NUR 4710- GERONTOLOGY: EXAM 3
QUESTIONS 2025 WITH COMPLETE
SOLUTIONS!!
1 of 279
Term
The nurse caring for an older adult patient recovering from cardiac
surgery recognizes that it is most appropriate to assess this patient
for mental health problems because:
a.cardiac surgery often results in anxiety-related issues.
b.untreated depression can contribute to the patients morbidity
risks.
c.many in this age cohort have undiagnosed depression.
d.hospitalization is both anxiety and depression inducing.
,Give this one a try later!
ANS: A, B, D
The risk factors for delirium include advanced age, central nervous system
diseases, infection, polypharmacy, hypoalbuminemia, electrolyte imbalances,
trauma history, gastrointestinal or genitourinary disorders, cardiopulmonary
disorders, and sensory changes. These factors can lead to physiologic
imbalances increasing the risk for confusion. Cancer remission and a heart attack
2 years prior do not increase the patients risk.
ANS: B
Depression can and should be treated when it occurs with other illnesses
because untreated depression can delay recovery from or worsen the
outcome of the other illnesses. Cardiac illness is associated with
depression, but not necessarily with anxiety issues. It is true that depression
in the older population is underdiagnosed. Hospitalization can lead to
depression. But the main reason to assess for depression is because of its
effects on other health conditions.
ANS: A
Cognitive function and learning styles vary, so knowing the patients preferred
learning style facilitates education. Some individuals prefer to learn by visual
methods, others by listening, and still others by experiencing contact in a hands-
on approach. Controlling pain and ensuring the patient is comfortable will also
facilitate learning, but it is more important to meet the patients preferred
learning style. The other options are helpful but not as vital.
ANS: B
Depressed older adults may neglect eating or caring for a chronic medical
condition, predisposing them to the development of delirium resulting from
hypoalbuminemia and possibly electrolyte imbalances. The other actions will not
prevent delirium.
, Don't know?
2 of 279
Term
The nurse is conducting an admission assessment on a mildly
confused older patient. The nurse best assures an accurate history
by first:
a.scoring the clients cognitive responses.
b.focusing on the client to respond.
c.directing the questions to both patient and family.
d.arranging a Mini-Mental State Examination (MMSE).
Give this one a try later!
ANS: C
An interview with the friend or family member is an appropriate method to
first implement when a patient is exhibiting confused behavior. The other
options will not get accurate information for the assessment.
Ans: B
The structure of the gallbladder and bile ducts is unchanged with age.
Cholelithiasis, the formation or presence of gallstones in the gallbladder,
increases with age. Treatment measures include nonsurgical therapies, such as
rotary lithotrite treatment and extracorporeal shock wave lithotripsy, as well as
standard surgical procedures.
, Ans: A
Some older individuals may be unable to participate in formal exercise
programs. For these persons, it can be beneficial to build less aggressive
exercises into their daily activities and promote maximum activity during routine
care activities. For example, when greeting a patient in the hall, ask the person to
raise both arms as high as possible and wave.
Ans: C
Fluoride in the water, combined with good dental hygiene, has greatly affected
the younger generation. Each generation is at risk for poor diet, or lack of
knowledge, the older adults no more than today's children and young adults.
Age-related changes do not predispose older people to caries.
Don't know?
3 of 279
Term
The nurse practitioner assesses a 65-year-old client with anemia and
intermittent bloody urine. The client denies pain, cloudy urine, and
dysuria. Which of the following conditions does the nurse
practitioner suspect?
Give this one a try later!
Kidney stones Bladder cancer
Prostate cancer Liver cancer
Don't know?
QUESTIONS 2025 WITH COMPLETE
SOLUTIONS!!
1 of 279
Term
The nurse caring for an older adult patient recovering from cardiac
surgery recognizes that it is most appropriate to assess this patient
for mental health problems because:
a.cardiac surgery often results in anxiety-related issues.
b.untreated depression can contribute to the patients morbidity
risks.
c.many in this age cohort have undiagnosed depression.
d.hospitalization is both anxiety and depression inducing.
,Give this one a try later!
ANS: A, B, D
The risk factors for delirium include advanced age, central nervous system
diseases, infection, polypharmacy, hypoalbuminemia, electrolyte imbalances,
trauma history, gastrointestinal or genitourinary disorders, cardiopulmonary
disorders, and sensory changes. These factors can lead to physiologic
imbalances increasing the risk for confusion. Cancer remission and a heart attack
2 years prior do not increase the patients risk.
ANS: B
Depression can and should be treated when it occurs with other illnesses
because untreated depression can delay recovery from or worsen the
outcome of the other illnesses. Cardiac illness is associated with
depression, but not necessarily with anxiety issues. It is true that depression
in the older population is underdiagnosed. Hospitalization can lead to
depression. But the main reason to assess for depression is because of its
effects on other health conditions.
ANS: A
Cognitive function and learning styles vary, so knowing the patients preferred
learning style facilitates education. Some individuals prefer to learn by visual
methods, others by listening, and still others by experiencing contact in a hands-
on approach. Controlling pain and ensuring the patient is comfortable will also
facilitate learning, but it is more important to meet the patients preferred
learning style. The other options are helpful but not as vital.
ANS: B
Depressed older adults may neglect eating or caring for a chronic medical
condition, predisposing them to the development of delirium resulting from
hypoalbuminemia and possibly electrolyte imbalances. The other actions will not
prevent delirium.
, Don't know?
2 of 279
Term
The nurse is conducting an admission assessment on a mildly
confused older patient. The nurse best assures an accurate history
by first:
a.scoring the clients cognitive responses.
b.focusing on the client to respond.
c.directing the questions to both patient and family.
d.arranging a Mini-Mental State Examination (MMSE).
Give this one a try later!
ANS: C
An interview with the friend or family member is an appropriate method to
first implement when a patient is exhibiting confused behavior. The other
options will not get accurate information for the assessment.
Ans: B
The structure of the gallbladder and bile ducts is unchanged with age.
Cholelithiasis, the formation or presence of gallstones in the gallbladder,
increases with age. Treatment measures include nonsurgical therapies, such as
rotary lithotrite treatment and extracorporeal shock wave lithotripsy, as well as
standard surgical procedures.
, Ans: A
Some older individuals may be unable to participate in formal exercise
programs. For these persons, it can be beneficial to build less aggressive
exercises into their daily activities and promote maximum activity during routine
care activities. For example, when greeting a patient in the hall, ask the person to
raise both arms as high as possible and wave.
Ans: C
Fluoride in the water, combined with good dental hygiene, has greatly affected
the younger generation. Each generation is at risk for poor diet, or lack of
knowledge, the older adults no more than today's children and young adults.
Age-related changes do not predispose older people to caries.
Don't know?
3 of 279
Term
The nurse practitioner assesses a 65-year-old client with anemia and
intermittent bloody urine. The client denies pain, cloudy urine, and
dysuria. Which of the following conditions does the nurse
practitioner suspect?
Give this one a try later!
Kidney stones Bladder cancer
Prostate cancer Liver cancer
Don't know?
