Geriatric nursing review questions Part 2 Questions & Answers (100% Correct & Verified Answers) NUR6540

12/18/23, 3:24 AM Geriatric nursing review question Part 2 1/1 1. Diphenhydramine (Benadryl) 2. Ferrous sulfate 3. Guaifenesin (Robitussin) 4. Loratadine (Claritin) 0/1 1. fever. 2. hypokalemia. 3. jaundice. 4. vertigo. Correct answer 2. hypokalemia. Geriatric nursing review question Part 2 Total points 16/48 51 -100 51. A 78-year-old patient calls a telephone triage nurse and reports several falls after taking over-the-counter medication for a recent cold. Which medication contributed to the falls? 52. Older adults who take the herbal supplement cascara sagrada are monitored for the presence of:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. Generalizability 2. Reliability 3. Statistical significance 4. Validity Correct answer 4. Validity 1/1 1. a dry, persistent cough. 2. exacerbation of heart failure. 3. sedation. 4. urinary incontinence. 53. A nursing home conducts a survey to evaluate nursing care. However, some residents did not express their concerns due to fear of reprisal by the staff. Which aspect of the evaluation is most affected? 54. A common side effect of angiotensin-converting enzyme inhibitors that frequently results in discontinuation of therapy is:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. ask if the questions upset the patient in any way. 2. discontinue the interview. 3. explain that the information is needed to plan the patient's care. 4. ignore the patient's reaction and proceed. Correct answer 2. discontinue the interview. 0/1 1. "All right, you may leave the group now." 2. "Please tell us about your cow." 3. "That wasn't a cow; maybe you heard a vacuum cleaner." 4. "You live here at the nursing home now, not on the farm." Correct answer 2. "Please tell us about your cow." 55. A patient with Stage 2 Alzheimer disease visits the mental health clinic. During the interview, the patient becomes hostile and refuses to answer further questions. The gerontological nurse's best action is to: A gerontological nurse at a nursing home conducts a reminiscence therapy group for residents with confusion. A member of the group stands up and says, "I just heard my cow. I have to go and milk her now." The nurse's most therapeutic response is:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. increasing socialization skills. 2. meshing the past with the future. 3. providing praise and recognition. 4. reviewing comforting memories. Correct answer 4. reviewing comforting memories. 0/1 1. acknowledge that the patient looks healthy and encourage seeking a second opinion. 2. advise the patient to join a support group. 3. convey availability to talk to the patient. 4. tell the patient that the tests are reliable and accurate. Correct answer 3. convey availability to talk to the patient. 57. Reminiscence therapy promotes an older adult's sense of security by: A physician has just informed an older adult patient that test results indicate that the patient has cancer and will require extensive surgery. The patient says, "I know the tests are wrong. I feel fine." The gerontological nurse's most appropriate response is to:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. continue to attempt to follow the physician's orders. 2. determine the patient's premorbid personality. 3. restrain the patient and request a change in the route of medication. 4. wait for the patient to become more cooperative. Correct answer 2. determine the patient's premorbid personality. 0/1 1. avoid scratching since breaks in the skin increase the risk of infection. 2. drink more liquids and take showers instead of baths. 3. take fewer baths, use soap sparingly, and apply skin cream afterward. 4. wear cotton clothing and try a different brand of soap. Correct answer 3. take fewer baths, use soap sparingly, and apply skin cream afterward. A 75-year-old patient who sustained a stroke has residual left-sided weakness. From the first day of hospitalization, the patient has been combative and demanding, and has refused to swallow any medication. The most constructive nursing action is to: A healthy 80-year-old female patient complains that her skin feels dry and sometimes itchy. The gerontological nurse advises her to:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. aspiration. 2. contractures. 3. dehydration. 4. skin breakdown. Correct answer 4. skin breakdown. 1. recommend that the patient eliminate fluid intake after 6:00 pm. 2. recommend that the patient go to bed one hour earlier. 3. suggest that the patient enroll in a sleep study. 4. tell the patient that the sleeping pattern is a normal age-related change. Correct answer 4. tell the patient that the sleeping pattern is a normal age-related change. A 90-year-old patient with multiple medical problems is admitted to the hospital's geriatric care unit. The nursing assessment reveals lethargy, poor capillary perfusion, and urinary incontinence. These findings alert the gerontological nurse to the potential for: An 80-year-old patient complains of sleeping less despite spending more time in bed. The patient does not use alcohol, caffeine, or any medications other than acetaminophen for arthritis pain. The patient goes to bed at 11:00 pm, falls asleep in 15 minutes, awakens several times during the night, and promptly goes back to sleep. The patient feels refreshed in the morning and works five days a week as a volunteer. The gerontological nurse's most appropriate response is to:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. A cool, non-tender limb 2. Limb numbness with diaphoresis 3. Rapid onset of unilateral leg swelling with dependent edema 4. Vertigo with an abrupt onset of blurred vision Correct answer 3. Rapid onset of unilateral leg swelling with dependent edema 1/1 1. anorexia and new behavioral problems. 