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
The charge nurse in a long-term care facility discusses ageism with new nurse employees. Nurses are asked to intervene if they observe which of these examples demonstrating ageism?
Correct Answer: C
Rationale: Ageism involves stereotyping older adults based on characteristics not universal to their age group. Stating that older adults should not pursue romantic relationships after age 70 is an example of ageism, as it dismisses their capacity for relationships. The other options promote positive self-image, resilience, or acknowledge emotional needs.
Question 2 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 3 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 4 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 5 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.