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Gerontological Nursing Question Bank - 426 Verified Questions

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Gerontological Nursing Question Bank

Course Introduction

Gerontological Nursing focuses on the specialized care of older adults, addressing their unique physiological, psychological, social, and cultural needs. This course explores the aging process, common health issues affecting the elderly, and evidence-based practices for promoting health, managing chronic conditions, and enhancing quality of life in later years. Emphasis is placed on holistic assessment, ethical and legal considerations, end-of-life care, and the importance of interdisciplinary collaboration in supporting older individuals and their families.

Recommended Textbook

Ebersole and Hess Gerontological Nursing Healthy Aging 4th Edition by Theris A. Touhy

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25 Chapters

426 Verified Questions

426 Flashcards

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Chapter 1: Introduction to Healthy Aging

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/41175

Sample Questions

Q1) An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature.Rank the nursing goals of this woman's plan of care in order of importance,starting with the most important goal.

A)Instruct her to call for help before moving.

B)Maintain her blood pressure below 120/80 mm Hg.

C)Reinforce occupational therapy for feeding.

D)Use range-of-motion exercises to prevent contractures.

E)none of the above

Answer: B,A,D,C

Q2) Which approach requires the nurse to integrate and balance all aspects of an individual's life into the plan of care?

A) Holistic nursing

B) Healthy People 2020

C) Maslow's Hierarchy of Human Needs

D) Orem's Self-Care Requirements

Answer: A

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Page 3

Chapter 2: Gerontological Nursing History, Education, and Roles

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The gerontological nurse collaborates with the wound care team about an older patient who has an ulcer.How is this nurse demonstrating leadership in the care of older people?

A) Assessing older adults effectively

B) Facilitating access to elder care programs

C) Coordinating members of the health care team

D) Empowering older adults to manage chronic illness

Answer: C

Q2) Which gerontological nursing organization welcomes nurses from all educational backgrounds?

A) The National Gerontological Nursing Association (NGNA)

B) The National Conference of Gerontological Nurse Practitioners (NCGNP)

C) The National Association of Directors of Nursing Administration in Long-Term Care (NADONA/LTC)

D) The American Society on Aging (ASA)

Answer: A

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Chapter 3: Care Across the Continuum

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) As the nurse admits an older woman to a long-term care facility from her home of 50 years,she mistakes the nurse for her daughter.Which diagnosis does the nurse use to plan care for this woman?

A) Hypoxia as a result of chronic disease

B) Relocation stress syndrome

C) Alzheimer disease (AD)

D) Attention-seeking behavior

Answer: B

Q2) Which home modification interventions are designed to enhance the ability of older adults to remain in their homes?

A) A 36-inch-wide doorway

B) Entryways with less than two steps

C) Electrical outlets at chest level

D) A bathroom on the first floor

Answer: A,D

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Chapter 4: Culture and Aging

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) Which of the following is a true statement about differing health belief systems?

A) Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles.

B) In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals.

C) Ayurvedic medicine is another name for traditional Chinese medicine.

D) The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.

Q2) An older individual from which culture is likely to receive more respect than a younger person in the same community?

A) Canadian

B) Anglo-Saxon

C) German

D) African American

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Chapter 5: Theories of Aging and Physical Changes

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) During a nursing assessment,an older adult tells the nurse about increasing loss of balance.Further assessment indicates musculoskeletal changes.Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance?

A) Exercise with light weights.

B) Stand on one foot at a time while supported.

C) Train with the use of sit-ups.

D) Work out in a swimming pool.

Q2) The nurse administers an antibiotic and naproxen to an older woman.Which laboratory test result should the nurse monitor to gauge the older adult's response to the medication?

A) Urine creatinine

B) Indirect bilirubin

C) Serum creatinine

D) Total hemoglobin

Q3) Aging ordinarily leads to decreases in which of the following?

A) Creatinine clearance and insulin secretion

B) Blood carbon dioxide and saliva production

C) Left ventricle-wall thickness and skin healing time

D) Serum triiodothyronine (T?) and gastric pepsin

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Page 7

Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Which role is most likely to have a significant effect on the type of aging process experienced by the older adult?

A) Grandparent

B) Spouse

C) Friend

D) Parent

Q2) The nurse plans care for older adults who are in good health but isolated from their families.If the nurse's goal is to move the adults toward gerotranscendence,which intervention should the nurse use in the plan of care?

A) Give a daily tea party for the group.

B) Call each family to encourage visiting.

C) Assist them to resume midlife patterns.

D) Help each person with individual activities.

Q3) Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults?

A) Increased secretion of cholinesterase

B) Decreased secretion of neurotransmitters

C) Loss of spinal cord and brainstem neurons

D) Atrophy of dendrites in the cerebral cortex

Page 8

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Chapter 7: Assessment and Documentation for Optimal Care

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) Which option is not a primary reason that documentation is important?

