Chapter 6--Nursing of Adults across the Life Span

Chapter 6–Nursing of Adults across the Life Span

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is reviewing the number of elderly adult clients who were admitted during the previous 3-month period with complications from the seasonal flu. The nurse is reviewing which of the following illness patterns?

1.	Prevalence
2.	Incidence
3.	Trends
4.	Mortality rate

 

 

ANS:  2

Incidence is the number of new cases of a condition, symptom, death, or injury that arise during a specified period. Prevalence is the number of current cases per population at risk. Trends are the general direction of movement of any given topic. The mortality rate is the number of deaths that occur at a given time.

 

PTS:   1                    DIF:    Apply            REF:   Contemporary Trends Related to Adult Behavior

 

2. An elderly client is admitted with worsening dementia. Which of the following health problems should the nurse consider as causing this client’s dementia?

1.	Depression
2.	Alzheimer’s disease
3.	Memory impairment
4.	Alcohol withdrawal

 

 

ANS:  2

Alzheimer’s disease accounts for about 50% of all clinical cases of dementia. Memory disturbances are a part of Alzheimer’s disease. Depression does not lead to dementia. Worsening dementia is not associated with alcohol withdrawal.

 

PTS:   1                    DIF:    Analyze         REF:   Alzheimer’s Disease

 

3. The nurse is instructing a client on ways to reduce the risk of developing coronary heart disease. Which of the following should be included in these instructions?

1.	Limit smoking.
2.	Exercise when able.
3.	Keep BMI at or above 30.
4.	Reduce cholesterol level.

 

 

ANS:  4

Hypercholesterolemia is one of the major modifiable risk factors for cardiovascular disease. To limit the risk of coronary heart disease, the nurse should instruct the client to stop smoking, exercise more frequently, and keep the BMI below 25.

 

PTS:   1                    DIF:    Apply

REF:   Hypercholesterolemia; Obesity Rates; Coronary Artery Disease

 

4. When planning instruction for a client diagnosed with coronary artery disease, the nurse should identify which of the following risk factors that cannot be modified for the client?

1.	Heredity
2.	Hypertension
3.	Sedentary lifestyle
4.	Smoking

 

 

ANS:  1

Hypertension, physical activity, and smoking can all be changed to decrease the risk of coronary artery disease. A nonmodifiable risk factor for the development of coronary artery disease is heredity or a family history of heart disease.

 

PTS:   1                    DIF:    Apply            REF:   Coronary Artery Disease

 

5. A client tells the nurse that he is planning to retire and plans to become involved with charitable organizations. The nurse realizes this client is within which of the following stages of Levinson’s Theory of Adult Development?

1.	Middle Age
2.	Late Adulthood
3.	Old Age
4.	The Thirties

 

 

ANS:  2

Late adulthood spans from the ages of 56 to 75. The lower boundary of late adulthood is retirement. Individuals within this stage may become active in political or community activities. Middle age includes the ages from 40 to 55 and is characterized by a midlife transition. Old age is beyond age 75 and is marked by declining powers, health, and loss of loved ones. The Thirties is characterized by time to assess gains and life experiences.

 

PTS:   1                    DIF:    Analyze         REF:   Theories of Adult Development