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

Gerontological Nursing, 4e (Tabloski) Chapter 10 Violence and Elder Mistreatment 1) During a home visit of an elderly married patient, the nurse observes listlessness, dry and cracked skin, and skin irritation on both inner thighs; what type of neglect should the nurse be concerned with? 1. Self-neglect 2. Sexual abuse 3. Caregiver neglect 4. Financial exploitation Answer: 3 Explanation: 1. Signs and Symptoms of self-neglect include dehydration, malnutrition, unattended...

Gerontological Nursing, 4e (Tabloski) Chapter 11 Care at the End of Life 1) An older patient with terminal cancer is considering hospice care but is concerned that Medicare will stop payments if the care is provided for longer than 6 months. What can the nurse respond to this patient? Select all that apply. 1. Medicare does not limit the hospice benefit. 2. Medicare regulations discourage a longer use of the benefit. 3. Hospice costs more than traditional hospital or long-term ca...

Gerontological Nursing, 4e (Tabloski) Chapter 24 Caring for Frail Elders with Comorbidities 1) The nurse is assessing an older patient in a skilled facility for frailty. During the assessment, the nurse determines frailty through the presence of which characteristics? Select all that apply. 1. Unplanned weight gain 2. Poor endurance 3. Increase in grip strength 4. Low activity tolerance 5. Generalized weakness Answer: 2, 4, 5 Explanation: 1. Frailty has also been defined ...

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 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 6 Pharmacology and Older Adults 1) An older client being treated for pneumonia is given a sedative to sleep. A few hours afterwards, the client has a respiratory rate of 12 and cannot be aroused. What does this assessment finding indicate to the nurse? 1. The sedative was not absorbed. 2. The sedative has reached a therapeutic blood level. 3. The medication for sleep caused excessive sedation. 4. The client is experiencing complicat...

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 18 The Musculoskeletal System 1) After assessing an older patient, which musculoskeletal changes will the nurse attribute as being a normal part of the aging process? Select all that apply. 1. Loss in height 2. Lower leg muscle atrophy 3. Calcification of the finger joints 4. Swan neck deformity of the hands 5. Decreased range of motion in the shoulders Answer: 1, 2, 5 Explanation: 1. A change in the musculoskeletal status tha...

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...