A nurse is performing a comprehensive assessment of new male client, age 76 years. Which of the following components of the nurse's assessment relate directly to the holistic model? Select all that apply.
A) Measuring the client's apical heart rate.
B) Asking the client about his church involvement.
C) Identifying the support systems that the client believes he possesses.
D) Eliciting the client's immunization history.
Question 2The nurse is teaching a moderately obese, older adult client who is otherwise healthy about the benefits of exercise. Which of the following teaching points is most accurate?
A) You'll need to monitor your heart rate when you're working out to make sure it doesn't go more than 10 beats over your target rate..
B) Since your resting heart rate is over 75 beats per minute, an exercise program might not be appropriate..
C) You'll need to choose at the outset whether you want an exercise program that addresses cardiovascular function, one aimed at flexibility, or one addressing strength..
D) For older adults, a workout that is slightly shorter but slightly more intense is ideal..
Question 3While working with a client who is living with progressively worsening Parkinson disease and consequent self-care deficits, Nurse P is conscious of integrating principles of holistic gerontological nursing care.
Place the following steps in the application of these principles in the correct logical and chronological order. Use all the options. A) Implement specific nursing care plan actions
B) Perform an assessment of the client
C) Identify the presence of needs related to health challenges
D) Evaluate how well identified health needs are being met
E) Explore reasons underlying the client's health needs
Question 4Which of the following active older adults who implements an exercise regimen is likely to have the most beneficial effect on musculoskeletal function?
A) A 70-year-old who runs 1 mile most mornings and cycles 5 miles once or twice a week.
B) A 76-year-old who swims laps four times weekly and does light weight training on the other 3 days.
C) A 72-year-old who has been a competitive body builder for many years and lifts weights 6 to 7 days per week.
D) A 78-year-old who has recently begun attending yoga classes three times a week.
Question 5Which of the following statements best conveys the relationship between advanced age and musculoskeletal function?
A) Diminished musculoskeletal function is a result of decreased physical activity and increased bone resorption.
B) Decreased muscle mass in older adults is a pathological rather than age-related change.
C) A combination of age-related reduction in muscle mass and inactivity decreases musculoskeletal function.
D) Levels of musculoskeletal function can be maintained throughout the life span by activity and diet.
Question 6The patient's cirrhosis of the liver has also caused a dilation of the veins of her lower esophagus secondary to vessel hypertension, resulting in her developing the complications of:
a. Varices
b. Diverticulosis
c. Crohn's disease
d. Achalasia cyst
Question 7Flapping tremor (asterixis) is seen in a patient with
a. Crohn's disease.
b. hepatic encephalopathy.
c. cancer of the stomach.
d. candidiasis.
Quick Reply
