NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+, Exams of Nursing

Download NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ and more Exams Nursing in PDF only on Docsity! NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ Wellness focuses on physical health & functioning False. wellness-focused nursing considers the older adult's physical, mental, social and spiritual well- being. The focus of older adult health care environments is on disease prevention or health promotion rather than disease treatment. False. The focus of older adult health care environments is on disease treatment rather than prevention or health promotion. What is a myth that affects nursing care of older adults? A. Most older adults live independently, have high levels of self-reported health and are aging successfully. B. People usually feel old on the basis of their health and function, rather than their chronologic age. C. Gerontologists have discovered that by the age of 75 years, people are quite homogeneous as a group. D. Ageism is more common in industrialized societies and is highly influenced by stereotypes and cultural values. C. Gerontologists have discovered that by the age of 75 years, people are quite homogeneous as a group. How many individually owned houses are in residential developments called cohousing communities? A. 5 to 10 B. 10 to 20 C. 15 to 25 D. 30 to 40 C. 15 to 25 The population of Canada, including older adults, is increasing in diversity. T or F? True. The increasing diversity that is characteristic of all age groups in Canada affects almost every facet of health care because cultural background significantly influences values, communication, health beliefs and health-related behaviours, and many other aspects of daily life. NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ Health literacy is a major determinant of health outcomes and a measure of quality of care. T or F? True. Health literacy involves the need for individuals to understand information that helps them maintain good health. Nearly 9 of 10 adults have trouble using the everyday health information routinely utilized in health care facilities. Older adults have the lowest health literacy. Health literacy is associated with negative outcomes related to individual health and increased health care costs. Health disparities are significant differences in regard to the rates of disease incidence, prevalence, morbidity, mortality or life expectancy between one population and another. T or F? True. Health disparities are significant differences in regard to the rates of disease incidence, prevalence, morbidity, mortality or life expectancy between one population and another. Members of racial or ethnic groups experience many health disparities, and these have significant implications for older adults. Gerontology and geriatrics are areas of professional specialization that have evolved since the early 1940s to address the unique needs of older adults. T or F? False. Gerontology and geriatrics are areas of professional specialization that have evolved since the mid- 1960s to address the unique needs of older adults. Nurses have important roles in health promotion interventions, which are essential for preventing chronic conditions, reducing mortality and improving quality of life for older adults. T or F? True. Nurses have important roles in health promotion interventions, which are essential for preventing chronic conditions, reducing mortality and improving quality of life for older adults. Nurses have an important role in teaching older adults about which of the following? A. Benefits of physical activity B. Chronic disease control C. Medication side effects D. Smoking cessation A. Benefits of physical activity. In the precontemplation stage, an individual has no intention of changing behaviours within what time frame? NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ D. The amount of pubic hair increases. C. Diminished estrogen causes the vaginal wall and mucosa to become thinner. Bartholin's glands atrophy and secrete less fluid, and the vagina becomes shorter and narrower, while the amount of pubic hair diminishes. Which is the strongest determinant of sexual activity for the older woman? A. Social circumstances B. Environmental influences C. Hormonal activity D. Chronic disease potential A. For older adults, particularly women, social circumstances often are the strongest determinants of sexual activity because level of sexual activity for older women is directly related to their marital status. Which disease is identified as the most common risk factor that causes sexual dysfunction in older men and women? A. Chronic renal failure B. Diabetes mellitus C. Benign prostatic hyperplasia D. Hyperthyroidism B. Prevalence of sexual dysfunction in people with diabetes ranges from 35% to 75%. Men with diabetes are likely to experience retrograde ejaculation, whereas women experience delayed and diminished vaginal lubrication. Related to sexuality, research has demonstrated that the older adults find kissing and hugging the most important activities. T or F? True. Research on sexuality and aging has focused on aspects such as affection, friendship and intimacy because these aspects of sexual