2. headache and difficulty breathing. 3. muscle aches and fever. 4. nonproductive cough and chest pain. 63. Which signs are characteristic of deep vein thrombosis? 64. Unusual symptoms of pneumonia often found in long-term care residents include:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. Anorexia 2. Confusion 3. Fever 4. Restlessness Correct answer 2. Confusion 1/1 1. Lawton's Physical Self-Maintenance Scale 2. Older Americans Resources and Services Assessment 3. Problem Oriented Medical Record 4. Short Portable Mental Status Questionnaire 65. Which symptom is exhibited first by an older adult with a urinary tract infection? Which assessment tool measures economic resources, mental health, and activities of daily living?12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. a bowel and bladder program. 2. a fall prevention program. 3. discharge planning. 4. reminiscence therapy. Correct answer 3. discharge planning. 0/1 1. decrease edema by restricting free water intake. 2. prevent complications of hyponatremia. 3. reorient the patient to his or her surroundings. 4. restore the patient's fluid and electrolyte balance. Correct answer 4. restore the patient's fluid and electrolyte balance. 67. All care plans for older adult patients include: An older adult patient, who is recovering from surgery, has a sodium level of 128 mEq/L and is confused. The physician diagnoses syndrome of inappropriate secretion of antidiuretic hormone. The gerontological nurse's primary goal for this patient is to:12/18/23, 3:24 AM Geriatric nursing review question Part 2 1/1 1. discuss the benefits, risks, and limitations of various therapies. 2. distinguish between folk and traditional medicine. 3. give a firm warning about alternative therapies. 4. recommend a reputable holistic health therapist. 1/1 1. Completing an assessment of the patient's sleep-wake cycle to determine necessary interventions 2. Doing nothing since this type of sleep pattern is associated with normal aging 3. Inquiring if the patient takes a medication at bedtime and requesting that the physician order it 4. Moving the patient further away from the nurse's station to minimize disturbances The adult children of an aging couple ask a gerontological nurse about alternative therapies or nontraditional services to improve their parents' health. The nurse's most appropriate response is to: A 73-year-old patient is admitted to a rehabilitation facility after sustaining a mild stroke. After three nights in the facility, the patient begins to sleep only four to five hours a night and to awaken frequently during the night. The patient then complains of not feeling rested and begins to nap during the day. Which is the most appropriate nursing action?12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. depression. 2. mourning. 3. neurosis. 4. prolonged grief. Correct answer 2. mourning. 0/1 1. are afraid to seek medical advice for fear of what they may find. 2. associate their symptoms with aging rather than an illness. 3. believe in home remedies and parental traditions. 4. relate their symptoms to conditions that resolved in the past without treatment. Correct answer 2. associate their symptoms with aging rather than an illness. A 68-year-old man calls his daughter every night to talk about his beloved wife who died four weeks ago. During the day, he is sad and goes out frequently to get away from the empty house. The man's most probable state is: The main reason that older adults with a chronic illness tolerate functional impairments is that they:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. involve him in as many activities as possible so he can meet other residents. 2. move him as quickly as possible so that he does not have time to think. 3. restrict family visits for the first two weeks to give him time to adjust. 4. suggest that he bring his favorite things from home to make his room seem familiar. Correct answer 4. suggest that he bring his favorite things from home to make his room seem familiar. 1/1 1. anger at staff is a symptom of grief and needs to be addressed. 2. anxiety about the meeting may have interfered with the children's affect. 3. material items are the focus for the children at this time. An 87-year-old man, who has been living independently, is entering a nursing home. To help him adjust, the most effective action is to: An 80-year-old patient is in the terminal stage of Alzheimer disease. The treatment team meets with the patient's who are angry and complain about a recent incident in which their parent's dentures were misplaced. The team members realize that:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. express self-transcendence. 2. maintain autonomy by exercising control. 3. maintain his previous professional role. 4. react against the facility's ageism. Correct answer 2. maintain autonomy by exercising control. 0/1 1. environmental overload. 2. protective isolation. 3. selective inattention. 4. sensory deprivation. Correct answer 4. sensory deprivation. A 78-year-old male resident at a long-term care facility, who is a former business executive, has been smoking and extinguishing cigarettes in a paper cup in areas where smoking is prohibited. He has been informed repeatedly of the designated smoking areas. The resident's behavior indicates an attempt to: A gerontological nurse is caring for an older adult who has been confined to home for the last 10 weeks due to illness. The patient is anxious, has multiple somatic complaints, and has become unable to follow instructions. The nurse knows that this phenomenon commonly occurs with:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. assisting the older adult to accept death as the inevitable last stage. 