Verified Answers
1. The nurse is performing c) "I drink hot chocolate before bedtime."
an assessment on an older
client who is having difficul-Many nonpharmacological sleep aids can be
ty sleeping at night. Which used to influence sleep. However, the client
statement by the client in- should avoid caffeinated beverages and stim-
dicates the need for fur- ulants such as tea, cola, and chocolate. The
ther teaching regarding mea- client should exercise regularly, because ex-
sures to improve sleep? ercise promotes sleep by burning off ten-
sion that accumulates during the day. A 20-to
a) "I swim three times a 30-minute walk, swim, or bicycle ride three
week." times a week is helpful. The client should
b) "I have stopped smoking sleep on a bed with a firm mattress. Smok-
cigars." ing and alcohol should be avoided. The client
c) "I drink hot chocolate be- should avoid large meals; peanuts, beans,
fore bedtime." fruit, raw vegetables, and other foods that
d) "I read for 40 minutes be- produce gas; and snacks that are high in fat
fore bedtime." because they are difficult to digest.
- Test-Taking Strategy: Note the strategic
words need for further teaching . These words
indicate a negative event query and ask you
to select an option that is an incorrect state-
ment. Options A, B, and D are positive state-
ments indicating that the client understands
the methods of improving sleep.
2. A visiting nurse who ob- d) Suggest appropriate resources to the client
serves that the older male and daughter-in-law, such as respite care and
client is confined by his a senior citizens' center.
daughter-in-law to his room.
When the nurse suggests Assisting clients and families to become
that he walk to the den aware of available community support sys-
and join the family, he says, tems is a role and responsibility of the nurse.
"I'm in everyone's way; my Observing that the client has begun to be
daughter-in-law needs me to confined to his room makes it necessary for
stay here." Which is the the nurse to intervene legally and ethically,
most important action for the so option C is not appropriate and is pas-
nurse to take? sive in terms of advocacy. Option B suggests
committing the client to a nursing home and
1/9
, NCLEX Practice Questions for geriatrics Test Questions with 100%
Verified Answers
a) Say to the daughter-in-law, is a premature action on the nurse's part.
"Confining your father-in-law Although the data provided tell the nurse that
to his room is inhumane." this client requires nursing care, the nurse
does not know the extent of the nursing care
b) Suggest to the client required. Option A is incorrect and judgmen-
and daughter-in-law that they tal.
consider a nursing home for
the client. - Test-Taking Strategy: Note the strategic
words most important. Using principles relat-
c) Say nothing, because it is ed to the ethical and legal responsibility of
best for the nurse to remain the nurse and knowledge of the nurse's role
neutral and wait to be asked will direct you to the correct option. Option
for help. A is a nontherapeutic statement, option B is
a premature action, and option C avoids the
d) Suggest appropriate re- situation.
sources to the client and
daughter-in-law, such as
respite care and a senior cit-
izens' center.
3. The nurse is performing a) Crusting
an assessment on an old-
er adult client. Which assess- The normal physiological changes that occur
ment data would indicate a in the skin of older adults include thinning of
potential complication asso- the skin, loss of elasticity, deepening of ex-
ciated with the skin? pression lines, and wrinkling. Crusting noted
on the skin would indicate a potential compli-
a) Crusting cation.
b) Wrinkling
c) Deepening of - Geriatric Nursing Exam Questions Test-Tak-
expression lines ing Strategy: Note the subject , a potential
d) Thinning and loss of elas- complication. Think about the normal phys-
ticity in the skin iological changes that occur in the aging
process to direct you to the correct option.
4. The home health nurse is c) Call the prescribing health care provider
visiting a client for the first (HCP) and report polypharmacy.
time. While assessing the
client's medication history, Polypharmacy is a concern in the older client.
2/9