Chapter 40: Common Physical Care Problems of the Older Adult

Chapter 40: Common Physical Care Problems of the Older Adult

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse takes into consideration that of all the physical changes that the older adult experiences, the most common cause of most problems is that of:

a.	visual disturbance.
b.	hearing deficit.
c.	loss of muscle mass.
d.	impaired mobility.

 

 

ANS:  D

Constipation, urinary incontinence, and alteration in nutrition and depression are all problems that are complicated or caused by impaired mobility.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 817|Table 40-2

OBJ:   Theory #1      TOP:   Common Physical Care Problems with the Older Adult

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. While discussing ways to increase exercise with an older adult patient with no musculoskeletal disorders, the nurse should encourage the patient to consider walking at a frequency of:

a.	10 to 20 minutes once or twice a week.
b.	10 to 20 minutes four times a week.
c.	20 to 30 minutes once or twice a week.
d.	20 to 30 minutes three times a week.

 

 

ANS:  D

It has been proven that walking for 20 to 30 minutes three times per week is very beneficial.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 816             OBJ:   Theory #3

TOP:   Mobility         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. The home health nurse assesses all of the following relative to a resident in her own home: glasses with a missing eye piece, soft soled floppy house shoes, walker with wheels, a floor devoid of rugs. The item that is most likely to cause a fall would be the:

a.	broken glasses.
b.	floppy house shoes.
c.	rolling walker.
d.	no rug on floor.

 

 

ANS:  B

Safe ambulation requires that the patient have an assistive walker and sturdy shoes. A clear floor is a positive step in the direction of fall prevention. The glasses, although they may distort the resident’s perception, are not as dangerous as the nonsupportive shoes.

 

DIF:    Cognitive Level: Analysis                REF:   p. 819             OBJ:   Theory #4

TOP:   Fall Prevention                                KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk

 

4. An older adult patient is too weak to walk independently after surgery. Based on the services available on the rehabilitation unit, the nurse should work collaboratively with:

a.	an exercise physiologist.
b.	a nutritionist.
c.	a physical therapist.
d.	an occupational therapist.

 

 

ANS:  C

Physical therapists can assist patients with mobility and teach them to use assistive devices as needed, such as walkers and canes.

 

DIF:    Cognitive Level: Application           REF:   p. 816             OBJ:   Theory #3

TOP:   Mobility         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

5. The nurse adds to the nursing care plan for a resident with presbycusis. To better communicate with the patient, the staff should use:

a.	written notes.
b.	a slower speed of speech.
c.	a lower, deeper voice.
d.	hand signals.

 

 

ANS:  C

Speaking in a lower, deeper voice will allow the person with presbycusis to hear better since these persons have difficulty picking up higher pitched sounds and spoken words.

 

DIF:    Cognitive Level: Application           REF:   p. 823             OBJ:   Theory #2

TOP:   Presbycusis    KEY:  Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation