Chapter 12 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

Chapter 12 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: MCSA

When an older adult client with dementia begins to have trouble balancing his checkbook and finding the right words to say when talking, the nurse is aware that what part of the client’s brain is being affected by the dementia?

1. Frontal lobe
2. Parietal lobe
3. Temporal lobe
4. Occipital lobe

Correct Answer: 1

Rationale 1: Correct. The frontal lobe is responsible for voluntary motor control, emotion, judgment, complex thinking, speech, and personality.

Rationale 2: The parietal lobe is actually responsible for determining right from left position in the environment.

Rationale 3: The temporal lobe is actually responsible for senses of smell, taste, and hearing; understanding the spoken and written word; and long-term memory.

Rationale 4: The occipital lobe is actually responsible for receiving and processing visual images.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts:

Learning Outcome: Describe the normal changes of aging in the nervous system.

 

Question 2

Type: MCSA

What is one common change in the nervous system of the older adult client that the nurse needs to be aware of which puts the client at greater risk of injury?

1. Hypersensitive reactions
2. Decreased sensation
3. Increased sensation
4. Intensified hemiplegia

Correct Answer: 2

Rationale 1: The reaction time of older adults actually slows due to the aging process.

Rationale 2: Correct. The older adult begins to experience decreased sensation with aging which, for example, causes the older adult not to feel pain as readily as a younger adult. Therefore, the older adult may sustain injury without realizing it.

Rationale 3: The older adult actually experiences decreased, not increased, sensation with aging.

Rationale 4: Hemiplegia is not an expected change in the nervous system associated with aging.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Describe the normal changes of aging in the nervous system.

 

Question 3

Type: MCSA

What age-related change in the nervous system of the older adult does the nurse know predisposes the older adult client to slowed thinking processes, slowed decision making, and decreased memory?

1. Decreased sensation
2. A deficiency of dopamine
3. Slowed nerve transmission
4. Decreased reflexes

Correct Answer: 3

Rationale 1: Decreased sensation causes lack of awareness of an injury; slowed nerve transmission causes changes in speed of mental processing.

Rationale 2: A deficiency of dopamine is not an expected change in the nervous system of the older adult. Instead, it occurs in Parkinson’s disease.

Rationale 3: Correct. Slowed nerve transmission in the nervous system of an older adult predisposes the adult to slowed thinking, slower decision making, and decreased memory as well as a slower response time and inaccuracy in giving information.

Rationale 4: Slowed nerve transmission causes a slowing of mental processes; decreased reflexes predispose the older adult to injury due to slowed reaction time.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Describe the normal changes of aging in the nervous system.

 

Question 4

Type: MCMA

A nurse working in an assisted living facility is planning activities for the older adult clients with the planned outcome of promoting the clients’ brain health. What type of activities should the nurse plan to assist in meeting this outcome?

Standard Text: Select all that apply.

1. Social isolation
2. Playing strategy games
3. Watching television
4. Talking with others
5. Tai chi

Correct Answer: 2,4,5

Rationale 1: Socially isolating activities are not stimulating and do not improve brain health.

Rationale 2: Correct. Playing strategy games is an example of an activity which stimulates nerve cells in the brain and prevents damage from lipofuscin deposits.

Rationale 3: Television watching is not stimulating and does not improve brain health.

Rationale 4: Correct. Talking with others is an example of an activity which stimulates nerve cells in the brain and prevents damage from lipofuscin deposits.

Rationale 5: Correct. Engaging in exercises to improve balance, such as tai chi, is an example of an activity which stimulates nerve cells in the brain and prevents damage from lipofuscin deposits.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Discuss methods of health promotion for the nervous system.