Exam 2 & Exam 3: PNR 108/ PNR108 (Latest 2024/ 2025
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Gerontological Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
The nurse is performing an assessment on an older adult client. What assessment
data would indicate a potential complication associated with the skin of this client?-
Crusting, Wrinkling, or thinning/loss of elasticity of skin - ANSWERCrusting- indicates
a potential complication
The nurse who volunteers at a senior citizens' center is planning activities for the
members. What activity would best promote health and maintenance? -
ANSWERWalking 3-5 times per week for 30 minutes. Exercise and activity are
essential for health promotion and maintenance.
The home health nurse is visiting a client for the first time. While assessing the
client's medication, it is noted that there are 19 prescription and several over the
counter medications that the client is taking. What intervention should the nurse
take first? - ANSWERDetermine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
The nurse is working with older clients in a long term care facility. Which activities
performed by the nurse fosters reminiscence among these clients? - ANSWERHaving
storytelling hours- clients who like to retell stories or past events need to be
provided time to do so. It is a way for the older adult to relive and restructure life
experiences and is a part of achieving ego identity.
The home care nurse is performing an environmental assessment in the home of an
older adult. Which of the following requires immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled medication
cassette? - ANSWERUnsecured scattered rugs- trauma to the older client in the
home may be caused by a variety of factors. These include unsteady gait, the
presence of unsecured scatter rugs, clattered passageways, and inoperable smoke
detectors.
The nurse is teaching an older client about measures to prevent constipation. What
statement made by the client indicates further teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday" - ANSWER"I need to decrease fiber in my
diet" -Adequate dietary fiber is an important factor in aiding bowel function. Dietary
fiber increases fecal weight and water content and accelerates the transit of fecal
mass through the GI tract.
,Define Ageism. - ANSWERAgeism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their group.
Fundamental to ageism is the view that older persons are different from "me" and
will remain different from "me." Therefore, they are portrayed as not experiencing
the same desires, needs, and concerns.
The nurse is providing medication instructions to an older client who is taking digoxin
(Lanoxin) daily. What age related body changes could place the client at risk for
digoxin toxicity? - ANSWERDecreased lean body mass and decreased glomerular
filtration rate.
The nurse employed in a long term care facility is caring for an older male client.
What nursing action contributes to encouraging autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities - ANSWERClient choosing own activities.
Autonomy is the personal freedom to direct one's own life as long as it does not
impinge on the rights of others. An autonomous person is capable of rational
thought.
The home care nurse is visiting an older female client whose husband died 6 months
ago. What behavior by the client indicates ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave - ANSWERNeglecting personal grooming. Coping
mechanisms are behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some cases may be
harmful to the individual.
The nurse is providing instructions to a nursing assistant regarding care of an older
client with hearing loss. The nurse tells the assistant that clients with a hear loss: -
ANSWERRespond to low pitched tones. Prebycusis refers to the age related
irreversible degenerative changes of the inner eat that lead to decreased hearing
ability. As a result of these changes, the older client has a decreased response to
high frequency sounds. Low pitched voice tones are heard more easily and can be
interpreted by the older client.
The nurse is providing an educational session to new employees, and the topic is
abuse of the older adult. The nurse helps the employees identify that which client is
most typical of a victim of abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
, -70 y.o woman with early dx Lyme dz - ANSWER90 y.o woman with advanced
Parkinson's dz. Elder abuse is widespread and occurs among all subgroups of the
population. Elder abuse includes physical and psychological abuse, misuse of
property, and violation of rights. The typical abuse victim is a woman of advanced
age with few social contacts and at least one physical or mental impairment that
limits her ability to perform activities of daily living.
The nurse is performing an assessment on an older client who is having difficulty
sleeping at night. What statement by the client indicates education is needed on
improving sleep?
-"I swim 3 times a week"
-"I have stopped smoking cigars."
-"I drink hot chocolate before bed"
-"I read for 40 min at bedtime." - ANSWER"I drink hot chocolate before bed" Many
nonpharmacological sleep aids can be used to influence sleep. The client should
avoid caffeinated beverages and stimulants such as tea, cola, and chocolate. The
client should exercise regularly, because exercise promotes sleep by burning off
tension that accumulates during the day. The client should sleep on a firm mattress.
Smoking and alcohol should be avoided. The client should also avoid large meals,
peanuts, beans, fruit and raw veggies that produce gas, and snacks high in fat that
are difficult to digest.
The visiting nurse observes that the older male client is confined by his daughter to
his room. When the nurse suggests that he walk into the den and join everyone, he
says "I'm in everyone's way, my daughter needs me to stay here." The most
important action for the nurse is to: - ANSWERSuggest appropriate resources to the
client and daughter-in-law, such as respite care and a senior citizens' center.
Assisting clients and families to become aware of available community support
systems is a role and responsibility of the nurse.
Gerontologic Specialty Certification - ANSWERThe number of older people continues
to increase; the need for specialized knowledge becomes even more critical in every
specialty and every health care setting; In 1974, geriatric nursing was the first
certification program offered by the ANA and nursing was the first professional
group to develop standards of care and certification in the field of gerontology
Define the Neuroendocrine Theory. - ANSWERBased on the integration of the
neuroendocrine and immune systems; emphasis is on the programmed deaths of the
immune cells from damage caused by the increase of free radicals as aging
progresses; the reduced T cells are thought to be responsible for hastening the age-
related changes caused by autoimmune reaction as the body battles itself; healthy
cells are mistaken for foreign substances and are attacked.
Define Holistic Nursing with Older Adult client - ANSWERAn integrated method of
functioning which is oriented toward maximizing the potential of which an individual
is capable within the environment where he is functioning.
