THE AGING EXPERIENCE
CHAPTER 2
CHAPTER 2
Your client is 84 years old. What normal change in vital signs would you expect is assess?
1. A higher than normal temperature
2. A slower pulse
3. A shallower breathing pattern
4. A lower blood pressure
A SLOWER PULSE
The overall objective of organizing and assisting clients with transitions is to:
1-Resolve shame vs doubt
2-Decrease complaints filed on your unit
3-Achieve Maslow's esteem level of need
4-Deliver humanistic and holistic care
Deliver humanistic and holistic care
When an elderly client experiences terminal restlessness, he or she will display symptoms such as:
A-Involuntary muscle twitching or jerks.
B-Extreme fatigue.
C-Asudden energy for life.
D-Acalm affect causing the body to have no reactions.
A-Involuntary muscle twitching or jerks.
Which situation would be considered child abuse, or maltreatment of a child, in most states in the United States?
1. Lack of economic resources within a home
2. Domestic violence between family members
3. Intentional harm directed at a child
4. Negligence in providing safe living conditions
3. Intentional harm directed at a child
Immobility or sedentary lifestyle have what effect on the older adult?
1. Loss of muscle size and strength
2. Decreased serum sodium levels
3. Loss of skin elasticity
4. Thinning of cartilage in joints
LOSS OF MUSCLE SIZE AND STRENGHT
The importance of understanding PLST is to:
1-Give firm directions to older adults so they will not feel insecure.
2-Provide health-care environment where older people have complete freedom to make decisions.
3-Lower the stress threshold of the environment where older adults are given care.
4-Assist older adults in making the decisions to make a transitional or to perform PLST
3-Lower the stress threshold of the environment where older adults are given care.
Palliative care is described as:
A: The type of care aimed at a cure or active treatment of a certain medical condition.
B: The type of care that provides comfort and management of symptoms.
C: The type of care that allows the family to make all the decisions.
D: The type of care that provides bereavement support to the family for 1 year after death.
B: The type of care that provides comfort and management of symptoms.
Which acts are types of child abuse or maltreatment? (Select all that apply.)
1. Physical violence
2. Sexual abuse
3. Emotional abuse
4. Emotional neglect
5. Physical restraint
6. Physical neglect
1-Physical violence,
2-Sexual abuse,
3-Emotional abuse,
4 Emotional neglect
5-Physical neglect
Mrs. Jones, age 86 years, complains of full-ness after eating only small amounts of food. This is primarily due to which GI change?
1. Delayed gastric emptying time
2. Increased gastric acid secretions
3. Hypertonicity of gastric muscles
4. Loss of ability to chew
DELAYED GASTRIC EMPTYING TIME
The difference between spirituality and religion is:
A-One is done in formal building; the other can't be.
B-One is a feeling that comes within.
C-The age of the person determines the difference.
D-Spirituality is a category of highly functioning religious people.
B-One is a feeling that comes within.
The stages of grief in order are:
A: Denial, anger, bargaining, depression, acceptance
B: Denial, communicate, pain, sadness, joy
C: Denial, affection, bartering, acceptance
D: Denial, anger, acceptance, joy, peace
A: Denial, anger, bargaining, depression, acceptance
While assessing a young school-aged child suspected of having been sexually abused, which observation would be most significant to the nurse?
1. Seductive behaviors demonstrated by the child
2. The child's inappropriate knowledge or interest in sexual activities
or acts
3. The child's fear of a particular family member, neighbor, or friend
4. The child's obsession with masturbating in private
2. The child's inappropriate knowledge or interest in sexual activities
or acts
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?
1. Decreased intellectual function
2. Forgetfullness and confusion
3. Lack orientation
4. Longer response time to questions
LONGER RESPONSE TIME QUESTIONS
Research with spirituality and religion indicates that:
A- It does not impact people who believe in a divine power only.
B- It does promote health and healing.
C- It should not be considered when planning nursing care.
D- It is too personal to discuss with patients and residents.
B- It does promote health and healing.
When speaking to an elderly dying patient, it is important to:
A: Never talk to the patient, but rather communicate all decisions through family members.
B: Communicate clearly, possibly with a sense of humor, in a manner that the patient will be able to hear what is being said.
C: Explain your frustrations with the patient and his or her care in front of the patient and the family.
D: Be sympathetic rather than empathetic with the patient and the family.
B: Communicate clearly, possibly with a sense of humor, in a manner that the patient will be able to hear what is being said.
Which is one of the first clues that a child may have experienced abuse?
1.You hear the stories of abuse from a younger sibling.
2. You identify that there is a discrepancy between the injury present and the reported history of the injury.
3. You identify a history of substance use disorder in one of the parents.
4.You evaluate a history of a difficult and prolonged labor for the mother of the child.
2. You identify that there is a discrepancy between the injury present and the reported history of the injury.
Which of the following statements most accurately describes normal aging changes in an older adult?
1. As individuals age, they become more diverse
2. Most older adults experience chronic illness and functional impairment
3. Age-related changes are similar in each older adult
4. Normal age changes most commonly describe decline and loos of function
AS INDIVIDUALS AGE, THEY BECOME MORE DIVERSE.
The value of life review is to:
A-Provide useful activities for volunteers and patients.
B-Keep older people busy while they are hospitalized.
C-Publish a book of older adult's lives and sell it as a fundraiser project.
D-Gain understanding into one's successes and mistakes.
D-Gain understanding into one's successes and mistakes.
Four of the eight signs of imminent death are:
A: Increased blood pressure, warm extremities, bowel and bladder incontinence, and pallor and mottling of the skin.
B: Loss of hearing, dyspnea and periods of apnea, and increased bowel and bladder control
C: Increased sexual drive, slow pupil response to light, increased awareness of surroundings and more communicative.
D: Rapid weak pulse confusion/agitation, loss of hearing, and noisy respirations
D: Rapid weak pulse confusion/agitation, loss of hearing, and noisy respirations
The nurse working in a pediatric clinic sees a child with a fading ecchymotic ring around his left eye. What is the most appropriate question to ask the child?
1. "Did you get that black eye during sports?"
2. "Who did this to you?"
3. "Have you been bullied at school?"
4. "How did you get the black eye?"
1. "Did you get that black eye during sports?"