HESI GERIATRICS QUESTIONS & ANSWERS, LATEST & 100 VERIFIED 1

HESI GERIATRICS EXAM TEST BA
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NK| 300 QUESTIONS WITH 100% CO
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RRECT ANSWERS AND RATIONAL
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ES UPDATED 2023-2024g g




1. Mrs.gJamesgisg78gyearsgoldgandgcomesgtogthegclinicgforgangannualgcheckup.gThegnursegpractit
ionergaddressesgthegpsychosocialgneedsgofgoldergadultsgandgspecificallygthegneedgforgwhichgofgth
egfollowing?

1. Dependence.
2. Dignity,gcredibility,gandgrespect.
3. Beinggalone.
4. Notgbeinggtouched.g --- CORRECTgANDgVERIFIEDgANSWER--g1.gAnswer:g2
Page:g428


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g1.
Thegpsychosocialgassessmentgofgthegoldergadultgentailsgangevaluationgofgthegfollowinggbasicgne
eds:gautonomygandgindependence.
2.
Thegpsychosocialgassessmentgofgthegoldergadultgentailsgangevaluationgofgthegfollowinggbasicgne
eds:gdignity,gcredibility,gandgrespect.
3.
Thegpsychosocialgassessmentgofgthegoldergadultgentailsgangevaluationgofgthegfollowinggbasicgne
eds:gcommunicationgandgbelonging.
4.
Thegpsychosocialgassessmentgofgthegoldergadultgentailsgangevaluationgofgthegfollowinggbasicgne
eds:gtouch.

2.gMr.gSlobinsky,g80gyearsgold,gisgunablegtogleaveghisghomegduegtogmobilitygproblems.gThegnurse
gpractitionergconductsgagsocialgsupportgassessmentgbecausegMr.gSlobinsky:


1. Maygnotgwantgtogseeganyone.
2. Isgnotgmissinggthegculturalgtraditionsgofgcommunitygactivities.
3. Hasgmadegfrequentgappointmentsgforgconsultationgwithgthegpractitioner.
4. Looksgforwardgtogsharingghisglonelinessgwithgthegnursegpractitioner ---- CORRECTgAND
VERIFIEDgANSWER--g2.gAnswer:g3
Page:g428

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g1.
Oldergadultsgwhogaregalonegandglonelygmaygalsogbegdepressed.
g2.
Specificgtogoldergadults,gethnicgtraditionsgandgexpectationsgaregfactorsgthatgshouldgbegaddressedgi
ngthegpsychosocialgassessment.
3.
Agpositivegcorrelationgexistsgbetweengthegneedgforgsocialgsupportsgandgthegusegofghealth-
caregservicesgbygoldergadults.
4.
Oldergadultsgmaygbegreluctantgtogrevealgsocialgorgemotionalgconcernsgand,gingsomegcultures,gmay
gfeelgthatgitgisgunacceptablegtogsharegpersonalgproblemsgwithgoutsiders.gHowever,gtheygmaygfeelg
comfortablegdiscussinggagphysicalgmanifestation,gsuchgasgpaingorgsleeplessness,gwithgaghealth-
caregprovider.

3.gMrs.gKhangisg89gyearsgoldgandgisgreportedgtoghavegboutsgofgagitation.gThegnursegpractitionergis
gcounselingghergfamilygthatgthesegperiodsgofgagitationgcangbegtriggeredgbygwhichgofgthegfollowing
?

1. Silencegandgsoftgmusic.
2. Dimglights.
3. Approachesgfromgothergpeople.
4. Agfeelinggofgappetitegsatiety.g--- CORRECTgANDgVERIFIEDgANSWER--g3.gAnswer:g3
Page:g429


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g1.
Environmentalgtriggers,gsuchgasgnoisegandgvisualgcuesgfromgtelevisiongandgphysicalgsurroundings
,gcangalsogleadgtogagitation.
2.
Environmentalgtriggers,gsuchgasglight,gcangtriggergagitation
.g3.
Psychosocialgtriggers,gsuchgasgthegapproachgtakengbygstaffgandginteractiongwithgothergresidents,
gcangcontributegtogagitation.
4.
Chronicgbedrest,gpain,gandghungergcangprecipitategepisodesgofgagitation.

4.gThegnursegpractitionergisgconsideringgorderinggmedicationsgtoghelpgcontrolgangoldergpatient'sga
gitation.gShegchoosesgwhichgofgthegfollowing?

1. Psychotropicgmedications
2. Seizuregmedications
3. Stimulants
4. Depressantsg --- CORRECTgANDgVERIFIEDgANSWER--g4.gAnswer:g1
Page:g429

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g1.
Theregaregtwogtypesgofgtreatmentgforgagitation:gpsychotropicgmedicationsgandgbehavioralginterve
ntions.gPsychotropicgmedicationsgincludegantipsychotics,ganxiolytics,gandgantidepressants.g2.
Antiseizuregdrugsgaregusedgforgmanic-
likegsymptoms.gEvidencegsupportsgthegusegofgantiseizuregmedicationsginsteadgofgantipsychotics.
3.
Anxiolyticsgtreatgthegsymptomsgofganxietygthatgoftengaccompanygagitation.
g4.
Ifgtheregisgevidencegofgdepression,gangantidepressantgmaygbegindicated.

