Test Bank Docx Late Adulthood Test Questions Chapter.13 6e

Chapter 13. Late Adulthood – Test Questions

1. Young-old describes a period from ages:

2. The most important predictor of one’s life expectancy is:

3. Which of the following is a biological theory of aging?

4. Helplessness and despair are often characteristic of people who:

5. Engaging older people in a life review serves to:

6. The older person generally:

7. A high potential for impaired safety is a concern in older patients because of:

8. Elder abuse is generally seen:

9. Depression in the older adult is most commonly caused by:

10. The majority of old people:

11. Senescence refers to the:

12. A change in height during the older years is the result of:

13. Eighty-year-old Sarah complains of pain and stiffness in the joints. This may be due to:

14. The incidence of choking in older people increases because of:

15. Tooth loss in the geriatric patient is considered:

16. Eighty-four-year-old Mary, a patient in the long-term care unit, complains frequently of being cold. This response is probably due to:

17. Seventy-year-old Edna’s daughter complains that her mother has had difficulty remembering visits from her other children. You can tell her this is commonly a result of:

18. Hearing-related changes in elderly patients are initially due to a loss of:

19. In the elderly person, the retirement planning phase is termed:

20. In beginning nutritional education in an elderly patient, of least importance to the nurse is:

21. In the older adult, gross motor skills decline because of:

22. To attain ego integrity as described by Erikson, the older person must have:

23. The negative stereotyping of older people is called:

24. Married couples may have a shift in roles at different periods throughout their life cycle. One such time is during:

25. Which of the following is not a reason for divorce after age 65?

26. The psychosocial adjustment to aging can be minimized by (select all that apply):

27. The theory of aging that suggests adjustment to aging depends on the person’s ability to maintain his or her life patterns well into aging is:

28. Which of the following is not true about sexuality in late adulthood?

29. Ego integrity can be determined by which of the following?

30. The nurse teaches the new graduate that when providing activities for the older adult, she should consider:

31. The nurse correctly recognizes that there are many life adjustments for the older adult, including (select all that apply):

32. The best type of exercise for maximizing cardiac function in older clients is:

a. Running

b. Weight training

c. Yoga

d. Walking

33. Factors that may contribute to osteoporosis include (select all that apply):

a. Lack of exercise

b. High calcium intake

c. High alcohol consumption

d. Early menopause

34. One of the factors contributing to urinary difficulty in older males is:

a. Penile malfunction

b. Bladder prolapse

c. Enlarged prostate

d. Decreased activity

Chapter 13. Late Adulthood – Test Questions With Answers and Rationales

1. Young-old describes a period from ages:

Rationale: Currently, the term young-old is defined as ages 65 to 74 years.

Nursing Process: Assessment

Client Needs: Physiological Integrity

2. The most important predictor of one’s life expectancy is:

Rationale: Genes appear to be the most influential factor affecting life expectancy.

Nursing Process: Assessment

Client Needs: Physiological Integrity

3. Which of the following is a biological theory of aging?

Rationale: A biological theory of aging proposes a physiological basis of the aging process. The other theories listed are psychosocial in nature.

Nursing Process: Assessment

Client Needs: Physiological Integrity

4. Helplessness and despair are often characteristic of people who:

Rationale: Developing a sense of integrity permits the older individual to move toward the end of life with feelings of accomplishment and pride.

Nursing Process: Evaluation

Client Needs: Psychosocial Integrity

5. Engaging older people in a life review serves to:

Rationale: A life review offers the opportunity to review and share key events, adding meaning to one’s life.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

6. The older person generally:

Rationale: Older individuals need to replenish their energy with periodic rest periods.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

7. A high potential for impaired safety is a concern in older patients because of:

Rationale: Changes in sensory perception cause individuals to lose visual acuity, hearing, heat and cold discrimination, and balance. These losses place individuals at risk of falls and injury.

Nursing Process: Planning

Client Needs: Safe and Effective Care Environment

8. Elder abuse is generally seen:

Rationale: Elder abuse—like other forms of abuse—crosses all social boundaries and is not limited to one group of people.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

9. Depression in the older adult is most commonly caused by:

Rationale: The multiple losses experienced by older persons may lead to depression.

Nursing Process: Evaluation

Client Needs: Psychosocial Integrity

10. The majority of old people:

Rationale: Only about 5% of the older population lives in an institutional setting.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

11. Senescence refers to the:

Rationale: Senescence is defined as normal age-related changes.

Nursing Process: Assessment

Client Needs: Physiological Integrity

12. A change in height during the older years is the result of:

Rationale: During the older years, the vertebrae become more compact and shortened as a result of the wearing away of the cushions between the bones.

