Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition/Chapter 26: Relationships, Roles, and Transitions

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Chapter 26: Relationships, Roles, and Transitions Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition MULTIPLE CHOICE 1. Which of the following statements ... is not true of older adult relationships? 2. Which of the following statements is true about the role of grandparents? 3. Which is the most important element for older adults to have for enhancing the transition into retirement? 4. Which one of the following older adults is most likely to need preretirement counseling to av 5. The community health nurse delivers a program to middle-aged adults about retirement planning and wants to them to choose the year of their retirement. Which is the most important area on which the participants should focus to ease the transition to retirement? 6. Which one of the following older adults has the highest economic risk in retirement at the beginning of retirement? The older divorced woman who has lived in this country for 3 years has three factors associated with economic risk in retirement: (1) female sex, (2) divorced, and (3) immigrant with inadequate time to be eligible for government-sponsored retirement benefits. The older male veteran who had an above-the-knee amputation was a teacher and has one risk factor—disability. The older female widow and primary care nurse practitioner has two risk factors: (1) female gender and (2) widowhood. The older man who emigrated from China and designs computer software has one risk factor—immigrant. PTS: 1 DIF: Understand REF: p. 361 TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment 7. As the wife of a university president, an older woman met exciting people and traveled extensively until her husband died. Besides losing an intimate partner, the nurse identifies that this woman is most likely to grieve for the loss of which area of her life? a. Self-confidence b. Economic security c. Status in community d. Intellectual stimulation ANS: C After the loss of her husband, this woman will most likely mourn the loss of her status in the community; no longer is she a wife or the wife of a community leader. After her husband’s death, the opportunities for university-related travel and social occasions will most likely disappear from her life. After extensive travel and sophisticated social stimulation, this woman is likely to be self-confident and to have acquired life skills from her experiences. The president of a university is likely to have planned for retirement and is likely to have left his survivors with an adequate estate. This woman will most likely to be able to provide intellectual stimulation in her oUwnSlifeN, altThough tOhe stimulation from the university-related activities will likely decrease. PTS: 1 DIF: Apply REF: p. 362 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 8. The children of an older woman ask the nurse for advice about helping their mother heal after her husband’s (their father’s) death. Which strategy should the nurse share with the family? a. Appoint one family member to take her on outings. b. Coordinate family expressions of care and concern. c. Have each child plan a long trip with her assistance. d. Take her to community events to meet other people. ANS: B The nurse suggests that the family work together to provide extended expressions of caring and concern for their mother; many small expressions of concern and caring from several sources help bereaved individuals gain the strength and confidence needed to survive a huge loss. Multiple small gestures are more likely to help build strength and confidence than a few large gestures. One person is unlikely to provide enough support for bereaved individuals, and this strategy can potentially imply that only one person is concerned. Helping a widow meet new people can be unsuitable; she may be uninterested or unwilling to attend events for meeting new people. In addition, she may believe that the family is trying to find a replacement for the deceased to ease the family’s burden. However, the family can offer to accompany her to such events. PTS: 1 DIF: Apply REF: p. 363 TOP: Nursing Process: Planning MSC: Psychosocial Integrity 9. Which of the following statements is true about relationships of older adults? a. Loneliness is evidence of self-centeredness and an unwillingness to love. b. A person may be lonely even when surrounded by other people. c. Hostile behavior indicates that a person prefers to be left alone. d. A pet cannot substitute for human attention. ANS: B The mere presence of other people, without significant personal exchange, does not prevent or alleviate loneliness. Loneliness is evidence of the capacity to love. Hostile behavior can be a sign of loneliness. Pets can provide comfort, touch, affection, and an opportunity to care for another being. PTS: 1 DIF: Understand REF: p. 362 TOP: Nursing Process: Assessment MSC: Psychosocial Integrity 10. Which of the following questions will best assess the ability of a lesbian, gay, bisexual, or transgender older couple to successfully adjust to the challenges of aging? a. “How long have you been in this