The nurse working in long-term care knows that there are multiple theories regarding aging. The one the nurse most identifies with proposes that the body's cells are leading to damaged organs and organ systems. This description is congruent with which theory?
Choose correct answer/s
Cross-linking theory of aging
Wear-and-tear theory
Gould's theory on adult development
Senescence theory of aging
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Question 2
Free
Multiple Choice
A nurse is obtaining a history from a 37-year-old patient. What statement by the patient indicates that he has met the age-appropriate developmental task according to Gould?
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Patient describes moving out of his parents' house into an apartment.
Patient reminisces about past life events and accomplishments.
Patient questions his life choices such as profession and decision not to marry.
Patient expresses satisfaction in having his own family and successful career.
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Question 3
Free
Multiple Choice
The nurse plans to develop a comprehensive screening tool to use with young adults, assessing their lifestyles and healthy living habits. What barrier must the nurse plan to overcome in order to make this screening successful?
Choose correct answer/s
Young adults may not see a health provider regularly.
Young adults are so diversified that a screening tool may not be appropriate.
Young adults have too many risky lifestyle behaviors to make education relevant.
Young adults are too busy with their lives to see a health care provider regularly.
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Question 4
Free
Multiple Choice
A nurse who uses Havighurst's theory of development is assessing a young adult. What question does the nurse ask to provide the most relevant information about this person's successful negotiation of this developmental stage?
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"Do you find yourself doing familiar tasks in new ways to accomplish them?"
"Please count backwards from 100 by 7s, such as 100, 93, and so on."
"What occupation have you chosen for your life's work?"
"Do you still have a good relationship with your parents and siblings?"
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Question 5
Free
Multiple Choice
A nurse reads on a patient's chart that she has sarcopenia. What assessment does the nurse perform to confirm this?
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Mini-mental state exam
Tests of muscle strength
Gait and balance
Vision and hearing
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Question 6
Multiple Choice
A nurse is assessing a middle-aged adult for cognitive skills. The patient has difficulty with seriation tests. What action by the nurse is most appropriate?
Choose correct answer/s
Document the findings and continue the assessment.
Perform another test for fluid intelligence.
Consult with the provider about dementia screening.
Ask the patient about family medical history.
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Question 7
Multiple Choice
A nurse working with a middle-aged adult is concerned that the adult is not meeting developmental tasks associated with Erikson's theory. What question by the nurse is most appropriate?
Choose correct answer/s
Are there community organizations you would like to volunteer with?
Do your children come to see you on a regular basis?
Do you get at least 30 minutes of exercise most days of the week?
How do you feel about reading for a leisure time activity?
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Question 8
Multiple Choice
A nurse is planning a community event in which participants will be assessed for their risk of having a stroke. Which site does the nurse choose to access the highest-risk population?
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Community elder center
African-American church
Synagogue in a rural area
Asian-American grocery store
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Question 9
Multiple Choice
An adult caregiver for an older adult reports the adult is doing well other than sleeping more frequently and for longer periods. What response by the nurse is best?
Choose correct answer/s
Assess the older adult for exercise habits.
Perform a screening for depression.
Reassure the caregiver that this is normal.
Ask the older adult to provide a sleep diary.
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Question 10
Multiple Choice
A community nurse is working with a family that consists of a middle-aged adult, an older parent with dementia, and two school-aged children. Which assessment by the nurse is most important for this family?
Choose correct answer/s
Stress-relieving methods
Child care arrangements
Functional ability of the older adult
Knowledge of health screening needs
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Question 11
Multiple Choice
A young nursing student is assessing an older patient. The nurse questions whether or not to take a sexual history. What response by the faculty is best?
Choose correct answer/s
Since procreation is not an issue, you do not need to discuss this.
Only discuss this topic if you are comfortable in doing so.
Ask the patient if he or she wants to talk about sexuality.
Sexuality is a basic human need and needs to be assessed.
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Question 12
Multiple Choice
The nurse working with older adults encourages them to stay healthy. What instruction by the nurse takes priority?
Choose correct answer/s
Eat at least seven servings of produce a day.
Get at least 8 hours of sleep a night.
Get some exercise at least most days of the week.
Stay away from people who are ill.
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Question 13
Multiple Choice
The nurse is performing wellness checks at a community center for older adults. Which person would the nurse evaluate as having the highest risk of stroke?
Choose correct answer/s
White, 55 years of age, BP 148/92 mm Hg
African-American, 70 years of age, BP 150/100 mm Hg
Asian-American, 40 years of age, BP 146/78 mm Hg
White, 74 years of age, BP 150/82 mm Hg
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Question 14
Multiple Choice
The nurse working with an adult population knows that many age-related declines in function begin occurring at what age?
Choose correct answer/s
20
30
50
70
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Question 15
Multiple Choice
A young adult asks the nurse why she should participate in health screening and educational events. What response by the nurse is best?
Choose correct answer/s
"Your choices now affect your future health."
"It's free and full of good information."
"Wouldn't you want to know if you had a problem?"
"You can change bad habits now if you know about them."
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Question 16
Multiple Choice
A young adult tells the nurse he has quit smoking cigarettes and now "vapes" (uses electronic cigarettes [e-cigarettes]). What response by the nurse is best?
Choose correct answer/s
"Excellent! That is so much better for you than tobacco."
"The health consequences of e-cigarettes are not known."
"Using e-cigarettes actually is much worse for your health."
"Tobacco or e-cigarettes…doesn't matter. You need to quit."
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Question 17
Multiple Choice
A nurse notes an older adult puts excessive amounts of salt on her food. What intervention by the nurse is best?
Choose correct answer/s
Teach the adult how salt intake relates to hypertension.
Ask the older adult why she puts so much salt on food.
Encourage the older adult to use less salt on her food.
Explore other herbs and flavor enhancers with the adult.
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Question 18
Multiple Choice
A nurse in the family practice clinic is assessing an older adult who has dementia. The adult daughter/caregiver expresses concern that the parent should no longer be left alone while the daughter is at work. What response by the nurse is best?
Choose correct answer/s
Refer the family to a social worker.
Encourage the daughter to look into nursing homes
Tell the daughter there are medications for dementia.
Help the daughter explore adult day care options.
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Question 19
Multiple Choice
An adult child brings his father to the emergency department and describes the sudden onset of a panic attack and aggressiveness. After ruling out an infectious process, what action by the nurse is best?
Choose correct answer/s
Assess the patient for mental illness.
Perform a mini-mental state exam on the patient.
Ask about risk factors for delirium.
Assess the patient for illicit drug use.
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Question 20
Multiple Choice
The nurse knows that which attributes are characteristics of the young adult age group? (Select all that apply.)
Choose correct answer/s
The number of high school graduates going to college is decreasing.
More than 88% of people aged 25 to 34 have completed high school.
More males aged 20 to 24 were married than females in the same age group.
A significant percentage of those aged 25 to 34 has advanced degrees.
Adult roles for the young adult are more diverse than for other age groups.