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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
In Maslow's Hierarchy of the Dying Process, listening to a dying patient meets their need for self-actualization.
True
False
2
An older patient asks the nurse if pelvic pain is a normal part of aging. What is the nurse's best response?
"Pelvic pain is not an expected change; we need to look into it."
"Pain is common at your stage in life."
"All postmenopausal women experience pelvic pain."
"Hormone replacement therapy will take care of that for you."
3
What kind of behavior would the nurse expect from an older patient who values frugality?
They are loyal to their friends and family
They do not waste money, food or other resources
They give all their belongings away to others
They like to have a structured environment
4
An older patient tells the nurse, "My doctor says I have xerosis. What does that mean?" How should the nurse respond?
"You have a form of skin cancer."
"You have chronic dry mouth."
"You have dry, itchy skin."
"You have bad breath."
5
An older patient tells the nurse he has been having erectile dysfunction. What is the nurse's best response?
"That happens to all older men."
"There are a lot of good herbal supplements on the market for that."
"Are you taking any new medications?"
"Don't worry, it's common and expected with age."
6
Cholinesterase inhibitors like donepezil (Aricept) can reverse the effects of Alzheimer's disease.
True
False
7
Which of the following practices promote health in older adults? Select all that apply.
Eating a balanced diet rich in fruits and vegetables
Getting annual physical exams
Getting annual eye exams
Smoking 2-3 cigarettes per day
8
Which patient is the best example of the immunologic theory of aging?
A man who takes vitamin supplements to stop free radical damage
A woman who is aging well because she stays active mentally and physically
An older man who is losing mobility in his joints
A woman who is declining because of frequent illnesses
9
Which nursing interventions for insomnia are best for older adults? Select all that apply.
Asking the provider to prescribe a sleeping pill
Encouraging them not to take long daytime naps
Encouraging exercise during the day
Providing an alcoholic drink at bedtime
10
In the Hindu religion, the body is placed in a specific position before being taken away for a ritual burial.
True
False
11
A decline in an older patient's peripheral nerve function can cause:
More frequent falls
Loss of hearing
Hyperthermia
Changes in taste and smell
12
Which health practices can increase the risk of osteoporosis in older women? Select all that apply.
Lifting weights
Leading a sedentary life
Taking calcium supplements
Giving up cigarettes and alcohol
13
Women age 65+ should have routine screening for breast cancer, cervical cancer, colon cancer, and osteoporosis.
False
True
14
Older adults have a higher risk of anemia because they have a decreased number of macrophages in their blood.
True
False
15
Which of the following behaviors by an older patient's caregiver would be
most
concerning to the nurse?
The caregiver borrowed $20 from the patient to buy gas
The caregiver often gets irritated and shouts at the patient
The caregiver walks with the patient for 30 minutes a day
The caregiver orders takeout food for the patient
16
Which type of advance directive gives someone else the power to make medical decisions for you?
Durable Power of Attorney
Living Will
5 Wishes
POLST
17
The activity theory of aging states that free radical activity in the cells causes aging to take place.
False
True
18
The nurse is monitoring a patient with chronic respiratory disease during exercise. What does the nurse expect to see?
The patient's arms and legs shake
The patient passes out
The patient loses their balance
The patient gets fatigued easily
19
What is the best way to greet an older person when you are meeting them for the first time?
"Hi Dorothy! I'm your nurse."
"Hi, is it okay if I call you Grandma?"
"Hey there, sweetie! I'll be helping you out today!"
"Hello Mrs. Jackson, I'll be your nurse today."
20
Which of the following statements indicates that an older adult understands Internet safety? Select all that apply
"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."
"I keep my social media accounts on a private setting."
21
The goal of palliative care is to cure illness and extend life as long as possible.
True
False
22
The wife of a dying patient tells the nurse that her husband looks like he's in pain. How should the nurse respond?
