Geriatric Exam

Geriatric Exam Decreased functioning of which body organ is likely to have an impact for drug therapy in the elderly? Select one: a. Skin b. Brain c. Kidney d. Thyroid gland - ANS c. Kidney Which is a true statement about gerontological nursing care for patients of different races and ethnic backgrounds? Select one: a.Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient of a different ethnicity b.An encyclopedic accumulation of details of a particular culture is the best preparation for caring for persons from a specific culture. c.Cultural sensitivity is of less concern to a nurse practicing in Illinois than a nurse practicing in California. - ANS a.Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient of a different ethnicity According to Touhy & Jett (textbook authors), which of the following elements is not essential in an elder friendly community? Select one: a. Promotes social and civic engagement b. Provides intergenerational housing for immediate and extended family members and friends c. Maximizes independence for frail and disabled persons d. Provides for the basic needs - ANS b. Provides intergenerational housing for immediate and extended family members and friends Which approach requires the nurse to integrate and balance all aspects of an individual's life into the nursing plan of care? Select one: a. The nurse integrates all of the Healthy People 2030 target objectives b. The nurse determines the individual's ability to pay for care c. The nurse provides holistic nursing - ANS c. The nurse provides holistic nursing Age-related changes in the musculoskeletal system affect joint functioning, and include a decrease in muscle mass and bone mineral density. Which one of the following recommendations by the nurse does not promote muscle and bone health? Select one: a. Adequate intake of vitamin D and calcium b. Sunscreens, soaps, and protective clothing use c. Weight bearing, flexibility, and balance exercises - ANS b. Sunscreens, soaps, and protective clothing use Which of the following statements best describes an important role of the gerontological nurse? Select one: a. The nurse refers older adults to a financial consultant when they become incapable of handling money affairs. b. The nurse assists the older person to achieve the highest level of functioning and wellness. c. The nurse ensures that the older adult's personal and familiar possessions are kept nearby. d. The nurse ensures that all adult day care services in the community provide safe care for the older adult. - ANS b. The nurse assists the older person to achieve the highest level of functioning and wellness. An older woman was seen in her physician's office after falling at home. A comprehensive assessment determines that she has a positive urine culture and is started on antibiotic therapy for a urinary tract infection (UTI). The patient surprised at the diagnosis. She reports that she has experienced some pain on urination the previous day but did not think she had a UTI because her temperature was only 99º F. What is the reason why the patient may not have developed a higher temperature? Select one: a. Older adults do not have fevers when they are ill. b. This patient likely has an alteration to her immune system that impacts her response to infection. c. The patient's UTI was not yet serious enough to cause a significant increase in body temperature. d. Normal age-related changes to the immune system function affect an older person's response to illness; a low-grade fever may signify serious illness. - ANS d. Normal age-related changes to the immune system function affect an older person's response to illness; a low-grade fever may signify serious illness The nurse plans the care for an older man who has Medicare, lives on Social Security and a small pension, and has type 2 diabetes mellitus. The nurse helps integrate which one of the following positive approaches to his health and well-being? Select one: a. Enjoy regular physical activity b. Eat 3 times weekly at fast food places c. Find low-cost transportation d. Maintain ineffective glycemic control e. Move to a high-rise apartment - ANS a. Enjoy regular physical activity Which one of the following is an organizing framework for planning and prioritizing care for the older adult? Select one: a. Maslow's Hierarchy of Needs b. The Social Security Act of 1935 c. The Bill of Rights for Long Term Care Residents d. Healthy People 2030 National Initiatives - ANS a. Maslow's Hierarchy of Needs Many elders hold health beliefs that are different from those of the biomedical or Western medicine used by most healthcare professionals in the United States. Which one of the following would be an inappropriate approach to the resident who subscribes to a non-Western belief system about illness? Select one: a. Ask culturally sensitive questions ("What do you call your problem?" "Why do you think this happened to you?" "What are the most important results you hope to receive?") b. Proceed to carry out the physician's orders and tell the patient, "Trust me, you'll feel better because we know what we are doing." c. Utilize the LEARN model (Listen, Explain, Acknowledge, Recommend, Negotiate) - ANS b. Proceed to carry out the physician's orders and tell the patient, "Trust me, you'll feel better because we know what we are doing."