Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
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Chapter 08: Health Assessment for Older Adults
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Identifies persons with unmet health needs who may need a referral. |
| b. | Assesses local health needs for the Public Health Department. |
| c. | Collects data that will be used for research. |
| d. | Provides appropriate treatment for identified health needs. |
ANS: A
Screenings are to identify unmet health needs and to refer identified persons to an appropriate resource for assessment and treatment.
DIF: Cognitive Level: Knowledge REF: p. 148 OBJ: 1
TOP: Screening vs. Assessment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | Pain measurement |
| b. | Presence of nausea |
| c. | Sense of cold |
| d. | Oral temperature |
ANS: D
The objective concrete measurement of the temperature is the only objective data in the nurse’s record.
DIF: Cognitive Level: Application REF: p. 149 OBJ: 2
TOP: Objective Data KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | Fecal occult blood test |
| b. | Sigmoidoscopy |
| c. | Hearing screening |
| d. | Mammogram |
ANS: A
The American Cancer Society recommends an annual fecal occult blood test for persons older than 50. Sigmoidoscopy is recommended every 3–5 years. A hearing screening is recommended every ten years. A mammogram should be performed every two years between the ages of 50 and 74.
DIF: Cognitive Level: Comprehension REF: Table 8-1, p. 149
OBJ: 3 TOP: American Cancer Society Recommendations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | “The interview will take quite a while.” |
| b. | “Please have a seat over there across from the desk.” |
| c. | “There are lots of questions that we must finish.” |
| d. | “The bathroom is behind that green door. We’ll be taking a break in about 30 minutes.” |
ANS: D
The “permission” to go to the bathroom and knowledge of its location will set the patient at ease. It is helpful to provide information about the probable time limits of the interview. The interview should be conducted in a private area.
DIF: Cognitive Level: Application REF: p. 150 OBJ: 4
TOP: Physical Setting for Health Interview
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
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