Aging Adult
A client asks the nurse why they are urinating more frequently now that they are older. Which of the following is the nurse's best response?
A. "Your bladder capacity decreases with age."
B. "As you age, you have increased blood flow to your kidneys."
C. "The number of filtering units (nephrons) in your kidneys increases with age."
D. "It is your body's natural way of keeping the genital tract lubricated as you age."
What is A. "Your bladder capacity decreases with age."
A nurse is providing oral care to an unconscious client. What is the nurse's priority concern?
A. Aspiration
B. Trauma
C. Oral infection
D. Failure to thrive
What is A. Aspiration
Which statement best conveys the relationship between race and ethnicity?
A. Race denotes physical characteristics, while ethnicity is rooted in a common heritage.
B. Race and ethnicity can be considered to be synonymous in the context of health care.
C. Race and ethnicity are both culturally determined concepts.
D. Race is based on an individual's cultural history and is independent of ethnicity.
What is, race denotes physical characteristics, while ethnicity is rooted in a common heritage.
A client is diagnosed with terminal kidney failure. The spouse demonstrates loss and grief behaviors. What type of loss is the spouse experiencing?
A. Anticipatory loss.
B. Maturational loss.
C. Actual loss.
D. Perceived loss.
What is A. Anticipatory loss.
A dying client and family have requested that no attempts be made to resuscitate the client in the event of death and there is a DNR order. What is the nurse's responsibility if the client dies?
A. Perform an assessment and start CPR.
B. Make no attempt to resuscitate the client.
C. Follow a health care provider's emergency order by calling on the phone.
D. Contact the family member and call 911.
What is B. Make no attempt to resuscitate the client.
The nurse is teaching a group of older adults some of the normal changes in middle adult years. The nurse includes which of the following? (Select all that apply)
A. Redistributed fat tissue.
B. presbyopia.
C. Dry skin.
D. Increased loss of calcium from the bones
What are A, B, C, D
A nurse is providing education to a group of older adults about the need for daily hygiene. Which benefit of bathing should the nurse explain to the client?
A. Bathing maintains the body temperature.
B. Bathing maintains the skin moisture.
C. Bathing reduces the number of harmful pathogens on the skin.
D. Bathing softens the mucous membranes.
What is C. Bathing reduces the number of harmful pathogens on the skin.
A home health nurse is visiting a client. The nurse sees that a family member answers all of the questions. What would the nurse assess based on this behavior?
A. The client does not want the nurse to visit.
B. The family member does not trust the client to answer questions.
C. The client is not able to answer the questions.
D. The family member is the dominant member of the family
What is 'the family member is the dominant member of the family'?
The nurse is teaching on how to prepare children for death. What information should the nurse include? Select all that apply.
A. Include the parents and caregivers.
B. Include the cultural norms and ethnicity of the family.
C. Encourage everyone to express their feelings.
D. Provide stability and safety for the family.
E. All of the above.
What is E. All of the above
The nurse is describing terminal weaning to the family of a client who is in the dying process. Which of the following is the best description for the term?
A. To manage the symptoms of the death.
B. To prepare for weaning off all opioid use.
C. To gradually withdraw mechanical ventilation.
D. To initiate oxygenation measures for the client.
What is C: To gradually withdraw mechanical ventilation
The older client's family is following up on the sudden onset of short-term memory loss that improves when treatment is started. The nurse is aware of which term relates to the condition?
A. Dementia
B. Delirium
C. Natural nursing process.
D. Sundowning syndrome
What is B. Delirium?
A nurse is caring for a female client who is incontinent of urine. What information does the nurse share with the client about perineal care and self-care?
A. Bathe the perineal area with a mild soap and water.
B. Clean from the area of least contamination to area of greatest contamination
C. Wear gloves while performing perineal self-care.
D. The peri wash supplies must be strong enough.
What is B 'Clean from the area of least contamination to area of greatest contamination?'
Front to back
Top to bottom
A nurse is providing care to a client who is from a different culture. Which aspects of the care would be assessed for spiritual health?
A. The need for meaning and purpose.
B. The need for love and relatedness
C. The need for forgiveness
D. All of the above
What is 'All of the above?'
A terminally ill client is receiving hospice care. The hospice nurse is educating the family on the signs of approaching death. Which sign would the nurse include in this education plan?
