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Your 89-year-old patient presents with dyspepsia and nausea.
After testing, you determine she is positive for Peptic Ulcer
Disease. Of the following, which would LEAST likely be a
differential diagnosis for Peptic Ulcer Disease?
A)
Cholecystitis.
B)
Migraines.
C) Gastric
carcinoma.
D) Cardiovascular disease. - ANSWER-B)
Migraines.
An 80-year-old patient, who lives at home with a spouse, is
instructed to follow a 2 g sodium diet. The patient states, "I've
always eaten the same way all my
life, and I'm not going to change now." To promote optimal
dietary adherence,
the gerontological nurse's initial
approach is to:
A) inform the patient about the need to follow the diet.
,B) inquire about the patient's current food preferences and
eating habits.
C) list the variety of foods that are allowed on the diet.
D) provide dietary instruction to the patient's spouse, who
prepares the meals. - ANSWER-B) inquire about the patient's
current food preferences and eating habits.
For older adult patients who are taking neuroleptic
medication, the primary
concern is the
development of:
A) lethargy.
B) nausea.
C) poor appetite.
D) tardive dyskinesia. - ANSWER-D) tardive dyskinesia.
The gerontological nurse works with patients with non-insulin
dependent diabetes at a senior center in a predominantly
Hispanic neighborhood. The nurse demonstrates competency
in collaboration by:
A) assisting and educating patients on diet restrictions.
B) delivering care by preserving and protecting patient
autonomy.
C) providing written education materials in Spanish.
D) working with Hispanic groups in the community. - ANSWER-
D) working with Hispanic groups in the community.
,An older adult patient, who has end-stage multiple myeloma, is
receiving hospice care. Which situation illustrates that the
principles of hospice care are being met?
A) The caregiver asks if hospice includes
weekend care.
B) The caregiver has been calling the provider on his
or her own.
C) The patient reports enjoying daily
excursions.
D) The patient reports no breakthrough pain medications
are needed. -
ANSWER-D) The patient reports no breakthrough pain
medications are needed.
A 79-year-old retired actor, who continues to pursue
lifelong interests in
swimming and singing, exemplifies which
theory of aging?
A) Continuity.
B) Developmental.
C) Disengagement.
D) Physical. - ANSWER-A) Continuity.
A 75-year-old patient, whose marriage ended in divorce after
two years, has lived alone for the past 50 years. Feeling as if
life has had little meaning, the patient is terrified of living out
, the remaining years and of dying. The age-related issue to be
resolved is:
A) disengagement vs.
activity.
B) ego integrity vs.
despair.
C) self-determination vs.
resignation.
D) self-esteem vs. self-actualization. - ANSWER-B) ego
integrity vs. despair.
Three months ago, an older adult patient, who lives in an
apartment in a housing complex for senior citizens, began
residing with an older adult patient from the same complex.
Upon learning of the situation, the patient's adult child
expresses concern to the housing administrator, who reports
that both residents have reported satisfaction with the
arrangement. When the child requests advice, the
gerontological nurse's initial response is:
A) I can understand why you are upset. Has he or she ever
done something like this before?"
B) "Why don't we all talk to your parent to get his or her
side of the story?" C) "Your parent has the right to do what
he or she wants because he or she is mentally competent."
D) "Your parent seems to be happy with the arrangement. Have
you discussed this situation with him or her?" - ANSWER-D)