Basic Geriatric nursing

Chapter 01: Trends and Issues Chapter 02: Theories of Aging Chapter 03: Physiologic Changes Chapter 04: Health Promotion, Health Maintenance, and Home Health Considerations Chapter 05: Communicating with Older Adults

Chapter 16: Sexuality and Aging Chapter 17: Care of Aging Skin and Mucous Membranes Chapter 18: Elimination Chapter 19: Activity and Exercise Chapter 20: Sleep and Rest

MULTIPLE CHOICE 1. The admitting nurse gives the new long-term care facility resident a score of 20 on the Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident has which risk for pressure injury? a. A high probability of developing a pressure injury b. A moderate risk of developing a pressure injury c. A low risk of developing a pressure injury d. At least one pressure injury at the time of admission ANS: C Scores of 20 on the Braden Scale ind...

MULTIPLE CHOICE 1. What statement by a 65-year-old man who had a myocardial infarction 6 months ago would indicate a need for further teaching? a. “I’m enjoying the same sexual activities now as I did before my heart attack.” b. “I’m still pretty cautious, but our sex lives are very satisfactory.” c. “I’ve been told that I’m at risk for another heart attack if we have sex.” d. “My heart medications have caused erectile dysfunction, but we’ve found other method...

MULTIPLE CHOICE 1. Which statement by a patient’s spouse would indicate that the patient is experiencing myoclonus? a. “His loud snoring and jerking awake wakes me up, too.” b. “I am black and blue from his kicking me every night.” c. “He wakes up at 2 AM every morning and walks around the house.” d. “His constant leg movements tear up the covers and keep me awake.” ANS: B Myoclonus is a periodic kicking movement of the lower extremities, which can be severe. ...

MULTIPLE CHOICE 1. An older adult is performing isometric and isotonic exercises. Which action should the nurse suggest in order to prevent an accidental Valsalva maneuver? a. Hold the breath during an exercise cycle. b. Breathe through the mouth. c. Breathe deeply and rhythmically during an exercise cycle. d. Breathe in through the nose and out through the mouth. ANS: B Breathing through the mouth makes it impossible to hold the breath, and bearing down cannot be performed. Th...

MULTIPLE CHOICE 1. Which nursing action would be effective when assisting an 85-year-old adult with weak abdominal muscles to defecate? a. Encourage the use of a bedpan before getting up in the morning. b. Place a footstool under the feet of the patient when seated on the toilet. c. Insert a finger in the patient’s rectum to stimulate the urge to defecate. d. Instruct the patient to do isometric exercises to strengthen the abdominal muscles. ANS: B Placement of a stool under...

MULTIPLE CHOICE 1. Which method will the nurse use to help a grieving widow begin the grief resolution process? a. Distract her with social conversation. b. Encourage her to verbalize her grief. c. Point out behaviors that are not helpful to grief resolution. d. Focus on her loneliness and loss. ANS: B Verbalization, acknowledgment, and confrontation of grief initiate problem solving for grief resolution. Encouraging the widow to focus on the negative aspects of loss and loneli...

MULTIPLE CHOICE 1. The long-term care facility nurse is aware that the resident most at risk for suicide related to depression is which resident? a. 70-year-old man with diabetes b. 75-year-old woman with chronic obstructive pulmonary disease c. 80-year-old woman with a bipolar disorder d. 85-year-old man with schizophrenia ANS: C Persons with affective disorders are most at risk for suicide related to depression. DIF: 7 REF: p. 218 OBJ: 5 TOP: Suicide Risk KEY: Nur...

MULTIPLE CHOICE 1. The distraught wife of a terminally ill patient reports to the nurse, “My husband has not been shaved, and he has that miserable gown on instead of his own pajamas. Don’t you people care about things like that?” What would be the best response of the nurse? a. “I delayed his morning care because he was sleeping comfortably. I’ll complete his care now that he’s awake.” b. “We’re running late today and I have six other patients to care for. What do you ...

MULTIPLE CHOICE 1. A nurse wants to demonstrate cultural understanding. Which way is effective to develop an appreciation and understanding of diverse beliefs and values? a. Interact with persons of another culture. b. Increase personal knowledge of another culture. c. Remain open-minded. d. Travel to diverse regions. ANS: B Open-mindedness and understanding of other cultures assist the nurse to work effectively with persons from a variety of cultures. DIF: 3 REF: p. 256 ...

MULTIPLE CHOICE 1. An 80-year-old patient recently became widowed, moved into a long-term care facility, and had to quit driving. The patient reports fatigue and is irritable when questioned about current health conditions. The nurse will take which appropriate action? a. Suggest a daytime nap and going to bed early. b. Report the symptoms as expected adjustments to relocation. c. Approach the patient to talk about perceptions related to his relocation. d. Suggest that the patient fi...

MULTIPLE CHOICE 1. The patient reports “My medications keep sticking in my throat.” Which response will the nurse appropriately make? a. Suggesting taking all the pills at one time with a mouthful of water b. Offering the patient one pill at a time c. Crushing all the pills and mixing them in the patient’s breakfast cereal d. Offering a sip of water before and after each pill ANS: D Offering water before and after administration counteracts the dry mouth that causes the p...

MULTIPLE CHOICE 1. Which amount is the recommended daily allowance of protein for an adult? a. 200 grams b. 20 grams c. 150 grams d. 56 grams ANS: D The recommended daily allowance for protein is 46 grams for adult women and 56 grams for adult men. DIF: 2 REF: p. 114 OBJ: 2 TOP: Protein Intake Equivalent KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. An older patient is having trouble with hydration. W...

MULTIPLE CHOICE 1. The health care provider states that the patient with Alzheimer disease has progressed from the preclinical stage of the disease to the mild cognitive impairment stage. Which finding would the nurse expect to find upon assessment of the patient? a. Inability to communicate b. Incontinent episodes c. Total dependency d. Forgetfulness ANS: D Patients in the mild cognition impairment stage of Alzheimer disease will have some forgetfulness. The inability to commu...

MULTIPLE CHOICE 1. Which suggestion would be an appropriate suggestion for an 80-year-old person who recently placed a deadbolt lock on the door? a. Keep the door securely locked. b. Apply similar locks on all the windows. c. Leave the door unlocked, with the key in place while at home. d. Replace the lock with a security chain to secure the premises. ANS: C Unlocked deadbolts allow rapid access by emergency personnel and allow the individual to leave in the event of fire. DI...

MULTIPLE CHOICE 1. During the health interview, the older adult reports sadness, poor temperament and a decline in “being able to think straight.” The nurse will ask further questions regarding which aspect? a. Feelings of depression b. Time of last bowel movement c. Environmental stimuli that disturb sleep d. Frequency and size of meals ANS: A Sadness, loss of hope, poor temperament, decline in cognitive function are signals of possible depression. PTS: 1 DIF: 7 REF:...

MULTIPLE CHOICE 1. What is the major objection to the disengagement theory? a. The theory justifies ageism. b. The theory addresses the diversity of older adults. c. The theory does not clarify the aging process. d. The theory diminishes the self-esteem of the older adult. ANS: A The disengagement theory seems to justify ageism by proposing that there is a mutual desire between the community and the older adult to be disengaged. According to the theory, this desire apparently d...

MULTIPLE CHOICE 1. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing ...

MULTIPLE CHOICE 1. The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, “I know you can’t do anything more, but I hurt so bad.” Which nursing intervention would be most effective? a. Bring pain medication when it is time for it. b. Assure the patient that the pain medication will take effect soon. c. Touch the patient’s arm and sit quietly without speaking. d. Distract the patient by offering a sip of water. ANS: C U...