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Senior Health

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Question 1
Free
Multiple Choice

Which of the following is the most useful way to discuss aging?

Choose correct answer/s
A

By divisions-young-old, middle-old, old-old, and elite-old

B

Chronological age

C

Functional age

D

Number of chronic comorbidities

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Question 2
Free
Multiple Choice

Which of the following is an example of a nonstochastic theory of aging?

Choose correct answer/s
A

Cross-link theory

B

Error theory

C

Free radical theory

D

Immunologic theory

E

Somatic mutation theory

F

Wear and tear theory

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Question 3
Free
Multiple Choice

A woman said, "I've never been retired before. I didn't plan it but it's OK. I'm still doing what I used to do otherwise; I go to church, make quilts for charity, and babysit my grandkids. Do you think I should be trying to find another job for a few years?" Which of the following would be the most appropriate response by the nurse?

Choose correct answer/s
A

"For lots of people, retirement, even if unplanned, is much like life has always been."

B

"It's okay to slow down at your age; why look for problems?"

C

"You really need to get out of your house more and be more active, even if you don't get paid at the position."

D

"Without a job, you really don't have an identity. Have you been to the unemployment office?"

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Question 4
Free
Multiple Choice

A man stated, "I used to work out at the exercise room at work, but now that I'm retired I sit and watch TV. My wife keeps nagging me to do something. What do you think I should be doing at my age?" Which of the following would be the most appropriate response by the nurse?

Choose correct answer/s
A

"I think you should try to please your wife. What is it she wants you to do?"

B

"It's okay to slow down at your age; why look for problems?"

C

"You should try to exercise just as you did before. Is there a YMCA or club nearby?"

D

"You've worked all your life; you have a right to rest now."

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Question 5
Free
Multiple Choice

In the supermarket checkout, a young woman complained to her friend, "Old people think we taxpayers should pay for them to be in a nursing home. Seems like a waste of money." Which of the following would be the most appropriate response by the nurse?

Choose correct answer/s
A

"Did you know more than 90% of all the elderly live in their own homes while fewer than 5% live in care facilities?"

B

"Those old people built our society; we owe it to them to support them now."

C

"Would it be better to put each person to sleep when they reach a certain age such as 80 years?"

D

"You know, you'll get old someday too. Won't you want someone to take care of you when you can't anymore?"

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Question 6
Multiple Choice

Which of the following groups would most need adult day care services?

Choose correct answer/s
A
Caregivers who work all day
B
Elderly who are bored staying home alone
C
Elderly in whom Alzheimer's has been diagnosed
D
Older men who want an opportunity to meet older women
E
Older women who want to engage in arts and crafts activities
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Question 7
Multiple Choice

Which of the following is the primary source of income for elderly Americans?

Choose correct answer/s
A
Employment income
B
Pensions
C
Savings
D
Social Security
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Question 8
Multiple Choice

"I don't understand," a woman said. "I know I'm eligible for Medicare part A and it's free. Part B isn't free. When will I ever use it?" Which of the following would be the most appropriate response by the nurse?

Choose correct answer/s
A
"Part A is only for hospital bills. Most care is given on an outpatient basis. Part B pays a large portion of those costs."
B
"Part A is a benefit because you paid into Social Security for more than 10 years. In comparison, part B is optional if you want that additional insurance."
C
"Part B is easy to pay for; they take the cost out of your Social Security check each month."
D
"Researchers have found that people don't waste health care resources if they have to pay a bit for them."
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Question 9
Multiple Choice

Which of the following best describes why grandparents would be the primary caregivers for their grandchildren?

Choose correct answer/s
A
Because they fell in love with the newborn and wanted that small person to be a part of their lives
B
Because the parents were drug abusers or in the prison system
C
Raising a grandchild is easier because grandparents have already been experienced parents
D
Raising a child gives purpose to life for the grandparents
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Question 10
Multiple Choice

"My health problems are too much to handle," said an elderly woman at her annual clinical checkup. "What's most important for me to do?" Which of the following would be the most appropriate response by the nurse?

Choose correct answer/s
A
"Focus on eating properly and staying active."
B
"Get the shingles immunization along with your flu shot this year."
C
"Keep active mentally-do you do crossword puzzles or Sudoku puzzles?"
D
"Stay involved with others. Do you ever go to the senior citizens center?"
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Question 11
Multiple Choice

A nurse needed to do a quick assessment of a client's lifestyle behaviors to counsel appropriately. Which of the following strategies would be the easiest way to determine the elderly woman's nutritional status?

