ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 3 Questions
Question 1 of 5
A nurse is assessing coping in older women in a support group for recent widows. Which statement by a participant indicates strong social network coping?
Correct Answer: A
Rationale: Friendship and support enhance coping. The quality of the relationship is most important. People who have close, intimate, stable relationships with others in whom they confide are more likely to cope with crises.
Question 2 of 5
A home health care nurse is planning an exercise program with an older client who lives at home independently but whose mobility issues prevent much activity outside the home. Which exercise regimen would be most beneficial to this adult?
Correct Answer: A
Rationale: This older adult is mostly homebound. Exercise regimens for homebound clients include activities to increase functional ability for activities of daily living. Strength and flexibility exercises will help the client maintain independent living. The other options are beneficial but do not specifically address the client's functional abilities.
Question 3 of 5
A nurse is caring for an older adult who reports not eating well. What actions by the nurse are most appropriate? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Assessment is the first step of the nursing process and should be completed prior to intervening. Asking about transportation, dentures, and normal food patterns would be part of an appropriate assessment for the client. There is no information in the question about the older adult needing to lose weight, so encouraging them to continue the current exercise plan is premature and may not be appropriate. Teaching about proper nutrition is a good idea, but teaching needs to be tailored to the client's needs, which the nurse does not yet know.
Question 4 of 5
A nurse admits an older client from a home environment where she lives with her adult son and daughter-in-law. The client has urine burns on her skin, no dentures, and several pressure ulcers. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: These findings are suspicious for abuse. Health care providers are mandatory reporters for suspected abuse. The nurse should notify social work, case management, or whomever is designated in policies. This person can then assess the situation further. If the police need to be notified, that is the person who will notify them. Adult Protective Services is notified in a community setting.
Question 5 of 5
A home health care nurse has conducted a home safety assessment for an older adult. There are five concrete steps leading out from the home. Which statement would be most helpful to keeping the older adult safe on the steps?
Correct Answer: B
Rationale: As a person ages, they may experience a decreased sense of touch. The older adult may not be aware of where their foot is on the step. Installing contrasting color strips at the edge of each step will help increase visibility and safety for the older adult.