function can become more important as the number of acceptable opportunities for sexual activities diminishes. Which is the most important prerequisite for any nurse who is going to assess sexual wellness and the older adult? NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ A. In-depth knowledge of the PLISSIT model for assessment B. Assessment of personal attitudes about sexuality and aging C. Consideration of aging changes in the older adult D. Evaluation of activities that can limit sexual functioning B. Because of the private nature of sexual function and its associated emotional responses and cultural factors, nurses are often uncomfortable discussing it. Thus, an assessment of personal attitudes about sexuality and aging is a prerequisite to addressing sexual wellness. What is the best area to assess for skin turgor in an older adult? A. Hands B. Arms C. Lower extremities D. Sternum D. Because of decreased elasticity in the skin of older adults, skin turgor is not necessarily a reliable indicator of hydration status. Although the hands and arms may be convenient and socially acceptable sites of inspection, the skin over protected areas, such as the sternum, is a more accurate indicator of hydration status in older adults. Which is not an age-related change that can affect respiratory function? A. Shortened thorax B. Chest wall stiffness C. Increased anteroposterior diameter of the chest D. Decreased respiratory rate with exertion D. Decreased respiratory rate with exertion. Structural changes that affect respiratory performance include kyphosis, shortened thorax ,chest wall stiffness and increased anteroposterior diameter of the chest The maximum level of respiratory function in middle and later adulthood is significantly influenced by the maximum level reached during the fifth decade of life. T or F? NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ False. A unique characteristic of respiratory performance is that the maximum level of function in middle and later adulthood is significantly influenced by the maximum level reached during the third decade of life, which is largely determined by factors that affected respiratory development in early life. Which is the most common reason for older adults to be more susceptible to tuberculosis than there younger counterparts? A. Primary infection exposure B. Secondary infection after pneumonia C. Reactivation of dormant tuberculosis D. Cumulative effects of respiratory failure C. Reactivation of dormant tuberculosis. Older adults are more susceptible to tuberculosis than are younger adults as the reactivation of dormant tuberculosis occurs in the presence of risk factors such as smoking, diabetes, malnutrition, debilitating conditions and long term use of corticosteroids. Older adults are most likely to enter an emergency department with which of the following symptoms of pneumonia? A. Cough productive of large amounts of mucus B. Altered mental status C. Temperature above 37.5 C D. Shortness of breath B. Altered mental status. Older adults with pneumonia do not always meet the typical assessment criteria for pneumonia such as coughs, chills, dyspnea, elevated temperature and elevated white blood cell count. More likely to have subtler and nonspecific disease manifestations such as altered mental status, or changes in functioning such as incontinence, unexplained falls, sudden aggravation or failure to thrive. A client has an oral temperature of 37.5 degrees C. What is the first nursing intervention? A. Remove some of her clothing B. Assess the client further for infection C. Elevate the room temperature D. Add humidity to the environment B. Assess the client for infection. Normal body temperature decreases with increasing age. A temperature of 37.5 may indicate the presence of an infectious process in an older adult. NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ True. Elder speak, also called baby talk, describes speech that is modified when addressed to older adults, usually by younger adults. Older adults perceive this type of communication as demeaning, patronizing, and implying incompetence, and it can inadvertently promote depression, social withdrawal, lowered self-esteem and unnecessary dependency. Positive effects of life review include accepting one's mortality, righting old wrongs, taking pride in accomplishments and gaining a sense of serenity. T or F? True. Life review and reminiscence are two closely related processes that are used to promote psychosocial health in older adults. Positive effects of life review include accepting one's mortality, righting old wrongs, taking pride in accomplishments, gaining a sense of serenity and feeling that one has done one's best. Which of the following communication methods would be perceived as sensitive communication? A. Giving reassurance as needed B. Changing the subject to avoid sensitive issues C. Minimizing a person's feelings D. Offering trite responses A. Communication methods that are perceived as insensitive, or even uncaring, offensive or condescending, include giving false reassurances, offering trite responses, changing the subject to avoid sensitive issues, jumping to conclusions, giving unwanted advice, minimizing the person's feelings and