Correct Answers
A 75-year-old female patient, whose marriage ended in divorce after two years, has lived alone
for the past 50 years. Feeling as if her life has had little meaning, the patient is terrified of living
out her remaining years and of dying. The age-related issue to be resolved is:
a)disengagement versus activity.
b)ego integrity versus despair.
c)self-determination versus resignation
d) self-esteem versus self-actualization. - ANSWER - ego integrity vs despair
An 80-year-old male patient, who lives at home with his wife, is instructed to follow a 2-g sodium
diet. The patient states, "I've always eaten the same way all my life, and I'm not going to change
now." To promote optimal dietary adherence, the gerontological nurse's initial approach is to:
a) inform the patient about the need to follow the diet.
b)inquire about the patient's current food preferences and eating habits.
c)list the variety of foods that are allowed on the diet.
d)provide dietary instruction to the patient's wife who prepares the meals. - ANSWER - inquire
about the patient's current food preferences and eating habits.
Signs and symptoms of age-related macular degeneration include:
a)deficits in peripheral vision
b)decreases in depth perception.
c)distortion of lines and print.
d)reports of flashes of light. - ANSWER - distortion of lines and print (inability to see light, seeing
spots, straight lines appear wavy, blurred vision) NORMAL age-related change.
A 90-year-old patient comes to the clinic with a family member. During the health history, the
patient is unable to respond to questions in a logical manner. The gerontological nurse's action
is to:
a)ask the family member to answer the questions
b)ask the same questions in a louder and lower voice.
, c)determine if the patient knows the name of the current president.
d)rephrase the questions slightly, and slowly repeat them in a lower voice. - ANSWER -
rephrase the questions slightly, and slowly repeat them in a lower voice.
Which question does the gerontological nurse prioritize for an 86-year-old male patient with
abdominal pain, muscle weakness, and leg cramps?
a)"Do you eat a lot of meat?"
b)"Do you have heart problems?"
c) "Do you take a diuretic?"
d)"Do you walk everyday?" - ANSWER -
A frail 80-year-old woman, who cares for her husband at home without assistance, requires
minor surgery. Lacking any family members residing in the area, the wife expresses concern
about her husband's care while she is recovering. The gerontological nurse's recommendation
is:
a)arranging inpatient, respite care for the husband.
b)hiring around-the-clock help for two weeks.
c)hospitalizing the husband.
d)remaining in the hospital during the postoperative period. - ANSWER - arranging inpatient,
respite care for the husband.
An older adult patient currently takes phenytoin (Dilantin) and tolterodine (Detrol). The
gerontological nurse reinforces the need for routine dental visits because these two medications
decrease
a)calcium levels in the blood.
b)innervations of the trigeminal nerve.
c)the muscle strength of the tongue.
d)the production of saliva. - ANSWER - the production of saliva.
An effective way to adequately provide nourishishment to a patient with moderate dementia is:
a) allowing the patient to choose foods from a varied menu.
b)hand-feeding the patient's favorite foods.
c)routinely reminding the patient about the need for adequate nutrition.