Updates STUDY BUNDLE WITH COMPLETE SOLUTIONS)
Gerontological Nursing | Questions and Verified
Answers| 100% Correct| Grade A- Fortis
The nurse is performing an assessment on an older adult client. What assessment
data would indicate a potential complication associated with the skin of this client?-
Crusting, Wrinkling, or thinning/loss of elasticity of skin - ANSWERCrusting- indicates
a potential complication
The nurse who volunteers at a senior citizens' center is planning activities for the
members. What activity would best promote health and maintenance? -
ANSWERWalking 3-5 times per week for 30 minutes. Exercise and activity are
essential for health promotion and maintenance.
The home health nurse is visiting a client for the first time. While assessing the
client's medication, it is noted that there are 19 prescription and several over the
counter medications that the client is taking. What intervention should the nurse
take first? - ANSWERDetermine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
The nurse is working with older clients in a long term care facility. Which activities
performed by the nurse fosters reminiscence among these clients? - ANSWERHaving
storytelling hours- clients who like to retell stories or past events need to be
provided time to do so. It is a way for the older adult to relive and restructure life
experiences and is a part of achieving ego identity.
The home care nurse is performing an environmental assessment in the home of an
older adult. Which of the following requires immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled medication
cassette? - ANSWERUnsecured scattered rugs- trauma to the older client in the
home may be caused by a variety of factors. These include unsteady gait, the
presence of unsecured scatter rugs, clattered passageways, and inoperable smoke
detectors.
The nurse is teaching an older client about measures to prevent constipation. What
statement made by the client indicates further teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday" - ANSWER"I need to decrease fiber in my
diet" -Adequate dietary fiber is an important factor in aiding bowel function. Dietary
fiber increases fecal weight and water content and accelerates the transit of fecal
mass through the GI tract.
,Define Ageism. - ANSWERAgeism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their group.
Fundamental to ageism is the view that older persons are different from "me" and
will remain different from "me." Therefore, they are portrayed as not experiencing
the same desires, needs, and concerns.
The nurse is providing medication instructions to an older client who is taking digoxin
(Lanoxin) daily. What age related body changes could place the client at risk for
digoxin toxicity? - ANSWERDecreased lean body mass and decreased glomerular
filtration rate.
The nurse employed in a long term care facility is caring for an older male client.
What nursing action contributes to encouraging autonomy in the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities - ANSWERClient choosing own activities.
Autonomy is the personal freedom to direct one's own life as long as it does not
impinge on the rights of others. An autonomous person is capable of rational
thought.
The home care nurse is visiting an older female client whose husband died 6 months
ago. What behavior by the client indicates ineffective coping?
- Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave - ANSWERNeglecting personal grooming. Coping
mechanisms are behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some cases may be
harmful to the individual.
The nurse is providing instructions to a nursing assistant regarding care of an older
client with hearing loss. The nurse tells the assistant that clients with a hear loss: -
ANSWERRespond to low pitched tones. Prebycusis refers to the age related
irreversible degenerative changes of the inner eat that lead to decreased hearing
ability. As a result of these changes, the older client has a decreased response to
high frequency sounds. Low pitched voice tones are heard more easily and can be
interpreted by the older client.
The nurse is providing an educational session to new employees, and the topic is
abuse of the older adult. The nurse helps the employees identify that which client is
most typical of a victim of abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
, -70 y.o woman with early dx Lyme dz - ANSWER90 y.o woman with advanced
Parkinson's dz. Elder abuse is widespread and occurs among all subgroups of the
population. Elder abuse includes physical and psychological abuse, misuse of
property, and violation of rights. The typical abuse victim is a woman of advanced
age with few social contacts and at least one physical or mental impairment that
limits her ability to perform activities of daily living.
The nurse is performing an assessment on an older client who is having difficulty
sleeping at night. What statement by the client indicates education is needed on
improving sleep?
-"I swim 3 times a week"
-"I have stopped smoking cigars."
-"I drink hot chocolate before bed"
-"I read for 40 min at bedtime." - ANSWER"I drink hot chocolate before bed" Many
nonpharmacological sleep aids can be used to influence sleep. The client should
avoid caffeinated beverages and stimulants such as tea, cola, and chocolate. The
client should exercise regularly, because exercise promotes sleep by burning off
tension that accumulates during the day. The client should sleep on a firm mattress.
Smoking and alcohol should be avoided. The client should also avoid large meals,
peanuts, beans, fruit and raw veggies that produce gas, and snacks high in fat that
are difficult to digest.
The visiting nurse observes that the older male client is confined by his daughter to
his room. When the nurse suggests that he walk into the den and join everyone, he
says "I'm in everyone's way, my daughter needs me to stay here." The most
important action for the nurse is to: - ANSWERSuggest appropriate resources to the
client and daughter-in-law, such as respite care and a senior citizens' center.
Assisting clients and families to become aware of available community support
systems is a role and responsibility of the nurse.
Gerontologic Specialty Certification - ANSWERThe number of older people continues
to increase; the need for specialized knowledge becomes even more critical in every
specialty and every health care setting; In 1974, geriatric nursing was the first
certification program offered by the ANA and nursing was the first professional
group to develop standards of care and certification in the field of gerontology
Define the Neuroendocrine Theory. - ANSWERBased on the integration of the
neuroendocrine and immune systems; emphasis is on the programmed deaths of the
immune cells from damage caused by the increase of free radicals as aging
progresses; the reduced T cells are thought to be responsible for hastening the age-
related changes caused by autoimmune reaction as the body battles itself; healthy
cells are mistaken for foreign substances and are attacked.
Define Holistic Nursing with Older Adult client - ANSWERAn integrated method of
functioning which is oriented toward maximizing the potential of which an individual
is capable within the environment where he is functioning.
