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Chapter 08: Health Assessment of Older Adults

Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold

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Chapter 08: Health Assessment of Older Adults

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse clarifies that the difference between a health screening and health assessment is that a health screening:
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: Comprehension       REF:    151      OBJ:    1

TOP:    Screening vs. Assessment       KEY:   Nursing Process Step: Implementation

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

 

  1. The nurse charts that the “Patient stated abdominal pain is still at a level of 8 on a scale of 1 to 10 and that he is still nauseated. Patient complains of feeling cold and has an oral temperature of 97.8°.” The objective information recorded is the:
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:    151      OBJ:    2

TOP:    Objective Data                        KEY:   Nursing Process Step: Assessment

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

 

  1. The nurse reminds the 55-year-old woman that the American Cancer Society (ACS) recommendation for persons older than 50 years is to have an annual:
a. fecal occult blood test.
b. sigmoidoscopy.
c. Pap smear.
d. pelvic examination.

 

ANS:   A

The ACS recommends an annual fecal occult blood test for persons older than 50. Sigmoidoscopy is recommended every 3 to 5 years. Pap smears and pelvic examinations are recommended every 2 to 3 years.

DIF:    Cognitive Level: Comprehension       REF:    152, Table 8-1

OBJ:    3          TOP:    American Cancer Society Recommendations

KEY:   Nursing Process Step: Implementation

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

 

  1. The nurse is aware that the most common health threat for the older adult, regardless of ethnicity, is:
a. hypertension.
b. cancer.
c. diabetes.
d. glaucoma.

 

ANS:   C

Diabetes is the most common health threat for the older adult, regardless of ethnicity.

DIF:    Cognitive Level: Comprehension       REF:    158      OBJ:    3

TOP:    Diabetes          KEY:   Nursing Process Step: Assessment

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

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