The long-term facility nurse is aware that the anxious female resident can frequently be calmed by:
a. stimulating her with group activity.
b. sedating her to allow her to sleep.
c. allowing time alone to control her anxiety.
d. offering a diversion of quiet activity, such as a jigsaw puzzle.
Question 2The pretty 70-year-old woman who had a stroke 3 months ago has a body image disturbance related to her spastic right arm and contracted fingers of the right hand. The nurse can assist the patient to improve her damaged body image by:
a. teaching her to write with her left hand.
b. placing articles within easy reach of her left hand.
c. helping her select colorful scarves or accessories to cover her right arm.
d. showing her massage techniques to increase circulation in right arm.
Question 3The newly admitted 80-year-old female resident who sits in her room and stares at the TV watching cartoons can be supported to maintain her self-esteem by:
a. encouraging her to participate in self-care activities.
b. suggesting that she change the channel to an intellectually stimulating program.
c. giving her privacy until she becomes accustomed to the long-term care facility.
d. arranging for a meal tray rather than having her eat in the dining room.
Question 4The 75-year-old woman newly admitted to a long-term care facility seems fearful of her surroundings and is frequently tearful, saying, I don't know what to do The nurse can help allay her fear by:
a. helping her identify and verbalize her specific fears.
b. assuring the resident that she has nothing to be afraid of.
c. keeping the light on in the room 24 hours a day.
d. playing quiet music on the resident's radio.
Question 5The home health nurse interviews the 70-year-old male patient about possible suicidal ideation after the patient:
a. asks for assistance in writing a will.
b. voices the intention to visit his brother.
c. donates excess clothing to charity.
d. asks the young widow next door for a dinner date.
Question 6The home health nurse assesses the depressed 80-year-old widow very carefully for signs of substance abuse; indicators of substance abuse can easily be missed because these signs:
a. occur only in the late evening or nighttime.
b. are not particularly harmful to the older adult.
c. mimic changes anticipated with the aging process.
d. are disguised by the patient.
Question 7The nurse is counseling a 75-year-old man who admits to the overuse of alcohol. Alcohol has an increased effect on the older adult related to:
a. lack of activity.
b. altered nutritional intake.
c. reduced kidney function.
d. reduced lean muscle mass.
Question 8The long-term care facility nurse is aware that the resident most at risk for suicide related to depression is the:
a. 70-year-old man with diabetes.
b. 75-year-old woman with chronic obstructive pulmonary disease.
c. 80-year-old woman with a bipolar disorder.
d. 85-year-old man with schizophrenia.
Question 9The home health nurse takes into consideration that as depression develops, the patient may begin to use excessive amounts of:
a. antianxiety agents as a sedative.
b. corticosteroids as a mood elevator.
c. caffeine drinks as an energy booster.
d. comfort foods as a morale booster.
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