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1. Which of the following is a true statement about the theories of aging? a. Research data support the disengagement theory, activity theory, and continuity theory. b. Everyone should be able to achieve the three tasks of Peck’s model of integrity. c. The exercise of rights is not a task of aging in Kelly’s model. d. A person may choose to avoid pursuing inner discovery in older age. |
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2. Which of the following is a true statement about neuropsychiatric function in older adults? a. Overall cognitive abilities are progressively degraded by neuron loss in the cerebral cortex with aging. b. Improving cognitive functions in an older person calls for sporadic mental activity around ideas the person finds significant and interesting. c. Nerve cells regenerate in the hippocampus. d. Mood does not influence an older person ability to remember verbal instructions. |
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3. Which of the following statements is true about social and emotional health of older adults? a. Contemporary society has strong norms for the behavior of adults older than 80 years. b. The transition to old age entails a declining level of contribution to others as one becomes increasingly dependent on them. c. Computers and the Internet have little to contribute to older adults in their need for social support. d. Nurses are often significant sources of social and emotional support for older adults. |
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4. Which role is most likely to have a significant effect on the type of aging process experienced by the older adult? a. Grandparent b. Spouse c. Friend d. Parent |
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5. The children in an African-American family attended college because their mother worked two jobs as they were growing up. She never finished high school, the children are grown, and she lives alone in retirement. Which noted weakness of sociological theories on aging explains why the social exchange theory is not applicable to this older adult? a. Gender b. Culture c. Ethnicity d. Opportunity |
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6. In which context are members of a cohort described when using the age-stratification theory to explain the effect of similar events, conditions, and circumstances? a. Historical b. Biological c. Sociological d. Chronological |
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7. An older patient who was just diagnosed with a terminal disease states, “All my life I attended church, but I am still worried about what will happen after death.” The nurse’s best response is which of the following? a. “The unknown may be frightening. Do you want to talk about this?” b. “Religious people know that God is a good God.” c. “People that have had near death experiences say it is peaceful.” d. “You must feel good about attending church most of your life.” |
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8. An older man with severe knee pain tells the nurse how he lost his job and his home after starting a new business when he was 48 years old. Now he lives alone and relies on Social Security. Using Jung’s theory, what in this individual’s life is the most pivotal in his personality development? a. Living alone b. Meager income c. Severe knee pain d. Job and home loss |
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9. The nurse plans care for older adults who are in good health but isolated from their families. If the nurse’s goal is to move the adults toward gerotranscendence, which intervention should the nurse use in the plan of care? a. Give a daily tea party for the group. b. Call each family to encourage visiting. c. Assist them to resume midlife patterns. d. Help each person with individual activities. |
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10. The nurse observes older female adults learning advanced knitting techniques. The nurse concludes that this learning activity is suitable for these women because it accomplishes which of the following? a. Helps maintain joint flexibility b. Improves the group’s cohesiveness c. Provides a needed social opportunity d. Adds to their existing knowledge base |
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11. The nurse at a nursing home wants to help decrease the risk of Alzheimer disease in the residents. Which should the nurse do to implement this goal? a. Keep the curtains open in their rooms. b. Offer beads for them to string on yarn. c. Show movies that the residents choose. d. Assist residents with ambulation to meals. |
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12. Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults? a. Increased secretion of cholinesterase b. Decreased secretion of neurotransmitters c. Loss of spinal cord and brainstem neurons d. Atrophy of dendrites in the cerebral cortex |
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13. The nurse provides opportunities for nursing home residents to read aloud to others. Which cognitive skill is this nursing intervention most likely to improve? a. Verbal fluency b. Logical analysis c. Object naming d. Visuospatial skills |
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1. Which statements are true about aging and the brain? (Select all that apply.) a. Most areas of the brain do not lose brain cells. b. Memory decline is inevitable as people age. c. Basic intelligence remains unchanged with age. d. The brain does not continue to make new brain cells. |
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2. The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home. In what activity(ies) should the nurse encourage the patient to participate to maintain brain health? (Select all that apply.) a. Physical exercise b. Stimulating mental activity c. Socialization d. Increasing dietary intake |
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