PNR 108 GERONTOLOGICAL NURSING EXAM BANK 2024|300 BRAND NEW EXAM QUESTIONS AND CORRECT VERIFIED CLEARLY DETAILED ANSWERS|LATEST UPDATE|GUARANTEED SUCCESS|EXAM RATED A+
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PNR 108 GERONTOLOGICAL NURSING
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PNR 108 GERONTOLOGICAL NURSING
PNR 108 GERONTOLOGICAL NURSING EXAM BANK 2024|300 BRAND NEW EXAM QUESTIONS AND CORRECT VERIFIED CLEARLY DETAILED ANSWERS|LATEST UPDATE|GUARANTEED SUCCESS|EXAM RATED A+
The nurse is performing an assessment on an older adult client. What assessment data would indicate a potential compli...
PNR 108 GERONTOLOGICAL
NURSING EXAM BANK 2024|300
BRAND NEW EXAM QUESTIONS
AND CORRECT VERIFIED CLEARLY
DETAILED ANSWERS|LATEST
UPDATE|GUARANTEED
SUCCESS|EXAM RATED A+
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 - ANSWER-✔Crusting-
indicates a potential complication
The nurse who volunteers at a senior citizens' center is planning activities for the
members. What activity would best promote health and maintenance? - ANSWER-
✔Walking 3-5 times per week for 30 minutes. Exercise and activity are essential for
health promotion and maintenance.
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? - ANSWER-✔Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
The nurse is working with older clients in a long term care facility. Which activities
performed by the nurse fosters reminiscence among these clients? - ANSWER-
,✔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.
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?
- ANSWER-✔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.
The nurse is teaching an older client about measures to prevent constipation. What
statement made by the client indicates further teaching is needed?
-"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" - ANSWER-✔"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.
Define Ageism. - ANSWER-✔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.
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? - ANSWER-✔Decreased lean body mass and decreased
glomerular filtration rate.
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 - ANSWER-✔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.
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 - ANSWER-✔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.
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: -
ANSWER-✔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.
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 - ANSWER-✔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.
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." - ANSWER-✔"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.
The visiting nurse observes that the older male client is confined by his daughter to
his room. When the nurse suggests that he walk into the den and join everyone, he
says "I'm in everyone's way, my daughter needs me to stay here." The most
, important action for the nurse is to: - ANSWER-✔Suggest appropriate resources to
the client and daughter-in-law, such as respite care and a senior citizens' center.
Assisting clients and families to become aware of available community support
systems is a role and responsibility of the nurse.
Gerontologic Specialty Certification - ANSWER-✔The number of older people
continues to increase; the need for specialized knowledge becomes even more
critical in every specialty and every health care setting; In 1974, geriatric nursing was
the first certification program offered by the ANA and nursing was the first
professional group to develop standards of care and certification in the field of
gerontology
Define the Neuroendocrine Theory. - ANSWER-✔Based on the integration of the
neuroendocrine and immune systems; emphasis is on the programmed deaths of the
immune cells from damage caused by the increase of free radicals as aging
progresses; the reduced T cells are thought to be responsible for hastening the age-
related changes caused by autoimmune reaction as the body battles itself; healthy
cells are mistaken for foreign substances and are attacked.
Define Holistic Nursing with Older Adult client - ANSWER-✔An integrated method
of functioning which is oriented toward maximizing the potential of which an
individual is capable within the environment where he is functioning.
Wellness behavior: - ANSWER-✔Involves one's whole being- physical, emotional,
mental, and spiritual; a state of being and feeding that one strives to achieve
through effective health practices; wellness involves achieving a balance between
one's internal and external environment
Define Dementia - ANSWER-✔Affects memory, speech, and communication; affects
both receptive and expressive communication components; an irreversible state that
progresses over years; disturbances in executive functioning; 3 types
Define Primary Dementia - ANSWER-✔Progressive disorders caused by pathological
conditions of the brain
Define Secondary Dementia - ANSWER-✔Produce pathological conditions of the
brain as a result of other conditions
Effective communication strategies for patients with aphasia: - ANSWER-✔Affects a
person's ability to communicate in one or more ways: speaking, understanding,
reading, writing, and gesturing. Many types.
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