Question 1

To help meet the needs of an increasingly ethnoculturally diverse older-person population, which of the following should be done?
A)Hire more male nurses.
B)Offer more second-language courses in nursing schools.
C)Provide more reading material in various languages.
D)Increase the number of health care providers from various cultures.

Accepted Answer

Increasing the number of health care providers from various cultures is the best choice to meet the needs of an increasingly ethnoculturally diverse older-person population. This allows for better communication and understanding of cultural differences, leading to improved quality of care. Hiring more male nurses or offering more second-language courses in nursing schools or providing more reading material in various languages can also be helpful, but they do not address the issue of cultural competence and understanding in the same way as having health care providers from various cultures.

Question 2

Determinants of health are the underlying causes of illness and wellness.Which of the following describes the older person who is likely to experience the best overall health and well-being?
A)Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight
B)Resides alone, was moved to a new city recently by the family for their convenience, has osteoarthritis
C)Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family
D)Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends

Accepted Answer

The older person who uses a wheelchair and attends weekly baseball games with three friends may experience the best overall health and well-being. This person has a social support system and engages in physical activity, both of which are important for health and wellness. Additionally, having a disability doesn't automatically mean poor health outcomes, as seen in this example.

Question 3

According to researchers, which characteristic will most centenarians share in the future?
A)Being female
B)Having dementia
C)Being malnourished
D)Being wheelchair-bound

Accepted Answer

Studies have shown that female centenarians outnumber male centenarians by almost 5 to 1. Therefore, being female is the characteristic that most centenarians will likely share in the future. The other options (B, C, and D) are not generally associated with longevity.

Question 4

Historical influences that have shaped the lives of the majority of the middle-old in Canada today include which of the following?
A)Influenza epidemic of 1918
B)Immigration from Communist Europe
C)Child-rearing during the Depression
D)World War II

Accepted Answer

The answer of Historical influences that have shaped the lives...

Question 5

Mr.Levesque, 65 years old, has been living on the street and in homeless shelters for the last three years after having lost his job as a maintenance attendant at a local store.He suffers from alcoholism and appears malnourished upon arrival at the hospital, after falling on the sidewalk and injuring his left shoulder.When implementing a primary health care approach, what is the main principle the nurse should consider with this older person?
A)Health promotion
B)Accessibility
C)Primary care
D)Public participation

Accepted Answer

The main principle of a primary health care approach is health promotion, which involves addressing the social determinants of health and providing education and resources to individuals to improve their overall health and well-being. In Mr. Levesque's case, addressing his alcoholism and malnutrition through education, counseling, and access to resources would be important in promoting his health and preventing further injuries or illnesses. Accessibility, primary care, and public participation are also important components of a primary health care approach, but may not be the primary principle in this particular case.

Question 6

Which of the following nursing interventions represent a holistic approach to caring for an older person?
A)Performs glucose testing during the weekly worship service
B)Wheels ambulatory adults to exercise when running late
C)Assigns female nurses to older female persons who are Muslim
D)Allows older persons in a nursing home to eat meals alone

Accepted Answer

Assigning female nurses to older female persons who are Muslim respects cultural and religious beliefs, which is a key aspect of holistic care.

Question 7

Which province or territory is predicted to have the fastest growing older-person population in Canada between the years 2006 and 2031?
A)Ontario
B)British Columbia
C)Yukon
D)Newfoundland

Accepted Answer

Yukon is predicted to have the fastest growing older-person population in Canada between the years 2006 and 2031, largely due to its smaller population base, which makes percentage increases more pronounced, and its attractive lifestyle for retirees.

Question 8

Mrs.McCloud, 70 years old, lives in Attawapiskat and speaks mostly Cree.She is transferred to a hospital in a larger city in Ontario for hemodialysis.While Mrs.M.is in hospital, what should the nurse take into account when developing nursing interventions based on health promotion?
A)Instruct the older person to monitor her fluid intake on an hourly basis.
B)Demonstrate, through pictures, how to eat a healthy, well-balanced diet.
C)Ask the older person about her home and how she accesses health care.
D)Ask the older person why she did not seek help sooner, to prevent the need for hemodialysis.

