GERI EXAM 2 LATEST
The nurse determines that the daughter of a widowed older adult patient
has a poor understanding of the grieving process when she reports that -
ANSWERS-"it's been 16 months since dad died, but mom still hasn't
moved on with her life."
A hospice nurse is caring for a patient and notes the patient's spouse
engaged in anticipatory grieving. What action by the spouse best
demonstrates this reaction? - ANSWERS-spending time learning about
the business owned by the patient.
The nurse knows a family whose adult child killed several people before
taking his own life. The funerals of all involved were held on the same 2
days. The nurse notes the family seems embarrassed, uncomfortable
with expressions of sorrow, and wants a very quiet funeral. What type of
grief does the nurse suspect the family has? - ANSWERS-
disenfranchised.
A patient has been grieving the loss of a spouse and seems to be doing
surprisingly well when a beloved pet dies. The patient demonstrates
extreme signs of sadness and despair, saying, "I cannot possibly go on
without Kitty." When working with the family, what does the nurse
suggest? - ANSWERS-refer the patient to a grief therapist.
END OF
PAGE
1
, GERI EXAM 2 LATEST
A nurse is assisting a patient with a life review. What action by the nurse
is best? - ANSWERS-ask about memories the patient is proud of.
An older patient is near the end of life and the family is concerned that
the patient has a pressure ulcer because, in their view, this denotes poor
care. What explanation by the nurse is best? - ANSWERS-"age-related
changes can make it impossible to prevent ulcers."
The family members of a dying patient are distressed at the patient's
restlessness and lack of sleep. They ask the nurse to "just give her
something." What response by the nurse is best? - ANSWERS-try
nonpharmacologic comfort measures.
A dying older patient has dyspnea, which causes anxiety. What action by
the nurse is best? - ANSWERS-administer prescribed morphine sulfate.
A dying patient is being care for at home. The family relates to the
hospice nurse that they are distressed that the patient no longer wants
favorite food items. What response by the nurse is best? - ANSWERS-
"is there another way you can show caring?"
A nurse working with a dying patient would expect to add interventions
to the care plan to address which needs? SATA - ANSWERS--pain
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PAGE
2
, GERI EXAM 2 LATEST
-dyspnea
-delirium
-restlessness
A patient is brought to the emergency department after an unexplained
fall. What actions by the nurse are most appropriate? - ANSWERS--
placing the patient on a cardiac monitor.
-obtaining a urine sample for cultures.
-checking a quick bedside blood glucose
-assessing the patient for asthma.
The nurse gives priority to assessing an older patient who presents with
symptoms of acute respiratory distress for which other condition? -
ANSWERS-substernal chest pain
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?
- ANSWERS-"Aging alters our sleep patterns, so what you describe is
really quite common."
END OF
PAGE
3
, GERI EXAM 2 LATEST
What is the best bedtime snack for older adult patients with insomnia? -
ANSWERS-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? -
ANSWERS-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? -
ANSWERS-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 -
ANSWERS-"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
END OF
PAGE
4
The nurse determines that the daughter of a widowed older adult patient
has a poor understanding of the grieving process when she reports that -
ANSWERS-"it's been 16 months since dad died, but mom still hasn't
moved on with her life."
A hospice nurse is caring for a patient and notes the patient's spouse
engaged in anticipatory grieving. What action by the spouse best
demonstrates this reaction? - ANSWERS-spending time learning about
the business owned by the patient.
The nurse knows a family whose adult child killed several people before
taking his own life. The funerals of all involved were held on the same 2
days. The nurse notes the family seems embarrassed, uncomfortable
with expressions of sorrow, and wants a very quiet funeral. What type of
grief does the nurse suspect the family has? - ANSWERS-
disenfranchised.
A patient has been grieving the loss of a spouse and seems to be doing
surprisingly well when a beloved pet dies. The patient demonstrates
extreme signs of sadness and despair, saying, "I cannot possibly go on
without Kitty." When working with the family, what does the nurse
suggest? - ANSWERS-refer the patient to a grief therapist.
END OF
PAGE
1
, GERI EXAM 2 LATEST
A nurse is assisting a patient with a life review. What action by the nurse
is best? - ANSWERS-ask about memories the patient is proud of.
An older patient is near the end of life and the family is concerned that
the patient has a pressure ulcer because, in their view, this denotes poor
care. What explanation by the nurse is best? - ANSWERS-"age-related
changes can make it impossible to prevent ulcers."
The family members of a dying patient are distressed at the patient's
restlessness and lack of sleep. They ask the nurse to "just give her
something." What response by the nurse is best? - ANSWERS-try
nonpharmacologic comfort measures.
A dying older patient has dyspnea, which causes anxiety. What action by
the nurse is best? - ANSWERS-administer prescribed morphine sulfate.
A dying patient is being care for at home. The family relates to the
hospice nurse that they are distressed that the patient no longer wants
favorite food items. What response by the nurse is best? - ANSWERS-
"is there another way you can show caring?"
A nurse working with a dying patient would expect to add interventions
to the care plan to address which needs? SATA - ANSWERS--pain
END OF
PAGE
2
, GERI EXAM 2 LATEST
-dyspnea
-delirium
-restlessness
A patient is brought to the emergency department after an unexplained
fall. What actions by the nurse are most appropriate? - ANSWERS--
placing the patient on a cardiac monitor.
-obtaining a urine sample for cultures.
-checking a quick bedside blood glucose
-assessing the patient for asthma.
The nurse gives priority to assessing an older patient who presents with
symptoms of acute respiratory distress for which other condition? -
ANSWERS-substernal chest pain
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?
- ANSWERS-"Aging alters our sleep patterns, so what you describe is
really quite common."
END OF
PAGE
3
, GERI EXAM 2 LATEST
What is the best bedtime snack for older adult patients with insomnia? -
ANSWERS-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? -
ANSWERS-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? -
ANSWERS-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 -
ANSWERS-"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
END OF
PAGE
4
