Preliminary Examination In Elective 2
AKLAN POLYTECHNIC COLLEGE COLLEGE OF NURSING 1ST SEMESTER S. Y 2020-2021 PRELIMINARY EXAMINATION IN ELECTIVE II
- 1.An 88-year-old retired school principal who lives alone has neighbors who believe his home is dark, dirty, smelly, and without modern conveniences. The neighborhood children think he is a “crazy old man.” What does this describe?
- A.
Racism
- B.
Sexism
- C.
Ageism
- D.
Patriotism
- E.
Option 5
- 2.Which statement reflects respect for people who are older?
- A.
Getting old is a hopeless downward spiral toward death.
- B.
As people get older, they become very self-centered.
- C.
Older people maintain unique and individual characteristics.
- D.
Older people become very rigid and are unable to learn new things.
- 3.Normal physiological aging is
- A.
A predictable and uniform process
- B.
Reflective of individual diversity
- C.
Accompanied by extreme mood swings and predictable depression
- D.
Primarily related to chronic disease processes
- 4.What is LEAST likely to affect the aging process?
- A.
Life experiences
- B.
Financial resources
- C.
Stress management style
- D.
Social support system
- 5.The normal aging process is accompanied by
- A.
Potential problems in functional ability
- B.
Chronic disease processes
- C.
Regression from previous social activities
- D.
A characteristic depression related to multiple losses
- 6.The leading cause of death in older adults is
- A.
Stroke
- B.
Heart disorders
- C.
Cancer
- D.
Pneumonia
- 7.Which theory is NOT considered to be a psychological theory of aging?
- A.
Subcultural theory
- B.
Wear and tear theory
- C.
Developmental tasks theory
- D.
Continuity theory
- 8.According to Erik Erikson’s eight stages of life theory, the task of old age is
- A.
Integrity vs. Despair
- B.
Industry vs. Inferiority
- C.
Identity vs. Role Confusion
- D.
Generativist vs. Stagnation
- 9.Which is NOT a characteristic of physiological theories of aging?
- A.
Genetics
- B.
Nutrition
- C.
Personality
- D.
Wear and tear of the body
- 10.What is considered normal aging of the cardiovascular system?
- A.
Strengthened heart contractions
- B.
Decreased cardiac output
- C.
Flaccid and thinned heart valves
- D.
Dilation of blood vessels
- 11.What determines an older adult’s ability to function?
- A.
Driving a car
- B.
Quality of life
- C.
Working, driving, shopping, and exercising as usual
- D.
Performance of activities of daily living (ADLs), instrumental ADLs, and quality of life
- 12.Which does NOT contribute to increased residual lung volume in an older patient?
- A.
Kyphosis
- B.
Decreased elastic recoil
- C.
Decreased number of functioning alveoli
- D.
Decreased efficiency of gas exchange in the alveoli
- 13.One of the best ways for the nurse to promote normal respiratory function with older adults is to
- A.
Encourage daily walks.
- B.
Encourage frequent naps and rest periods.
- C.
Discourage strenuous lifting and physical activity.
- D.
Teach the use of inhalers in case of respiratory emergencies.
- 14.Which is NOT an expected age-related change affecting the respiratory status of an older patient?
- A.
Weakened abdominal muscles
- B.
Elongation of the thoracic spine
- C.
Increased rigidity of the rib cage
- D.
Increased thickness of the alveolus capillary membrane
- 15.Which is NOT considered a common complication of inactivity in an older adult?
- A.
Decreased energy
- B.
Decreased bone mass
- C.
Decreased muscle mass
- D.
Decreased joint range of motion
- 16.What effect do age-related changes of the skin have on an older patient?
- A.
Effects joint mobility
- B.
Alters temperature regulation
- C.
Impacts the ability to ambulate
- D.
Influences clothing style choices
- 17.Which is one of the most effective ways to minimize the aging changes of the skin?Which one do you like?
- A.
Wash the skin daily with soap.
- B.
Avoid excessive sun exposure
- C.
Use a vitamin E-fortified lotion every day.
- D.
Use rose milk lotion on the skin every day.
- 18.What can slow musculoskeletal changes in an older adult?
- A.
Exercising
- B.
Restricting calcium intake
- C.
Napping throughout the day
- D.
Eating a diet high in carbohydrates
- 19.What is the best advice for an older person who complains of never being hungry?
- A.
Try eating six small meals throughout the day.
- B.
Force yourself to eat at least three meals a day.
- C.
As people get older, they may need to eat only one meal a day.
- D.
Avoid eating roughage and drinking large amounts of fluid.
- 20.Which body system is most highly influenced by previous life patterns and environmental conditions?
- A.
Circulatory
- B.
Integumentary
- C.
Respiratory
- D.
Gastrointestinal
- 21.Which statement is most true about enlargement of the prostate gland in older men?
- A.
It is a normal aging change.
- B.
It indicates the presence of cancer.
- C.
It is related to a high incidence of impotence for older men.
- D.
It decreases the incidence of urinary incontinence for older men.
- 22.Incontinence is a problem for many older women. The normal aging change that contributes to stress incontinence for older women is
- A.
Decreased bladder capacity
- B.
Decreased renal blood flow
- C.
Reduced glomerular filtration rate
- D.
Loss of mass and strength of perineal muscles
- 23.Painful intercourse and vaginal infections can be associated with
- A.
Loss of pubic hair
- B.
Urinary incontinence
- C.
Decreased vaginal secretions
- D.
Decreased perineal muscle mass
- 24.What sleep pattern change is most stressful to older adults?
- A.
Frequent wakening
- B.
Shorter sleeping time at night
- C.
Inability to nap during the day
- D.
Feeling of being less rested after sleeping all night
- 25.Which are the most common gastrointestinal problems for older adults?
- A.
Indigestion, diarrhea, and anorexia
- B.
Constipation, bulimia, and indigestion
- C.
Indigestion, constipation, and anorexia
- D.
Flatulence, diarrhea, and intestinal cramps
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