1.

A 75-year-old woman who often used to go out to dinner with her friends has
stopped going out because she has been experiencing urinary incontinence and is
afraid of having an “accident” in public. When her child asks her why she doesn't
go out with her friends anymore, she says, “I'm getting too old for such
foolishness.” Her child asks her to go to the doctor for an evaluation, but she
refuses to do so. Which is occurring with this older adult?
A) She is experiencing learned helplessness and low self-efficacy.
B) She sees incontinence as an inevitable consequence of aging.
C) She views her incontinence as a negative functional consequence of aging.
D) Her doctor is sympathetic; however, the woman and the doctor are unable to find a
solution.

2. An older woman returns to her hospital room after abdominal surgery. As the
nurse completes her assessment, the client asks the nurse to pin her “prayer
cloth” to her pillow. Which intervention is priority?
A) Say, “I will pin it on your pillow in a couple of hours after you are stable.”
B) Ask, “What is the purpose of a prayer cloth? Did you make it?”
C) Ask, “What religion do you practice? Did your minister give the prayer cloth to
you?”
D) Pin the prayer cloth to her pillow since it is an essential part of her spiritual health.

3. A nurse manager of an extended care facility works to promote psychosocial

health. Which intervention should the nurse manager include?
A) Adapt the environment to compensate for residents' sensory impairments.
B) Dress residents exclusively for ease in going to and from the restroom.
C) Plan dining room arrangements according to room and hall assignments.
D) Position the residents who are in wheelchairs solely for ease in getting out of the
dining area.

4. A nurse teaches a nursing assistant about the impact of culture on older adults'
well-being. Which statement by the nursing assistant indicates a need for further
teaching?
A) “A cultural background has little influence on individuals' standards for 'normal' or
'abnormal' behaviour.”
B) “Western cultures often have a very rigid distinction between health and illness.”
C) “Culture may influence mental health and illness in individuals.”
D) “Culture may determine an individual's expression of symptoms or clinical
manifestations.”

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 5. A nurse manager develops policies to promote a sense of control for older adults
in the assisted living facility. Which policy should be included?
A) Hold resident council meetings twice monthly and invite all residents to attend.
B) Post a meal menu every Sunday and tell the residents that they must notify the
kitchen in advance if they want a menu change.
C) Design all the emergency pull cords so they blend in with the wallpaper and are
inconspicuous.
D) Teach the nurses' aides to use the passkey to do spot checks on every resident at
least twice during the night to ensure that the residents are safe.

6. A nurse assists adults to prepare for the changes that often occur in late
adulthood. Which psychosocial consequences occur because of life events during
that period? (Select all that apply.)
A) A broadening of social networks
B) Adjusting to relocation from home
C) Adjustment to a lower income
D) Adaptation to chronic illnesses
E) Coming to terms with one's mortality

7. A 69-year-old woman is saddened by her recent diagnosis of type 2 diabetes,

which is a stressor that will make numerous demands on her life in the coming
years. Which action demonstrates a problem-focused approach to this stressor?
A) Eliciting support and sympathy from her sister and neighbor
B) Obtaining diabetic cookbooks and learning to change her cooking habits
C) Seeking out a second opinion from another physician
D) Deciding to make no lifestyle changes despite her new diagnosis

8. An older adult has impaired psychosocial functioning. Which consequence

should the nurse monitor?
A) Anxiety
B) Elevated blood glucose level
C) Increased independence
D) Resilience

9. A nurse in a long-term care facility organizes a “healthy aging” class for

residents. Which activity should be prioritized during these classes?
A) Present tools that residents can use to develop better psychosocial health.
B) Role-play responses to life events that may occur in their near future.
C) Assess group members' strategies used to deal with life events.
D) Discuss coping strategies helpful in adjusting to challenges of aging.

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 10. A nurse leads a “healthy aging” class at a community health center. Which
question should the nurse use to generate discussion among participants in this
setting?
A) “How did you adjust to your move from your house to the assisted living facility
Irma?”
B) “Are you satisfied with the care that you're getting from your family doctor,
Elizabeth?”
C) “Donald, could you tell us why your grandson is living with you?”
D) “Have you had any tests done on your heart since we last met, Marie?”

11. An 81-year-old is admitted to the hospital for congestive heart failure. The client
is widowed, and the medical staff and client are talking about the client moving
to an assisted living facility. Which intervention by the nurse best creates a
wellness opportunity?
A) Ask the client to explain how cares have been accomplished at home.
B) Assist the client to discuss the feelings associated with a potential move to assisted
living.
C) Describe the options for long-term housing with the client.
D) Encourage the client to think positively about this move.

12. A community health nurse presents a class on “Aging in America: Living the
Dream.” Which information should the nurse stress when discussing retirement?
(Select all that apply.)
A) Delaying retirement until unable to work can be beneficial.
B) Factors such as health, friendship relationships and resources influence the
transition.
C) Sometimes the adjustment is more difficult for the partner who has not been
employed.
D) The adjustment to retirement is best accomplished quickly and with finality.
E) A strong work ethic assists in the adjustment to retirement.

13. A 75-year-old woman who often used to go out to dinner with her friends has
stopped from going out because she has been experiencing urinary incontinence
and is afraid of having an “accident” in public. When her child asks her why she
doesn't go out with her friends anymore, she says, “I'm getting too old for such
foolishness.” How can the nurse best assist this client?
A) Assist the client to view this functional limitation as temporary and treatable.
B) Encourage the client to accept this consequence of growing old.
C) Rephrase the situation to one of control, and allow the client to make the decisions.
D) Teach the client that majority of older adults rate their health as good to excellent.

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 14. A nurse admits an 81-year-old to the hospital for congestive heart failure. The
client is widowed and has recently moved to an assisted living facility. Which
event contributed the most to this admission?
A) Moving changed her daily habits.
B) Her age-related changes and risk factors increased.
C) The stress of widowhood and relocation stressed her body.
D) The assisted living facility serves food high in saturated fats.

15. A nurse assesses an 85-year-old Filipino woman. The client states that her
husband is very forgetful and angry most of the time. To which illness is the
woman most likely referring?
A) Mental illness
B) Fainting
C) Posttraumatic stress disorder (PTSD)
D) Suicide

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Answer Key

1. B
2. D
3. A
4. A
5. A
6. B, C, D, E
7. B
8. A
9. D
10. A
11. B
12. B, C
13. A
14. B
15. A

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