannot remember them all today. Am I developing Alzheimer’s disease?” The best response by the nurse is:
a. “You should be concerned. It is very unusual to forget something that you just learned.” b. “There is no reason to be concerned. Short-term memory decreases with age.”
c. “Don’t worry, a decline in both short- and long-term memory is a normal part of getting older.”
d. “Although it is normal to have some changes in memory, forgetting names is very unusual.”
2. A nurse is planning a fall prevention education refresher session for the residents of a long- term care facility. The individuals are all cognitively intact and range in age from 80 to 100. The previous education on fall prevention was presented 2 months ago. What special considerations should the nurse take in relation to teaching this group of older adults? (Select all that apply.)
a. Make sure that all pamphlets are in large readable font (14-16 points) and include upper and lower case lettering
b. Start education on falls from the beginning. It is unlikely that anyone remembers previous material
c. Present all the information at once in one long session
d. Ensure that there is adequate lighting in the room and that the temperature is comfortable e. Provide ongoing positive feedback during the session
3. A nurse hears a colleague state the following: “Can you believe that Mr. Jones’ daughter just bought him a tablet computer? He is 90 years old. It is ridiculous to think that he can learn to use it.” The nurse formulates a response based on research that shows: (Select all that apply.)
a. older adults comprise the fastest growing population using computers and the Internet. b. Internet use is less prevalent in individuals over age 75 than those ages 65-74.
c. older American men are the fastest growing group of social networking site users.
d. older adults use the Internet only for social networking and recreational uses. e. technology has the potential to improve quality of life for older adults. [Show Less]