Gerontological nursing 4e - Study guides, Class notes & Summaries

Gerontological Nursing, 4e (Tabloski) Chapter 9 Pain Management 1) An older client with a history of severe arthritis has not received pain medication for over 18 hours. The client is currently complaining of severe pain in both legs. What will the nurse attribute as being the reason for the client's increase in pain? 1. Dependency on narcotics 2. Over-exaggeration of the amount of pain 3. Need for alternative measures for pain relief 4. Untreated pain resulting in lower pain ...

Gerontological Nursing, 4e (Tabloski) Chapter 4 Cultural Diversity 1) The charge nurse has provided a staff inservice on the cultural triad and nursing care. Which statement, made by a staff nurse, best indicates an understanding of a healthcare team's difficulty with cultural literacy? 1. "Our healthcare team has limited knowledge of each others' backgrounds." 2. "Each of our perspectives of our own heritage interferes with cultural literacy." 3. "A feeling of being disco...

Gerontological Nursing, 4e (Tabloski) Chapter 1 Principles of Gerontology 1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The nurse states to a colleague, "This client has been smoking for years and isn't going to stop now." Which negative stereotype of aging does the nurse's statement most reflect? 1. Old people are expected to be sick. 2. Old people are set in their ways. 3. Old people do not value health promotion education. ...

Gerontological Nursing, 4e (Tabloski) Chapter 3 Principles of Geriatrics 1) The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history? 1. Scheduling one-half hour for the medical history interview. 2. Requesting the client use the bathroom before starting the interview. 3. Ensuring the client has their identification and insurance card with them upon arrival. 4...

Gerontological Nursing, 4e (Tabloski) Chapter 5 Nutrition and Aging 1) The nurse is discussing proper nutrition with older community members at a senior citizen center. What should the nurse teach as general guidelines for healthy older individuals? Select all that apply. 1. Calcium intake should be 1,000 mg for those over the age of 51 years. 2. Older individuals need to take supplements of vitamins A, C, E, and K. 3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if ...

Gerontological Nursing, 4e (Tabloski) Chapter 19 The Endocrine System 1) The lab results for an older patient indicate a glycosylated hemoglobin (HbA1c) result of 6.5%. What is the nurse's best response to the patient? 1. "Your blood sugar levels have been within normal limits for the past three months." 2. "Your HbA1c level indicates a pattern of low blood glucose levels." 3. "Your HbA1c indicates that you are anemic and will require a blood transfusion." 4. "Your averag...

Gerontological Nursing, 4e (Tabloski) Chapter 14 Sensation: Hearing, Vision, Taste, Touch, and Smell 1) The nurse is performing a vision assessment on an older patient who is having difficulty reading small print. What best explains this finding? 1. Non-reactive to light 2. Weak eye muscles 3. Lack of peripheral vision 4. Altered accommodation Answer: 4 Explanation: 1. Sensitivity to light is caused by an inability of the pupil to adapt to varying degrees of light. 2. D...

Gerontological Nursing, 4e (Tabloski) Chapter 2 Contemporary Gerontological Nursing 1) The nurse supports an older client's desire to discuss advance directives with the client's family. What action is the nurse performing with this client? 1. Facilitating palliative care 2. Educating the family on healthcare services 3. Collaborating with the interdisciplinary team 4. Advocating for client's rights and autonomy Answer: 4 Explanation: 1. Palliative care alleviates pain a...

Gerontological Nursing, 4e (Tabloski) Chapter 23 The Immune System 1) A patient asks the nurse how the immune system protects the body. What is the nurse's best response? 1. "Self-recognition allows the immune system to recognize foreign parts." 2. "Memory means that the immune system develops lasting protection against specific invaders." 3. "Specificity is the ability of the immune system to react with a particular response to one antigen." 4. "Tolerance is the term...

Gerontological Nursing, 4e (Tabloski) Chapter 13 The Mouth and Oral Cavity 1) The nurse is completing an assessment of an older client's oral cavity. Which finding most concerns the nurse? 1. Leukoplakia 2. Gum redness 3. Excess saliva 4. Multiple cavities Answer: 1 Explanation: 1. Leukoplakia, a white patchy coating that occurs on the oral mucosa, is not normal and requires further evaluation and possibly biopsy or anti-infective prescription. 2. With age, gums tend t...