ATI PN MATERNITY b b
PROCTORED EXAM 2023 b b
QUESTIONS AND ANSWERS b b
1. Whichbinformationbfrombabco-
workerbonbabgerontologicalbunitbwillbcausethebnursebtobintervene?
a. Mostbolderbpeoplebhavebdependentbfunctioning.
b. Mostbolderbpeoplebhavebstrengthsbwebshouldbfocusbon.
c. Mostbolderbpeoplebshouldbbebinvolvedbinbcarebdecision.
d. Mostbolderbpeoplebshouldbbebencouragedbtobhavebindependence.
ANS:bA
Mostbolderbpeoplebremainbfunctionallybindependentbdespitebthebincreasingbprevalencebofbchronicbdise
ase;btherefore,bthisbmisconceptionbshouldbbebaddressed.bItbisbcriticalbforbyoubtobrespectbolderbadultsban
dbactivelybinvolvebtheminbcarebdecisionsbandbactivities.bYoubalsobneedbtobidentifybanbolderbadult’sbstre
ngthsbandbabilitiesbduringbthebassessmentbandbencouragebindependencebasbanintegralbpartbofbyourbplanb
ofbcare.
2. Abnursebsuspectsbanbolder-adultbpatientbisbexperiencingbcaregiver
neglect.bWhichbassessmentbfindingsbarebconsistentbwithbthebnurse’ssuspicions?
a. Fleabbitesbandblicebinfestation
b. Leftbatbabgrocerybstore
c. Refusesbtobtakebabbath
d. Cutsbandbbruisesb
ANS:bA
Caregiverbneglectbincludesbunsafebandbuncleanblivingbconditions,bsoiledbbedding,bandbanimalborbinsec
tbinfestation.bAbandonmentbincludesbdesertionbatabhospital,bnursingbfacility,borbpublicblocationbsuchbasb
abshoppingbcenter.bSelf-
neglectbincludesbrefusalborbfailurebtobprovideboneselfbwithbbasicbnecessitiesbsuchbasbfood,bwater,bcloth
ing,bshelter,bpersonalbhygiene,bmedication,bandbsafety.
Physicalbabusebincludesbhitting,bbeating,bpushing,bslapping,bkicking,bphysicalbrestraint,bi
nappropriatebusebofbdrugs,bfractures,blacerations,bropebburns,bandbuntreatedbinjuries.
3. Abnursebisbteachingbabgroupbofbolder-adultbpatients.bWhichbteachingbstrategy
,isbbestbforbthebnursebtobuse?
Providebseveralbtopicsbofbdiscussionbatboncebtobpromotebindependence
a. andbmakingbchoices.
Avoidbuncomfortablebsilencesbafterbquestionsbbybhelpingbpatients
b. completebtheirbstatements.
Askbpatientsbtobrecallbpastbexperiencesbthatbcorrespondbwithbtheir
c. interests.
d. Speakbinbabhighbpitchbtobhelpbpatientsbhearbbetter.
ANS:bC
Teachingbstrategiesbincludebthebusebofbpastbexperiencesbtobconnectbnewblearningbwithbpreviousbk
nowledge,bfocusingbonbabsinglebtopicbtobhelpbthebpatientbconcentrate,bgivingbthebpatientbenoughbti
mebinbwhichbtobrespondbbecausebolderbadults’breactionbtimesbareblongerbthanbthosebofbyoungerbpe
rsons,bandbkeepingbthebtonebofbvoiceblow;bolderbadultsbarebablebtobhearblowsoundsbbetterbthanbhig
h-frequencybsounds.
4. Anbolderbpatientbhasbfallenbandbsufferedbabhipbfracture.bAsba
consequence,bthebpatient’sbfamilybisbconcernedbaboutbthebpatient’sbabilitybtobcarebforbself,bespecial
lybduringbthisbconvalescence.bWhatbshouldbthebnursedo?
a. Stressbthatbolderbpatientsbusuallybaskbforbhelpbwhenbneeded.
