geriatrics HESI/final exam
A 69-year-old woman reports that she avoids intercourse because it is uncomfortable.
She asks the nurse if she has any suggestions to relieve this problem. What should the
nurse do?
ch. 16 - ANS-Clarify what she means by "uncomfortable."
A 70-year-old married man confides to the nurse that he recently began to have
difficulty achieving an erection. He states that, "It wasn't much of a problem until
recently." What would be the nurse's best response?
ch. 16 - ANS-"Did you recently change any medications?"
A calorie restricted, low-sodium diet was prescribed for a terminally ill patient who has
diabetes, is in kidney failure, and has a do not resuscitate order. As death nears, the
patient has very little appetite and picks at the food. What should appropriate nursing
interventions include? (Select all that apply.)
ch. 15 - ANS-Encourage family to bring in small amounts of food from home.
Serve food in a place free from odors.
Encourage the person to eat anything that appeals to them.
Provide good oral hygiene.
A home health nurse is visiting her patients and evaluating their exercise routines.
Which patients meet the current recommendations for physical activity? (Select all that
apply.)
ch. 19 - ANS-Marge, a retired nurse, swims 25 minutes every day except Sundays and
does strength training with weights on Tuesdays and Fridays.
Yi-Lin plays video fitness 3 times each day, 10 minutes each time, and performs weight
lifting 3 times a week.
A nurse is caring for a 71-year-old immobile patient who has been in a wheelchair for 2
hours. When repositioning the patient, the nurse observes a reddened area at the base
of the buttocks. How would this observation be best documented?
ch. 17 - ANS-Stage 1 pressure injury at ischial tuberosity
, A nurse is caring for a patient with urge urinary incontinence. Based on the nature of
this problem, the nurse plans to institute which nursing interventions? (Select all that
apply.)
ch. 18 - ANS-Avoid placing throw rugs in her room.
Place her close to the restroom, and remind her of its location.
Orient the patient to the location of nearby restrooms.
A nurse is caring for an older adult who is bedridden because of progressed Parkinson
disease. What is the most appropriate patient problem for this patient?
ch. 17 - ANS-Potential for altered skin integrity related to immobility
A nurse is caring for an older adult who is upset about having to move into a skilled
nursing facility. Which communication technique used by the nurse is most effective at
establishing an empathetic climate?
ch. 5 - ANS-Open-ended responses
A nurse is caring for an older adult who recently had small watery bowel movements.
The patient now complains of pressure in the rectal area and abdominal cramping.
Which is the most appropriate initial nursing action?
ch .18 - ANS-Notify the primary care provider of these observations.
A nurse is caring for an older adult with a history of cardiac problems. The nurse knows
it is most important to institute measures to prevent which outcome?
ch. 18 - ANS-Constipation
A nurse is caring for an older patient who complains of dry and itchy skin. What advice
should the nurse offer?
ch. 17 - ANS-Advise the patient to bathe less often, use soap sparingly, and apply a
skin emollient after each bath.
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip
replacement. The nurse providing discharge teaching knows that older adults are most
responsive to what type of information?
ch. 5 - ANS-When the information is relevant to their lives
A patient, who lost his wife 6 months ago, has been diagnosed with clinical depression.
He plans to ask his primary care provider for a prescription for sleep medication. He
asks for advice about what else he can do. The lack of sleep is interfering with his
A 69-year-old woman reports that she avoids intercourse because it is uncomfortable.
She asks the nurse if she has any suggestions to relieve this problem. What should the
nurse do?
ch. 16 - ANS-Clarify what she means by "uncomfortable."
A 70-year-old married man confides to the nurse that he recently began to have
difficulty achieving an erection. He states that, "It wasn't much of a problem until
recently." What would be the nurse's best response?
ch. 16 - ANS-"Did you recently change any medications?"
A calorie restricted, low-sodium diet was prescribed for a terminally ill patient who has
diabetes, is in kidney failure, and has a do not resuscitate order. As death nears, the
patient has very little appetite and picks at the food. What should appropriate nursing
interventions include? (Select all that apply.)
ch. 15 - ANS-Encourage family to bring in small amounts of food from home.
Serve food in a place free from odors.
Encourage the person to eat anything that appeals to them.
Provide good oral hygiene.
A home health nurse is visiting her patients and evaluating their exercise routines.
Which patients meet the current recommendations for physical activity? (Select all that
apply.)
ch. 19 - ANS-Marge, a retired nurse, swims 25 minutes every day except Sundays and
does strength training with weights on Tuesdays and Fridays.
Yi-Lin plays video fitness 3 times each day, 10 minutes each time, and performs weight
lifting 3 times a week.
A nurse is caring for a 71-year-old immobile patient who has been in a wheelchair for 2
hours. When repositioning the patient, the nurse observes a reddened area at the base
of the buttocks. How would this observation be best documented?
ch. 17 - ANS-Stage 1 pressure injury at ischial tuberosity
, A nurse is caring for a patient with urge urinary incontinence. Based on the nature of
this problem, the nurse plans to institute which nursing interventions? (Select all that
apply.)
ch. 18 - ANS-Avoid placing throw rugs in her room.
Place her close to the restroom, and remind her of its location.
Orient the patient to the location of nearby restrooms.
A nurse is caring for an older adult who is bedridden because of progressed Parkinson
disease. What is the most appropriate patient problem for this patient?
ch. 17 - ANS-Potential for altered skin integrity related to immobility
A nurse is caring for an older adult who is upset about having to move into a skilled
nursing facility. Which communication technique used by the nurse is most effective at
establishing an empathetic climate?
ch. 5 - ANS-Open-ended responses
A nurse is caring for an older adult who recently had small watery bowel movements.
The patient now complains of pressure in the rectal area and abdominal cramping.
Which is the most appropriate initial nursing action?
ch .18 - ANS-Notify the primary care provider of these observations.
A nurse is caring for an older adult with a history of cardiac problems. The nurse knows
it is most important to institute measures to prevent which outcome?
ch. 18 - ANS-Constipation
A nurse is caring for an older patient who complains of dry and itchy skin. What advice
should the nurse offer?
ch. 17 - ANS-Advise the patient to bathe less often, use soap sparingly, and apply a
skin emollient after each bath.
A nurse is discharging an older adult patient from a rehabilitation facility after a left hip
replacement. The nurse providing discharge teaching knows that older adults are most
responsive to what type of information?
ch. 5 - ANS-When the information is relevant to their lives
A patient, who lost his wife 6 months ago, has been diagnosed with clinical depression.
He plans to ask his primary care provider for a prescription for sleep medication. He
asks for advice about what else he can do. The lack of sleep is interfering with his
