Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations

Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold

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Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A 70-year-old male patient has been newly diagnosed with hypertension. What would be the most effective health practice to reduce sodium intake?
a. Avoid all salty foods.
b. Discontinue eating at restaurants.
c. Read food labels on food containers carefully.
d. Limit the amount of salt added to food.

 

 

ANS:  C

Reading labels will prevent the purchase of sodium-laden foods. Sodium-restricted foods are available on most menus. Simply avoiding salty foods does not guarantee less sodium because there are many foods containing sodium that are not salty. Adding salt should be absolutely restricted, not diminished.

 

DIF:    Cognitive Level: Analysis                REF:   p. 74               OBJ:   1

TOP:   Sodium Restriction                          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. An older adult states that her physician ordered her to drink a glass of wine daily. The nurse understands that alcohol is occasionally recommended for which of the following reasons?
a. Memory enchancer
b. Appetite stimulant
c. Diuretic
d. Food source

 

 

ANS:  B

Alcohol is occasionally prescribed as an appetite stimulant in certain situations.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 75               OBJ:   7

TOP:   Alcohol Abuse                                KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. When the 70-year-old female patient says, “Keeping up with when to take the flu vaccine is a big hassle. I’m not going to add trying to keep up with a pneumonia vaccine as well. It’s too expensive.” Which response by the nurse would be the most helpful?
a. “Both vaccines can be taken at the same time every fall.”
b. “The pneumonia vaccine needs to be repeated every 10 years.”
c. “It is important to begin getting annual pneumonia shots at 80 years of age.”
d. “The flu vaccine must be taken every three years to remain effective.”

 

 

ANS:  B

The pneumonia vaccine is given to individuals usually between the ages of 65 and 70 years and is repeated every 10 years. The flu vaccine must be received every year in the fall, because the strain of the virus changes frequently.

 

DIF:    Cognitive Level: Application           REF:   p. 75               OBJ:   9

TOP:   Pneumonia Vaccine                         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. How often should a 75-year-old have a visual screening?
a. Every 6 months
b. Every 12 months
c. Every 2 years
d. On an as needed basis

 

 

ANS:  B

Annual examinations for vision to check for glaucoma are recommended.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 75               OBJ:   1

TOP:   Visual and Hearing Evaluations       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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