Informbthebfamilybthatbplacementbinbabnursingbcenterbisbabpermanent
b. solution.
Tellbthebfamilybtobenrollbthebpatientbinbabceramicsbclassbtobmaintain
c. qualitybofblife.
Providebinformationbandbanswerbquestionsbasbfamilybmembersbmake
d. choicesbamongbcareboptions.
ANS:bD
Nursesbhelpbolderbadultsbandbtheirbfamiliesbbybprovidingbinformationbandbansweringbquestionsbasbtheyb
makebchoicesbamongbcareboptions.bSomebolderbadultsbdenybfunctionalbdeclinesbandbrefusebtobaskbforbas
sistancebwithbtasksbthatplacebtheirbsafetybatbgreatbrisk.bThebdecisionbtobenterbabnursingbcenterbisbneverbfi
nal,bandbabnursingbcenterbresidentbsometimesbisbdischargedbtobhomeborbtobanotherbless-
acutebresidence.bWhatbdefinesbqualitybofblifebvariesbandbisbuniqueforbeachbperson.
5. Whatbisbthebbestbsuggestionbabnursebcouldbmakebtobabfamilyrequestingbhelpbi
nbselectingbablocalbnursingbcenter?
Havebthebfamilybmembersbevaluatebnursingbhomebstaffbaccordingbto
a. theirbabilitybtobgetbtasksbdonebefficientlybandbsafely.
Makebsurebthatbnursingbhomebstaffbmembersbgetbpatientsboutbofbbed
b. andbdressedbaccordingbtobstaff’sbpreferences.
Explainbthatbitbisbimportantbforbthebfamilybtobvisitbthebcenterband
c. inspectbitbpersonally.
, Suggestbabnursingbcenterbthatbhasbstandardsbasbclosebtobhospital
d. standardsbasbpossible.
ANS:bC
Anbimportantbstepbinbthebprocessbofbselectingbabnursingbhomebisbtobvisitbthebnursingbhome.bThebnursin
gbhomebshouldbnotbfeelblikebabhospital.bItbisbabhome,baplacebwherebpeopleblive.bMembersbofbthebnursing
bhomebstaffbshouldbfocusbonbthebperson,bnotbthebtask.bResidentsbshouldbbeboutbofbbedbandbdressedbacc
ordingtobtheirbpreferences,bnotbstaffbpreferences.
6. Ab70-year-
oldbpatientbwhobsuffersbfrombworseningbdementiabisbnoblongerbablebtoblivebalone.bThebnursebis
bdiscussingbhealthbcarebservicesband
possibleblong-termblivingbarrangementsbwithbthebpatient’sbonlybson.bWhatwillbthebnursebsuggest?
a. Anbapartmentbsettingbwithbneighborsbclosebby
b. Havingbthebpatientbutilizebweeklybhomebhealthbvisits
c. Abnursingbcenterbbecausebhomebcarebisbnoblongerbsafe
Thatbplacementbisbirrelevantbbecausebthebpatientbisbretreatingbtobabplace
d. ofbinactivityb
ANS:bC
Somebfamilybcaregiversbconsiderbnursingbcenterbplacementbwhenbin-
homebcarebbecomesbincreasinglybdifficultborbwhenbconvalescencebfrombhospitalizationbrequiresbm
orebassistancebthanbthebfamilybisbablebtobprovide.bAnapartmentbsettingbandbthebusebofbhomebhealthbv
isitsbarebnotbappropriatebbecauseblivingbatbhomebisbunsafe.
Dementiabisbnotbabtimebofbinactivitybbutbanbimpairmentbofbintellectualfunctioning.
