The Aging Experience and Chapter 3 supporting life transitions and spirituality
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The nurse is caring for an older patient. Which information about the aging process should the nurse recall that demonstrates respect for this population?

  • As people get older, they become very self-centered.
  • Getting old is a hopeless downward spiral toward death
  • Older people maintain unique and individual characteristics (correct)
  • Older people become very rigid and are unable to learn new things.
  • The nurse is asked to explain the different theories of aging. Which physiological theory should the nurse include?

  • Continuty
  • Subculture
  • Wear and tear (correct)
  • Developmental tasks
  • The nurse is preparing a teaching tool about the normal physiological characteristics of aging. Which information should the nurse include?

  • It is reflective of individual diversity (correct)
  • It is a predictable and uniform process
  • It is primarily related to Chronic discase processes
  • It is accompanied by extreme mood swings and predictable depression
  • The nurse is caring for an older patient. Which patient characteristic should the nurse identify that reflects a psychological theory of aging?

    <p>Personality</p> Signup and view all the answers

    The nurse is preparing to collect data on an older patient's cardiovascular system. Which finding should the nurse identify as a normal age-related change?

    <p>Decreased cardiac output</p> Signup and view all the answers

    The nurse is visiting an older patient in the home. Which behavior should the nurse identify that determines this patient's ability to function?

    <p>Performing activites of daily livings(ADLs), instrmental ADLs, and quality of life.</p> Signup and view all the answers

    The nurse is assessing an older patient's respiratory system. Which should the nurse identify as a reason for this patient to experience increased residual lung volume?

    <p>Decreased efficiency of gas exchange in the alveoli</p> Signup and view all the answers

    An older patient is experiencing age-related skin changes. Which findings should the nurse associate with theses changes?

    <p>Change in body temperature regulation</p> Signup and view all the answers

    An older female patient reports leaking urine when coughing and sneezing. Which should nurse explain as the reason for this change in the urinary system

    <p>Loss of mass and strength of pelvic muscle</p> Signup and view all the answers

    An older female is concerned about experiencing painful intercourse and vaginal infection, Which should the nurse consider as the reason for this patinet's symptoms.

    <p>Decreased vaginal secretions</p> Signup and view all the answers

    The nurse is assessing an older patient. Which gastrointestinal symptoms should the nurse expect the patient to report?

    <p>Indigestion, constipation, and anorexia</p> Signup and view all the answers

    An older patient reports dry eyes. Which health problem is this patient at risk of developing?

    <p>Eye infections</p> Signup and view all the answers

    The nurse is assessing an older patient. Which finding should the nurse identify as an age-related change in hearing?

    <p>Loss of high-frequency tones</p> Signup and view all the answers

    An older patient is experiencing shortness of breath when completing household activities. Which age-related change in the respiratory system should be used to explain this patient's symptoms?

    <p>Loss of lung elastic recoil</p> Signup and view all the answers

    The nurse is concerned that an older patient is experiencing age-related changes to the gastrointestinal system. What finding caused the nurse to have this concern

    <p>Loose teeth</p> Signup and view all the answers

    An older patient recovering from hip replacement surgery is upset and does not feel at peace because of the inability to attend church as a result of the injury. What is the best response by the nurse.

    <p>Offer to call the hospital's chaplain or clergyman to pray with the patinent</p> Signup and view all the answers

    The nurse respects an older patient's decision and right to refuse treatment and returns at a later time to offer previously refused medication. Which factor influencing transitional outcomes applies to this patient's situation?

    <p>Degree of choice</p> Signup and view all the answers

    An older patient has just been admitted to the oncology unit with a new diagnosis of lung cancer and knows very little about the diagnosis. Which action should the nurse take to make this patient's transition easier?

    <p>Talk with the patient about fears, questions, and concerns</p> Signup and view all the answers

    An older patient recovering from coronary artery bypass surgery is depressed and is continuously asking, "Why is God doing this to me?" In which way should the nurse respond?

    <p>Ask if the patient has any specific spiritual needs to be addressed</p> Signup and view all the answers

    The nurse is asked to explain the purpose of creating a life story. Which response should the nurse make?

    <p>It can be used to share life events with family members</p> Signup and view all the answers

    A nursing instructor has spinal fusion surgery and learns afterward that performing cardiopulmonary resuscitation and walking for long periods of time will be contraindicated in the future after recovery. What is the transitional moment for this instrctor?

    <p>Learning that certain activities are not permitted to be performed</p> Signup and view all the answers

    A middle-aged adult who was widowed a few years ago is having difficulty with losing one parent and then the other 5 months later. What should the nurse do to help this adult with the transition of losing both parents in a short period of time?

    <p>Ask how the transition of losing a spouse a few years ago was handled</p> Signup and view all the answers

    One member of an older couple is unable to walk independently and needs hemodialysis treatments three times a week. The couple is discussing the need for an extended care facility. What should be done to facilitate the ill spouse's free choice with a transition?

    <p>Identify the facilities with hemodialysis treatment centers</p> Signup and view all the answers

    The aging parents of a middle-aged adult have both recently passed away. What transition will the middle-aged adult be facing.

    <p>Role crisis</p> Signup and view all the answers

    An older adult is having difficulty adjusting to needing a cane to safely ambulate. With wich transitions is the person having difficulty?

    <p>Body image</p> Signup and view all the answers

    During a home visit, the adult daughter of an aging couple asks one parent to not tell the story about "the time you were in the war and had to use sheets to cover a wound"again. What should the nurse realize.

    <p>Life review</p> Signup and view all the answers

    An older married couple spent a few weeks going through all photos and placing them in albums to present to their adult children. What behavior did the older couple demonstrate?

    <p>Life review</p> Signup and view all the answers

    During a community picnic, the nurse observes a middle-aged adult sitting alone on a bench. This adult is reflecting on the times spent with parents and friends and does not want to forget the memories. What should the nurse suggest to this person.

    <p>Write a life story</p> Signup and view all the answers

    The nurse is caring for an older patient. What should the nurse identify as activities that could cause this patient to experience stress? Select all that apply

    <p>Waiting over an hour for a pain pill</p> Signup and view all the answers

    The nurse visits the home of a recently retired older patient. Which observation indicates that the patient is having difficulty with the transition? Select all apply

    <p>Losing weight</p> Signup and view all the answers

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