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The Final Countdown! PNR108 Final Exam Review Flashcards | StudBud
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The Final Countdown! PNR108 Final Exam Review
The Final Countdown! PNR108 Final Exam Review
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1
Which nursing interventions for insomnia are best for older adults? Select all that apply.
Providing an alcoholic drink at bedtime
Asking the provider to prescribe a sleeping pill
Encouraging them not to take long daytime naps
Encouraging exercise during the day
2
Which patient is the best example of the immunologic theory of aging?
A woman who is declining because of frequent illnesses
An older man who is losing mobility in his joints
A woman who is aging well because she stays active mentally and physically
A man who takes vitamin supplements to stop free radical damage
3
Which of these foods are high in nutrients that promote wound healing? Select all that apply.
Cantaloupe and oranges
Eggs, milk and yogurt
Chicken and fish
Sweet potatoes
4
An older patient tells the nurse he has been having erectile dysfunction. What is the nurse's best response?
"Are you taking any new medications?"
"There are a lot of good herbal supplements on the market for that."
"That happens to all older men."
"Don't worry, it's common and expected with age."
5
Slurred speech, facial drooping, and weakness on one side of the body are signs of which emergency medical condition?
Multiple sclerosis
Heart failure
Stroke
Parkinson's disease
6
The Mini-Cog exam is a routine screening test for all women starting at age 65.
True
False
7
Cholinesterase inhibitors like donepezil (Aricept) can reverse the effects of Alzheimer's disease.
True
False
8
The nurse is monitoring a patient with chronic respiratory disease during exercise. What does the nurse expect to see?
The patient loses their balance
The patient gets fatigued easily
The patient's arms and legs shake
The patient passes out
9
Which of the following behaviors by an older patient's caregiver would be
most
concerning to the nurse?
The caregiver often gets irritated and shouts at the patient
The caregiver orders takeout food for the patient
The caregiver borrowed $20 from the patient to buy gas
The caregiver walks with the patient for 30 minutes a day
10
When a patient takes more medications than are medically necessary, it is called:
Drug excretion
Hemiparesis
Polypharmacy
Palliative care
11
In the depression stage of Kubler-Ross's Five Stages of Grief, a patient might say which of the following?
"I feel so hopeless, like I'll never get over this."
"I refuse to believe this is happening to me."
"I'll do anything if I can just have my wife back."
"I'm ready to face this loss and move on with my life."
12
Dyspnea means:
Difficulty swallowing
Positional hypotension
Difficulty breathing
Lack of fluency with language
13
The nurse knows that the following older adults are at risk of inadequate health maintenance. Select all that apply.
A woman who takes her blood pressure medication every day
An older man who has been diagnosed with dementia
An older woman who has lost her husband of 40 years
A man who goes for daily walks with friends
14
A decline in an older patient's peripheral nerve function can cause:
Changes in taste and smell
More frequent falls
Loss of hearing
Hyperthermia
15
Ranitidine (Zantac) is a medication associated with gastrointestinal bleeding, nausea and vomiting.
False
True
16
The term "orthopnea" means:
Temporary cessation of breathing
Shortness of breath when lying flat
Dizziness when standing up too fast
Shortness of breath when walking
17
Which health practices can increase the risk of osteoporosis in older women? Select all that apply.
Taking calcium supplements
Lifting weights
Leading a sedentary life
Giving up cigarettes and alcohol
18
Which of the following medical terms means "weakness on one side of the body"?
Orthopnea
Ischemia
Xerosis
Hemiparesis
19
Which of the following practices promote health in older adults? Select all that apply.
Getting annual eye exams
Eating a balanced diet rich in fruits and vegetables
Getting annual physical exams
Smoking 2-3 cigarettes per day
20
What is the BEST approach to exercise for older adults who have been sedentary?
Jumping rope three times a week
Walking 30 minutes, 7 days a week
Doing an activity they enjoy for a short time each day
Nothing — it's too late to start exercising
21
The activity theory of aging states that free radical activity in the cells causes aging to take place.
False
True
22
Which of the following statements indicates that an older adult understands Internet safety? Select all that apply
"I keep my social media accounts on a private setting."
"I shared my bank account password with my daughter."
"I change my email password every few months."
"I never open attachments in emails from strangers."
