Geri Exam 2 (questions n answers)
100% correct passed
A patient reports to the nurse that he seems to be sleeping less at night but now
regularly requires at least two short naps a day. He expresses a concern that
"something is wrong." Which response by the nurse is best? - correct answer
✔✔"Aging alters our sleep patterns, so what you describe is really quite
common."
What is the best bedtime snack for older adult patients with insomnia? - correct
answer ✔✔cup of cream of broccoli and cheese soup.
An older patient is being admitted to an acute care unit after surgical repair of a
fractured tibia. To minimize any negative factors affecting the patient's ability to
sleep, which action should the nurse do first? - correct answer ✔✔ask the patient
about usual sleeping habits.
A confused older patient has been hospitalized for a cardiac problem that requires
both antihypertensive and diuretic therapies. Which action by the nurse is best to
minimize the patient's risk of disturbed sleep? - correct answer ✔✔administering
medications at least 4 hours before bedtime.
An older patient reports that sleep was being severely affected by the need to
urinate frequently. The patient states he has begun restricting his fluid intake after
5pm to help with the problem. The nurse responds - correct answer ✔✔"You
need the same amount over 24 hours, so drink enough by dinnertime."
,The daughter of an older cognitively impaired patient reports the patient wanders
at night. She responds to the nurse's suggestion to keep her father physically
active by stating, "Dad is so easily agitated it would be a major battle to take him
on a walk." The nurse's initial response is based on the understand that - correct
answer ✔✔physical exercise has been proven helpful in managing wandering in
such patients.
The nurse is preparing to instruct a family member regarding how to appropriately
assist a 76-year-old patient incorporate a healthy daily walk into the family's
routine. The nurse includes a suggestion that - correct answer ✔✔if the patient
has difficulty talking while walking, it is time to stop.
An older adult patient who has been seen at a neighborhood clinic for years tells
the nurse that he will be moving to live with his son in a neighboring state. The
nurse impacts the patient's health and wellness the most therapeutically when
stating - correct answer ✔✔"moving often causes temporary sleep disturbances,
so stick to your evening routine."
A patient in the early stage of Alzheimer's disease is being admitted to an assisted
living facility. The admitting nurse best addresses the patient's need for
appropriate physical activity when - correct answer ✔✔asking the patient about
activities done for recreation.
A patient with moderate dementia has been admitted to a long-term care facility.
To address the patient's need to be engaged in purposeful activity, the nurse
arranges for the patient to - correct answer ✔✔fold some of the unit's freshly
washed washcloths and towels each afternoon.
An older patient reported to the clinic nurse that since a grandson moved in a few
months ago, the patient has had problems sleeping. Which question by the nurse
, is most appropriate? - correct answer ✔✔"has your sleep pattern changed since
you moved in?"
The nurse is caring for a hospitalized patient who needs vital signs and
assessments every 4 hours. The nurse last assessed the patient at midnight, and at
2am the nurse answers the call light and helps the patient to the bathroom. To
promote good sleep, what action by the nurse is best? - correct answer ✔✔assess
the patient now and again at 6am.
A patient is discussing retirement with a nurse. What suggestion pertaining to
sleep does the nurse offer? - correct answer ✔✔keep your same bedtime and
nighttime routines.
A patient reports waking up with frequent headaches and sore throat. What
question by the nurse is most appropriate? - correct answer ✔✔"does your
partner say you snore at night?"
A patient wants to use an herbal preparation to help with recent insomnia. What
response by the nurse is best? - correct answer ✔✔"have you had a physical exam
any time recently?"
The nurse needs to awaken a patient to take medication in the middle of the
night. The patient has not had any sleeping medications or other preparations
that would cause drowsiness. The nurse has to use vigorous stimulation to awaken
the patient. What stage of sleep is this patient most likely in? - correct answer
✔✔stage 4, non-REM
The nurse has instituted bedtime routines for patients with dementia in a long-
term care facility. What assessment findings best indicate the program is
100% correct passed
A patient reports to the nurse that he seems to be sleeping less at night but now
regularly requires at least two short naps a day. He expresses a concern that
"something is wrong." Which response by the nurse is best? - correct answer
✔✔"Aging alters our sleep patterns, so what you describe is really quite
common."
