Gerontological Nursing Already Passed
The nurse is performing an assessment on an older adult client. What assessment data would indicate a potential complication associated with the skin of this client?- Crusting, Wrinkling, or thinning/loss of elasticity of skin
The nurse who volunteers at a se...
1). The nurse is performing an assessment on an older adult client. what assessment data
would indicate a potential complication associated with the skin of this client?- crusting,
wrinkling, or thinning/loss of elasticity of skin
Ans: Crusting- indicates a potential complication
2). The nurse who volunteers at a senior citizens' center is planning activities for the
members. what activity would best promote health and maintenance?
Ans: Walking 3-5 times per week for 30 minutes. Exercise and activity are essential
for health promotion and maintenance.
3). The home health nurse is visiting a client for the first time. while assessing the client's
medication, it is noted that there are 19 prescription and several over the counter
medications that the client is taking. what intervention should the nurse take first?
Ans: Determine whether there are medication duplications. Polypharamacy is a
concern in the geriatric population.
4). The nurse is working with older clients in a long term care facility. which activities
performed by the nurse fosters reminiscence among these clients?
Ans: Having storytelling hours- clients who like to retell stories or past events need to
be provided time to do so. It is a way for the older adult to relive and restructure life
experiences and is a part of achieving ego identity.
5). The home care nurse is performing an environmental assessment in the home of an older
adult. which of the following requires immediate nursing action?
unsecured scattered rugs, operable smoke detector, or prefilled medication cassette?
Ans: Unsecured scattered rugs- trauma to the older client in the home may be caused
by a variety of factors. These include unsteady gait, the presence of unsecured scatter
rugs, clattered passageways, and inoperable smoke detectors.
6). The nurse is teaching an older client about measures to prevent constipation. what
statement made by the client indicates further teaching is needed?
PaperStoc.com Page 1 of 25
, -"i'll walk 1-2 miles everyday"
-"i need to decrease fiber in my diet"
-"i have a bowel movement everyday"
-"i drink 6-8 glasses of water everyday"
Ans: "I need to decrease fiber in my diet" -Adequate dietary fiber is an important factor
in aiding bowel function. Dietary fiber increases fecal weight and water content and
accelerates the transit of fecal mass through the GI tract.
7). Define ageism.
Ans: Ageism is a form of prejudice in which older adults are stereotyped by
characteristics found in only a few members of their group. Fundamental to ageism is
the view that older persons are different from "me" and will remain different from "me."
Therefore, they are portrayed as not experiencing the same desires, needs, and
concerns.
8). The nurse is providing medication instructions to an older client who is taking digoxin
(lanoxin) daily. what age related body changes could place the client at risk for digoxin
toxicity?
Ans: Decreased lean body mass and decreased glomerular filtration rate.
9). The nurse employed in a long term care facility is caring for an older male client. what
nursing action contributes to encouraging autonomy in the client?
-planning meals -scheduling appts
-decorating his room -he chooses activities
Ans: Client choosing own activities. Autonomy is the personal freedom to direct one's
own life as long as it does not impinge on the rights of others. An autonomous person is
capable of rational thought.
10). The home care nurse is visiting an older female client whose husband died 6 months ago.
what behavior by the client indicates ineffective coping?
- neglect personal grooming
-looking at old pictures
-participating in senior citizens' program
-visiting her husband's grave
PaperStoc.com Page 2 of 25
, Ans: Neglecting personal grooming. Coping mechanisms are behaviors used to
decrease anxiety and stress. In response to death, ineffective coping is manifested by an
extreme behavior that in some cases may be harmful to the individual.
11). The nurse is providing instructions to a nursing assistant regarding care of an older client
with hearing loss. the nurse tells the assistant that clients with a hear loss:
Ans: Respond to low pitched tones. Prebycusis refers to the age related irreversible
degenerative changes of the inner eat that lead to decreased hearing ability. As a result
of these changes, the older client has a decreased response to high frequency sounds.
Low pitched voice tones are heard more easily and can be interpreted by the older client.
12). The nurse is providing an educational session to new employees, and the topic is abuse of
the older adult. the nurse helps the employees identify that which client is most typical of a
victim of abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced parkinson's dz
-70 y.o woman with early dx lyme dz
Ans: 90 y.o woman with advanced Parkinson's dz. Elder abuse is widespread and
occurs among all subgroups of the population. Elder abuse includes physical and
psychological abuse, misuse of property, and violation of rights. The typical abuse victim
is a woman of advanced age with few social contacts and at least one physical or
mental impairment that limits her ability to perform activities of daily living.
13). The nurse is performing an assessment on an older client who is having difficulty sleeping
at night. what statement by the client indicates education is needed on improving sleep?
-"i swim 3 times a week"
-"i have stopped smoking cigars."
-"i drink hot chocolate before bed"
-"i read for 40 min at bedtime."
Ans: "I drink hot chocolate before bed" Many nonpharmacological sleep aids can be
used to influence sleep. The client should avoid caffeinated beverages and stimulants
such as tea, cola, and chocolate. The client should exercise regularly, because exercise
promotes sleep by burning off tension that accumulates during the day. The client
should sleep on a firm mattress. Smoking and alcohol should be avoided. The client
should also avoid large meals, peanuts, beans, fruit and raw veggies that produce gas,
and snacks high in fat that are difficult to digest.
PaperStoc.com Page 3 of 25
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Academik001. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
