ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 24 : Middle and Older Adulthood Questions
Question 1 of 5
A nurse is caring for older adults in a senior adult day services (ADS) center. Which findings require follow up with the health care provider?
Correct Answer: B
Rationale: A bluish tint to the nail beds may indicate hypoxemia, which requires follow-up with a health care provider. Skin pigmentation from sun exposure, using a walker for a hip fracture, and bruising due to fragile blood vessels are common in aging and typically do not require immediate follow-up unless severe or accompanied by other symptoms.
Question 2 of 5
A nursing instructor teaching a gerontology class to nursing students discusses myths related to the aging of adults. Which statement will the students identify as a myth about older adults?
Correct Answer: C
Rationale: The myth that aging results in mental deterioration is incorrect, as intelligence does not normally decrease with aging, though response time may be slower. Most older adults do live in their own homes, healthy older adults enjoy sexual activity, and older adults often want to be attractive to others.
Question 3 of 5
A nurse is helping to prepare a calendar for an older adult patient with cognitive impairment. Which type of cognitive impairment is non-reversible?
Correct Answer: C
Rationale: Alzheimer's disease causes progressive, irreversible cognitive impairment and is the most common degenerative neurologic illness. Post-stroke speech issues, malnutrition, and loss of cardiac reserve can often be managed or improved with therapeutic interventions.
Question 4 of 5
A nurse caring for an older adult living in a long-term care facility uses reminiscence to help the patient adapt to the changes of aging. The nurse uses which question to encourage reminiscence?
Correct Answer: A
Rationale: Use of life review or reminiscence encourages reflection on past experiences, helping older adults adapt to life circumstances. Asking about past celebrations, like Christmas, promotes reminiscence, while questions about recent events, future plans, or feelings are less likely to encourage this process.
Question 5 of 5
Following a fall that left an older adult temporarily bedridden, the nurse is using the SPICES assessment tool to evaluate for cascade iatrogenesis. Which are correct aspects of this tool? Select all that apply.
Correct Answer: B,D,F
Rationale: The SPICES acronym identifies common problems in older adults: S-Sleep disorders, P-Problems with eating or feeding, I-Incontinence, C-Confusion, E-Evidence of falls, S-Skin breakdown. Senility is not a specific term used in the SPICES tool, and irritability is not part of the acronym.