ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 24 Questions
Question 1 of 5
A nursing student caring for older adults in a skilled nursing facility is completing an assignment identifying physical changes that are part of normal aging. What changes will the student include in this assignment? Select all that apply.
Correct Answer: A,B,F
Rationale: Physical changes occurring with aging include redistribution of fatty tissue, drier skin with wrinkles, and diminished visual and hearing acuity. Cardiac output decreases, muscle mass decreases (sarcopenia), and hormone production decreases, causing menopause or andropause.
Question 2 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 3 of 5
The nurse in a long-term care facility states in report that an older adult resident is quite frail. The oncoming caregiver prioritizes prevention of what problem?
Correct Answer: B
Rationale: Frailty in older adults increases the risk of falls due to reduced strength, balance, and mobility. Preventing falls is a priority to avoid injuries such as fractures. Confusion, delirium, and dementia are important but are not as directly linked to frailty as falls.
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
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.