NUR 257 Midterm Prep

NUR 257 Midterm Prep

• You have been providing care for an 82-year-old man whose signs and symptoms of

Parkinson disease have become more severe over the past several months. The man tells you that he can no longer do as many things for himself as he used to be able to do. What factor should you recognize as impacting your patient's life most significantly?

• neurologic deficits
• loss of independence
• age-related changes
• tremors and decreased mobility

Answer

b, loss of independence

• An occupational health nurse overhears an employee talking to his manager about a 65-year-

old coworker. What phenomenon would the nurse identify when hearing the employee state, 'he should just retire and make way for some new blood'?

• intolerance
• ageism
• dependence
• nonspecific prejudice

Answer

b, ageism

• you are the nurse caring for an 85-yar-old patient who has been hospitalized for a fractured

radius. The patient's daughter has accompanied the patient to the hospital and asks you what her father can do for his very dry skin, which has become susceptible to cracking and shearing.What would be your best response?

• 'he should likely take showers rather than baths, if possible'
• 'make sure that he applies sunscreen each morning'
• 'dry skin is an age-related change that is largely inevitable'
• 'try to help your father increase his intake of dairy products' 1 / 3

Answer

a, 'he should likely take showers rather than baths, if possible'

• an elderly patient has come in to the clinic for her twice-yearly physical. The patient tells the

nurse that she is generally enjoying good health, but that she has been having occasional episodes of constipation over the past 6 months. What intervention should the nurse first suggest?

• reduce the amount of stress she currently experiences
• increase carbohydrate intake and reduce protein intake
• take herbal laxatives, such as senna, each night at bedtime
• increase daily intake of water

Answer

d, increase daily intake of water

• a nurse is caring for an 86-year-old female who has become increasingly frail and unsteady

on her feet. During the assessment, the patient indicates that she has fallen three times in the month, though she has not suffered an injury. The nurse should take action in the knowledge that this patient is at a high risk for what health problem?

• a hip fracture
• a femoral fracture
• pelvic dysplasia
• tearing of a meniscus or bursa

Answer

a, a hip fracture

• a nurse will conduct an influenza vaccination campaign at an extended care facility.

The nurse will be administering IM doses of the vaccine. Of what age-related change should the nurse be aware when planning the appropriate administration of this drug?

• an older patient has less subcutaneous tissue and less muscle mass than a younger patient. 2 / 3

• an older patient has more subcutaneous tissue and less durable skin than a younger patient.
• an older patient has more superficial and tortuous nerve distribution than a younger patient.
• an older patient has a higher risk of bleeding after an IM injection than a younger patient.

Answer

a, an older patient has less subcutaneous tissue and less muscle mass than a younger patient

• an elderly patient, while being seen in an urgent care facility for a possible respiratory

infection, asks the nurse if Medicare is going to cover the cost of the visit. What information can the nurse give the patient to help allay her concerns?

• medicare has a copayment for many of the services it covers. This requires the patient to pay

a part of the bill.

• medicare pays for 100% of the cost for acute-care services, so the cost of the visit will be

covered.

• medicare will only pay the cost for acute-care services if the patient has a very low income.
• medicare will not pay for the cost of acute-care services so the patient will be billed for the

services provided.

Answer

a, medicare has a copayment for many of the services it covers. this requires the patient to pay a part of the bill

• the admissions department at a local hospital is registering an elderly man for an outpatient

diagnostic test. The admissions nurse asks the man if he has an advanced directive. The man responds that he does not want to complete an advance directive because he does not want anyone controlling his finances. What would be appropriate information for the nurse to share with this patient?

• 'advance directives are not legal documents, so you have nothing to worry about'

• 'advance directives are limited only to health care instructions and directives'
• 'your finances cannot be managed without an advance directive'
• 'advance directives are implanted when you become incapacitated, and then you will use a

living will to allow the state to manage your money'

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