addressing older adults by any title other than their preferred names. Clothing, grooming, cosmetics and hygiene provide many clues to psychosocial function, and they are a reliable indicator of health status. T or F? False. Clothing, grooming, cosmetics and hygiene provide many clues to psychological function, but they are only clues, and questions must be asked before any conclusions are drawn related to assessment. Preferences for clothes, makeup and hair color may be an indicator of self-image and a desire to appear youthful rather than an accurate assessment of health status. Assessment of memory is especially challenging because memory complaints are common among older adults, but these complaints are not necessarily based on actual deficits in memory function. NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ True. Memory complaints are often prominent in people who are depressed, even though their memory skills are good. A perception of memory function may not be an accurate indicator of actual memory. Mood is closely associated with emotions but differs from them. Which of the following is descriptive of mood? A. Attuned more to environmental influences B. More pervasive, less intense and longer lasting C. Closely accompanied by nonverbal behaviours D. Expressed as a feeling in a certain circumstance B. A person's mood is more persistent than an emotion, is less intense and lasts longer than an emotion, which is expressed as a feeling. Which statement best describes a delusion? A. Misperceptions of an external stimulus B. Sensory experiences that have no basis in an external stimulus. C. Fixed false beliefs that have little or no basis in reality D. Misperceptions of an external stimulus C. The three types of loss of contact with reality are defined as follows: (1) delusions are fixed false beliefs that have little or no basis in reality; (2) hallucinations are sensory experiences that have no basis in an external stimulus; and (3) illusions are misperceptions of an external stimulus. Which condition is the most common cause of persistent pain in the older adult population? NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ A. Fibromyalgia B. Arthritis C. Polyneuropathy D. Hip fracture B. Arthritis, the most common cause of persistent pain in the older adult population, currently affects about 50% of older adults. It affects more older women than men. Which is one of the most common barriers to pain management with the older adult population? A. Older adults frequently complain of pain. B. An attitude that pain is a normal part of aging C. Absence of assessment tools D. Sensory impairment of the older adult B. There are many barriers to the appropriate recognition and management of pain. These obstacles exist at the level of the health care system from health care providers themselves to patients and family members. A common misconception in the older adult population is that pain is a normal part of aging and cannot be treated effectively. Assessment of pain does not involve which of the following? A. Asking the patient about his or her experience with pain B. Believing the patient's description of the pain he or she is describing C. Assuming that patients who are sleeping are not in pain D. Communicating the pain assessment findings to the health care team NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ C. Aggressive evaluation and treatment of chronic conditions D. Interventions appropriate for a person who is dying B. Management of distressing symptoms Which of the following factors does not contribute to the invisibility of elder abuse? A. Older adults have less contact with the community. B. Older adults are reticent to admit being abused. C. Myths foster denial of problems of vulnerability. D. Most older adults live in long-term care settings. D. A very small portion of the older adult population lives in long-term care settings. One of the major risk factors for elder abuse is its invisibility. What is the definition of exploitation as a form of abuse? A. Intentional or unintentional refusal or failure to provide goods or services B. Illegal taking, misuse or concealment of funds, property or assets C. Infliction of mental pain, distress or anguish through verbal or nonverbal acts D. Deprivation of a basic need or inflicting physical injury B. Illegal taking, misuse or concealment of funds, property or assets In what way does assessment of elder abuse differ from usual nursing? A. A major focus is to determine whether legal interventions are necessary. B. Realistic goals for the abuse situations are often unlimited. C. Abused elders often seek assistance from health care team. D. The nurse is viewed as a trusted source of assistance. A. A major focus is to determine whether legal interventions are appropriate or necessary. Realistic goals for elder abuse situations often are quite limited. Cases of elder abuse generally involve some element of resistance from the older person or caregiver. The nurse may be viewed as a threat rather than a help. Legal rights of the person and the caregiver must be addressed. NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ What is the most immediate nursing consideration in determining whether legal intervention