Geri Exam 2 Questions and Answers
100% Correct
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? - ANSWER - "Aging alters our sleep patterns, so what
you describe is really quite common."
What is the best bedtime snack for older adult patients with insomnia? - ANSWER - 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? - ANSWER - 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? - ANSWER - 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 - ANSWER - "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
based on the understand that - ANSWER - physical exercise has been proven helpful in
managing wandering in such patients.
A patient is discussing retirement with a nurse. What suggestion pertaining to sleep does the
nurse offer? - ANSWER - keep your same bedtime and nighttime routines.
,A patient reports waking up with frequent headaches and sore throat. What question by the
nurse is most appropriate? - ANSWER - "does your partner say you snore at night?"
A patient wants to use an herbal preparation to help with recent insomnia. What response by the
nurse is best? - ANSWER - "have you had a physical exam any time recently?"
The nurse is preparing to instruct a family member regarding how to appropriately assist a 76-
year-old patient incorporate a healthy daily walk into the family's routine. The nurse includes a
suggestion that - ANSWER - if the patient has difficulty talking while walking, it is time to stop.
An older adult patient who has been seen at a neighborhood clinic for years tells the nurse that
he will be moving to live with his son in a neighboring state. The nurse impacts the patient's
health and wellness the most therapeutically when stating - ANSWER - "moving often causes
temporary sleep disturbances, so stick to your evening routine."
A patient in the early stage of Alzheimer's disease is being admitted to an assisted living facility.
The admitting nurse best addresses the patient's need for appropriate physical activity when -
ANSWER - asking the patient about activities done for recreation.
A patient with moderate dementia has been admitted to a long-term care facility. To address the
patient's need to be engaged in purposeful activity, the nurse arranges for the patient to -
ANSWER - fold some of the unit's freshly washed washcloths and towels each afternoon.
An older patient reported to the clinic nurse that since a grandson moved in a few months ago,
the patient has had problems sleeping. Which question by the nurse is most appropriate? -
ANSWER - "has your sleep pattern changed since you moved in?"
The nurse is caring for a hospitalized patient who needs vital signs and assessments every 4
hours. The nurse last assessed the patient at midnight, and at 2am the nurse answers the call
light and helps the patient to the bathroom. To promote good sleep, what action by the nurse is
best? - ANSWER - assess the patient now and again at 6am.
The nurse needs to awaken a patient to take medication in the middle of the night. The patient
has not had any sleeping medications or other preparations that would cause drowsiness. The
nurse has to use vigorous stimulation to awaken the patient. What stage of sleep is this patient
most likely in? - ANSWER - stage 4, non-REM
, The nurse has instituted bedtime routines for patients with dementia in a long-term care facility.
What assessment findings best indicate the program is effective? - ANSWER - patients fall
asleep within 20-30 minutes of going to bed.
When assessing a patient's report of experiencing "problem sleeping," the nurse gathers data
related to which of the following? SATA - ANSWER - -difficulty falling asleep
-waking up frequently during the night
-difficulty staying asleep
The nurse who works with older patients explains the age-related changes in sleep to a student.
Which statements are consistent with this knowledge? SATA - ANSWER - -REM sleep is
interrupted more by awakening at night.
-people spend more time in the lightest stage of sleep.
-stages 3 and 4 of non-REM sleep are not as deep.
-changes in circulation rhythm can affect sleep.
Which nursing intervention best demonstrates the understanding that older adults are at
increased risk for falls because of normal age-related changes? - ANSWER - encouraging the
patient to rise from a supine position slowly.
An older adult's risk for a fall-related injury is directly correlated to his or her ability to regain
balance. To evaluate this ability, the nurse assesses the patient's - ANSWER - musculoskeletal
hip, ankle, and shoulder strength.
The gerontologic nurse's decision to identify a specific patient as a falls risk is primarily based
on the - ANSWER - degree of frailty and functional limitation observed.
An older adult has been diagnosed with presbyopia. To minimize the patient's risk for falls, the
nurse suggests - ANSWER - that the edges of steps be painted a contrasting color.
The nurse identifies the older patient at the greatest risk for a fall-related injury as the -
ANSWER - female with a diagnosis of osteoporosis.
