Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 23
Question 1
Type: MCSA
A nurse is working with a group of clients in a community center, all over the age of 85. How should the nurse
classify this group of clients?
1. Young-old
2. Middle-old
3. Old-old
4. Elite-old
Question 2
Type: MCMA
The nurse is planning care for an older adult client. On what should the nurse focus if following the Functional
Consequences Theory on aging?
Standard Text: Select all that apply.
1. Promote safety.
2. Promote mental health.
3. Improve quality of life.
4. Promote spiritual health.
5. Promote growth and development.
Question 3
Type: MCSA
A nurse is presenting a health education program to a group of older adults at a senior citizens center. Considering
the physiological changes of this age group, how should the nurse set the temperature of the room?
1. It should be set at a temperature that is comfortable for the nurse.
2. It should be set cooler than what is comfortable for the nurse.
3. It should be set warmer than the nurse’s preference.
4. The temperature of the room is not one of the nurse’s concerns.
Question 4
Type: MCSA
In the review of an elderly client’s chart, the nurse reads that the client has sarcopenia. What should the nurse
expect the client to report?
1. Weight loss and nausea
2. Hair loss and thin skin
3. Bleeding and bruising tendencies
4. Lack of strength and tiring easily
Question 5
Type: MCSA
An elderly client comes to the clinic for follow-up after a long hospitalization. When the client asks about
increasing strength and endurance, what should the nurse respond?
1. “Your muscles can be strengthened, which might help you function better.”
2. “It won’t matter if you exercise. At your age, there’s little room for improvement.”
3. “Once muscle mass is decreased, there’s nothing that can be done for strength improvement.”
4. “Maybe you should think about going to a nursing home. At least the people there will be able to help with
your needs.”
Question 6
Type: MCSA
A group of elderly women come to the community center for exercise classes taught by the community health
nurse. This activity will help lead to which outcome for these clients?
1. Reverse the effects of aging and cure pain.
2. Slow bone density loss and decrease muscle atrophy.
3. Eliminate the risk for osteoporosis.
4. Prevent pathologic fractures.
Question 7
Type: MCSA
A nurse is teaching a wellness class for older adults. In order to address the sensory loss that accompanies the
aging process, the nurse should recommend that these clients take which action?
1. Use hearing aids and glasses.
2. Wear shaded glasses indoors to reduce glare.
3. Switch to brighter lighting in their home.
4. Exercise more and increase calcium intake.
Question 8
Type: MCSA
A school nurse is bringing a group of students to a nursing home for a social exchange project. Before the
students arrive, the nurse reminds them to do what when speaking to the residents?
1. Speak as loud as they can.
2. Speak into the residents’ ears.
3. Write out what they want to say on a piece of paper.
4. Speak distinctly, while facing the residents.
Question 9
Type: MCSA
A nurse is preparing an education program on safety concerns for elderly adults living in their own homes. To
address the sensory changes in this age group, what should the nurse recommend to this group?
1. Have carbon monoxide detectors that are checked on a scheduled basis.
2. Place a list of emergency numbers near the phone.
3. Install telephones that use a blinking light instead of a ringer.
4. Ask someone to do their cooking for them.
Question 10
Type: MCSA
An elderly client comes to the clinic after checking his blood pressure several times in the local discount store.
The nurse checks the blood pressure and finds that it is 146/80. What should the nurse say to this client?
1. “Having blood pressure a little high is normal at your age. Yours is fine.”
2. “I’ll recheck this in a while, but your systolic pressure is too high.”
3. “We’ll wait and see what the doctor says, but I doubt he will be concerned.”
4. “You should be on medicine for high blood pressure.”
Question 11
Type: MCSA
The elderly client comes to the clinic reporting gastrointestinal problems, including frequent constipation and
indigestion, but denies any recent weight loss. The nurse initially recognizes that these symptoms
1. indicate a concern and could be caused by cancer.
2. indicate the need for an upper and lower GI x-ray series.
3. could be related to normal changes in muscle tone and activity.
4. are probably indicative of a gastric ulcer or colitis.
Question 12
Type: MCSA
An older adult client comes to the clinic with reports of not being able to hold her urine, stating: “I feel so terrible.
This shouldn’t happen at my age.” How should the nurse respond?
1. “You shouldn’t feel badly. Lots of people have this trouble.”
2. “You’ll probably have to start wearing incontinence briefs. Then you won’t be worried about accidents.”
3. “Getting old isn’t much fun, is it?”
4. “There could be a number of causes for this. I need to ask you some more questions about it.”
Question 13
Type: MCSA
An older male client comes to the clinic and states to the nurse that he hasn’t been interested in sexual intercourse
lately. He states: “I guess this is part of getting old, too.” What should the nurse explain about decreased sexual
interest in older clients?
1. It does decrease and gradually disappears.
2. It should not be taken as seriously as it would be if the client were a younger person.
3. It is caused by decreased hormone activity and there is little that can be done about it.
4. It decreases but does not disappear.
Question 14
Type: MCSA
In planning any health program for elderly adults, the nurse will implement Erikson’s theory of task development.
The nurse realizes that in this stage of life, the successful completion of the task allows the person to
1. have a feeling of satisfaction from past accomplishments.
2. make connections with the younger generation.
3. wish he or she could live life over again.
4. live out his or her last years in physical health.
Question 15
Type: MCSA
When consulting Erikson’s developmental theory, the nurse determines that which older adult will have the least
difficulty being successful with the task of this stage?
1. A client who felt success through her children’s accomplishments
2. A client who held his job and work status as the defining feature of his life
3. A client who maintained a balance between work and home
4. A client who planned to really enjoy life once she retired