What is the best bedtime snack for older adult patients with insomnia? - correct
answer ✔✔cup of cream of broccoli and cheese soup.
An older patient is being admitted to an acute care unit after surgical repair of a
fractured tibia. To minimize any negative factors affecting the patient's ability to
sleep, which action should the nurse do first? - correct answer ✔✔ask the patient
about usual sleeping habits.
A confused older patient has been hospitalized for a cardiac problem that requires
both antihypertensive and diuretic therapies. Which action by the nurse is best to
minimize the patient's risk of disturbed sleep? - correct answer ✔✔administering
medications at least 4 hours before bedtime.
An older patient reports that sleep was being severely affected by the need to
urinate frequently. The patient states he has begun restricting his fluid intake after
5pm to help with the problem. The nurse responds - correct answer ✔✔"You
need the same amount over 24 hours, so drink enough by dinnertime."
,The daughter of an older cognitively impaired patient reports the patient wanders
at night. She responds to the nurse's suggestion to keep her father physically
active by stating, "Dad is so easily agitated it would be a major battle to take him
on a walk." The nurse's initial response is based on the understand that - correct
answer ✔✔physical exercise has been proven helpful in managing wandering in
such patients.
The nurse is preparing to instruct a family member regarding how to appropriately
assist a 76-year-old patient incorporate a healthy daily walk into the family's
routine. The nurse includes a suggestion that - correct answer ✔✔if the patient
has difficulty talking while walking, it is time to stop.
An older adult patient who has been seen at a neighborhood clinic for years tells
the nurse that he will be moving to live with his son in a neighboring state. The
nurse impacts the patient's health and wellness the most therapeutically when
stating - correct answer ✔✔"moving often causes temporary sleep disturbances,
so stick to your evening routine."
A patient in the early stage of Alzheimer's disease is being admitted to an assisted
living facility. The admitting nurse best addresses the patient's need for
appropriate physical activity when - correct answer ✔✔asking the patient about
activities done for recreation.
A patient with moderate dementia has been admitted to a long-term care facility.
To address the patient's need to be engaged in purposeful activity, the nurse
arranges for the patient to - correct answer ✔✔fold some of the unit's freshly
washed washcloths and towels each afternoon.
An older patient reported to the clinic nurse that since a grandson moved in a few
months ago, the patient has had problems sleeping. Which question by the nurse
, is most appropriate? - correct answer ✔✔"has your sleep pattern changed since
you moved in?"
The nurse is caring for a hospitalized patient who needs vital signs and
assessments every 4 hours. The nurse last assessed the patient at midnight, and at
2am the nurse answers the call light and helps the patient to the bathroom. To
promote good sleep, what action by the nurse is best? - correct answer ✔✔assess
the patient now and again at 6am.
A patient is discussing retirement with a nurse. What suggestion pertaining to
sleep does the nurse offer? - correct answer ✔✔keep your same bedtime and
nighttime routines.
A patient reports waking up with frequent headaches and sore throat. What
question by the nurse is most appropriate? - correct answer ✔✔"does your
partner say you snore at night?"
A patient wants to use an herbal preparation to help with recent insomnia. What
response by the nurse is best? - correct answer ✔✔"have you had a physical exam
any time recently?"
The nurse needs to awaken a patient to take medication in the middle of the
night. The patient has not had any sleeping medications or other preparations
that would cause drowsiness. The nurse has to use vigorous stimulation to awaken
the patient. What stage of sleep is this patient most likely in? - correct answer
✔✔stage 4, non-REM
The nurse has instituted bedtime routines for patients with dementia in a long-
term care facility. What assessment findings best indicate the program is
