NR 341 Gerontology quiz 1_Questions and answers

NR 341 Gerontology quiz 1_Questions and answers. 1. A nurse in a long-term care facility is promoting reminiscence among older adult clients. Which of the following actions should the nurse take? a. Institute a daily storytelling hour i. A storytelling hour is an example of reminiscence therapy, which allow clients to share stories of their past and reminisce with others who might have similar or shared memories. According to Erikson’s psychosocial theory, reminiscence is an important action for older adult clients. 2. A nurse in the clinic is assessing an older adult client for the second time in a week. The client reports a decreased energy level, insomnia, and anorexia. The client’s diagnostic tests are within the expected reference ranges. For which of the following conditions should the nurse screen the client? a. Depression i. Depression, an altered mood state characterized energy levels, insomnia, anorexia, and sadness is a common condition among older adult clients. Depression can be a response to an acute or chronic illness. Depression in older adult clients can also be the result of medications such as analgesics, antihypertensive, steroids, and cardiovascular agents. 3. A nurse is caring for an older adult client who has gout and refuses to eat. The client’s provider has approved the family to bring food from home. Which of the following foods should the nurse recommend that the client not eat? a. Lentil soup i. The client should eat purine-restricted diet to decrease the elevated uric acid levels. The diet is used for gout, renal calculi or both in conjunction with medication therapy. 4. A nurse in a long-term care facility is providing teaching to a group of adolescents who are new volunteers. The nurse should explain that older adult clients are most likely to exhibit a decrease in which of the following? a. Short-term memory i. The ability to process short-term memories decreases as part of the aging process. As a result, older adult clients might require reminders regarding their medications. ADLs, or daily schedules. The nurse should tell the volunteers that residents might have difficulty remembering their names from day to day, ask the same questions repeatedly or need assistance remembering recent events. 5. A nurse is teaching a group of healthy older adult clients about health screening after age 50 years. Which of the following health screenings should the nurse recommend that the clients complete annually? a. VISUAL ACUITY i. Screen for glaucoma 6. A nurse caring for a client who has Alzheimer’s disease and refuses to take her morning antihypertensive medication. The client is oriented to name and place and is able to