23
Lorazepam and other benzodiazepines are associated with an increased risk of falls in older adults.
True
False
24
The wife of a dying patient tells the nurse that her husband looks like he's in pain. How should the nurse respond?
Remind the wife that her husband got pain medication an hour ago
Educate the wife that only nurses can evaluate pain
Perform a pain assessment and address the pain
Suggest that the wife go out for some fresh air
25
An older patient asks the nurse if pelvic pain is a normal part of aging. What is the nurse's best response?
"All postmenopausal women experience pelvic pain."
"Pelvic pain is not an expected change; we need to look into it."
"Pain is common at your stage in life."
"Hormone replacement therapy will take care of that for you."
26
Which of the following interventions can help older adults avoid adverse drug reactions? Select all that apply
Having the provider stop any unused medications
Documenting the patient's drug allergies
Asking the patient about any over-the-counter drugs they take
Teaching the patient how to safely dispose of medications
27
The goal of palliative care is to cure illness and extend life as long as possible.
False
True
28
It is normal for older adults to respond more slowly to sexual stimuli.
True
False
29
The nurse should watch for signs of suicidal ideation in which of the following older adults? Select all that apply.
An elderly woman diagnosed with lung cancer
An older patient living with intense chronic back pain
A patient with an acute skin infection
A man taking medication for a cold
30
Which of the following nursing interventions can help patients with osteoarthritis avoid falls? Select all that apply.
Spending more time in bed
Exercises to improve range of motion
Taking calcium supplements
Removing scatter rugs and clutter from their home
31
All of these nursing interventions can help prevent hypothermia EXCEPT:
Making sure the patient is eating and drinking enough
Teaching the patient that older people don't sweat as much when it's hot
Having the patient exercise indoors when it's cold
Encouraging the patient to dress in layers of clothing
32
What is the best way to greet an older person when you are meeting them for the first time?
"Hey there, sweetie! I'll be helping you out today!"
"Hi, is it okay if I call you Grandma?"
"Hello Mrs. Jackson, I'll be your nurse today."
"Hi Dorothy! I'm your nurse."
33
Which of the following adults is at risk of deficient diversional activity (lack of recreation)? Select all that apply
An older adult with a lot of hobbies
An older adult with chronic confusion
An older adult who has a busy activity calendar
An older adult who can't move around very easily
34
What would a nurse expect to see in a patient who is in the Acceptance stage of grief?
Isolation from friends and family
Frequent episodes of crying
Refusal to admit that their loved one died
Renewed interest in life and a positive view of the future
35
What is the best time for older adults to exercise outdoors in the summer?
Between 10am and 2pm
Whenever they can work up the motivation
After 8pm
Early in the morning or in the evening
36
When talking to a patient with aphasia, the nurse should speak in simple messages and address the patient as an adult.
False
True
37
Liquid stool, appetite loss and a distended abdomen are signs of:
Diverticulosis
Chronic diarrhea
Stomach ulcer
Fecal impaction
38
Which of the following complementary therapies would be most effective for a patient with spiritual disconnection?
Self-hypnosis
Geriatric massage
Praying and reading sacred verses
Reiki
39
In Maslow's Hierarchy of the Dying Process, listening to a dying patient meets their need for self-actualization.
False
True
40
In the Hindu religion, the body is placed in a specific position before being taken away for a ritual burial.
True
False
41
Older adults have a higher risk of anemia because they have a decreased number of macrophages in their blood.
False
True
42
Women age 65+ should have routine screening for breast cancer, cervical cancer, colon cancer, and osteoporosis.
False
True
43
What kind of behavior would the nurse expect from an older patient who values frugality?
They like to have a structured environment
They do not waste money, food or other resources
They give all their belongings away to others
They are loyal to their friends and family
44
Which type of advance directive gives someone else the power to make medical decisions for you?
Living Will
POLST
Durable Power of Attorney
5 Wishes
45
An older patient tells the nurse, "My doctor says I have xerosis. What does that mean?" How should the nurse respond?
"You have chronic dry mouth."
"You have dry, itchy skin."
"You have bad breath."
"You have a form of skin cancer."
46
Which theory of aging states that aging is caused by harmful genes that activate over time?
Gene theory
Free radical theory
Neuroendocrine theory
Wear and tear theory