Incontinence is a problem for many older women. The normal aging change that contributes to stress incontinence for older women is
a. Decreased renal blood flow
b. Decreased bladder capacity
c. Reduced glomerular filtration rate
d. Loss of mass and strength of perineal muscles
Question 2When doing a nursing assessment of the head, neck, and face, it is appropriate to
a. Observe hair distribution, question head injury, determine range of motion of the arms
b. Report facial tic and facial edema, note range of motion of the neck
c. Assess lice, level of stress, and frequency of nosebleeds
d. Note head position and proportions, assess dental care
Question 3Which of the following might you see when entering the hospital room of an ill Native American?
a. The patient and family facing east and praying to Allah
b. A shaman performing a healing sing with family members
c. Cups being applied to the patient's back
d. The eldest member of the patient's family asking questions and taking notes
Question 4Enlargement of the prostate gland in older men
a. Indicates the presence of cancer
b. Decreases the incidence of urinary inconti-nence for older men
c. Is a normal aging change
d. Is related to a high incidence of impotence for older men
Question 5Which of the following are the two leading causes of death among Native Americans?
a. Alcoholism and diabetes mellitus
b. Suicide and homicide
c. AIDS
d. Alcoholism and tuberculosis
Question 6Which body system is most highly influenced by previous life patterns and environmental conditions?
a. Circulatory
b. Integumentary
c. Respiratory
d. Gastrointestinal
Question 7The Katz scale is used to assess
a. Safety in the home
b. Nutritional elements in Meals on Wheels federally funded food for elderly people
c. Activities of daily living
d. Cardiac output in persons with congestive heart failure
Question 8What is the best advice for an older person who complains of never being hungry?
a. Avoid eating roughage and drinking large amounts of fluid
b. Force yourself to eat at least three meals a day
c. Try eating six small meals throughout the day
d. As people get older, they may need to eat only one meal a day
Question 9Older women often think they do not need a pelvic examination because they are past childbearing years or menopause. They also may have painful intercourse that they are hesitant to discuss.
What explanation could you give a woman who has not had a pelvic examination that might encourage such examination on a regular basis?
a. It is a logical first step to determine if there is something physiologically wrong that could be addressed to improve sexual intercourse
b. A detailed explanation of silent cancer
c. It is more important to have a mammogram than a pelvic examination
d. There is no reason to have a pelvic examination past the age of 65