A 65 year female patient with chest pain is being diagnosed to
determine the etiology of her atrial fibrillation. An
echocardiogram was recently performed to check the function of
the left ventricle, valvular function, atrial size and for the
presence of cardiac thrombi. The transthoracic echo is negative,
the GNP should then consider:
A) Chest x-ray.
B) 12-lead electrocardiogram.
C) Ventilation-perfusion scan.
D) Transesophageal echo. Correct Answer D) Transesophageal
echo.
A 65-year-old male with suppurative conjunctivitis is in the
office for treatment. The GNP has knowledge that all of the
following ophthalmic preparations can be used to cure this
except:
A) ciprofloxacin
B) penicillin
C) bacitracin-polymyxin B
D) Erythromycin Correct Answer B) penicillin
A 65-year-old patient exhibits symptoms of hemianopsia. The
most appropriate nursing intervention is to:
A) arrange the patient's meal tray so that all the food is in the
patient's field of vision.
B) explain all tasks thoroughly to help allay the patient's fears.
,C) look directly at the patient when speaking to maximize
comprehension.
D) minimize the operating stimuli to reduce distractions to the
patient. Correct Answer A) arrange the patient's meal tray so
that all the food is in the patient's field of vision.
A 67-year-old man states, "I drink way too much and don't know
how to stop." According to Prochaska's change framework, the
statement is most consistent with a person at the stage of:
A) action
B) preparation
C) precontemplation
D) contemplation Correct Answer D) contemplation
A 75-year-old patient, whose marriage ended in divorce after
two years, has lived alone for the past 50 years. Feeling as if life
has had little meaning, the patient is terrified of living out the
remaining years and of dying. The age-related issue to be
resolved is:
A) disengagement vs. activity.
B) ego integrity vs. despair.
C) self-determination vs. resignation.
D) self-esteem vs. self-actualization. Correct Answer B) ego
integrity vs. despair.
A 79-year-old retired actor, who continues to pursue lifelong
interests in swimming and singing, exemplifies which theory of
aging?
, A) Continuity.
B) Developmental.
C) Disengagement.
D) Physical. Correct Answer A) Continuity.
A 90-year-old patient comes to the clinic with a family member.
During the health history, the patient is unable to respond to
questions in a logical manner. The gerontological nurse's action
is to:
A) ask the family member to answer the questions.
B) ask the same questions in a louder and lower voice.
C) determine if the patient knows the name of the current
president.
D) rephrase the questions slightly, and slowly repeat them in a
lower voice. Correct Answer D) rephrase the questions slightly,
and slowly repeat them in a lower voice.
A frail 80-year-old patient, who cares for a spouse at home
without assistance, requires minor surgery. Lacking any family
members residing in the area, the patient expresses concern
about the spouse's care while the patient is recovering. The
gerontological nurse's recommendation is:
A) arranging inpatient respite care for the spouse.
B) having the patient remain in the hospital during the post-
operative period.
C) hiring around-the-clock help for two weeks.
D) hospitalizing the spouse. Correct Answer A) arranging
inpatient respite care for the spouse.
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