Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing, 10th Edition

ATI Comprehensive Test Bank
Week 1
Care of Older Adults: Culture, Spirituality, Communication, Sexuality, Infection Control
Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. When caring for an older patient with hypertension who has been hospitalized after a transient
ischemic (TIA), which topic is the most important for the nurse to include in the discharge teaching?
a) Effect of atherosclerosis on blood vessels
b) Mechanism of action of anticoagulant drug therapy
c) Symptoms indicating that the patient should contact the health care provider
d) Impact of the patient’s family history on likelihood of developing a serious stroke
ANS: C
One of the tasks for patients with chronic illnesses is to prevent and manage a crisis. The patient
needs instruction on recognition of symptoms of hypertension and TIA and appropriate actions to take if
these symptoms occur. The other information may also be included in patient teaching but is not as
essential in the patient’s self-management of the illness.
2. The nurse performs a comprehensive assessment of an older patient who is considering
admission to an assisted living facility. Which question is the most important for the nurse to ask?
a) “Have you had any recent infections?”
b) “How frequently do you see a doctor?”
c) “Do you have a history of heart disease?”
d) “Are you able to prepare your own meals?”
ANS: D
The patient’s functional abilities, rather than the presence of an acute or chronic illness, are more useful
in determining how well the patient might adapt to an assisted living situation. The other questions will
also provide helpful information but are not as useful in providing a basis for determining patient needs
or for developing interventions for the older patient.
3. An alert older patient who takes multiple medications for chronic cardiac and pulmonary
diseases lives with a daughter who works during the day. During a clinic visit, the patient verbalizes to
the nurse that she has a strained relationship with her daughter and does not enjoy being alone all day.
Which nursing diagnosis should the nurse assign as the priority for this patient?
a) Social isolation related to fatigue
b) Risk for injury related to drug interactions
c) Caregiver role strain related to family employment schedule
d) Compromised family coping related to the patient’s care needs
ANS: B
The patient’s age and multiple medications indicate a risk for injury caused by interactions between the
multiple drugs being taken and a decreased drug metabolism rate. Problems with social isolation,
caregiver role strain, or compromised family coping are not physiologic priorities. Drug–drug
interactions could cause the most harm to the patient and are therefore the priority