Chapter 03 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

Chapter 03 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: Matching

Match the definitions of the stages of sleep in the right column with the correct stage of sleep named in the left column.

1. Stage 1, NREM
2. Stage 2, NREM
3. Stage 3, NREM
4. Stage 4, NREM
5. REM sleep

_____	1. Relaxed, light sleep, brain waves slow, no eye movement
_____	2. Vitals signs and metabolism decrease; groggy if awakened
_____	3. Drifting to sleep period; easily aroused
_____	4. Beginning of deeper, more restorative sleep
_____	5. Pronounced muscle relaxation except eyes; very relaxed state.

 

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

 

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts:

Learning Outcome: Discuss the changes in the older adult that affect sleep and rest requirements.

 

Question 2

Type: MCSA

An older adult client complains to the nurse about obtaining inadequate rest at night. The client expresses concern about “…getting on yet another prescribed medication,” and asks the nurse to suggest some alternative methods that would promote rest. Which response by the nurse would indicate accurate, helpful information for this client?

1. “Try to eat your heaviest meal in the evening. This will cause you to feel groggy and get to sleep more easily.”
2. “Keep your room at a nice warm temperature. This will create a warm, cozy environment which will stimulate sleep.”
3. “If you nap during the day, make sure that you don’t sleep more than thirty minutes to an hour or you will probably interfere with your nighttime rest.”
4. “If you drink, try a glass of wine right before bed. This will relax you and help you fall asleep.”

Correct Answer: 3

Rationale 1: Sleep-enhancing therapeutic interventions include avoiding heavy meals 2–3 hours prior to bedtime.

Rationale 2: Sleep-enhancing therapeutic interventions include keeping the room dark, quiet, and cool.

Rationale 3: Limiting daytime sleep to under an hour is a therapeutic intervention to promote sleep.

Rationale 4: Sleep-enhancing therapeutic interventions include avoiding alcohol 2–3 hours prior to bedtime.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts:

Learning Outcome: Discuss the changes in the older adult that affect sleep and rest requirements.

 

Question 3

Type: MCSA

An older adult male client accompanied by his wife is being assessed by a nurse practitioner in a walk-in clinic. The client’s wife reports that the client “…snores very loudly at night, and he stops breathing for almost a minute several times during the night.” With this information, the nurse practitioner suspects that the client is suffering from which of the following disorders affecting sleep?

1. Chronic obstructive sleep apnea
2. Gastroesophageal reflux disease (GERD)
3. Chronic obstructive pulmonary disease (COPD)
4. Decreased REM sleep pattern

Correct Answer: 1

Rationale 1: “The definition of sleep apnea is periodic stoppage of breathing during sleep due to a temporary collapse of structures in the pharynx,”

Rationale 2: GERD has different symptoms that are related to gastrointestinal reflux.

Rationale 3: COPD has different symptoms that are related to congestion in the lungs.

Rationale 4: Decreased REM sleep pattern is an effect, not a cause, of a disorder.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts:

Learning Outcome: Discuss the changes in the older adult that affect sleep and rest requirements.

 

Question 4

Type: MCMA

A home health nurse is assigned a new older adult client. The nurse visits the client to make an initial assessment. This includes assessing the safety of the client’s home environment. Which of the following potential safety hazards would be necessary for the nurse to note?

Standard Text: Select all that apply.

1. Water temperature set at 120°F
2. Use of space heaters in the home
3. Walker sitting next to the bedside
4. Throw rugs that are not tacked down
5. Smoke alarms present in main areas

Correct Answer: 2,4

Rationale 1: 120°F is an advised water temperature.

Rationale 2: Space heater use can be a fire hazard.

Rationale 3: A walker close to the bedside is suggested to prevent fall injuries.

Rationale 4: Unsecured throw rugs can cause falls.

Rationale 5: Use of smoke alarms is strongly advised to prevent fire-related injuries.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: List the main causes of injury and other trauma for the older adult.