is necessary in an abusive situation? A. Need for assistance B. Cause of the abuse C. Threats to life D. Timing of the abuse C. The most immediate nursing consideration in determining whether legal interventions are necessary is the assessment of threats to life. Which of the following is not a nursing intervention to reduce caregiver stress, and thus the potential for abuse? A. Suggesting Alcoholics Anonymous for alcoholic caregivers B. Referring caregivers for individual counseling to learn coping skills C. Providing in-home or day care programs for respite care D. Proposing admission to a long-term care facility D. Nursing interventions to reduce caregiver stress, and thus the potential for abuse, include suggesting Alcoholics Anonymous for alcoholic caregivers, referring caregivers for individual counseling to learn coping skills, and providing in-home or day care for respite. Which statement is true related to mandatory reporting laws? A. Mandatory reporting laws do not require reporters to know whether abuse has occurred. B. Mandatory reporting laws do not provide immunity for mandatory reporters. C. Nurses can delegate the role of reporting abuse. D. Nurses do not have to report suspected cases of abuse. A. Mandatory reporting laws do not require reporters to know whether abuse or neglect has occurred, but merely to report it if they suspect its occurrence. The responsibility for problem verification rests with the public agency charged with law implementation, not with the reporter or referral source. Older adults have expressed a desire to die in the hospital rather than at home or a nursing home. T or F? False. More than 80% of older adults have expressed a desire to die at home with their loved ones and avoid hospitalization as their preferences at the end of life. Frequently their wishes are not followed. NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ Hospice care can be provided in the home, freestanding inpatient care centres, nursing homes, or the hospital. T or F? True. Hospice services are provided in home or facility-based settings or in freestanding, short-term residential facilities. Including family members in their loved ones' dying process ultimately has a positive impact on the experience. T or F? True. Beneficial aspects of end-of-life care are nursing interventions that include families as well as the patient, as nurses assist patients and families with end-of-life tasks and teach families about the signs of imminent death and management of the dying process. What is the most prevalent risk factor for impaired hearing? exposure to noise which statement about tinnitus is true? people with tinnitus should be evaluated for associated pathological conditions what do studies of the psychosocial consequences of hearing impairment demonstrate? hearing loss is less likely to have detrimental effects for people who have few social relationships which is not a contraindication for clearing the impacted ear canal of cerumen? chronic disease of the respiratory system which statement about age-related changes that affect vision is true? age related changes affect all the structures involved in visual function what is presbyopia? the loss of accommodation NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ the maximum level of respiratory function in middle and later adulthood is significantly influenced by the maximum level reached during the fifth decade of life false which is the most common reason for older adults to be more susceptible to tuberculosis then their younger counterparts? reactivation of dormant tuberculosis older adults are most likely to enter an emergence department with which of the following symptoms of pneumonia? altered mental status which statement related to the influenza vaccine and the older adult population is true? hospitalization admission rates for respiratory infection are decreased for those who receive the vaccination. exercise programs to increase strength and endurance in the older adult population may help delay the onset of the age-related functional consequences of decreased strength and endurance true which statement about osteoporosis is true osteoporosis can cause serious negative functional consequences even in the absence of additional risk factors which statement related to risk factors for falls and the older adult is true? the risk of falling increases in proportion to the number of risk factors which statement related to musculoskeletal function and the older adult population is true? diminished muscle strength is attributed primarily to age-related loss of muscle mass which statement related to adequate calcium supplementation and the older adult is true? NURS 6011 NURSING THEORY QUESTIONS WITH COMPLETE SOLUTIONS ANSWERD CORRECTLY 2023 A+ calcium supplementation lowers the rate of fractures in older adults which is a normal age-related change in the integument? dermal thickness diminishes which type of medication is most often associated with a photo sensitivity reaction? sulfonamides what is the best area to assess for skin turgor in an older adult? sternum which nursing intervention acts to promote good skin circulation and prevents pressure ulcers? application of moisturizing agents at frequent intervals