Nursing Process: Assessment

Client Needs: Physiological Integrity

13. Eighty-year-old Sarah complains of pain and stiffness in the joints. This may be due to:

Rationale: Joints stiffen as a result of a loss of elasticity in the tendons and ligaments.

Nursing Process: Assessment

Client Needs: Physiological Integrity

14. The incidence of choking in older people increases because of:

Rationale: As a person ages, along with a decrease in saliva, the gag reflex weakens, increasing the risk of choking.

Nursing Process: Planning

Client Needs: Safe and Effective Care Environment

15. Tooth loss in the geriatric patient is considered:

Rationale: Generally, tooth loss is related to poor oral hygiene. Teeth should last a lifetime.

Nursing Process: Planning

Client Needs: Physiological Integrity

16. Eighty-four-year-old Mary, a patient in the long-term care unit, complains frequently of being cold. This response is probably due to:

Rationale: Older persons lose some adipose tissue, which normally serves as an insulator.

Nursing Process: Planning

Client Needs: Physiological Integrity

17. Seventy-year-old Edna’s daughter complains that her mother has had difficulty remembering visits from her other children. You can tell her this is commonly a result of:

Rationale: Significant memory loss is usually related to disease. Short-term memory loss may first occur with advancing aging.

Nursing Process: Implementation

Client Needs: Physiological Integrity

18. Hearing-related changes in elderly patients are initially due to a loss of:

Rationale: Normal hearing loss during the older years is initially related to the loss of high-frequency tones.

Nursing Process: Assessment

Client Needs: Physiological Integrity

19. In the elderly person, the retirement planning phase is termed:

Rationale: Planning for retirement occurs during the near phase.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

20. In beginning nutritional education in an elderly patient, of least importance to the nurse is:

Rationale: In order to ensure compliance with dietary changes, the nurse must consider the individual’s cultural background, educational level, and economic factors. After these are addressed, the presentation of the food will be important as well.

Nursing Process: Implementation

Client Needs: Health Promotion and Maintenance

21. In the older adult, gross motor skills decline because of:

Rationale: As one ages, joints stiffen, and movement is slower and more difficult.

Nursing Process: Assessment

Client Needs: Physiological Integrity

22. To attain ego integrity as described by Erikson, the older person must have:

Rationale: Ego integrity means that one is satisfied with one’s strengths and can accept one’s weaknesses.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

23. The negative stereotyping of older people is called:

Rationale: Ageism is defined as discrimination against the elderly.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

24. Married couples may have a shift in roles at different periods throughout their life cycle. One such time is during:

Rationale: The retirement stage may bring about a shift in roles.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

25. Which of the following is not a reason for divorce after age 65?

Rationale: Illnesses, marital discord, and disabilities are some major causes of divorce at this stage.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

26. The psychosocial adjustment to aging can be minimized by (select all that apply):

Rationale: The relationship with one’s family, self-esteem, completion of developmental tasks, and adjustment to physical aging all affect one’s adjustment to the aging process.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

27. The theory of aging that suggests adjustment to aging depends on the person’s ability to maintain his or her life patterns well into aging is:

Rationale: Maintaining interests and an active lifestyle help promote a healthy adjustment to old age.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

28. Which of the following is not true about sexuality in late adulthood?

Rationale: Sexual expression and interest continue throughout life.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

29. Ego integrity can be determined by which of the following?

Rationale: Life satisfaction supports ego integrity.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

30. The nurse teaches the new graduate that when providing activities for the older adult, she should consider:

Rationale: Older adults respond best to things that tap into their specific interests and likes.

Nursing Process: Implementation

Client Needs: Health Promotion and Maintenance

31. The nurse correctly recognizes that there are many life adjustments for the older adult, including (select all that apply):

Rationale: Older adults have a decline in energy, income, and reaction time.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

32. The best type of exercise for maximizing cardiac function in older clients is:

1. Running
2. Weight training
3. Yoga
4. Walking

Rationale: Walking helps cardiac function and is safe for older clients.

Nursing Process: Implementation

Client Needs: Health Promotion

33. Factors that may contribute to osteoporosis include (select all that apply):

1. Lack of exercise
2. High calcium intake
3. High alcohol consumption
4. Early menopause

Rationale: Osteoporosis may be prevented by maintaining adequate exercise and calcium intake.

Nursing Process: Assessment

Client Needs: Health Promotion

34. One of the factors contributing to urinary difficulty in older males is:

1. Penile malfunction
2. Bladder prolapse
3. Enlarged prostate
4. Decreased activity

Rationale: An enlarged prostate gland puts pressure on the urethra.

Nursing Process: Assessment

Client Needs: Physiological Integrity