100% Correct
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? - ANSWER - "Aging alters our sleep patterns, so what
you describe is really quite common."
What is the best bedtime snack for older adult patients with insomnia? - ANSWER - 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? - ANSWER - 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? - ANSWER - 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 - ANSWER - "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
based on the understand that - ANSWER - physical exercise has been proven helpful in
managing wandering in such patients.
A patient is discussing retirement with a nurse. What suggestion pertaining to sleep does the
nurse offer? - ANSWER - keep your same bedtime and nighttime routines.
,A patient reports waking up with frequent headaches and sore throat. What question by the
nurse is most appropriate? - ANSWER - "does your partner say you snore at night?"
A patient wants to use an herbal preparation to help with recent insomnia. What response by the
nurse is best? - ANSWER - "have you had a physical exam any time recently?"
The nurse is preparing to instruct a family member regarding how to appropriately assist a 76-
year-old patient incorporate a healthy daily walk into the family's routine. The nurse includes a
suggestion that - ANSWER - if the patient has difficulty talking while walking, it is time to stop.
An older adult patient who has been seen at a neighborhood clinic for years tells the nurse that
he will be moving to live with his son in a neighboring state. The nurse impacts the patient's
health and wellness the most therapeutically when stating - ANSWER - "moving often causes
temporary sleep disturbances, so stick to your evening routine."
A patient in the early stage of Alzheimer's disease is being admitted to an assisted living facility.
The admitting nurse best addresses the patient's need for appropriate physical activity when -
ANSWER - asking the patient about activities done for recreation.
A patient with moderate dementia has been admitted to a long-term care facility. To address the
patient's need to be engaged in purposeful activity, the nurse arranges for the patient to -
ANSWER - fold some of the unit's freshly washed washcloths and towels each afternoon.
An older patient reported to the clinic nurse that since a grandson moved in a few months ago,
the patient has had problems sleeping. Which question by the nurse is most appropriate? -
ANSWER - "has your sleep pattern changed since you moved in?"
The nurse is caring for a hospitalized patient who needs vital signs and assessments every 4
hours. The nurse last assessed the patient at midnight, and at 2am the nurse answers the call
light and helps the patient to the bathroom. To promote good sleep, what action by the nurse is
best? - ANSWER - assess the patient now and again at 6am.
The nurse needs to awaken a patient to take medication in the middle of the night. The patient
has not had any sleeping medications or other preparations that would cause drowsiness. The
nurse has to use vigorous stimulation to awaken the patient. What stage of sleep is this patient
most likely in? - ANSWER - stage 4, non-REM
, The nurse has instituted bedtime routines for patients with dementia in a long-term care facility.
What assessment findings best indicate the program is effective? - ANSWER - patients fall
asleep within 20-30 minutes of going to bed.
When assessing a patient's report of experiencing "problem sleeping," the nurse gathers data
related to which of the following? SATA - ANSWER - -difficulty falling asleep
-waking up frequently during the night
-difficulty staying asleep
The nurse who works with older patients explains the age-related changes in sleep to a student.
Which statements are consistent with this knowledge? SATA - ANSWER - -REM sleep is
interrupted more by awakening at night.
-people spend more time in the lightest stage of sleep.
-stages 3 and 4 of non-REM sleep are not as deep.
-changes in circulation rhythm can affect sleep.
Which nursing intervention best demonstrates the understanding that older adults are at
increased risk for falls because of normal age-related changes? - ANSWER - encouraging the
patient to rise from a supine position slowly.
An older adult's risk for a fall-related injury is directly correlated to his or her ability to regain
balance. To evaluate this ability, the nurse assesses the patient's - ANSWER - musculoskeletal
hip, ankle, and shoulder strength.
The gerontologic nurse's decision to identify a specific patient as a falls risk is primarily based
on the - ANSWER - degree of frailty and functional limitation observed.
An older adult has been diagnosed with presbyopia. To minimize the patient's risk for falls, the
nurse suggests - ANSWER - that the edges of steps be painted a contrasting color.
The nurse identifies the older patient at the greatest risk for a fall-related injury as the -
ANSWER - female with a diagnosis of osteoporosis.