2. changing the topic when a patient talks about his or her morbid past. 3. encouraging reminiscence, oral histories, and storytelling. 4. helping the older adult explore how spiritual involvement assists with stress relief. Correct answer 3. encouraging reminiscence, oral histories, and storytelling. 1/1 1. Acute 2. Anticipatory 3. Disenfranchising 4. Dysfunctional 78. The gerontological nurse facilitates the benefits of life review by: The holiday season is approaching and a woman is admitted to a psychiatric unit. She reports that her husband of 45 years passed away four weeks ago. She frequently cries, eats poorly, periodically complains of back and stomach aches, and has begun isolating herself. What type of grief is this woman exhibiting?12/18/23, 3:24 AM Geriatric nursing review question Part 2 1/1 1. has goals that differ from the rehabilitation care plan. 2. has too many disabilities to realistically plan for rehabilitation. 3. is too old to undergo rehabilitation. 4. requires a psychiatrist's assistance to deal with the loss. 0/1 1. "At your age, sexual activity diminishes because of changes in your circulation. I will explain this to your wife." 2. "Certain body functions, such as erections, slow down with age. Could you tell me more about your sexual relations? For instance, how often do you have intercourse?" 3. "Your problem is probably an emotional one. If you could relax, you would be as sexually active as you were 10 years ago." 4. "Your problem is probably due to a decrease in your sexual hormones. This occurs naturally as people age." Correct answer 2. "Certain body functions, such as erections, slow down with age. Could you tell me more about your sexual relations? For instance, how often do you have intercourse?" A 92-year old patient, who recently underwent a below-the-knee leg amputation, is resisting attempts at rehabilitation. The most likely reason for the resistance is that the patient: When the gerontological nurse in a clinic asks a 70-year-old man about his sexual activity, he begins to cry and says, "I feel so bad for my wife; she is only 60, and I can't seem to satisfy her as often as I used to." Which is the nurse's most appropriate response?12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. Becoming defensive when questions are asked 2. Complaining about care delivered by hospital staff 3. Giving an illogical account of her mother's fall 4. Refusing to leave her mother alone to answer questions Correct answer 4. Refusing to leave her mother alone to answer questions 1/1 1. assess the client and individualize the teaching methods. 2. set a slow learning pace and begin teaching simple concepts. 3. teach slowly and use repetition. 4. use demonstration and provide ample opportunity for practice. An alert and oriented 82-year-old woman, who lives with her daughter, has been admitted to the hospital with bruises about the face and head. The daughter reports that her mother fell. Which behavior by the daughter raises the greatest suspicion of elder abuse? In teaching an older adult client, the gerontological nurse's most appropriate initial strategy is to:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. older adults are unlikely to participate in educational programs due to lack of interest. 2. older adult learners are heterogeneous due to diverse educational experiences and learning strategies. 3. the ability to acquire knowledge from a verbal presentation decreases with age more than the ability to acquire knowledge through reasoning. 4. the age-related decline in intellectual performance creates obstacles for acquiring new information. Correct answer 2. older adult learners are heterogeneous due to diverse educational experiences and learning strategies. 1/1 1. "Dad has gotten lazy about his bathroom habits. He blames his arthritis medication for his toileting accidents." 2. "Dad's room is close to the bathroom and we keep a light on for him at night." 3. "It's inconvenient, but we stop other activities to remind Dad to go to the bathroom on a regular schedule." 4. "We try to avoid coffee and tea at night, but Dad really likes a cup of coffee for breakfast." 84. In preparing a presentation for older adults, a gerontological nurse keeps in mind that: Members of a family are caring for their father at home. Which statement by a family member indicates a need for teaching and caregiver instruction?12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. avoid emphasizing performance deficits. 2. decrease patient falls. 3. focus on achieving 100% compliance. 4. identify high-risk, high-volume, or problem-prone areas. Correct answer 4. identify high-risk, high-volume, or problem-prone areas. 0/1 1. changes often to decrease boredom. 2. contains familiar objects. 3. is limited in color and sound. 4. is stimulating so as to challenge thought. Correct answer 2. contains familiar objects. 86. When hospital quality assurance indicators are assigned, the nursing staff strives to: 87. The most appropriate environment for a person with chronic dementia is one that:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. ceiling lights are best. 2. drapes should be left open during the daylight hours. 3. higher levels of light are needed. 4. lower levels of light are needed. Correct answer 4. lower levels of light are needed. 