basic geriatric nursing 8th edition test bank

Correct Answer: C

Rationale: The correct answer is C: Age-stratification theory. This theory suggests that age is a powerful determinant of social organization. In the given scenario, the retirement community is structured based on age groups, indicating stratification by age. This separation aligns with the concept of age-based social hierarchies and differing opportunities and resources based on age. Choice A (Role theory) focuses on how individuals adapt to social roles as they age, which is not directly reflected in the scenario. Choice B (Disengagement theory) posits that aging individuals withdraw from societal roles, which is not evident in the active engagement of residents in different age-specific communities. Choice D (Social exchange theory) emphasizes the relationships individuals form based on rewards and costs, which is not the primary focus in the scenario compared to the age-based stratification.

Correct Answer: A

Rationale: The correct answer is A: Unsecured scattered rugs. This requires immediate nursing action as it poses a significant fall risk for the older adult. Rugs can cause tripping hazards, leading to potential injuries. The nurse should secure or remove the rugs to ensure the safety of the patient. Summary of other choices: B: Operable smoke detector - While important for safety, it does not require immediate nursing action as it is already in working condition. C: Prefilled medication cassette - This is not an immediate safety concern and can be addressed during routine medication management. D: Unsecured scattered rugs (repeated) - This choice is the same as the correct answer, so it is incorrect.

Correct Answer: A

Rationale: The correct answer is A: Decreased manual dexterity and inability to hold a toothbrush. As people age, they may experience decreased hand strength and motor skills, making it difficult to hold and manipulate objects like a toothbrush. This can lead to a decline in oral hygiene practices. Malocclusion of teeth (B) does not directly impact the ability to brush teeth. Decrease in taste acuity (C) may affect appetite but not tooth brushing habits. Lack of dental insurance (D) is a financial barrier and may affect access to dental care, but it does not directly impact the physical ability to brush teeth.

Correct Answer: C

Rationale: The correct answer is C: Social engagement and support. Social engagement has been identified as a crucial factor in successful aging, as it contributes to emotional well-being, cognitive function, and overall quality of life. Older adults with strong social networks tend to have better physical and mental health outcomes. Social support can help individuals cope with stress, reduce feelings of loneliness and isolation, and provide a sense of purpose and belonging. Financial security (A) is important but not the most significant predictor. Physical fitness and health (B) are essential but do not solely determine successful aging. Mental resilience (D) is valuable, but the social aspect plays a more significant role in aging successfully.

Correct Answer: D

Rationale: The correct answer is D because reluctance of older adults to report pain is a significant barrier to effective pain management. Older adults may underreport pain due to various factors such as fear of being seen as a burden, denial of aging-related changes, or belief that pain is a natural part of aging. This can lead to under-treatment of pain and decreased quality of life. Choices A, B, and C are not the most common barriers in this context. Fear of addiction to opioids, insufficient knowledge among healthcare providers, and inadequate access to specialists are important factors but are not as prevalent as older adults' reluctance to report pain.