Nokea
Which areas are affected only minimally by age?
- A. Physical activity
- B. Productivity
- C. Cognition
- D. Sexuality
Correct Answer: C
Rationale: Aging has little influence on cognition. Only through disease processes is cognition altered.
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The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?
- A. Osteoporosis
- B. Arthritis
- C. Kyphosis
- D. Osteomyelitis
Correct Answer: C
Rationale: Kyphosis, usually caused by osteoporosis, is a curvature of the spine that alters respiration and air exchange.
What is the best test to identify the risk of osteoporosis in postmenopausal women?
- A. Skeletal x-ray
- B. Bone density scan
- C. Calcium blood level
- D. CAT scan
Correct Answer: B
Rationale: Bone density testing can identify women at risk for fractures.
When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. Which of Erikson's developmental stages has the patient achieved?
- A. Acceptance
- B. Withdrawal
- C. Ego integrity
- D. Interaction
Correct Answer: C
Rationale: The last stage of life is acceptance of life and it results in ego integrity.
What is age-related vision change caused by the loss of elasticity of the lens called?
- A. Nearsightedness
- B. Cataracts
- C. Presbyopia
- D. Blepharitis
Correct Answer: C
Rationale: Age-related changes include presbyopia and farsightedness resulting from a loss of elasticity of the lens. Cataracts are due to opacity of the lens.
What should the nurse do to help the dysphagic patient?
- A. Sit the patient upright.
- B. Reduce distraction during mealtime.
- C. Offer fluid from a straw.
- D. Thicken liquids.
- E. Cue the patient to swallow.
Correct Answer: A,B,D,E
Rationale: Offering fluids using a straw increases the possibility of choking or aspiration. All other options would be beneficial to the dysphagic patient.