NR 341 Gerontology quiz
1_Questions and answers.
1. A nurse in a long-term care facility is promoting reminiscence among older adult clients.
Which of the following actions should the nurse take?
a. Institute a daily storytelling hour
i. A storytelling hour is an example of reminiscence therapy, which allow
clients to share stories of their past and reminisce with others who might
have similar or shared memories. According to Erikson’s psychosocial
theory, reminiscence is an important action for older adult clients.
2. A nurse in the clinic is assessing an older adult client for the second time in a week. The
client reports a decreased energy level, insomnia, and anorexia. The client’s diagnostic
tests are within the expected reference ranges. For which of the following conditions
should the nurse screen the client?
a. Depression
i. Depression, an altered mood state characterized energy levels, insomnia,
anorexia, and sadness is a common condition among older adult clients.
Depression can be a response to an acute or chronic illness. Depression
in older adult clients can also be the result of medications such as
analgesics, antihypertensive, steroids, and cardiovascular agents.
3. A nurse is caring for an older adult client who has gout and refuses to eat. The client’s
provider has approved the family to bring food from home. Which of the following foods
should the nurse recommend that the client not eat?
a. Lentil soup
i. The client should eat purine-restricted diet to decrease the elevated uric
acid levels. The diet is used for gout, renal calculi or both in conjunction
with medication therapy.
4. A nurse in a long-term care facility is providing teaching to a group of adolescents who
are new volunteers. The nurse should explain that older adult clients are most likely to
exhibit a decrease in which of the following?
a. Short-term memory
i. The ability to process short-term memories decreases as part of the aging
process. As a result, older adult clients might require reminders regarding
their medications. ADLs, or daily schedules. The nurse should tell the
volunteers that residents might have difficulty remembering their names
from day to day, ask the same questions repeatedly or need assistance
remembering recent events.
5. A nurse is teaching a group of healthy older adult clients about health screening after age
50 years. Which of the following health screenings should the nurse recommend that the
clients complete annually?
a. VISUAL ACUITY
i. Screen for glaucoma
6. A nurse caring for a client who has Alzheimer’s disease and refuses to take her morning
antihypertensive medication. The client is oriented to name and place and is able to
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