0/1 1. advise the patient to arrange for someone to visit regularly or move into the home. 2. advise the patient to have the social security check deposited directly to the bank and to get a dog. 3. assume that the patient is incompetent and initiate commitment proceedings. 4. take no action since the patient has a right to autonomy. Correct answer 2. advise the patient to have the social security check deposited directly to the bank and to get a dog. In assessing the lighting for a patient with glaucoma, the gerontological nurse knows that: 89. A 63-year-old patient is returning home after being hospitalized for injuries received during a robbery and home invasion. Although neighborhood robberies are rampant, the patient has lived in the same house for 50 years and does not want to move. The patient receives a monthly social security check. The gerontological nurse's most appropriate step is to:12/18/23, 3:24 AM Geriatric nursing review question Part 2 1/1 1. Developing an educational program on foot health and arranging for podiatry services at the site 2. Establishing a regular foot care plan whereby the participants' toenails would be cut and corns and calluses shaved 3. Instructing competent family members in the proper methods of cutting toenails and using commercial foot care products. 4. Recommending that the participants soak their feet for 10 minutes before cuttintheir toenails using safe toenail clippersg 0/1 1. are physically inactive. 2. are cigarette smokers. 3. have received the Bacile Calmette Guérin (BCG) vaccine. 4. reside in institutions. Correct answer 4. reside in institutions. A gerontological nurse in a daycare program for older adults observes that the participants have long toenails, corns, calluses, and other problems indicating a need for better foot care. What is the nurse's best action? The occurrence of tuberculosis in the older adult is significantly increased among individuals who:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. Ankle 2. Hip 3. Shoulder 4. Vertebral Correct answer 2. Hip 0/1 1. facilitate staff participation. 2. initiate changes based on interdisciplinary exchange. 3. monitor and record incidents, accidents, and injuries. 4. provide quality care based on measurable data. Correct answer 4. provide quality care based on measurable data. 92. Which type of fracture has the highest morbidity and mortality in the older adult? . The primary reason for establishing quality improvement committees at long-term care facilities is to:12/18/23, 3:24 AM Geriatric nursing review question Part 2 1/1 1. Outcomes 2. Process 3. Prospective 4. Structure 0/1 1. "How do you want to learn new material?" 2. "What do you need to know to do your job better?" 3. "What do you think others need to learn?" 4. "What do you think others want you to learn?" Correct answer 2. "What do you need to know to do your job better?" An accrediting body evaluates a nursing home by monitoring the number of residents who developed pressure ulcers and urinary tract infections. What type of audit is being conducted? A gerontological nurse is creating a staff development program for a unit. To assess the staff's learning needs, the nurse's best approach is to ask staff members:12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. availability of educational resources. 2. nursing director's perceptions of staff learning needs. 3. philosophy, goals, and objectives of the organization. 4. recommendations of the ombudsman. Correct answer 3. philosophy, goals, and objectives of the organization. 1/1 1. The charge nurse is responsible for delegated care. 2. The charge nurse should implement the care and not delegate the task. 3. The LPN is accountable for his or her own actions. 4. The LPN should respectfully refuse to initiate this care. 96. A comprehensive staff development program in a long-term care facility is based on the: A gerontological charge nurse delegates the administration of a nasogastric tube feeding to a licensed practical nurse (LPN). Which statement about this situation is most accurate?12/18/23, 3:24 AM Geriatric nursing review question Part 2 0/1 1. Medicine 2. Nursing 3. Physical therapy 4. Social work Correct answer 2. Nursing 1/1 1. non-English speaking residents receive a complete explanation of the study in their native languages. 2. nursing home administration know that the nurses do not support such invasive studies on the residents. 3. research team is well staffed so that the nursing home staff can provide care as usual. 4. residents will be properly medicated in the examining room where the tests will be conducted. Which profession first developed standards of gerontological care and provided a certification mechanism to ensure expertise? The gerontological nurses in a teaching nursing home are informed of a research project to obtain voiding cystometrograms on all residents. The gerontological nurses' responsibility is to ensure that the:12/18/23, 3:24 AM Geriatric nursing review question Part 2 1/1 1. Medicare is a health insurance program with carefully described benefits that may restrict the length of hospital stays. 2. Medicare patients can expect to receive routine household and attendant care under Part A of their Medicare insurance. 3. Medicare pays for the majority of nursing home care for persons who are 65 years of age or older. 4. Persons covered by Medicare must pay once-in-a-lifetime deductibles on both the physician and hospital portions of the program. This form was created inside of Emilio Aguinaldo College. 100. Which is an accurate statement about Medicare? Forms12/18/23, 3:24 AM Geriatric nursing review question Part 2