Health Assessment For Nursing Practice 5th Edition by Wilson
Health Assessment For Nursing Practice 5th Edition by Wilson
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Chapter 21: Assessment of the Older Adult
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “You should make an appointment with your health care provider.” |
| b. | “Try eating small, frequent meals.” |
| c. | “The senses of smell and taste decrease as we age.” |
| d. | “Maybe you should use saline drops in your nose.” |
ANS: C
| Feedback | |
| A | This action is not warranted in this case; these changes are expected with aging. |
| B | This is practical advice, but will not alter the change in smell and taste. |
| C | A decreased sense of smell is caused by a decrease in the number of sensory cells in the nasal lining. Taste perception may also diminish due to gradual atrophy of the tongue and a decrease in the number of papillae and taste buds. |
| D | This is practical advice, but will not alter the change in smell and taste. |
DIF: Cognitive Level: Apply REF: 516
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Aging Process
| a. | Exposed root surfaces of teeth |
| b. | Aphthous ulcers of the mucosa |
| c. | Collection of debris at the gingival margins |
| d. | Leukoplakia of the dorsal and ventral tongue |
ANS: A
| Feedback | |
| A | Root surfaces of the teeth are exposed to caries formation because of gingival recession. |
| B | Ulcers are not an expected finding. |
| C | Collection of debris at the gingival margins is not an expected finding. |
| D | This is not an expected finding; leukoplakia is a white patch or plaque that cannot be scraped off and often represents a premalignant lesion. |
DIF: Cognitive Level: Understand REF: 516
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Aging Process
| a. | Increased elasticity of the alveoli |
| b. | Flaccidity of the chest wall |
| c. | Reduced inspiratory and expiratory effort |
| d. | Decreased anteroposterior diameter |
ANS: C
| Feedback | |
| A | With aging, alveoli become less elastic and more fibrous. |
| B | With aging, the chest wall may become stiffer, possibly because of calcification at rib articulation points, resulting in decreased chest wall compliance. |
| C | Diminished strength of the respiratory muscles results in reduced maximal inspiratory and expiratory force. |
| D | The anteroposterior diameter increases with aging due to kyphoscoliosis. |
DIF: Cognitive Level: Understand REF: 516
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Aging Process
| a. | “Reduced height may occur as you age due to shortening of the vertebrae.” |
| b. | “You may be experiencing this height change due to arthritis.” |
| c. | “You need to improve your posture by performing stretching exercises.” |
| d. | “This is a rare occurrence and warrants having a bone density test.” |
ANS: A
| Feedback | |
| A | Decreased bone formation reduces height in most older adults, which may cause shortening of the vertebrae and thinning of the vertebral disks. |
| B | Decreased bone formation reduces height in most older adults and is not due to arthritis. |
| C | This is appropriate advice, but is not related the patient’s height. |
| D | This is an expected occurrence and does not warrant concern. |
DIF: Cognitive Level: Apply REF: 516
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Aging Process
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