relationship?” b. “Have you experienced prejudice and discrimination in your life?” c. “As a couple are you financially secure?” d. “Do you as a couple share similar religious beliefs?” ANS: B Some research has suggestedNthaRt thiIs poGpulBat.ioCn mMay adapt more successfully to old age as a result of successful coping over a lifetime with discrimination and prejudice. PTS: 1 DIF: Apply REF: p. 367 TOP: Teaching and Learning MSC: Psychological Integrity 11. Which of the following reactions to the loss of a spouse or long-term partner is a unique example of older adult male bereavement? a. Withdrawing from friends and family b. Remarrying within months of the loss c. Focusing on “doing” rather than “feeling” d. Experiencing moderate to severe depression ANS: B Bereaved men may be more socially and emotionally vulnerable. Widowers adapt more slowly than widows to the loss of a spouse and often remarry quickly. The remaining options reflect reactions that are typically seem in both grieving men and women. PTS: 1 DIF: Apply REF: p. 362 TOP: Teaching and Learning MSC: Psychological Integrity MULTIPLE RESPONSE 1. In a retirement planning program, the community health nurse wants to help participants avoid disappointment in retirement. The nurse’s program emphasizes which of the following elements that must be adequate to meet postretirement expectations? (Select all that apply.) a. Financial planning b. Company-sponsored benefits c. Company-sponsored health care d. Government-sponsored benefits e. Ability to maintain a personal residence f. Safety and security of a personal residence ANS: A, B, C, D Overall financial planning is important to provide a stable source of income for retirement if individuals want to fulfill their retirement expectations. Company-sponsored benefits must be sufficient in retirement to avoid large, unplanned expenses. Health care expenses in retirement are more likely to be significant; therefore, retirement health care must be adequate to avoid huge, unexpected expenses. If government-sponsored benefits are inadequate for retirement, then the individual must plan to fill the gaps with preretirement planning. The ability to maintain a residence is not essential to fulfill retirement expectations. Safety and security of the personal residence is also not essential to fulfill retirement expectations. PTS: 1 DIF: Remember REF: p. 361 TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment 2. The nurse should suggest which of the following to a spouse of a patient with dementia who has displayed inappropriate sexual behavior to decrease the occurrence? (Select all that apply.) a. Intimate relations b. Hug c. Kiss d. Touch ANS: B, C, D NURSINGTB.COM Inappropriate sexual behavior may be triggered by unmet intimacy needs or may be symptoms of an underlying physical problem, such as a urinary tract or vaginal infection. Encouraging family and friends to touch, hug, kiss, and hold hands when visiting may help meet the patient’s touch and intimacy needs and decrease inappropriate sexual behavior. PTS: 1 DIF: Understand REF: p. 379 TOP: Nursing Process: Planning MSC: Psychosocial Integrity 3. Which populations are most at risk for developing HIV? (Select all that apply.) a. Those older than the age of 50 years b. Women c. Those who are cognitively impaired d. Those who are sexually active ANS: A, B, D Older adults who are sexually active are at risk for HIV, AIDS, and other sexually transmitted diseases. People older than 50 years of age are approximately one sixth as likely to use condoms during sex. Older women who are sexually active are at high risk for HIV, AIDS, and other sexually transmitted infections from an infected partner, resulting, in part, from normal age changes of the vaginal tissue—a thinner, drier, friable vaginal lining that makes viral entry more efficient. Being cognitively impaired does not put one at high risk. PTS: 1 DIF: Understand REF: p. 379 TOP: Nursing Process: Assessment MSC: Physiological Integrity 4. Which statements made by a couple who have recently retired support the nurse’s evaluation that the transition to retirement has been a successful one? (Select all that apply.) a. “I’m afraid we can’t make it that weekend; we’ll be visiting the grandchildren.” b. “I’m not accustomed to sharing my kitchen with anyone else.” c. “One week I was working 50 hours, and the next I didn’t have to get up until noon.” d. “I often wonder if my buddies from the plant miss me.” e. “We have found a few painless ways to reduce our monthly expenses.” ANS: A, E The correct options demonstrate a sense of purpose and adjustment to the realities of retirement and so that the transition has been a successful one. The remaining options suggest that the couple is not adjusting well to having each other around so much and involved in activities they previously used as being theirs alone. Feeling lonely or abandoned is also a sign of ineffective adjustment. A transition into a retirement rather than an abrupt one is also a barrier to a successful adjustment into retirement. PTS: 1 DIF: ANppUlyRSINGRTEBF:.Cp.O36M2 TOP: Teaching and Learning MSC: Psychological Integrity [Show More]

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