GERONTOLOGICAL NURSING

Origin: Chapter 4- Theoretical Perspectives on Aging Well, 1 1.A 77-year-old client was put on broad-spectrum antibiotics when hospitalized for sepsis. The client has a history of rheumatoid arthritis and a recurring problem with pneumonia. Which of the following theories best explains why the client has had these issues? A) Free radical theory B) Genetic theory C) Immunity theory D) Wear-and-tear theory Ans: C Feedback: Immunity theories focus on immunosenescence. Older adults are mor...

Origin: Chapter 9- Legal and Ethical Concerns, 1 1.A 76-year-old Hispanic woman has been admitted to the hospital. There are no advance directives in the chart. Which of the following questions will best prepare the nurse to begin a dialogue with this client about advance directives? A) "With whom do you talk to about your health care decisions?" B) "I see that you have no advanced directives on your chart, could you tell me about that?" C) "Is there someone we should call to join us...

Ch 1 Seeing Older Adults Through the Eyes of Wellness 06/02/2017

Successful aging- an active engagement with life, high cognitive and physical function, and low probability of disease and disability

Ageism- the prejudices and stereotypes that are applied to older people sheerly on the basis of their age. Common manifestations include negative stereotypes of social isolation, psychological rigidity, physical and mental decline  Affects of ageism- aging anxiety by people of all...

Origin: Chapter 29- Caring for Older Adults at the End of Life, 1 1.A nurse on a geriatric medical care unit consults hospice for a client. Which of the following nursing interventions should the nurse anticipate after the client begins hospice care? A) Administering chemotherapy to a client with a diagnosis of pancreatic cancer B) Assessing the deep tendon reflexes of a client with neurologic impairment C) Infusing total parenteral nutrition to a client with dysphagia D) Providing an opi...

Origin: Chapter 23- Integumentary Function, 1 1.A client is unresponsive, the skin is usually dry, confined to bed, with limited mobility and contractures, and the nutrition is less than adequate. Using the Braden score, which score will be assigned to this client's risk for pressure ulcers? A) 8, very high risk B) 8, at risk C) 18, high risk D) 18, moderate risk Ans: A Feedback: The nurse uses the Braden score to determine the plan of care. The lower the Braden score, the greater th...

Origin: Chapter 11- Cognitive Function, 1 1.A nurse is leading a word-quiz game with a group of nursing home residents because the nurse knows this activity will assist the residents in maintaining: A) Fluid intelligence B) Adaptive thinking C) Crystallized intelligence D) Psychomotor memory Ans: C Feedback: Crystallized intelligence refers to vocabulary skills, information, and verbal comprehension. Fluid intelligence involves a person's inherent abilities, such as memory and recogn...

Origin: Chapter 10- Elder Abuse and Neglect, 1 1.An 80-year-old is seen in the emergency department for a fall. The client has bruises on the upper arms and appears depressed. The client is accompanied by a grandchild, who is unkempt, glassy-eyed, and whose breath smells of alcohol. Which of the following should be a priority with the nurse? A) Assess whether the older adult is safe in the home environment. B) Determine whether legal interventions are appropriate. C) Assess the client's ...

Origin: Chapter 15- Impaired Affective Function- Depression, 1 1.A nurse monitors older adults in a long-term care facility. Which of the following symptoms would require follow-up by the nurse to assess for depression in the older adult? A) Anorexia B) Weakness C) Labile affect D) Impaired perceptions Ans: A Feedback: Appetite disturbances, particularly anorexia, are among the most common physical complaints of depressed older adults. Individuals with dementia have the following sym...