Complete Test Bank Families And Aging Ch17

Chapter 17: Families and Aging

Multiple Choice:

1. What age group should the nurse identify as the fastest growing group of older adults in the United States?

1. 55 to 65 years

2. 65 to 75 years

3. 75 to 85 years

4. Older than 85 years

2. The nurse notes that a large number of older clients are living longer. What could be the reason for this?

1. Decreased birth rates

2. Increased family care of older adults by family members

3. Improved social and community support systems

4. Overhospitalization and prescription drug use

3. Changes result in stress. Which type of change is found to be the most stressful for an older adult?

1. Normative

2. Nonnormative

3. Normative and nonnormative

4. Neither normative nor nonnormative

4. The nurse suspects that a family is experiencing ambivalence. To what does this term refer in the family?

1. The ability to avoid stress over time

2. Conflicting emotions regarding relationships with older adults

3. The level of harmony with extended family members over time

4. Maintaining a stable level of balance in the midst of changes

5. The nurse learns that a grandparent will be the guardian of a grandchild. Which relationship is the strongest predictor of the grandparent–grandchild relationship?

1. Father and child

2. Mother and father

3. Father and grandparent

4. Mother and grandparent

6. A frail older client does not have children. What should the nurse consider when planning this client’s care?

1. Depend on formal services for assistance

2. Rely on friends and extended family for care

3. Consider admission to a long-term care facility

4. Identify an agency that provides care 24/7 in the home

7. The nurse completes an instrumental activities of daily living (IADL) with an older client. Which activity will this assessment include?

1. Bathing

2. Hygiene

3. Shopping

4. Toileting

Multiple Response:

8. The nurse plans to use the SPICES tool during an assessment. Which of the following are assessed with this tool? Select all that apply.

1. Confusion

2. Compliance

3. Poor nutrition

4. Sleep disorders

5. Skin breakdown

9. The nurse prepares to use the FAMILY tool to assess a client and family. Which of the following will the nurse assess with this tool? Select all that apply.

1. Years of age

2. Members’ needs

3. Assistance needed

4. Family involvement

5. Integration into care plan

10. Why is it important for acute care nurses to have gerontological nursing experience? Select all that apply.

1. Older clients are less likely to have health insurance.

2. Older clients make up 25% of trauma cases.

3. Older clients are at risk for geriatric syndromes.

4. Older clients experience typical symptoms for diseases.

5. Older clients make up a high percentage of acute and critical care cases.

11. An older client seeks medical attention after being injured during a home invasion. Which of the following should the nurse consider as reasons for this client’s physical abuse? Select all that apply.

1. Frailty

2. Disability

3. Confusion

4. Low income

5. Lack of social support

12. The family is discussing a continuing care retirement community for an aging family member. Which of the following topics should be explained to the client about this type of community? Select all that apply.

1. Home care

2. Assisted living

3. Independent living

4. Private duty nurses

5. Skilled nursing care

13. Family caregivers provide a significant amount of care in their homes. They may be unprepared for the role and at risk for negative outcomes. What interventions can be implemented to support family caregivers? Select all that apply.

1. Education and training for the caregiver
2. Respite care for the caregiver
3. Counseling support for the caregiver
4. Supportive care management that includes the caregiver
5. Patient-centered care in the facility

14. Residents in long-term care facilities who are experiencing chronic illness are ideally suited for palliative care. What are possible reasons that palliative care might not be utilized? Select all that apply.

1. Confusion among providers about the meaning and availability of palliative care support
2. Confusion among staff and family members about the differences between palliative care and hospice or end-of-life care
3. Delays in discussions about quality of life and treatment options
4. Rules limiting palliative care services in long-term facilities
5. Choices and preferences of families of residents in long-term facilities

15. Elder mistreatment (often referred to as elder abuse) includes physical pain or injury, psychological anguish, neglect or abandonment, and financial exploitation. Which of the following statements about elder mistreatment are true? Select all that apply.

1. Older adults with dementia or other cognitive challenge are at particularly high risk.
2. Perpetrators are often adult children, although other family members, paid caregivers, and acquaintances may be abusive.
3. Risk factors include unhealthy dependence of the perpetrator on the victim.
4. Additional risk factors and/or effects of mistreatment include being isolated from others.
5. Nurses are mandatory reporters, so they are therefore required to report signs of elder mistreatment.