Chapter 20: Health Planning for Older Adults

Chapter 20: Health Planning for Older Adults

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is teaching a class about caring for the aging population and the increase in lifespan. Which of the following statements is correct?

A.	Super centenarians are people who have lived to be over 100 years old.
B.	Lifespan marks the average age of the population until death.
C.	Aging is a product of both chronological age and biological age.
D.	Globally, people over the age of 65 are considered old.

 

 

ANS:  C

Objective: 1. Describe demographic and social trends in an aging America.

1. 478-479

Heading: Health of Aging Populations > Who is Old?

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nursing; Nursing Roles; Promoting Health

Difficulty: Moderate

	Feedback
A	This is incorrect. Super centenarians are people who have lived to be over 110 years old. Centenarians are people who have lived to be over 100.
B	This is incorrect. Lifespan is the entire length of one’s life from birth to death. Population aging is the shift of the average age of the population toward old age.
C	This is correct. Aging is a product of both chronological age and biological age. Biological age is related to nutrition, exposure to infectious diseases, and poor sanitation.
D	This statement is incorrect. In the United States and in many high-income countries, people over the age of 65 are considered old. However, in many low income countries, disparities in health status cause people to not live as long as they do in the United States.

 

 

PTS:   1                    CON:  Nursing | Nursing Roles | Promoting Health

 

2. A nurse is giving a lecture to a group of new nurses who have started working in a Skilled Nursing Facility about caring for the aging population. The nurse stresses the need to include which of the following in addition to a standard health assessment for a new patient?

A.	Mental health assessment
B.	Cultural assessment
C.	Financial assessment and evaluation
D.	Family assessment

 

 

ANS:  B

Objective: 2. Define successful aging and determinants of health in the older population.

1. 483

Heading: Determinants of Aging and Health

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Analysis [Analyzing]

Concept: Assessment; Nursing; Nursing Roles; Promoting Health; Diversity

Difficulty: Moderate

	Feedback
A	This is incorrect. A mental health assessment should be performed as part of a regular health assessment
B	This is correct. A full cultural assessment should be performed on every new patient in addition to the standard health assessment. The diversification of the aging population will lead to a diversification of cultural needs as well.
C	This is out of the scope of the nurse’s ability and practice. The nurse should not be involved in assessing or evaluating a patient’s finances.
D	This is incorrect. Assessing family structure and support is part of the cultural assessment. A full cultural assessment should be performed, not just a family assessment.

 

 

PTS:   1                    CON:  Assessment | Nursing | Nursing Roles | Promoting Health | Diversity

 

3. A nurse is presenting a lecture about the theories of aging and how to potentially treat the elderly according to the various theories. A student mentions hearing that enzyme CoQ10 could be effective in delaying the signs of aging. What theory does this address?

A.	Free-radical theory
B.	Cross-linkage theory
C.	Protein synthesis errors
D.	Genetic theories

 

 

ANS:  A

Objective: 2. Define successful aging and determinants of health in the older population.

1. 483-484

Heading: Determinants of Aging and Health > Theories of Aging

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Evidence-Based Practice; Medication; Nursing; Nursing Roles; Promoting Health

Difficulty: Difficult

	Feedback
A	This is correct. Enzyme CoQ10 is an antioxidant that combats free radicals, which cause oxidative stress and can severely damage cells and tissues over time. Enzyme CoQ10 addresses aging as described in the free-radical theory.
B	This is incorrect. Enzyme CoQ10 is an antioxidant that combats free radicals, which cause oxidative stress and can severely damage cells and tissues over time. Enzyme CoQ10 addresses aging as described in the free-radical theory.
C	This is incorrect. Enzyme CoQ10 is an antioxidant that combats free radicals, which cause oxidative stress and can severely damage cells and tissues over time. Enzyme CoQ10 addresses aging as described in the free-radical theory.
D	This is incorrect. Enzyme CoQ10 is an antioxidant that combats free radicals, which cause oxidative stress and can severely damage cells and tissues over time. Enzyme CoQ10 addresses aging as described in the free-radical theory.

 

 

PTS:   1

CON:  Evidence-Based Practice | Medication | Nursing | Nursing Roles | Promoting Health

 

4. A nurse is training new staff at a senior’s residential community about ways to help the residents age well. According to the nurse, the most important thing that volunteers and staff can do is

A.	Assist them with their activities of daily living.
B.	Provide ample time to rest and relax.
C.	Keep them socially engaged and active.
D.	Minimize stress and responsibilities.

 

 

ANS:  C

Objective: 2. Define successful aging and determinants of health in the older population.

1. 483-484

Heading: Determinants of Aging and Health > Theories of Aging

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nursing; Promoting Health; Nursing Roles

Difficulty: Moderate

	Feedback
A	According to psychosocial theories of aging, older adults who remained socially active and engaged in their life and community were observed to be happier and age better. This is especially true when comparing active seniors with peers who were beginning to withdraw from their life.
B	According to psychosocial theories of aging, older adults who remained socially active and engaged in their life and community were observed to be happier and age better. This is especially true when comparing active seniors with peers who were beginning to withdraw from their life.
C	According to psychosocial theories of aging, older adults who remained socially active and engaged in their life and community were observed to be happier and age better. This is especially true when comparing active seniors with peers who were beginning to withdraw from their life.
D	According to psychosocial theories of aging, older adults who remained socially active and engaged in their life and community were observed to be happier and age better. This is especially true when comparing active seniors with peers who were beginning to withdraw from their life.

 

 

PTS:   1                    CON:  Nursing | Promoting Health | Nursing Roles