Accepted Answer

It is important for the nurse to assess Mrs. McCloud's social support system, including her access to health care in her home community. This will help the nurse develop interventions that are culturally appropriate and accessible for Mrs. McCloud. Monitoring fluid intake and demonstrating a healthy diet may also be important interventions, but they should be tailored to Mrs. McCloud's cultural background and individual needs. Asking Mrs. McCloud why she did not seek help sooner may not be an appropriate intervention, as it could be perceived as blaming her for her health condition.

Question 9

An older-person male living in an adult community becomes a widower one month after retirement.Two months later, he has not resumed a weekly outing with his fishing club.Which of the following should the nurse implement?
A)Ask the older person why he is not fishing.
B)Have club members visit him at home.
C)Meet with him to assess his interests.
D)Enroll him in a weekly card game.

Accepted Answer

The nurse should assess the older person's interests to understand his current needs and preferences, especially after a significant life change like losing a spouse.

Question 10

A man is terminally ill with end-stage prostate cancer.What is the best statement about this man's wellness?
A)Wellness is possible, even if the patient uses medication to assist in management of his medical care.
B)Wellness is unfortunately not a real option for the patient.
C)Wellness is the same thing as faith healing, and if the patient were more receptive, he could be back at work in a few weeks.
D)Nursing interventions can help empower a patient to achieve a higher level of wellness.

Accepted Answer

Although the man may never fully recover from his cancer, nursing interventions can help him achieve a higher level of wellness by managing symptoms, preparing for end-of-life care, and providing emotional and spiritual support. It is important to recognize that wellness is not just about physical health, but also encompasses mental, emotional, social, and spiritual well-being. Therefore, option A and B are incorrect as they present wellness as an all-or-nothing concept. Option C is also incorrect as it suggests that wellness is solely dependent on faith and ignores the role of medical and nursing interventions in supporting the patient's overall well-being.

Question 11

A nurse prepares for the arrival of older persons evacuated from a forest fire in northern Manitoba to a shelter for short-term care.Which of the following is the priority nursing intervention?
A)Demonstrate that the staff is prepared to meet their needs.
B)Use individual medical records to develop a medication plan.
C)Help older persons to display family photos and memorabilia.
D)Help older persons to teach one another a new skill in the shelter.

Accepted Answer

The answer of A nurse prepares for the arrival of...

Question 12

The nurse develops a community program to promote exercise for older persons.Which of the following should the nurse include in the exercise program?
A)Reinforce the ease of exercising every day.
B)Use exercise to relax any dietary restrictions.
C)Describe ways to resume exercise after lapses.
D)Teach participants that exercise achieves wellness.

Accepted Answer

It is important to include information on how to resume exercise after lapses in the program to ensure that participants do not give up after missing a few days. This can help create long-term adherence to the exercise program. Reinforcing the ease of exercising every day and teaching that exercise achieves wellness can also be helpful, but does not address the issue of maintaining exercise after a lapse. Using exercise to relax any dietary restrictions is not a recommended approach and may lead to harmful behaviors.

Question 13

The nurse plans activities for female older persons born between 1930 and 1940 who reside in an assisted-living facility.Which is the best intervention for the nurse to implement?
A)Have them bake cookies twice a week.
B)Conduct interviews for specific interests.
C)Arrange dog and cat visits from volunteers.
D)Take them to the library for guest speakers.

Accepted Answer

Conducting interviews for specific interests would allow the nurse to cater to individual preferences and plan activities accordingly, which would be more enjoyable and engaging for the older persons. This approach would also allow the nurse to create a sense of community and promote social interaction. The other options may not be as personalized and may not cater to individual interests and needs.

Question 14

An older-person male who resides in a nursing home has very high cholesterol levels.Which nursing intervention is most likely to assist this man in achieving his highest level of wellness?
A)Instruct him about increasing dietary fibre.
B)Ask the health care provider for a low-fat diet.
C)Schedule a consultation for him with the dietitian.
D)Review a menu with him to choose suitable foods.