7. A nurse is caring for an older adult. Which goal is priority?
b b b b b b b b b b b
a. Adjusting to career
b b
b. Adjustingbtobdivorce
c. Adjustingbtobretirement
d. Adjustingbtobgrandchildren
ANS:bC
LINKSbFORbALLATIbRESOURCES:
PROCTORED EXAM 2023 b b
QUESTIONS AND ANSWERS b b
1. Whichbinformationbfrombabco-
workerbonbabgerontologicalbunitbwillbcausethebnursebtobintervene?
a. Mostbolderbpeoplebhavebdependentbfunctioning.
b. Mostbolderbpeoplebhavebstrengthsbwebshouldbfocusbon.
c. Mostbolderbpeoplebshouldbbebinvolvedbinbcarebdecision.
d. Mostbolderbpeoplebshouldbbebencouragedbtobhavebindependence.
ANS:bA
Mostbolderbpeoplebremainbfunctionallybindependentbdespitebthebincreasingbprevalencebofbchronicbdise
ase;btherefore,bthisbmisconceptionbshouldbbebaddressed.bItbisbcriticalbforbyoubtobrespectbolderbadultsban
dbactivelybinvolvebtheminbcarebdecisionsbandbactivities.bYoubalsobneedbtobidentifybanbolderbadult’sbstre
ngthsbandbabilitiesbduringbthebassessmentbandbencouragebindependencebasbanintegralbpartbofbyourbplanb
ofbcare.
2. Abnursebsuspectsbanbolder-adultbpatientbisbexperiencingbcaregiver
neglect.bWhichbassessmentbfindingsbarebconsistentbwithbthebnurse’ssuspicions?
a. Fleabbitesbandblicebinfestation
b. Leftbatbabgrocerybstore
c. Refusesbtobtakebabbath
d. Cutsbandbbruisesb
ANS:bA
Caregiverbneglectbincludesbunsafebandbuncleanblivingbconditions,bsoiledbbedding,bandbanimalborbinsec
tbinfestation.bAbandonmentbincludesbdesertionbatabhospital,bnursingbfacility,borbpublicblocationbsuchbasb
abshoppingbcenter.bSelf-
neglectbincludesbrefusalborbfailurebtobprovideboneselfbwithbbasicbnecessitiesbsuchbasbfood,bwater,bcloth
ing,bshelter,bpersonalbhygiene,bmedication,bandbsafety.
Physicalbabusebincludesbhitting,bbeating,bpushing,bslapping,bkicking,bphysicalbrestraint,bi
nappropriatebusebofbdrugs,bfractures,blacerations,bropebburns,bandbuntreatedbinjuries.
3. Abnursebisbteachingbabgroupbofbolder-adultbpatients.bWhichbteachingbstrategy
,isbbestbforbthebnursebtobuse?
Providebseveralbtopicsbofbdiscussionbatboncebtobpromotebindependence
a. andbmakingbchoices.
Avoidbuncomfortablebsilencesbafterbquestionsbbybhelpingbpatients
b. completebtheirbstatements.
Askbpatientsbtobrecallbpastbexperiencesbthatbcorrespondbwithbtheir
c. interests.
d. Speakbinbabhighbpitchbtobhelpbpatientsbhearbbetter.
ANS:bC
Teachingbstrategiesbincludebthebusebofbpastbexperiencesbtobconnectbnewblearningbwithbpreviousbk
nowledge,bfocusingbonbabsinglebtopicbtobhelpbthebpatientbconcentrate,bgivingbthebpatientbenoughbti
mebinbwhichbtobrespondbbecausebolderbadults’breactionbtimesbareblongerbthanbthosebofbyoungerbpe
rsons,bandbkeepingbthebtonebofbvoiceblow;bolderbadultsbarebablebtobhearblowsoundsbbetterbthanbhig
h-frequencybsounds.
4. Anbolderbpatientbhasbfallenbandbsufferedbabhipbfracture.bAsba
consequence,bthebpatient’sbfamilybisbconcernedbaboutbthebpatient’sbabilitybtobcarebforbself,bespecial
lybduringbthisbconvalescence.bWhatbshouldbthebnursedo?
a. Stressbthatbolderbpatientsbusuallybaskbforbhelpbwhenbneeded.