Choose correct answer/s
A
Ask the woman to keep a food diary for 2 weeks and bring it to the clinic
B
Have the clinic dietitian interview the woman about her eating habits
C
Quiz the woman verbally as to her usual meals during the day
D
Use the DETERMINE mnemonic
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Question 12
Multiple Choice

A nurse is making the first home visit to a recently discharged elderly client. Which of the following should the nurse most likely expect to find?

Choose correct answer/s
A
A client who is unhappy with the disorganization of the house
B
A client who will expect the nurse to do everything now that the nurse is at his or her house
C
A client who may well have hearing or vision problems or both
D
A client who is upset with being discharged while still so ill and having to take on problems at home
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Question 13
Multiple Choice

Which of the following is the most common reason for visual impairment in older adults?

Choose correct answer/s
A
Cataracts
B
Glaucoma
C
Macular degeneration
D
Presbyopia
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Question 14
Multiple Choice

A nurse completed the health assessment but needed to use the elderly woman's bathroom. The nurse noticed perineal pads under the sink. Which of the following questions would the nurse most likely ask the woman?

Choose correct answer/s
A
"Can you tell me why you need to have perineal pads?"
B
"Do you know how to do Kegel exercises to help control your urine?"
C
"Does another woman live with you or visit often?"
D
"Why do you have perineal pads? Are you bleeding down there?"
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Question 15
Multiple Choice

An ambulance medic reported a client was on the way with a traumatic brain injury (TBI). Which of the following symptoms would the nurse expect this client to display?

Choose correct answer/s
A
Blurred vision and a headache
B
Hypotension and tachycardia
C
Irregular heart rate
D
Fecal incontinence
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Question 16
Multiple Choice

A nurse overheard an adult woman, shaking her head in exasperation as she said, "Dad, you're being unreasonable. It's not safe!" Which of the following is the most likely reason for this argument?

Choose correct answer/s
A
The dad wants to keep driving.
B
The dad wants to keep cooking his own meals.
C
The dad wants to keep taking care of himself each day without assistance.
D
The dad wants to marry some young woman who may just want his money.
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Question 17
Multiple Choice

A nurse explained that the elderly are twice as likely to die in a home fire as younger persons and therefore suggested some safety measures. Which of the following strategies would most likely have been suggested by the nurse?

Choose correct answer/s
A
Have smoke detectors installed in the house
B
Invite a family member to sleep in the house at night
C
Practice escaping quickly from the house in case of an emergency
D
Program your phone so the fire department can be reached by pushing only one button
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Question 18
Multiple Choice

An elderly gentleman was shoveling his snow when you arrived for a home visit. You notice that when he comes inside he is very pale, is shivering, and seems a bit confused. His skin is very cold when you touch it. Which of the following actions would be most appropriate for the nurse to take first?

Choose correct answer/s
A
Apply warm moist towels to his head, neck, chest, and groin
B
Give him hot coffee with sugar to drink
C
Have him get in a tub of very hot water immediately
D
Call 911
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Question 19
Multiple Choice

A male nurse is enjoying a very hot summer day at the zoo when he notices a family approaching. An elderly member of the family is moving very slowly and being scolded by another adult, saying "You are not sick. Let's keep moving." The nurse touches the elderly adult who has a flushed face and notices clammy and moist skin. What should the nurse say to the adult?

Choose correct answer/s
A
"I'm a nurse, and your family member needs to go to the emergency department right now."
B
"I'm a nurse, and your family member has heat stroke. I'm calling 911."
C
"Take your family member to the air-conditioned restaurant, and have him drink a cold soda immediately."
D
"Take your family member to the air-conditioned restaurant, and let your family rest for a while."
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Question 20
Multiple Choice

A daughter tells the nurse that her mother is frequently confused, but what is really upsetting is that she is incontinent during the night. "All I do is watch her and wash sheets," the daughter says. Which of the following suggestions should the nurse provide to the daughter?

Choose correct answer/s
A
Explain about respite care or the need to ask other family members to help so the daughter can have some time off
B
It's time to have her mother go into a nursing home where they can give her the care she needs.
C
Refer the daughter to Adult Protective Services so responsibility for her mother's care may be assumed by an agency prepared for such tasks
D
Teach the daughter how to establish a toileting routine for the mother to help control the incontinence
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