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PNR 170 Caring For Older Adults
Holistically Exam 1 & 2 Questions And
Wellexplained Answers 2025
Gerontological nursing refers to the nursing care of:
- the "old-old" population
- people who are older and in need of assistance
- people age 65 and older
- a specialized body of knowledge regarding holistic and caring principles of nursing
people age 65 and older
Older adults constitute:
- 12.3% of the US population
- 8.4% of the US population
- 25% of the US population
- 10% of the US population
12.3% of the US population
The underlying concept of holism is:
- to include family and pets in the care plan
- to recognize persons as individuals and see them as an entire or whole person
- to identify team members who will make the nursing care easier
- to look at the patient's face and note how he/she looks
to recognize persons as individuals and see them as an entire or whole person
The purpose of a nursing philosophy is to be able to:
- think like a philosopher
- have something positive to write on a job application
- talk to other nurses about philosophy
- have a personal conviction of the type of nursing care you will give to others
have a personal conviction of the type of nursing care you will give to others
"The science of Human Caring" is:
- a nationally accepted philosophy of nursing
- authored by Dr. John Wadsworth, former Dean and Distinguished Professor at the University of Colorado
- a philosophy that addresses the body, mind, and physicality of all human beings
- a philosophy of nursing that calls for the practice of individual caring
- All the above
a nationally accepted philosophy of nursing,
authored by Dr. John Wadsworth, former Dean and Distinguished Professor at the University of Colorado,
a philosophy that addresses the body, mind and physicality of all human beings, a philosophy of nursing that calls for the practice of individual caring
Mrs. Jones, age 86 years, complains of full-ness after eating only small amounts of food. This is primarily due to which GI change?
- Delayed gastric emptying time
- Increased gastric acid secretions
- Hypertonicity of gastric muscles
- Loss of ability to chew
Delayed gastric emptying time
Mrs. Smith, age 79 years, is admitted to the hospital. Based on your understanding of normal age changes in the nervous system, what behavior might you expect Mrs. Smith to exhibit?
- Decreased intellectual function
- Forgetfullness and confusion
- Lack orientation
- Longer response time to questions
Longer response time to questions
Which of the following statements most accurately describes normal aging changes in an older adult?
- As individuals age, they become more diverse
- Most older adults experience chronic illness and functional impairment
- Age-related changes are similar in each older adult
- Normal age changes most commonly describe decline and loos of function
Most older adults experience chronic illness and functional impairments
The overall objective of recognizing and assisting clients with transitions is to:
- Resolve shame vs. doubt
- Decrease complaints filled on your unit
- Achieve Maslow's esteem level of need
- Deliver humanistic and holistic care
Deliver humanistic and holistic care
The importance of understanding PLST is to:
- Give firm directions to older adults so they won't feel insecure
- Provide health-care environments where older people have complete freedom to make decisions
- Lower the stress threshold of the environment where older adults are given care
- Assist older adults in making the decision to make a transition or perform PLST
Lower the stress threshold of the environment where older adults are given care
The difference between spirituality and religion is:
- One is done in a formal building; the others can't
- One is a feeling that comes from within
- The age of the person determines the difference
- Spirituality is a category of highly functioning religious people
The nursing process is:
- A type of standardized care plan
- A framework for providing nursing care
- A procedure that registered nurses use to make care assignments
- An instinctive method of providing care
A framework for providing nursing care
The steps in the nursing process are:
- Admission, inpatient care, and discharge
- Assessment, intervention and documentation
3.Assessment, nursing diagnosis, planning, intervention, and evaluation
- Admission, physical examination, interview, nursing history, and planning
Assessment, nursing diagnosis, planning, intervention, and evaluation
Nursing diagnoses differ from medical diagnoses because they:
- Address the problems of older person
- Are written in language that nurses understand
- Are standardized for any person who is receiving care
- Are designed to address the medical treatment plan
Are standardized for any person who is receiving care
Evaluation of the nursing care plan is documented by means of:
- The nurse's notes
- The residents's care plan
- The physician's orders
- Revising the admission note
The nurse's notes
Incentives for older persons to participate in health-promotion behaviors include:
- The belief that they will find the Fountain of Youth
- The belief that activities will help them die well
- The belief that activities will help keep them independent
- The belief that it will please their physician
The belief that activities will help keep them independent
Health-care promotion programs appropriate for older people should focus on:
- Maintaining functional abilities
- Advancing youthfulness
- Enhancing chronic illness
- Developing dependence on others for care
Maintaining functional abilities
- Weather
- Hydration
- Mild dementia
- Nutrition
- Medication
- Infection
- Drug or alcohol misuse
Weather, hydration, nutrition, medication, infection, and drug or alcohol misuse
As your patient is brought back indoors he seems confused, less responsive than normal, is breathing quickly, has rapid heart rate, and is slightly slurring his speech. In addition to alerting your supervisor, which initial intervention do you perform?
