Chapter 05 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

Chapter 05 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

When assessing the integumentary system of an older adult, which of the following observed changes would the nurse consider abnormal?

1. Edema
2. Pale, cool skin
3. Loss of hair
4. Thick toenails

Correct Answer: 1

Rationale 1: Correct. Edema is not considered a normal sign of aging of the integumentary system.

Rationale 2: Pale, cool skin is an expected sign of aging due to thinning of the layers of the skin.

Rationale 3: Loss of hair is an expected sign of aging due to hair follicles becoming inactive.

Rationale 4: Thickening of toenails is an expected sign of aging.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts:

Learning Outcome: Describe the normal changes of aging in the integumentary system.

 

Question 2

Type: MCMA

The nurse manager is discussing the rationale for the susceptibility of the older adult client to skin breakdown with a group of nursing assistants. What reasons should the nurse manager include in the teaching?

Standard Text: Select all that apply.

1. Increase in nerve endings
2. Thinning of layers of skin
3. Increased pain perception
4. Decrease in blood flow
5. Decrease in melanocytes

Correct Answer: 2,4

Rationale 1: Shortening, not increase, of nerve endings occurs with normal aging.

Rationale 2: Correct. Thinning of layers of skin makes the client more susceptible to the development of pressure ulcers because there is less padding at bony prominences.

Rationale 3: Because of the shortening of nerve endings, the older adult client is less, not more, sensitive to pain caused by pressure.

Rationale 4: Correct. Decrease in blood flow occurs.

Rationale 5: Decrease in melanocytes affects coloration of skin, not susceptibility to damage.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts:

Learning Outcome: Describe the normal changes of aging in the integumentary system.

 

Question 3

Type: Matching

Match the expected skin change found in an older adult client identified in the left column below with the correct description of the expected skin change found in the right column.

1. Xerosis
2. Seborrheic keratosis
3. Senile lentigo
4. Actinic keratosis
5. Senile purpura

_____	1. Concentrated areas of melanocytes commonly found on the backs of the hands and on the face, arms, and legs
_____	2. Small, flat, scaly, red, yellow, or brown patch associated with years of sun exposure
_____	3. Dry and scaly skin
_____	4. Slightly elevated brown, gray, or yellow lesion
_____	5. A rashlike collection of bruises and petechiae

 

Correct Answer: A–3, B-4, C-1, D-2, E-5

 

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Describe the normal changes of aging in the integumentary system.

 

Question 4

Type: MCSA

To promote daily skin care for the older adult, the nurse would include which of the following suggestions in the teaching?

1. Daily bathing
2. Use of a sunscreen with at least 8 SPF (sun protection factor)
3. Limiting daily sun exposure from 10 AM to 3 PM only
4. Routine moisturizing of the skin

Correct Answer: 4

Rationale 1: Older adult skin tends to be drier, and daily bathing would dry it further. Bathing 2 to 3 times per week is recommended.

Rationale 2: It is recommended that the older adult use a sunscreen with at least 30 SPF.

Rationale 3: The time from 10 AM to 3 PM is the time of day when the sun’s ultraviolet rays are the most dangerous; it is the time the older adult needs to avoid the sun.

Rationale 4: Correct. An older adult’s skin tends to be drier, and regular moisturizing helps alleviate dryness.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Discuss methods of health promotion for the integumentary system.