Which of the following is a true statement about sleep in older adults?
a. The time spent in bed increases, but the time spent asleep decreases.
b. The amount of leg movement during sleep remains steady throughout life.
c. Rapid-eye-movement (REM) sleep be-comes more unevenly distributed with age.
d. The amount of stage III sleep increases steadily throughout life.
Question 2Which characteristics are associated with acute grief? (Choose all that apply.)
a. Preoccupation with loss of a loved one
b. Waves of grief or distressing emotion
c. Prolonged inability to sleep after a loss
d. Exacerbations of grief on specific dates
e. Change in attitude toward the future loss
f. Inability to perform simple self-care tasks
Question 3Although intact skin protects an individual effectively, it functions within physiological limits.
Which qualities of healthy skin work synergistically within these limits to absorb, cushion against, deflect, or neutralize potentially harmful forces, as well as protect against potentially harmful substances, that might impair skin integrity? a. Strength
b. Pliability
c. Location
d. Durability
e. Moistness
f. Pigmentation
Question 4What makes nursing support of caregivers so important for health care in the United States?
a. Family members providing care in the home are the best caregivers.
b. Eighty percent of caregiving takes place in the home of the older adult.
c. The health care system reimburses families for caregiving from Medicare.
d. Informal caregiving saves the health care system enormous sums of money.
Question 5Which is a true statement about loss, dying, and death for older adults?
a. Men and women tend to respond similarly to the loss of a spouse.
b. Visions, hallucinations, and an inability to communicate in a logical, sustained manner on the part of a person who has lost a spouse are not normal grief reac-tions and should be regarded as signs of underlying defects.
c. After a period of grief adjustment that may last as long as 4 years, a bereaved elder may emerge with a new and stronger identity.
d. Bereaved persons regain their normal capability about 6 months after loss, and regressive behavior after that time should be discouraged.
Question 6The nurse determines the risk for a pressure ulcer in an older adult who is 6 feet tall and weighs 155 pounds.
Which patient information should the nurse use in planning care to reduce this individual's risk for a pressure ulcer? (Choose all that apply.) a. Osteoarthritis of neck
b. Dry mucous membranes
c. Prealbumin level 7 mg/dl
d. Fasting glucose 140 mg/dl
e. Serum sodium 135 mEq/dl
f. Uses food stamps to get food
Question 7The children of an older woman ask the nurse for advice about helping their mother heal after her husband's (their father's) death. Which strategy should the nurse share with the family?
a. Appoint one family member to take her on outings.
b. Coordinate family expressions of care and concern.
c. Have each child plan a long trip with her assistance.
d. Take her to community events to meet other people.
Question 8An older patient who has end-stage pulmonary disease decides to accept care from the palliative care nurse. This older adult is most likely to benefit from the palliative care nurse in which patient needs of Weisman's six needs for the dying?
a. Closure
b. Control
c. Composure
d. Cohesiveness
Question 9Which nursing intervention is most likely to prevent the creation of an environment con-ducive to fungal growth?
a. Provide oral care with soft-bristled brush.
b. Apply nystatin powder to reddened tissue.
c. Use mild skin cleansing agents and blot dry.
d. Apply gauze soaked with antifungal lotion.
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