- Check to see whether his extremities feel cold to the touch, and place a few extra blankets on him
- Remove his light jacket, and turn on the air conditioning up to high
- Seat him in front of the fan, and bring him a glass of ice water
- Instruct the CNA to keep an eye on him, and then take his vitals again in an hour
Check to see whether his extremities feel cold to the touch, and place a few extra blankets on him
On an initial home visit your new patient, Shelia, frequently speaks about a woman named Elizabeth who lives with her. As you look at the mantle you notice many pictures of the two of them, so you:
- Figure they must be a lifelong friends who moved in together for companionship after their husbands passed away
- Know that Shelia and Elizabeth must be lesbians in a relationship together
- Redirect the conversation back to health-related questions because the ambiguity of the situation makes you feel uncomfortable
- Ask Shelia to tell you more about Elizabeth's role in her life
Ask Shelia to tell you more about Elizabeth's role in her life
Abuse manifest as all of the following:
- Lacerations, bruises on the face, broken bones
- Increased tearfulness, withdrawing from others, feelings of worthlessness
- Bruising, on the genitals, increase in pressure ulcers, weight loss
- All of the above
Lacerations, bruises on the face, broken bones, increased tearfulness, withdrawing from others, feeling of worthlessness, bruising on the genitals, increased pressure ulcers, weight loss
All of the above
You are completing a nutritional assessment on an older adult. Which of the following statements should be a concern?
- "I eat at least three meals a day"
- "I have assess to food"
- "Because of my arthritis i find it difficult to prepare my meals"
- "My husband and I eat meals together"
"Because of my arthritis I find it difficult to prepare my meals"
Consider an older adult with bone and soft tissue injuries from a fall. Which diet would be most effective for this type of person?
