Solutions Real Solutions
1.The primary risk for injury experienced by a client diagnosed with asthma is ANS:
-infections of the lower respiratory tract
2. Which intervention demonstrates effective care for an individual who has expressed a wish to "retire sometime
soon"? Asking about when they plan to retire
Assessing their ability to handle the stresses of retirement
Engaging them in a conversation about their interests
Inquiring about the existence of any chronic illnesses -D All of the above
Answer D
3.Which intervention addresses a guiding principle for creating an elder-friendly acute care facility?
-A client is asked when they would prefer to bathe; morning, afternoon or evening
4. Which characteristic is seen in a family's 'kin-keeper'?
-Organizes the yearly family reunion
5. The nurse practitioner is providing care for an older client who is experiencing mild cognitive impairment.
Which communication technique is most likely to bring about a negative outcome?
-Asking the family to answer interview questions
6. Which of the following does not demonstrate an understanding of the factors affecting physical wellness of the
older adult client when
-Asking each client if "they come from a healthy family"
7. Research has shown that long-term care (LTC) facility nursing is comparable to the complexity and demand of
intensive care nursing is a nursing intensive environment crosses the continuum of care
-D) all of the above
Answer D
8. An older client diagnosed with dementia resides with his daughter. When the home care nurse visits, the daughter
tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him.
She states, "I don't know why he hates me and wants to hurt me. I try so hard to take good care of him. I love
him." How will the nurse respond to the client's daughter?
-"Let's try to figure out what your father was trying to say with his behavior."
9. What factor is an important contribution to polypharmacy in older adults?
-Inadequate communication among medical care providers
10. A client who reported, "a problem sleeping" shows an understanding of good sleep hygiene when:
, -limiting the afternoon nap to just 30 minutes
11. Each of the following data supports the diagnosis of sleep apnea in the older adult except:
-followed a vegetarian diet for last 28 years
12. A widowed grandmother is about to assume the role of custodial parent for her 6year-old grandchild. Which
intervention has priority when preparing the grandmother for long-term success in this new role?
-Teaching stress management and relaxation techniques
13. Which client statement indicates an understanding of a primary benefit to be derived from moderately intense
aerobic exercise?
-"Exercise will help keep my heart strong."
12. An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric
Depression Scale tool. When it is determines that the earned score is 9, the nurse practitioner initially:
-asks if they have any thoughts of committing suicide
13. A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He
is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to
best address the client and family, you should:
-Educate the family that this is normal behavior in this situation
14. Of the following agents, which is least likely to cause a chronic or recurrent cough? Gabapentin
15. Which behavior suggests that an older adult who has lost their life partner is successfully managing the
exploration stage of the adjustment process?
-Smiles when reminiscing about the trips they took over the years
16. The area in which nurse practitioners have the greatest effect on the safe, effective medication therapy of an
older client is:
-educating the client to all aspects of the medication.
17. The following precautions are beneficial in minimizing an older adult's risk of being avictim of fraud except:
-Rely on the advice of people who only friends have recommended.
18. The nurse is most concerned by observing which of the following during an older client's physical assessment:
-a slightly raised irregular patch that is bluish black in color
19.Which reaction to the loss of a spouse or long-term partner is a unique example of older adult male bereavement?
-Remarrying within months of the loss