Informbthebfamilybthatbplacementbinbabnursingbcenterbisbabpermanent
b. solution.
Tellbthebfamilybtobenrollbthebpatientbinbabceramicsbclassbtobmaintain
c. qualitybofblife.
Providebinformationbandbanswerbquestionsbasbfamilybmembersbmake
d. choicesbamongbcareboptions.
ANS:bD
Nursesbhelpbolderbadultsbandbtheirbfamiliesbbybprovidingbinformationbandbansweringbquestionsbasbtheyb
makebchoicesbamongbcareboptions.bSomebolderbadultsbdenybfunctionalbdeclinesbandbrefusebtobaskbforbas
sistancebwithbtasksbthatplacebtheirbsafetybatbgreatbrisk.bThebdecisionbtobenterbabnursingbcenterbisbneverbfi
nal,bandbabnursingbcenterbresidentbsometimesbisbdischargedbtobhomeborbtobanotherbless-
acutebresidence.bWhatbdefinesbqualitybofblifebvariesbandbisbuniqueforbeachbperson.
5. Whatbisbthebbestbsuggestionbabnursebcouldbmakebtobabfamilyrequestingbhelpbi
nbselectingbablocalbnursingbcenter?
Havebthebfamilybmembersbevaluatebnursingbhomebstaffbaccordingbto
a. theirbabilitybtobgetbtasksbdonebefficientlybandbsafely.
Makebsurebthatbnursingbhomebstaffbmembersbgetbpatientsboutbofbbed
b. andbdressedbaccordingbtobstaff’sbpreferences.
Explainbthatbitbisbimportantbforbthebfamilybtobvisitbthebcenterband
c. inspectbitbpersonally.
, Suggestbabnursingbcenterbthatbhasbstandardsbasbclosebtobhospital
d. standardsbasbpossible.
ANS:bC
Anbimportantbstepbinbthebprocessbofbselectingbabnursingbhomebisbtobvisitbthebnursingbhome.bThebnursin
gbhomebshouldbnotbfeelblikebabhospital.bItbisbabhome,baplacebwherebpeopleblive.bMembersbofbthebnursing
bhomebstaffbshouldbfocusbonbthebperson,bnotbthebtask.bResidentsbshouldbbeboutbofbbedbandbdressedbacc
ordingtobtheirbpreferences,bnotbstaffbpreferences.
6. Ab70-year-
oldbpatientbwhobsuffersbfrombworseningbdementiabisbnoblongerbablebtoblivebalone.bThebnursebis
bdiscussingbhealthbcarebservicesband
possibleblong-termblivingbarrangementsbwithbthebpatient’sbonlybson.bWhatwillbthebnursebsuggest?
a. Anbapartmentbsettingbwithbneighborsbclosebby
b. Havingbthebpatientbutilizebweeklybhomebhealthbvisits
c. Abnursingbcenterbbecausebhomebcarebisbnoblongerbsafe
Thatbplacementbisbirrelevantbbecausebthebpatientbisbretreatingbtobabplace
d. ofbinactivityb
ANS:bC
Somebfamilybcaregiversbconsiderbnursingbcenterbplacementbwhenbin-
homebcarebbecomesbincreasinglybdifficultborbwhenbconvalescencebfrombhospitalizationbrequiresbm
orebassistancebthanbthebfamilybisbablebtobprovide.bAnapartmentbsettingbandbthebusebofbhomebhealthbv
isitsbarebnotbappropriatebbecauseblivingbatbhomebisbunsafe.
Dementiabisbnotbabtimebofbinactivitybbutbanbimpairmentbofbintellectualfunctioning.
7. A nurse is caring for an older adult. Which goal is priority?
b b b b b b b b b b b
a. Adjusting to career
b b
b. Adjustingbtobdivorce
c. Adjustingbtobretirement
d. Adjustingbtobgrandchildren
ANS:bC
LINKSbFORbALLATIbRESOURCES:
