ATI PN MATERNITY m m
PROCTORED EXAM 2023 m m
QUESTIONS AND ANSWERS m m
1. Whichminformationmfrommamco-
workermonmamgerontologicalmunitmwillmcausethemnursemtomintervene?
a. Mostmoldermpeoplemhavemdependentmfunctioning.
b. Mostmoldermpeoplemhavemstrengthsmwemshouldmfocusmon.
c. Mostmoldermpeoplemshouldmbeminvolvedminmcaremdecision.
d. Mostmoldermpeoplemshouldmbemencouragedmtomhavemindependence.
ANS:mA
Mostmoldermpeoplemremainmfunctionallymindependentmdespitemthemincreasingmprevalencemofmchronicm
disease;mtherefore,mthismmisconceptionmshouldmbemaddressed.mItmismcriticalmformyoumtomrespectmolderm
adultsmandmactivelyminvolvemtheminmcaremdecisionsmandmactivities.mYoumalsomneedmtomidentifymanmol
dermadult’smstrengthsmandmabilitiesmduringmthemassessmentmandmencouragemindependencemasmanintegra
lmpartmofmyourmplanmofmcare.
2. Amnursemsuspectsmanmolder-adultmpatientmismexperiencingmcaregiver
neglect.mWhichmassessmentmfindingsmaremconsistentmwithmthemnurse’ssuspicions?
a. Fleambitesmandmliceminfestation
b. Leftmatmamgrocerymstore
c. Refusesmtomtakemambath
d. Cutsmandmbruise
smANS:mA
Caregivermneglectmincludesmunsafemandmuncleanmlivingmconditions,msoiledmbedding,mandmanimalmormi
nsectminfestation.mAbandonmentmincludesmdesertionmatamhospital,mnursingmfacility,mormpublicmlocation
suchmasmamshoppingmcenter.mSelf-
m
neglectmincludesmrefusalmormfailuremtomprovidemoneselfmwithmbasicmnecessitiesmsuchmasmfood,mwater,m
clothing,mshelter,mpersonalmhygiene,mmedication,mandmsafety.
Physicalmabusemincludesmhitting,mbeating,mpushing,mslapping,mkicking,mphysicalmrestrai
nt,minappropriatemusemofmdrugs,mfractures,mlacerations,mropemburns,mandmuntreatedminjuri
es.
3. Amnursemismteachingmamgroupmofmolder-adultmpatients.mWhichmteachingmstrategy
,ismbestmformthemnursemtomuse?
Providemseveralmtopicsmofmdiscussionmatmoncemtompromotemindependence
a. andmmakingmchoices.
Avoidmuncomfortablemsilencesmaftermquestionsmbymhelpingmpatients
b. completemtheirmstatements.
Askmpatientsmtomrecallmpastmexperiencesmthatmcorrespondmwithmtheir
c. interests.
d. Speakminmamhighmpitchmtomhelpmpatientsmhearmbetter.
ANS:mC
Teachingmstrategiesmincludemthemusemofmpastmexperiencesmtomconnectmnewmlearningmwithmprevio
usmknowledge,mfocusingmonmamsinglemtopicmtomhelpmthempatientmconcentrate,mgivingmthempatientm
enoughmtimeminmwhichmtomrespondmbecausemoldermadults’mreactionmtimesmaremlongermthanmthosem
ofmyoungermpersons,mandmkeepingmthemtonemofmvoicemlow;moldermadultsmaremablemtomhearmlowsou
ndsmbettermthanmhigh-frequencymsounds.
4. Anmoldermpatientmhasmfallenmandmsufferedmamhipmfracture.mAsma
consequence,mthempatient’smfamilymismconcernedmaboutmthempatient’smabilitymtomcaremformself,mesp
eciallymduringmthismconvalescence.mWhatmshouldmthemnursedo?
a. Stressmthatmoldermpatientsmusuallymaskmformhelpmwhenmneeded.
Informmthemfamilymthatmplacementminmamnursingmcentermismampermanent
b. solution.
Tellmthemfamilymtomenrollmthempatientminmamceramicsmclassmtommaintain
c. qualitymofmlife.
Provideminformationmandmanswermquestionsmasmfamilymmembersmmake
d. choicesmamongmcaremoptions.
ANS:mD
Nursesmhelpmoldermadultsmandmtheirmfamiliesmbymprovidingminformationmandmansweringmquestionsmasmt
heymmakemchoicesmamongmcaremoptions.mSomemoldermadultsmdenymfunctionalmdeclinesmandmrefusemtoma
skmformassistancemwithmtasksmthatplacemtheirmsafetymatmgreatmrisk.mThemdecisionmtomentermamnursingmce
ntermismnevermfinal,mandmamnursingmcentermresidentmsometimesmismdischargedmtomhomemormtomanotherml
ess-acutemresidence.mWhatmdefinesmqualitymofmlifemvariesmandmismuniqueformeachmperson.
5. Whatmismthembestmsuggestionmamnursemcouldmmakemtomamfamilyrequestingmh
elpminmselectingmamlocalmnursingmcenter?
