Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 4- Life Transitions and Story
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse manager at a long-term care facility is engaged in efforts to change many staff members’ inaccurate and negative views of older adults. Which of the following statements made by staff is most clearly indicative of ageism? | |
| A) | “Older people seem to have so many more chronic health problems than younger people.” | |
| B) | “Older adults’ motor skills get progressively slower as they age.” | |
| C) | “It’s normal to expect a gradual loss of memory and intelligence with age.” | |
| D) | “A lot of the physical changes that accompany aging are inevitable.” | |
| Ans: | C | |
| Feedback: | ||
| A common ageist misconception is that senility and loss of intelligence inevitably, and normally, accompany the aging process. Older adults do have more chronic conditions than younger adults, and motor skills become slower. Many of the physical changes that accompany aging are considered normal and largely inevitable. | ||
| Origin: Chapter 4- Life Transitions and Story, 2
Chapter: 4 Client Needs: C Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 37, Parenting |
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| 2. | According to Erikson, the final stage of the life cycle is centered on achieving integrity versus despair. Which of the following situations would signal to the nurse that the client in question is at risk for disappointment and despair as characterized by Erikson? | |
| A) | An 81-year-old woman has needed to adopt a minced diet following a recent stroke. | |
| B) | A 78-year-old man has had a pacemaker implanted to address his atrial fibrillation. | |
| C) | A 90-year-old woman is grieving the recent death of her husband to whom she was married for 66 years. | |
| D) | An 80-year-old man describes himself as “useless” since he can no longer help his adult children with their yard and garden work. | |
| Ans: | D | |
| Feedback: | ||
| A perceived loss of useful function often constitutes a crisis for older men and can be associated with despair rather than integrity in Erikson’s typology of the life cycle. A change in diet, a medical intervention, and grief at the loss of a spouse are less closely associated with this conflict. | ||
| Origin: Chapter 4- Life Transitions and Story, 3
Chapter: 4 Client Needs: C Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 37, Grandparenting |
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| 3. | Which of the following clients of a nurse practitioner is demonstrative of a growing trend in the role of grandparents in contemporary American society? | |
| A) | A 70-year-old grandmother is raising her two grandchildren because their mother is in prison. | |
| B) | An 80-year-old client of the nurse is going through a divorce with her husband of several decades. | |
| C) | A 79-year-old man laments the fact that he is estranged from his son’s children. | |
| D) | A married couple in their seventies who refuse to provide free child care for their grandchildren on a daily basis. | |
| Ans: | A | |
| Feedback: | ||
| A growing number of grandparents have primary responsibility for the care of their grandchildren, a fact that can often be attributed to teen pregnancy, incarceration, or substance abuse. Divorce late in life, estrangement from grandchildren, and refusal to provide care are not noted to be phenomena. | ||
| Origin: Chapter 4- Life Transitions and Story, 4
Chapter: 4 Client Needs: C Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 3 Page and Header: 39, Loss of Spouse |
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| 4. | A nurse who works on a palliative care unit has developed a strong partnership with the 77-year-old wife of a client who has recently died of lung cancer. The woman has expressed her fears around being a widow to the nurse. How can the nurse best respond? | |
| A) | “You will likely find that once you are remarried the grief will subside and you will move on.” | |
| B) | “It’s very normal to have these fears, but antidepressant medications can help immeasurably with this difficult transition.” | |
| C) | “Though it might not feel like it now, many women eventually find joy in new friendships and freedom after the death of a spouse.” | |
| D) | “It will be important, and healthy, for you to maintain roles and routines similar to before your spouse died.” | |
| Ans: | C | |
| Feedback: | ||
| Widows often find positive consequences of their status in time, often in the form of new relationships. Suggesting that the grief will subside after remarriage and encouraging the woman not to change would be inappropriate, as would specific recommendations for medication. | ||
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