Chapter 19 Care of the Older Population

Chapter 19   Care of the Older Population

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The population health nurse is presenting a workshop about aging. The nurse is including information about longevity and declining endocrine and immune function. In what theory category does this information belong?

1. Psychological.
2. Biological.
3. Sociological.
4. Individualism.

Answer:  2

Explanation:  2. In general there are three categories of theories that explain how and why aging occurs. Biological theories posit that aging is a phenomenon experienced by all members of a given species, that it is a process of physical decline, that it is progressive and gradual, and that it is irreversible. Psychological theories focus on psychological changes that occur with age. Sociological theories focus on changes in roles and relationships that occur with advancing aging. Individualism is not a theory category for aging.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  19-1

2) The nurse is comparing and contrasting examples from the psychological and sociological theories. Which should the nurse identify as a psychological theory?

1. Error theory.
2. Mutually exclusive theory.
3. Jung’s theory.
4. Disengagement theory.

Answer:  3

Explanation:  3. Psychological theories include Jung’s theory of individualism, in which the individual’s mental focus changes from the external to the internal world, and the developmental theories. Error theories are biological theories. Theories in the sociological category tend to be mutually exclusive. Disengagement theory is a sociological theory.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  19-1

3) A student is developing a poster for a class presentation. The purpose of the poster is to explain aging. Part of the information on the poster demonstrates how the elderly withdraw from life as a means of making way for a younger generation in preparation for death. The theory that the student is using is:

1. Disengagement theory.
2. Erikson’s theory.
3. Programmed theory.
4. Jung’s theory.

Answer:  1

Explanation:  1. Disengagement theory proposes that individuals withdraw themselves from life as a means of making way for a younger generation in preparation for death. Erikson’s theory focuses on psychological/developmental stages. Programmed theories address longevity and declining endocrine and immune function. Jung’s theory involves individualism, in which the individual’s mental focus changes from the external to the internal world.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  19-1

4) A client is experiencing changes of aging to the musculoskeletal and nervous system. What should the nurse expect to assess in this client?

1. Loss of verbal ability and increased urine flow.
2. Decreased walking speed and increase in verbal memory.
3. Decreased reaction times and declining strength.
4. Slowed reaction time and loss of skeletal muscle.

Answer:  4

Explanation:  4. A loss of skeletal muscle is a musculoskeletal system change associated with aging. Increased reaction time is a neurological system change associated with aging. Loss of verbal ability and increased verbal memory are not changes expected with aging. Urine flow change is not associated with aging.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  19-2