5. Thegnursegpractitionergisgconductinggangadmittinggassessmentgofgag69-year-
oldgman.gHeghasgdiminishedgabilitygtogambulategandghasgdifficultygwithgactivitiesgofgdailyglivi
ngg(ADLs).gIngtheginterview,gthegnursegpractitionergasksghimgifghegdrinksgalcohol.gHegsays,g"Y
es."gThegpractitionergfollowsgupgwithgagpsycho-socialgevaluationgbecause:

1. Physiologicalgdynamicsgneedgtogbegruledgoutgasgagpossiblegcontribution.
2. Hisgdrinkinggmaygbegagfunctiongofgthegenvironmentgwheregheglives.
3. CriteriagfromgthegDSM-Vgisgthegsamegforgpeoplegofganygage.
4. Hisgconditiongcouldgbegrelatedgtogaglong-termgusagegofgalcoholgorgagnewgoccurrence.g--
--gCORRECTgANDgVERIFIEDgANSWER--g5.gAnswer:g4
Page:g431


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g1.
Neurotransmittergeffectsgfromgalcoholgandgalterationsgingbrainganatomygingpatientsgwithgalcoho
lgusegdisordersgservegtogreinforcegthegbiologicalgconnection.
2.
Severalggeneticgmarkersghavegbeengstudied,gandgagcleargcasegforgbiologicalgheritabilityghasgbeenge
stablishedgasgonegfactor.
3.
OldergadultsgwithgalcoholgproblemsgoftengdognotgmeetgthegAmericangPsychiatricgAssociation'sg
DiagnosticgandgStatisticalgManualgofgMentalgDisorders,gFifthgEditiong(DSM-
5)gcriteriagforgalcoholgusegdisorder,gbutgaregimpairedgnonetheless.
4.
Itgisguncleargwhethergriskygdrinkinggingoldergpeoplegrepresentsgagpatterngofgcontinuedguse,gagretur
ngtogusinggaftergagperiodgofgabstinence,gnewgonsetgofguse,gorgagcombinationgofgallgthesegpatterns.

6. Thegdaughtergofgag70-year-
oldgwomangasksgthegnursegpractitionergwhyghergmotherghasghadgagchangegingfunctionalgability
grecently.gThegmotherghasgregularlygbeengdrinkinggforg40gyears,ghowever,ghergbehaviorgisgch
anging.gThegnursegpractitionergrepliesgthat:

1. Thegconcentrationgofgalcoholginghergbodygremainsgthegsamegasgshegages.

, 2. Hergchangegingbehaviorghasgnothinggtogdogwithganygdrugsgshegisgtaking.
3. Theregaregdifferentgtypesgofgalcoholismgingoldergadults,gandgthegchangegingbehaviorgisgrelatedgt
ogthegspecificgtype.
4. Physicalgchangesgduegtogaginggaffectgthegbody'sgmetabolismgofgalcoholgdifferently.g---
-gCORRECTgANDgVERIFIEDgANSWER--g6.gAnswer:g4
Page:g433


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g1.
Thegchangesgassociatedgwithgaginggmaygincreasegthegconcentrationgofgalcoholgingthegblood.
g2.
Anothergmajorgconcerngassociatedgwithgalcoholgmisusegingthegoldergadultgisgthegincreasedgoccurre
ncegofgdrug-alcoholginteractions.
3.
Patternsgofgalcoholgusegdisordergingoldergadultsghavegbeengdividedgintogtwogcategories:gearlygons
etgandglategonset.
4.
Concernsgaboutgalcoholgconsumptiongingthegoldergadultgaregdirectedgprimarilygtowardgth
egphysiologicalgchangesgthatgaccompanygaginggandgthegproblemsgposedgbygregulargalco
holgconsumption.

7. Thegsongofgag72-year-
oldgmangbringsghisgfathergintogthegpractitionergtogplangforgtreatmentgofgthegpatient'sgalcoholism.g
Thegnursegpractitionerghasgseveralgoptionsgavailable.gWhichgisgthegfirstgchoice?
1. Treatgforganxiety.
2. Begingwithghighergdosesgofganti-anxietygmedications.
3. Theglastgchoicegforgmedicationgisgserotoninguptakeginhibitors.
4. Buspironegandggabapentingaregusedgasgfirst-linegchoices ---- CORRECTgANDgVERIFIED
ANSWER--g7.gAnswer:g1
Page:g435


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g1.
Treatmentgforganxietygshouldgreducegsymptomsgandgimprovegfunctioning.gSimplyglistening,gbein
ggcompassionate,gandgshowinggrespectgaregimportantgtogimprovinggoutcomes.
2.
Startglowgandggogslowgwithgmedicationgdosinggtogavoidgrisksgfromgdrugginteractions.gOldergadult
sgaregmoreglikelygtogtakegmanygmedicationsgandgmayghavegsidegeffectsgfromgaginggchangesgingab
sorption,gmetabolism,gdistribution,gandgexcretiongofgmedication.
3.
First-
linegtreatmentgincludesgthegSSRIsgbecausegtheyghavegthegleastgriskgofgdrugginteractions,gsidegeffe
cts,gorgworseninggexistinggmedicalgconditions.
4.