Chapter 16 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

Chapter 16 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

An older adult client with intellectual disabilities (ID) is staying in a supervised apartment setting. The client’s IQ has been measured at 60. At this IQ level, the nurse would classify this client as which of the following severity levels of ID?

1. Mild
2. Moderate
3. Severe
4. Profound

Correct Answer: 1

Rationale 1: Correct. The IQ range for mild ID is 50–55 to 70, and the client’s score of 60 falls within this range.

Rationale 2: The IQ range for moderate ID is actually 35–40 to 50–55. The client’s score of 60 falls under mild ID.

Rationale 3: The IQ range for severe ID is actually 20–25 to 35–40. The client’s score of 60 falls under mild ID.

Rationale 4: The IQ range for profound ID is actually below 20–25. The client’s score of 60 falls under mild ID.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Discuss terms related to intellectual and developmental disabilities (I/DD).

 

Question 2

Type: MCSA

An older adult client with intellectual disabilities (ID) with an IQ of 45 stays in a group home on the grounds of a facility for the intellectually and developmentally disabled. The nurse who makes periodic supervisory visits to the group home would expect what abilities from this client?

1. Performance of simple tasks with supervision
2. Performance of basic self-care skills
3. Performance of semi-skilled labor with supervision
4. Independent performance in the community

Correct Answer: 3

Rationale 1: Supervised simple tasks are an expected ability of a client who has profound ID with an IQ below 20– 25.

Rationale 2: Basic self-care is an expected ability of a client who has severe ID with an IQ 20–25 to 35–40.

Rationale 3: Correct. Supervised semi-skilled labor is an expected behavior of the client with an IQ of 45.

Rationale 4: Independent performance in the community is an expected behavior of a client with an IQ of 50–55 to 70.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Discuss terms related to intellectual and developmental disabilities (I/DD).

 

Question 3

Type: MCSA

The majority of adults with intellectual and developmental disabilities (I/DD) reside in what setting?

1. Group homes
2. Institutions
3. Skilled nursing facilities
4. Family homes

Correct Answer: 4

Rationale 1: Although many adults with I/DD resided in group homes in the 1970s and 1980s, now the majority reside with their families.

Rationale 2: Although many adults with I/DD resided in institutions in the 1930s to the 1960s, now the majority reside with their families.

Rationale 3: Although many adults with I/DD resided in skilled nursing facilities in the 1970s and 1980s, now the majority reside with their families.

Rationale 4: Correct. Most people now with I/DD reside with their families at least through childhood.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Discuss the extent of I/DD among older adults.

 

Question 4

Type: MCSA

A family member of an older adult with I/DD asks a nurse where in town she could find resources to help her mother. What information should be included in the nurse’s response?

1. “The local area agency on aging should have a list of resources available in this community.”
2. “The yellow pages probably have a list of agencies that you could call to find resources.”
3. “I think you could probably get on the internet and find local resources.”
4. “The library should have a list of available resources for you.”

Correct Answer: 1

Rationale 1: Correct. The local area agency on aging would be the best place to find area resources for older adults with I/DD.

Rationale 2: Looking through the yellow pages could be time consuming and tedious for the family member. The local area agency on aging would be the best place to go.

Rationale 3: Looking on the internet could be time consuming and tedious for the family member. The local area agency on aging would be the best place to go.

Rationale 4: Although the library may have some resources, the local area agency on aging would be the best place to go.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: List the resources available to older adults with I/DD.