Chapter 07: Socioeconomic and Environmental Influences

Chapter 07: Socioeconomic and Environmental Influences

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

 

MULTIPLE CHOICE

 

1. Before becoming an effective advocate for the older adult patient, the nurse must:

a.	be familiar with the physical and mental effects of aging.
b.	gain insight into the patient’s world by talking with and listening to him or her.
c.	learn the details of the patient’s medical and social histories.
d.	be a member of the patient’s formal support system.

 

 

ANS:  B

By listening to and consulting with older adults, the nurse develops an understanding of the values and perceptions that guide older adults’ thoughts and feelings about life. The nurse forms partnerships with older adults to defend and promote their rights. The other options are nice to know but not required to be an advocate.

 

DIF:    Understanding (Comprehension)      REF:   Page 121        OBJ:   7-5

TOP:   Nursing Process: Nursing Assessment

MSC:  Safe Effective Care Environment

 

2. To best respect an older patient’s autonomy when assisting him in finding appropriate, affordable housing, the nurse:

a.	provides examples of various options that include assistive services.
b.	locates housing near a senior citizen community center to minimize social isolation.
c.	identifies housing close to the services he will need.
d.	asks the patient to provide examples of where he would like to live.

 

 

ANS:  D

Whatever the housing status of the older person, it must be remembered that each person has a right to determine where to live unless he or she is proven incompetent. The other options do not help the patient maintain autonomy.

 

DIF:    Applying (Application)                    REF:   N/A                OBJ:   7-5

TOP:   Nursing Process: Assessment           MSC:  Safe Effective Care Environment

 

3. A nurse working with older adults recognizes that the patient at greatest risk for homelessness is the:

a.	female with a psychiatric diagnosis.
b.	male with a chronic illness.
c.	female with a history of social isolation.
d.	male with an alcohol abuse issue.

 

 

ANS:  A

Women are increasing in numbers among the homeless older adult communities. Approximately 30% of homeless older adults have mental illness or dementia.

 

DIF:    Remembering (Knowledge)             REF:   Page 131        OBJ:   7-1

TOP:   Nursing Process: Assessment           MSC:  Safe Effective Care Environment

 

4. A nurse volunteers at a facility that provides free lunches for older adults. To minimize the tendency of these patients to withdraw socially, the nurse:

a.	frequently reinforces that everyone is welcome to have lunch with the group.
b.	makes every effort to engage them in conversation during the meal.
c.	encourages them to make friends with the other patients.
d.	asks if they would assist those who need help with getting their food.

 

 

ANS:  D

Older adults tend to feel an obligation to return favors. If someone does something for them, such as helping them to get their food, they want to be able to reciprocate. If they are financially unable to do this, they might withdraw so as not to be put in an embarrassing position.

 

DIF:    Applying (Application)                    REF:   N/A                OBJ:   7-3

TOP:   Nursing Process: Implementation     MSC:  Psychosocial Integrity