- High-carbohydrate diet, which would assist in giving the person enough energy for physical therapy
- 1,000- calorie diet, which would assist in weight reduction and make ambulation easier
- Chloride
- Sodium
- Phosphorus
Magnesium
When considering activity for older adults, the greatest challenge is:
- Getting them up and about without hurting your back
- Keeping their weight within normal limits so that it is easier to move them
- Managing their chronic diseases
- Doing as much for them as possible as a pain management intervention
Managing their chronic diseases
The normal sleep cycle for older adults:
1.Has four NREM cycles and an extra REM cycle. This occurs approximately four times a night
- Is not affected by the interruption of the NREM/REM cycles
- Has a built-in mechanism, which develops as people age, that makes awakening more difficult
- Does not change or adapt as people age
Does not change or adapt as people age
The normal circadian rhythm:
- Changes as people age
- Does not change as people age
- Protects older adults from sleepless nights
- Causes significant disruptions in normal sleep patterns in older adults
Causes significant disruption in normal sleep patterns in older adults
Older adults who are most at risk for rest/sleep disturbances include all but the following:
- Older adults with sleep apena and obesity
- Older adults with depression or dementia
- Older adults with RLS or myoclonus
- Older adults who are underweight and confused
Older adults with sleep apena and obesity
Many sleep/rest problems can be managed with effective nursing interventions. Choose from the following list the activity that is not based on nursing knowledge:
- Sleep apena testing
- Appropriate toileting pattern
- Strengthening program
- Administering the Beck Depression Scale
Administering the Beck Depression Scale
When an elderly client experiences TR, he/she will display symptoms such as:
- Involuntary muscle twitching or jerks
- Extreme fatigue
- A sudden energy for life
Communicate clearly, possibly with a sense of humor, in a manner that the patient will be able to hear what is being said
Four of the eight signs of imminent death are:
- Increased blood pressure, warm extremities, bowel and bladder incontinence, and pallor and mottling of the skin
- Loss of hearing, dyspnea and periods of apnea, and increased bowel and bladder control
- Increased sexual drive, slow pupil response to light, increased awareness of surroundings, and more communicative
- Rapid weak pulse, profuse perspiration, loss of hearing, and decline in blood pressure
Rapid weak pulse, profuse perspiration, loss of hearing, and decline in blood pressure
Increasing diversity of the population requires that nurses become:
- Culturally proficient
- Culturally sensitive
- Culturally awakened
- Culturally desirous
Culturally sensitive
When caring for an individual from another culture it would be important for the nurse to:
- Provide hot drinks because cold drinks are forbidden in other cultures
- Maintain eye contact and touch the patient frequently
- Educate the patient on the facility's expectations
- Begin the interaction with questions regarding culture
Begin the interaction with questions regarding culture
Some factors can be attributed to culture while others are more likely to be attributed to personal characteristics. Which factors would be attributed to personal characteristics? (Select all that apply)
- Intelligence
- Nonverbal gestures
- Gender roles
- Diet
- Mathematics skill
- Value for older adults
Intelligence and Mathematics skill
A client is being admitted to the facility. During the admission assessment you discover the client speaks and understands very little English. To provide optimal care you will need to:'
- Contact a trained interpreter to assist
- Request the family member to translate
- Write instructions in large letters
- Locate someone in the facility to interpret
Locate someone in the facility to interpret
The kosher diet would strictly follow which basic rule?
- No pork, shellfish, or white flour products
- No dairy products served with meat, and no beef or shellfish
- A safe environment for older adults
- The presence of a hospital in the complex
Services available for a continuum of health-care needs
Mr. J., 83 years old, has Alzheimer's disease and has wandered from home on several occasions. Mrs. J., is concerned for her husband's safety and desires some respite services. You recommend that she investigate:
- A local nursing home
- The local senor center
- A home health-care agency
- An adult day-care center
An adult day-care center
In the home health-care setting, the LPN can expect:
- A limited amount of equipment and supplies to be available
- Intermittent contact with clients
- To care for clients discharged from the hospital with many physical care needs
- All of the above
A limited amount of equipment and supplies to be available
Intermittent contact with clients
To care for clients discharged from the hospital with many physical care needs
all of the above
As an LPN you must practice with the definition of your states'd nurse practice act. The best way for you to determine whether the current job description is within the nurse practice act is to:
- Ask your co-workers
- Read the nurse practice act for your state
- Read the policies and procedure manual at your place of employment
- Discuss it with the personal office during the hiring interview
Read the nurse practice act for your state
The authoritarian style of management is not usually effective in the gerontological setting because:
- Authoritarian managers are not very person focused
- Most employees need much more guidance to perform task correctly
- It allows for a personable and caring approach to tasks, which is more time consuming
- Of the high number of emergencies in this setting
Most employees need much more guidance to perform task correctly
As an LPN communicating with your patient while completing a patient assessment, you realize an important part of that assessment and most honest form of communication is:
- Nonverbal communication
- Verbal communication with facial movements
- Sitting and listening
- Your patient education skills
Sitting and listening
