Basic Geriatric nursing

MULTIPLE CHOICE 1. Which method will the nurse use to help a grieving widow begin the grief resolution process? a. Distract her with social conversation. b. Encourage her to verbalize her grief. c. Point out behaviors that are not helpful to grief resolution. d. Focus on her loneliness and loss. ANS: B Verbalization, acknowledgment, and confrontation of grief initiate problem solving for grief resolution. Encouraging the widow to focus on the negative aspects of loss and loneli...

MULTIPLE CHOICE 1. The long-term care facility nurse is aware that the resident most at risk for suicide related to depression is which resident? a. 70-year-old man with diabetes b. 75-year-old woman with chronic obstructive pulmonary disease c. 80-year-old woman with a bipolar disorder d. 85-year-old man with schizophrenia ANS: C Persons with affective disorders are most at risk for suicide related to depression. DIF: 7 REF: p. 218 OBJ: 5 TOP: Suicide Risk KEY: Nur...

MULTIPLE CHOICE 1. The distraught wife of a terminally ill patient reports to the nurse, “My husband has not been shaved, and he has that miserable gown on instead of his own pajamas. Don’t you people care about things like that?” What would be the best response of the nurse? a. “I delayed his morning care because he was sleeping comfortably. I’ll complete his care now that he’s awake.” b. “We’re running late today and I have six other patients to care for. What do you ...

MULTIPLE CHOICE 1. A nurse wants to demonstrate cultural understanding. Which way is effective to develop an appreciation and understanding of diverse beliefs and values? a. Interact with persons of another culture. b. Increase personal knowledge of another culture. c. Remain open-minded. d. Travel to diverse regions. ANS: B Open-mindedness and understanding of other cultures assist the nurse to work effectively with persons from a variety of cultures. DIF: 3 REF: p. 256 ...

MULTIPLE CHOICE 1. An 80-year-old patient recently became widowed, moved into a long-term care facility, and had to quit driving. The patient reports fatigue and is irritable when questioned about current health conditions. The nurse will take which appropriate action? a. Suggest a daytime nap and going to bed early. b. Report the symptoms as expected adjustments to relocation. c. Approach the patient to talk about perceptions related to his relocation. d. Suggest that the patient fi...

MULTIPLE CHOICE 1. The patient reports “My medications keep sticking in my throat.” Which response will the nurse appropriately make? a. Suggesting taking all the pills at one time with a mouthful of water b. Offering the patient one pill at a time c. Crushing all the pills and mixing them in the patient’s breakfast cereal d. Offering a sip of water before and after each pill ANS: D Offering water before and after administration counteracts the dry mouth that causes the p...

MULTIPLE CHOICE 1. Which amount is the recommended daily allowance of protein for an adult? a. 200 grams b. 20 grams c. 150 grams d. 56 grams ANS: D The recommended daily allowance for protein is 46 grams for adult women and 56 grams for adult men. DIF: 2 REF: p. 114 OBJ: 2 TOP: Protein Intake Equivalent KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. An older patient is having trouble with hydration. W...

MULTIPLE CHOICE 1. The health care provider states that the patient with Alzheimer disease has progressed from the preclinical stage of the disease to the mild cognitive impairment stage. Which finding would the nurse expect to find upon assessment of the patient? a. Inability to communicate b. Incontinent episodes c. Total dependency d. Forgetfulness ANS: D Patients in the mild cognition impairment stage of Alzheimer disease will have some forgetfulness. The inability to commu...

MULTIPLE CHOICE 1. Which suggestion would be an appropriate suggestion for an 80-year-old person who recently placed a deadbolt lock on the door? a. Keep the door securely locked. b. Apply similar locks on all the windows. c. Leave the door unlocked, with the key in place while at home. d. Replace the lock with a security chain to secure the premises. ANS: C Unlocked deadbolts allow rapid access by emergency personnel and allow the individual to leave in the event of fire. DI...

MULTIPLE CHOICE 1. During the health interview, the older adult reports sadness, poor temperament and a decline in “being able to think straight.” The nurse will ask further questions regarding which aspect? a. Feelings of depression b. Time of last bowel movement c. Environmental stimuli that disturb sleep d. Frequency and size of meals ANS: A Sadness, loss of hope, poor temperament, decline in cognitive function are signals of possible depression. PTS: 1 DIF: 7 REF:...