Suggest that the wife go out for some fresh air
Perform a pain assessment and address the pain
Remind the wife that her husband got pain medication an hour ago
Educate the wife that only nurses can evaluate pain
23
The Mini-Cog exam is a routine screening test for all women starting at age 65.
False
True
24
Which of the following interventions can help older adults avoid adverse drug reactions? Select all that apply
Having the provider stop any unused medications
Teaching the patient how to safely dispose of medications
Documenting the patient's drug allergies
Asking the patient about any over-the-counter drugs they take
25
Which of the following medical terms means "weakness on one side of the body"?
Ischemia
Xerosis
Hemiparesis
Orthopnea
26
The term "orthopnea" means:
Dizziness when standing up too fast
Temporary cessation of breathing
Shortness of breath when lying flat
Shortness of breath when walking
27
Which of the following nursing interventions can help patients with osteoarthritis avoid falls? Select all that apply.
Removing scatter rugs and clutter from their home
Taking calcium supplements
Spending more time in bed
Exercises to improve range of motion
28
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 who can't move around very easily
An older adult who has a busy activity calendar
An older adult with chronic confusion
29
What would a nurse expect to see in a patient who is in the Acceptance stage of grief?
Renewed interest in life and a positive view of the future
Isolation from friends and family
Frequent episodes of crying
Refusal to admit that their loved one died
30
Which theory of aging states that aging is caused by harmful genes that activate over time?
Wear and tear theory
Gene theory
Neuroendocrine theory
Free radical theory
31
Which of the following complementary therapies would be most effective for a patient with spiritual disconnection?
Self-hypnosis
Praying and reading sacred verses
Geriatric massage
Reiki
32
Slurred speech, facial drooping, and weakness on one side of the body are signs of which emergency medical condition?
Stroke
Multiple sclerosis
Parkinson's disease
Heart failure
33
Which of these foods are high in nutrients that promote wound healing? Select all that apply.
Chicken and fish
Cantaloupe and oranges
Sweet potatoes
Eggs, milk and yogurt
34
Ranitidine (Zantac) is a medication associated with gastrointestinal bleeding, nausea and vomiting.
True
False
35
When a patient takes more medications than are medically necessary, it is called:
Drug excretion
Palliative care
Polypharmacy
Hemiparesis
36
What is the BEST approach to exercise for older adults who have been sedentary?
Nothing — it's too late to start exercising
Jumping rope three times a week
Walking 30 minutes, 7 days a week
Doing an activity they enjoy for a short time each day
37
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'll do anything if I can just have my wife back."
"I refuse to believe this is happening to me."
"I'm ready to face this loss and move on with my life."
38
All of these nursing interventions can help prevent hypothermia EXCEPT:
Teaching the patient that older people don't sweat as much when it's hot
Making sure the patient is eating and drinking enough
Having the patient exercise indoors when it's cold
Encouraging the patient to dress in layers of clothing
39
What is the best time for older adults to exercise outdoors in the summer?
Between 10am and 2pm
After 8pm
Early in the morning or in the evening
Whenever they can work up the motivation
40
Dyspnea means:
Positional hypotension
Difficulty breathing
Lack of fluency with language
Difficulty swallowing
41
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
A patient with an acute skin infection
An older patient living with intense chronic back pain
A man taking medication for a cold
42
The nurse knows that the following older adults are at risk of inadequate health maintenance. Select all that apply.
An older man who has been diagnosed with dementia
A woman who takes her blood pressure medication every day
A man who goes for daily walks with friends
An older woman who has lost her husband of 40 years
43
Liquid stool, appetite loss and a distended abdomen are signs of:
Diverticulosis
Fecal impaction
Stomach ulcer
Chronic diarrhea
44
Lorazepam and other benzodiazepines are associated with an increased risk of falls in older adults.
True
False
45
It is normal for older adults to respond more slowly to sexual stimuli.
True
False
46
When talking to a patient with aphasia, the nurse should speak in simple messages and address the patient as an adult.
True
False