Accepted Answer

The answer of An older-person male who resides in a...

Question 15

The nurse plans care for an older male adult who lives on Old Age Security pension and a small pension after retirement, and has type 2 diabetes mellitus.Which aspect of this man's life should the nurse integrate into a positive approach to his health and well-being?
A)He practises effective glucose control.
B)He lives alone in a high-rise apartment.
C)He lacks low-cost, reliable transportation.
D)He attends weekly lunches at his local diner.

Accepted Answer

Practising effective glucose control is crucial in managing type 2 diabetes mellitus, which is a priority health concern for this older male adult. While the other options (living alone, lack of low-cost transportation, and attending weekly lunches at a diner) may impact his social and environmental well-being, they do not directly address his diabetes management.

Question 16

In differentiating between health and wellness in health care, which of the following statements is true?
A)Health is a broad term encompassing attitudes and behaviours.
B)The concept of wellness was rarely or never considered by previous generations.
C)Wellness and self-actualization develop through learning and compromise.
D)It is impossible to have wellness when one's health is compromised.

Accepted Answer

Health encompasses physical, mental, and social well-being, as well as attitudes and behaviors that affect overall well-being. Wellness is the active process of making choices toward a healthy and fulfilling life. While health includes attitudes and behaviors, it also includes physical well-being. The concept of wellness has been considered for many generations, although the term may have been different. Wellness and self-actualization may develop through learning and compromise, but it is still possible to have wellness even if one's health is compromised, through proactive management and adaptation.

Question 17

Which statement describes aging in developing countries?
A)Many developing countries have historically had many members live to be centenarians.
B)The biggest problem for older persons will be lack of food.
C)Most of the world's older persons are likely to reside in developing countries.
D)Like fertility, life expectancy is increasing, although at a different rate.

Accepted Answer

According to the United Nations, by 2050, almost 80% of the world's older population will live in developing countries.

Answer: D 
 Life expectancy is increasing globally, but the rate of increase is not consistent across all countries. Developing countries are experiencing a slower rate of increase than developed countries.

Quiz 1: Introduction to Healthy Aging

To help meet the needs of an increasingly ethnoculturally diverse older-person population, which of the following should be done?

Determinants of health are the underlying causes of illness and wellness.Which of the following describes the older person who is likely to experience the best overall health and well-being?

According to researchers, which characteristic will most centenarians share in the future?

Historical influences that have shaped the lives of the majority of the middle-old in Canada today include which of the following?

Which of the following nursing interventions represent a holistic approach to caring for an older person?

Which province or territory is predicted to have the fastest growing older-person population in Canada between the years 2006 and 2031?

Mrs.McCloud, 70 years old, lives in Attawapiskat and speaks mostly Cree.She is transferred to a hospital in a larger city in Ontario for hemodialysis.While Mrs.M.is in hospital, what should the nurse take into account when developing nursing interventions based on health promotion?

An older-person male living in an adult community becomes a widower one month after retirement.Two months later, he has not resumed a weekly outing with his fishing club.Which of the following should the nurse implement?

A man is terminally ill with end-stage prostate cancer.What is the best statement about this man's wellness?

A nurse prepares for the arrival of older persons evacuated from a forest fire in northern Manitoba to a shelter for short-term care.Which of the following is the priority nursing intervention?

The nurse develops a community program to promote exercise for older persons.Which of the following should the nurse include in the exercise program?

The nurse plans activities for female older persons born between 1930 and 1940 who reside in an assisted-living facility.Which is the best intervention for the nurse to implement?

An older-person male who resides in a nursing home has very high cholesterol levels.Which nursing intervention is most likely to assist this man in achieving his highest level of wellness?

The nurse plans care for an older male adult who lives on Old Age Security pension and a small pension after retirement, and has type 2 diabetes mellitus.Which aspect of this man's life should the nurse integrate into a positive approach to his health and well-being?

In differentiating between health and wellness in health care, which of the following statements is true?

Which statement describes aging in developing countries?