CPNP 111 Week 4

Which nutrient is essential as we age to continue to promote and ensure adequate bone health?

• sodium

• calcium

• zinc

• protein

Which term explains changes that occur with the musculoskeletal system and decline in quality and quantity of muscle tissue as we age?

• presbycusis

• osteoporosis

• arthrosclerosis

• sarcopenia

The study of death, dying and the practices associated with it is also known as ?

• grief

• bereavement

• thanantology

• death

Which is not a phase in the "Living-dying interval?"

• Cooling off phase

• Acute crisis phase

• Chronic living-dying phase

• Terminal phase

Answer explanation

Cooling off is a countercoping strategy as described by Weisman as 1 of the 4 strategies

Which is not included or considered to be one of the "Six C's Approach" as identified by Weisman as a need of the dying ?

• Control

• Communication

• Continuity

• Clarity

Answer explanation

The Six C's Approach are; care, control, composure, communication, continuity and closure

An 80-year-old patient, who lives at home with a spouse, is instructed to follow a 2 g sodium diet. The patient states, "I've always eaten the same way all my life, and I'm not going to change now." To promote optimal dietary adherence, the gerontological nurse's initial approach is to:

• inform the patient about the need to follow the diet.

• inquire about the patient's current food preferences and eating habits.

• list the variety of foods that are allowed on the diet.

• provide dietary instruction to the patient's spouse, who prepares the meals.

A 90-year-old patient comes to the clinic with a family member. During the health history, the patient is unable to respond to questions in a logical manner. The gerontological nurse's action is to:

• ask the family member to answer the questions.

• ask the same questions in a louder and lower voice.

• determine if the patient knows the name of the current premier.

• rephrase the questions slightly, and slowly repeat them in a lower voice.

Which ethical principle underlies nursing actions respecting each patient's values and beliefs?

• Autonomy

• Beneficence

• Justice

• Responsibility

An effective way to adequately provide nourishment to a patient with moderate dementia is:

• allowing the patient to choose foods from a varied menu.

• hand feeding the patient's favorite foods.

• routinely reminding the patient about the need for adequate nutrition.

• serving soup in a mug, and offering finger foods.

An 82-year-old patient has a painful, vesicular rash that burns over the left abdomen. The patient indicates that he or she has tried multiple creams that have not helped. Which question does the gerontological nurse first ask?

• "Did you have the pain before the rash appeared?"

• "Do you have any food or drug allergies?"

• "Have you been around anyone with a rash?"

• "Have your grandchildren visited recently?"