Canadian Nursing Health Assessment: A Best Practice Approach 2nd Edition, by Tracey TEST BANK

Chapter 30: Older Adults Multiple Choice 1. When caring for an older adult, the nurse would know that wound healing rate reduces normally with aging by A) 20%.

B) 30%.

C) 40%.

D) 50%.

Ans: D Age Group: Older Adult Chapter: 30 Client Type: Population Competency Category: Changes in Health Difficulty: Moderate Objective: 1 Page and Header: 926, Skin, Hair, and Nails Taxonomic Level: Knowledge Feedback: Decreased mitotic activity of cells that accompanies aging normally leads to a 50% reduction in rate of wound healing.

2. A 77-year-old patient comes to the clinic and reports difficulty with driving at night. What would be the most appropriate response from the nurse?

A) “It is nothing to worry about.”

B) “It's just something that happens with aging.”

C) “With aging, the pupils do not respond to light as quickly.”

D) “This can be serious and needs to be evaluated by the physician immediately.”

Ans: C Age Group: Older adult Chapter: 30 Client Type: Individual Competency Category: Changes in Health Difficulty: Difficult Objective: 1, 2 Page and Header: 926, Eyes and Vision Taxonomic Level: Application Feedback: Slowed pupillary responses lead to a difficulty in accommodating to changes in light, difficulty with night driving, and problems with glare. This explanation is more helpful than simply characterizing the problem as “something that happens.” The patient's statement requires follow-up, but it is not an emergency.