NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 18: Assessing the Older Adult
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which is the most likely cause of wrinkles in the skin of older adults?
| 1) | Decreased collagen and subcutaneous fat |
| 2) | Atrophy of sweat glands |
| 3) | Decline in fibroblast proliferation |
| 4) | Decreased vascularity |
____ 2. Which is the cause of arcus senilis?
| 1) | Decreased aqueous humor fluid |
| 2) | Increased vitreous debris |
| 3) | Increased lipid deposits around cornea |
| 4) | Increased density of lens |
____ 3. An older adult patient reports a decreased range in vision, particularly peripheral vision. Which is the most likely causes for this assessment finding?
| 1) | An increase in vitreous debris |
| 2) | Atrophy of ciliary muscles |
| 3) | Decreased corneal sensitivity |
| 4) | Decreased pupil size |
____ 4. Which is an unlikely cause for conductive hearing loss that may occur during the aging process?
| 1) | Impacted cerumen |
| 2) | Degeneration of the middle ear bones |
| 3) | Tympanic membrane thickening |
| 4) | Organ of Corti atrophy |
____ 5. Which is likely to cause orthostatic hypotension in older adult patients?
| 1) | Decreased baroreceptor response |
| 2) | Decreased compliance/stiffer vessels |
| 3) | Increased peripheral vascular resistance |
| 4) | Rigid arteries |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 18, Assessing the Older Adult
Chapter learning objective: N/A
Chapter page reference: 475
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Synthesis [Creating]
Concept: Assessment, Skin Integrity
Difficulty:
| Feedback | |
| 1 | Aging skin has decreased collagen and subcutaneous fat, which is the cause of wrinkling. |
| 2 | An atrophy of sweat glands does not cause wrinkles. |
| 3 | A decline in fibroblast proliferation does not cause wrinkles. |
| 4 | A decrease in vascularity does not cause wrinkles. |
PTS: 1 CON: Assessment | Skin Integrity
Chapter number and title: 18, Assessing the Older Adult
Chapter learning objective: N/A
Chapter page reference: 492
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Sensory Perception, Assessment
Difficulty: Easy
| Feedback | |
| 1 | Decreased aqueous humor fluid is not the cause of arcus senilis. |
| 2 | Increased vitreous debris is not the cause of arcus senilis. |
| 3 | Increased lipid deposits around the cornea are the cause of arcus senilis. |
| 4 | Increased density of the lens is not the cause of arcus senilis. |
PTS: 1 CON: Sensory Perception | Assessment
Chapter number and title: 18, Assessing the Older Adult
Chapter learning objective: N/A
Chapter page reference: 477
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Synthesis [Creating]
Concept: Sensory Perception, Assessment
Difficulty: Difficult
| Feedback | |
| 1 | An increase in vitreous debris is not responsible for this assessment finding. |
| 2 | Because of atrophy of the ciliary muscles of the eye, peripheral vision is decreased. |
| 3 | A decrease in corneal sensitivity is not responsible for this assessment finding. |
| 4 | A decrease in pupil size is not responsible for this assessment finding. |
PTS: 1 CON: Sensory Perception | Assessment
Chapter number and title: 18, Assessing the Older Adult
Chapter learning objective: N/A
Chapter page reference: 477
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Sensory Perception
Difficulty: Moderate
| Feedback | |
| 1 | Conductive hearing loss is often caused by impacted cerumen (ear wax). |
| 2 | Conductive hearing loss is often caused by the degeneration of the middle ear bones. |
| 3 | Conductive hearing loss is often cause by a thickening of the tympanic membrane. |
| 4 | Perceptive, not conductive, hearing loss is caused by atrophy of the organ of Corti. |
PTS: 1 CON: Sensory Perception
Chapter number and title: 18, Assessing the Older Adult
Chapter learning objective: N/A
Chapter page reference: 478
Heading: Review of Systems
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Synthesis [Creating]
Concept: Perfusion, Assessment
Difficulty: Difficult
| Feedback | |
| 1 | Often, the cause of orthostatic hypotension in older adults is a decreased baroreceptor response. |
| 2 | Decreased compliance/stiffer vessels is not the likely cause of orthostatic hypotension in older adult patients. |
| 3 | Increased peripheral vascular resistance is not the likely cause of orthostatic hypotension in older adult patients. |
| 4 | Rigid arteries are not the likely cause of orthostatic hypotension in older adult patients. |
PTS: 1 CON: Perfusion | Assessment
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