Havemthemfamilymmembersmevaluatemnursingmhomemstaffmaccordingmto
a. theirmabilitymtomgetmtasksmdonemefficientlymandmsafely.
Makemsuremthatmnursingmhomemstaffmmembersmgetmpatientsmoutmofmbed
b. andmdressedmaccordingmtomstaff’smpreferences.
Explainmthatmitmismimportantmformthemfamilymtomvisitmthemcentermand
c. inspectmitmpersonally.
, Suggestmamnursingmcentermthatmhasmstandardsmasmclosemtomhospital
d. standardsmasmpossible.
ANS:mC
Anmimportantmstepminmthemprocessmofmselectingmamnursingmhomemismtomvisitmthemnursingmhome.mThem
nursingmhomemshouldmnotmfeelmlikemamhospital.mItmismamhome,maplacemwherempeoplemlive.mMembersmo
fmthemnursingmhomemstaffmshouldmfocusmonmthemperson,mnotmthemtask.mResidentsmshouldmbemoutmofmbe
dmandmdressedmaccordingtomtheirmpreferences,mnotmstaffmpreferences.
6. Am70-year-
oldmpatientmwhomsuffersmfrommworseningmdementiamismnomlongermablemtomlivemalone.mThemnu
rsemismdiscussingmhealthmcaremservicesmand
possiblemlong-termmlivingmarrangementsmwithmthempatient’smonlymson.mWhatwillmthemnursemsuggest?
a. Anmapartmentmsettingmwithmneighborsmclosemby
b. Havingmthempatientmutilizemweeklymhomemhealthmvisits
c. Amnursingmcentermbecausemhomemcaremismnomlongermsafe
Thatmplacementmismirrelevantmbecausemthempatientmismretreatingmtomamplace
d. ofminactivit
ymANS:mC
Somemfamilymcaregiversmconsidermnursingmcentermplacementmwhenmin-
homemcarembecomesmincreasinglymdifficultmormwhenmconvalescencemfrommhospitalizationmrequire
smmoremassistancemthanmthemfamilymismablemtomprovide.mAnapartmentmsettingmandmthemusemofmhome
mhealthmvisitsmaremnotmappropriatembecausemlivingmatmhomemismunsafe.
Dementiamismnotmamtimemofminactivitymbutmanmimpairmentmofmintellectualfunctioning.
7. A nurse is caring for an older adult. Which goal is priority?
m m m m m m m m m m m
a. Adjusting to career
m m
b. Adjustingmtomdivorce
c. Adjustingmtomretirement
d. Adjustingmtomgrandchildren
ANS:mC
LINKSmFORmALLATImRESOURCES:
PROCTORED EXAM 2023 m m
QUESTIONS AND ANSWERS m m
1. Whichminformationmfrommamco-
workermonmamgerontologicalmunitmwillmcausethemnursemtomintervene?
a. Mostmoldermpeoplemhavemdependentmfunctioning.
b. Mostmoldermpeoplemhavemstrengthsmwemshouldmfocusmon.
c. Mostmoldermpeoplemshouldmbeminvolvedminmcaremdecision.
d. Mostmoldermpeoplemshouldmbemencouragedmtomhavemindependence.
ANS:mA
Mostmoldermpeoplemremainmfunctionallymindependentmdespitemthemincreasingmprevalencemofmchronicm
disease;mtherefore,mthismmisconceptionmshouldmbemaddressed.mItmismcriticalmformyoumtomrespectmolderm
adultsmandmactivelyminvolvemtheminmcaremdecisionsmandmactivities.mYoumalsomneedmtomidentifymanmol
dermadult’smstrengthsmandmabilitiesmduringmthemassessmentmandmencouragemindependencemasmanintegra
lmpartmofmyourmplanmofmcare.
2. Amnursemsuspectsmanmolder-adultmpatientmismexperiencingmcaregiver
neglect.mWhichmassessmentmfindingsmaremconsistentmwithmthemnurse’ssuspicions?
a. Fleambitesmandmliceminfestation
b. Leftmatmamgrocerymstore
c. Refusesmtomtakemambath
d. Cutsmandmbruise
smANS:mA
Caregivermneglectmincludesmunsafemandmuncleanmlivingmconditions,msoiledmbedding,mandmanimalmormi
nsectminfestation.mAbandonmentmincludesmdesertionmatamhospital,mnursingmfacility,mormpublicmlocation
suchmasmamshoppingmcenter.mSelf-
m
neglectmincludesmrefusalmormfailuremtomprovidemoneselfmwithmbasicmnecessitiesmsuchmasmfood,mwater,m
clothing,mshelter,mpersonalmhygiene,mmedication,mandmsafety.
Physicalmabusemincludesmhitting,mbeating,mpushing,mslapping,mkicking,mphysicalmrestrai
nt,minappropriatemusemofmdrugs,mfractures,mlacerations,mropemburns,mandmuntreatedminjuri
es.
3. Amnursemismteachingmamgroupmofmolder-adultmpatients.mWhichmteachingmstrategy
,ismbestmformthemnursemtomuse?
Providemseveralmtopicsmofmdiscussionmatmoncemtompromotemindependence
a. andmmakingmchoices.
