Chapter 33: Health Promotion and Care of the Older Adult Cooper: Foundations and Adult Health Nursing, 9th Edition

When discussing aging, to whom does the term older adulthood apply?

b. Age 65 and above

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?

c. Exercise

When was the Social Security Act, which was the first major legislation providing financial security for older adults, passed?

b. 1935

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?

c. Antibacterial soap

Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to

include turning the bedfast patient how often?

d. 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?

c. Fewer 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?

d. Loss of taste buds

An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing?

c. Chin down

The patient complains to the nurse about a newly developed intolerance to milk. What should the nurse suggest to fulfill calcium

needs?

b. Yogurt

The older adult patient complains to the nurse about nocturia. This problem is most likely related to:

c. 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?

b. Stress incontinence

A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?

c. Hypertension

What should be suggested to a patient to aid with the pain of claudication?

a. Rest

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the

lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?

a. Pursed-lip breathing

The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections. For what is

this patient at increased risk?

c. Pneumonia

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change

that will alter the ability to exchange air effectively?

c. Kyphosis

What is a major difference between rheumatoid arthritis and osteoarthritis?

c. Rheumatoid arthritis is inflammatory.

For what is the older adult patient at increased risk because of age-related changes in the musculoskeletal system?

d. Falls related to posture changes

The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

b. Orthostatic hypotension

To help prevent falls related to muscle weakness, what type of exercises should be selected for the aging patient?

c. Weight-bearing

What is the best test to identify the risk of osteoporosis in postmenopausal women?

b. Bone density scan

When an older female patient complains of painful sexual intercourse, what should the nurse recognize as the probable cause?

d. Mucosal drying

What is age-related vision change caused by the loss of elasticity of the lens called?

c. Presbyopia

When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?

c. Lower the tone of the voice

Which symptom of diabetes distorts tactile sensation?

d. Peripheral neuropathy

What is the result of a slowing of the impulse transmission in the nervous system?

d. Longer reaction time

What is the most common cause of dementia?

c. Alzheimer’s disease

What is one positive aspect of Parkinson disease?

c. Intellectual function is not impaired.

When should family members of a stroke victim expect to see some of the neurologic involvement disappear?

c. Within 3 to 6 months

When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his

accomplishments over a lifetime and has no regrets concerning aging. Which of Erikson’s developmental stages has the patient

achieved?

c. Ego integrity

Which areas are affected only minimally by age?

c. Cognition

How often does a 76-year-old need a screening for preventive health?

d. Every year

When assessing the older adult, the nurse considers which aspect of the patient’s routine as a possible contributor to constipation?

a. Intake of antacids several times a day

What should the nurse do to help the dysphagic patient? (Select all that apply.)

a. Sit the patient upright.

b. Reduce distraction during mealtime.

d. Thicken liquids.

e. Cue the patient to swallow.

Which statements are myths that have been disproved concerning aging? (Select all that apply.)

a. All older adults are senile.

c. Older adults are poor.

e. Older adults are disabled.

Which approaches should be included when teaching medication safety to an older, homebound adult? (Select all that apply.)

a. Always dispose of expired medications in the toilet or the sink; never throw them

in the trash can.

b. Never share medications with others.

d. Keep medications in their original containers.