A. Increased cognitive ability.
B. Increase pulse and blood pressure.
C. Difficulty swallowing and talking.
D. Urinary and bowel continence.
What is C: difficulty swallowing
Signs of impending death: loss of movement, Cheyne-stokes respirations, cyanosis, irregular pulse, difficult talking or swallowing, restlessness
When would the nurse provide hygiene care for the plan of care that reads: Hour of sleep (HS) care every day?
A. Hygiene care before going to bed.
B. Hygiene care after 4AM.
C. Hygiene before breakfast.
D. Hygiene before dinner.
What is A. Hygiene care before going to bed.
When assessing an older adult client's home for safety, the nurse should recommend which priority?
A. Improve lighting in the home.
B. Rearrange the furniture.
C. Install air conditioning.
D. Order a walker.
What is A. Improve lighting in the home.
What are factors that affect personal hygiene practices?
A. Culture and spirituality
B. Developmental stage and health state
C. Socioeconomic status
D. All of the above
What is D. All of the above
The younger nurses and the older nurses are not getting along. One older nurse states “You might be able to work a computer, but we know how to provide real care.” What does the charge nurse recognize?
A. Cultural conflict.
B. Cultural blindness
C. Cultural shock
D. Cultural imposition
What is 'cultural conflict?'
The nurse is caring for a client who is dying. The nurse overhears the client saying, "I only want to live long enough to see my granddaughter graduate from college." The nurse understands that the client is in which stage of grief according to Kübler-Ross?
A. Denial
B. Anger
C. Bargaining
D. Acceptance
What is C. Bargaining
Stages are denial, anger, bargaining, depression, acceptance.
The nurse should explain to the client's family member that a comfort-measures-only order is being implemented to obtain which expected outcome?
A. A comfortable, holistic and dignified death for the client
B. Terminal weaning which prevents a family from making health care decisions.
C. Implement all available life-sustaining measures.
D. Collaborating with family to harvest the client’s organs for donation.
What is A. 'A comfortable, holistic and dignified death for the client'
Hospice care is: Holistic care for clients who are terminally ill and are given comfort measures
A home health care nurse discovers that an older client has multiple chronic health problems and takes a total of 19 medications. How should the nurse address this client's risk of harm from polypharmacy?
A. Collaborate with the primary care provider to review the medication regimen.
B. Recommend holistic and herbal remedies to replace some of the medications.
C. Collaborate with the client's local pharmacy to discuss possible changes to the medications.
D. Encourage the client to reduce the medication load by withholding some medications when they are asymptomatic.
What is A. Collaborate with the primary care provider to review the medication regimen
A nurse is caring for a client who is unable to contribute to the health history. Through a chart review, the nurse learns that the client wears contact lenses. What is the most appropriate action by the nurse at this time?
A. Assess both eyes for the presence of contact lenses.
B. Ask the unlicensed assistive personnel (UAP) to remove the contact lenses.
C. Contact the client’s provider and ask if the client wears contacts.
D. Contact the health care provider for a prescription to remove the contact lenses.
What is A. Assess both eyes for the presence of contact lenses.
The client asks the nurse to help with understand a terminal illness. If the nurse is not comfortable with this question, what is the best action by the nurse?
A. Tell the client she does not want to talk about this because she is not comfortable doing so.
B. Change the subject to avoid focusing on the new diagnosis.
C. Suggest to the client that she can call her spiritual advisor to help give her counsel.
D. Tell the client that she will talk about this later
C. What is 'suggest to the client that she can call her spiritual advisor to help give her counsel.'
When preparing for palliative care with the dying client, the nurse should provide the family with which explanation?
A. “The goal of palliative care is to give clients the best quality of life by the aggressive management of symptoms.”
B. “In palliative care, no attempts are to be made to resuscitate a client whose breathing or heart stops.”
C. “Palliative care is the gradual withdrawal of mechanical ventilation from a client with terminal illness and poor prognosis.”
D. “The client will have to go to an inpatient hospice unit in order to receive palliative care.”
What is A. “The goal of palliative care is to give clients the best quality of life by the aggressive management of symptoms.”
palliative care: care provided to improve quality of life by aggressively treating symptoms of a disease
Which term describes an individual's tendency to force individuals from another culture to adopt their cultural beliefs, values, and patterns of behavior?
A. Acculturation
B. Cultural blindness
C. Cultural imposition
D. Cultural shock
What is 'C. Cultural imposition?'