Avoidmuncomfortablemsilencesmaftermquestionsmbymhelpingmpatients
b. completemtheirmstatements.
Askmpatientsmtomrecallmpastmexperiencesmthatmcorrespondmwithmtheir
c. interests.
d. Speakminmamhighmpitchmtomhelpmpatientsmhearmbetter.
ANS:mC
Teachingmstrategiesmincludemthemusemofmpastmexperiencesmtomconnectmnewmlearningmwithmprevio
usmknowledge,mfocusingmonmamsinglemtopicmtomhelpmthempatientmconcentrate,mgivingmthempatientm
enoughmtimeminmwhichmtomrespondmbecausemoldermadults’mreactionmtimesmaremlongermthanmthosem
ofmyoungermpersons,mandmkeepingmthemtonemofmvoicemlow;moldermadultsmaremablemtomhearmlowsou
ndsmbettermthanmhigh-frequencymsounds.
4. Anmoldermpatientmhasmfallenmandmsufferedmamhipmfracture.mAsma
consequence,mthempatient’smfamilymismconcernedmaboutmthempatient’smabilitymtomcaremformself,mesp
eciallymduringmthismconvalescence.mWhatmshouldmthemnursedo?
a. Stressmthatmoldermpatientsmusuallymaskmformhelpmwhenmneeded.
Informmthemfamilymthatmplacementminmamnursingmcentermismampermanent
b. solution.
Tellmthemfamilymtomenrollmthempatientminmamceramicsmclassmtommaintain
c. qualitymofmlife.
Provideminformationmandmanswermquestionsmasmfamilymmembersmmake
d. choicesmamongmcaremoptions.
ANS:mD
Nursesmhelpmoldermadultsmandmtheirmfamiliesmbymprovidingminformationmandmansweringmquestionsmasmt
heymmakemchoicesmamongmcaremoptions.mSomemoldermadultsmdenymfunctionalmdeclinesmandmrefusemtoma
skmformassistancemwithmtasksmthatplacemtheirmsafetymatmgreatmrisk.mThemdecisionmtomentermamnursingmce
ntermismnevermfinal,mandmamnursingmcentermresidentmsometimesmismdischargedmtomhomemormtomanotherml
ess-acutemresidence.mWhatmdefinesmqualitymofmlifemvariesmandmismuniqueformeachmperson.
5. Whatmismthembestmsuggestionmamnursemcouldmmakemtomamfamilyrequestingmh
elpminmselectingmamlocalmnursingmcenter?
Havemthemfamilymmembersmevaluatemnursingmhomemstaffmaccordingmto
a. theirmabilitymtomgetmtasksmdonemefficientlymandmsafely.
Makemsuremthatmnursingmhomemstaffmmembersmgetmpatientsmoutmofmbed
b. andmdressedmaccordingmtomstaff’smpreferences.
Explainmthatmitmismimportantmformthemfamilymtomvisitmthemcentermand
c. inspectmitmpersonally.
, Suggestmamnursingmcentermthatmhasmstandardsmasmclosemtomhospital
d. standardsmasmpossible.
ANS:mC
Anmimportantmstepminmthemprocessmofmselectingmamnursingmhomemismtomvisitmthemnursingmhome.mThem
nursingmhomemshouldmnotmfeelmlikemamhospital.mItmismamhome,maplacemwherempeoplemlive.mMembersmo
fmthemnursingmhomemstaffmshouldmfocusmonmthemperson,mnotmthemtask.mResidentsmshouldmbemoutmofmbe
dmandmdressedmaccordingtomtheirmpreferences,mnotmstaffmpreferences.
6. Am70-year-
oldmpatientmwhomsuffersmfrommworseningmdementiamismnomlongermablemtomlivemalone.mThemnu
rsemismdiscussingmhealthmcaremservicesmand
possiblemlong-termmlivingmarrangementsmwithmthempatient’smonlymson.mWhatwillmthemnursemsuggest?
a. Anmapartmentmsettingmwithmneighborsmclosemby
b. Havingmthempatientmutilizemweeklymhomemhealthmvisits
c. Amnursingmcentermbecausemhomemcaremismnomlongermsafe
Thatmplacementmismirrelevantmbecausemthempatientmismretreatingmtomamplace
d. ofminactivit
ymANS:mC
Somemfamilymcaregiversmconsidermnursingmcentermplacementmwhenmin-
homemcarembecomesmincreasinglymdifficultmormwhenmconvalescencemfrommhospitalizationmrequire
smmoremassistancemthanmthemfamilymismablemtomprovide.mAnapartmentmsettingmandmthemusemofmhome
mhealthmvisitsmaremnotmappropriatembecausemlivingmatmhomemismunsafe.
Dementiamismnotmamtimemofminactivitymbutmanmimpairmentmofmintellectualfunctioning.
7. A nurse is caring for an older adult. Which goal is priority?
m m m m m m m m m m m
a. Adjusting to career
m m
b. Adjustingmtomdivorce
c. Adjustingmtomretirement
d. Adjustingmtomgrandchildren
ANS:mC
LINKSmFORmALLATImRESOURCES:
