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Exam 2 : NUR163/ NUR163 (Latest 2025/ 2026
Update) Concepts of Practical Nursing in Care of
Elderly Patients Exam Review| Questions and
Answers| 100% Correct | Verified Solutions |
GRADED A - Hondros
Question:
Which type of exercises should the elderly/cardiac patients not take part in?
Answer:
Isometric/isotonic exercises due to vagal response
Question:
When giving diuretics, which electrolyte do you supplement due to the smallest margin of error?
Answer:
potassium
Question:
Which system controls stress on the body, or the Fight or Flight instinct?
Answer:
parasympathetic system
Question:
stress on the body/mind
Answer:
negative emotions, insomnia, alertness
Question:
stress causes: pupils
Answer:
dilate
Question:
stress causes: GI
Answer:
mouth is dry, dec. peristalsis, dec. appetite, N/V, ulcers, heart burn
Question:
stress causes: heart
Answer:
inc. HR, inc. BP
Question:
stress causes: lungs
Answer:
inc. respirations, dilate bronchioles, hyperventilation - > resp. alk.
Answer:
tension, headache, backache, sore muscles
Question:
stress causes: immune system
Answer:
dec. WBC count - > cancer
Question:
stress causes: skin/hair
Answer:
acne, eczema, psoriasis, hair loss
Question:
Relaxation Techniques for Stress Management
Answer:
exercise, art therapy, music, prayer, meditation, reiki, breathing exercises, massage
Question:
What is a challenging stressor?
Answer:
Manageable, but requires mobilization of sources
Question:
What is a neutral stressor?
Answer:
taxes existing resources
Question:
What is a threatening stressor?
Answer:
Exceeds existing resources and personal capabilities
Question:
Primary prevention
Answer:
Efforts to prevent an injury or illness from ever occurring; educating and vaccinations
Question:
Secondary prevention
Answer:
screening and early detection
Question:
Tertiary prevention
Question:
T/F A perceived stress event initiates a response in the peripheral nervous system
Answer:
False, CNS
Question:
T/F Stress activates the limbic system
Answer:
True
Question:
T/F Untreated stress is associated with chronic conditions such as coronary artery disease, tension headaches, insomnia, and depression
Answer:
True
Question:
T/F Decreased respiratory rate is a result of the release of norepinephrine and epinephrine
Answer:
False; increased
Question:
T/F Bronchoconstriction is a result of the release of norepinephrine and epinephrine
Answer:
False; bronchodilation
Question:
T/F Increased blood glucose level is a result of the release of norepinephrine and epinephrine
Answer:
True
Question:
T/F Decreased BP is a result of the release of norepinephrine and epinephrine
Answer:
False; increased
Question:
T/F Increased HR, contraction, and cardiac output is a result of the release of norepinephrine and epinephrine
Answer:
True
Question:
Which intervention would be most beneficial for a patient experiencing frequent headaches related to muscle tension? behavioral skills training, health education, biofeedback, or meditation?
Answer:
Question:
Why would someone be experiencing constipation during a stressful event?
Answer:
decreased peristalsis
Question:
T/F mild stress is bad
Answer:
False; mild stress causes increased alertness, which is good, in moderation
Question:
T/F Depression can occur because of high levels of stress
Answer:
True
Question:
Biofeedback is:
Answer:
making the pt aware of physiologic responses to stress in an attempt to gain control over those responses
Question:
T/F Suppression is making generalizations to avoid disturbing thoughts
Answer:
False; emotion-focused strategy
Question:
repression
Answer:
removal of anxiety-producing thoughts or experiences from conscious awareness
Question:
denial
Answer:
refusing to acknowledge some painful painful aspect of external reality that is obvious to others
Question:
rationalization
Answer:
creating an acceptable explanations for unacceptable thoughts or actions
Question:
intellectualization
Answer:
making generalizations to avoid avoid disturbing thoughts or feelings
Answer:
keeping so busy with activities that there is no time to think about stressors
Question:
Which systems does immobility affect?
Answer:
All body systems
Question:
Immobility complications
Answer:
depression, f/e imbalance, a/b imbalance, dec. perfusion - > DVT, dec. peristalsis, dec. C.O., skin breakdown - > pressure ulcers, pneumonia - > resp. acid., inc. risk for infection, edema, atrophy, bone demineralization - > kidney stones and osteoporosis
Question:
Immobility interventions
Answer:
ambulate, wt. bearing exercises, SCD's, ted hose, ankle pumps, turn Q 2 hrs, float heels, Ca++ Vit. D/Calcitonin, moon boots, hot/cold therapy, pre-med before exercise, referral to: social workers, PT, OT, DT
Question:
What can you delegate to a UAP?
Answer:
anything that doesn't involve assessment, medications, or nursing treatments (examples include: ambulation, ROM, moon boots, float heels, hot/cold therapy (unless assessment is needed), wt. bearing exercises)
Question:
What natural changes associated with aging affect activity in older adults?
Answer:
increased joint degeneration
Question:
T/F By limiting physical mobility with restraint, the patient has a decreased risk for falls
Answer:
False; increased risk
Question:
What can you do to help an older adult if pain is the common cause of decreased activity?
Answer:
pre-medicate within an hour before exercising
Question:
T/F Risk factors for activity intolerance include exertional dyspnea
Answer:
True
Answer:
True
Question:
deconditioned
Answer:
a loss of physical fitness; used for pts who experienced extended immobility such as prolonged bedrest
Question:
Why are older adults at increased risk for bone fractures?
Answer:
bone density decreases and bones become more brittle
Question:
T/F Immobility results in dec. cardiac output
Answer:
True
Question:
T/F Immobility results in secondary hypertension
Answer:
False
Question:
T/F Immobility contributes to the formation of DVT
Answer:
True
Question:
T/F Immobility causes inc. calcium resorption into skeletal bones
Answer:
False; aides in demineralization
Question:
T/F Immobility contributes to the development of pressure ulcers
Answer:
True
Question:
T/F immobility has been linked to increased verbal and decreased nonverbal communication in individuals
Answer:
False
Question:
Answer:
x-ray
Question:
T/F The best reason bed exercises should be encouraged for pts on bedrest is to minimize atrophy ad maintain joint movement
Answer:
True
Question:
T/F Muscle relaxants aren't classified as analgesics
Answer:
True
Question:
An otherwise strong, healthy pt with a lower leg cast is learning to ambulate with crutches. Which gait would he/she use?
Answer:
3 - point gait
Question:
Where do the patients feet stop when performing the swing-through crutch gait?
Answer:
past the crutch tips
Question:
The nurse is teaching a pt who has crutches how to sit down in a chair. Which hand should the patient hold both crutches?
Answer:
The hand on the injured side
Question:
Forearm crutches are generally used by pts with which types of conditions?
Answer:
general weakness or paraplegia
Question:
A pt requiring minimal assistance with ambulation would use which type of device?
Answer:
a cane
Question:
When preparing to safely transfer a pt from a bed to a wheel chair using a transfer belt, what would a nurse do first?
Answer:
Assess the patient's physiological capacity to transfer.