A) Documentation enables the team to provide care to meet a resident's individual needs.

B) Documentation helps defend the nurse in the event of a possible lawsuit.

C) Documentation enables a patient to receive consistent care from one shift to the next.

D) Documentation is the basis for reimbursement to the facility.

Q2) Which of the following is a true statement about documentation?

A) Nurses should keep records of patients' wishes.

B) Patients do not have access to their own medical records.

C) The Outcomes and Assessment Information Set (OASIS) is a complete record of the health status of a patient.

D) The nurse is responsible for completing all of the Minimum Data Set (MDS).

Q3) The nurse scans an older man's identification band in preparation for medication administration.Which step should the nurse implement next?

A) Ask the patient to state his name.

B) Check for allergies to the medication.

C) Document the medication as given.

D) Administer the patient's medication.

Page 9

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Chapter 8: Safe Medication Use

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) Which process is increased in the early morning?

A) Fibrinolytic activity

B) Blood plasma

C) Asthma symptoms

D) Rheumatoid arthritis pain

Q2) Which pharmacokinetic parameter is affected most by decreased intestinal motility related to the aging process?

A) Absorption

B) Distribution

C) Metabolism

D) Excretion

Q3) The nurse prepares to administer vancomycin (Vancocin)to an older adult.Which laboratory test should the nurse review before administering this medication?

A) Stool culture

B) Serum potassium

C) Creatinine clearance

D) Alkaline phosphatase

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Chapter 9: Nutrition and Hydration

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) To avoid trauma to the mouth from hot food being served to a patient diagnosed with dementia,the nurse should:

A) Set hot food aside to allow it to cool slightly.

B) Mix the hot food item with a cold food item.

C) Touch the food to check the temperature before serving.

D) Request a patient menu that includes several cold foods.

Q2) Which intervention(s)can be used to improve intake for individuals with dementia?

A) Serve soup in a plastic bowl.

B) Cut up foods before serving.

C) Use clear cups to serve drinks.

D) Provide one utensil at a time.

Q3) A nurse is educating a patient who has been recently diagnosed with osteoporosis on foods high in calcium.The nurse should include which food choice?

A) Okra

B) Plain yogurt

C) Turnip greens

D) Whole wheat bread

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Chapter 10: Elimination

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) The nurse is caring for a patient who has recently had an indwelling catheter placed.The nurse should assess the patient for:

A) An increase in oral fluid intake

B) A change in mental status

C) Upper back pain

D) A decrease in activity

Q2) Which signs and symptoms are characteristic of a urinary tract infection (UTI)in an older adult?

A) Fever

B) Uremia

C) Dysuria

D) Anorexia

E) Flank pain

F)Turbid urine

Q3) Continuous indwelling catheter use is indicated for which condition(s)?

A) Urethral obstruction

B) Urinary retention

C) Stress incontinence

D) Severely impaired skin integrity

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Page 12

Chapter 11: Rest, Sleep, and Activity

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) The nurse completes an admission assessment on an older adult patient.The nurse identifies which factor that may contribute to sleep problems?

A) Exposure to sunlight

B) Polypharmacy

C) Use of a sleep aid

D) Decreased fluid intake

Q2) Exercises are prescribed for older adults as therapy to improve which one of the following qualities?

A) Relative intensity

B) Muscle strength

C) Muscle retraining

D) Body sculpting

Q3) During the night,an older woman complains to the nurse that she has not slept more than 2 hours since admission to the hospital.Which intervention should the nurse implement to increase the duration of this woman's sleep?

A) Inquire about her sleep habits used at home.

B) Suggest that she avoid napping during the day.

C) Tell her that sleep is fragmented in older people.

D) Offer a book to her or suggest watching a movie.

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Chapter 12: Promoting Healthy Skin and Feet

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/41186

Sample Questions

Q1) The nurse cares for an older man who has a malignant melanoma.Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?

A) Place posters about sunscreen in the halls of his apartment building.

B) Promote the application of a sunscreen at his neighborhood health fair.

C) Tell him to schedule all outdoor activities after 4 PM daily.

D) Instruct him to wear sun-protective clothing and a hat at all times.

Q2) Which of the following is a true statement about impaired skin integrity?

A) Stage III pressure ulcer cannot regress to stage II because the subcutaneous tissues regenerate.

B) Stasis ulcer is another term for pressure ulcer.

C) Muscle and fat cannot regenerate.

D) Weight reduction is recommended to help prevent pressure ulcers.

Q3) A dermatologist should promptly evaluate which one of the following skin lesions?

A) Circumscribed, raised area resembling a blob of brown wax

B) Multicolored raised lesion with a fuzzy border

C) Bright red, glazed area with satellite lesions around it

D) Brown spot on the skin with no raised area

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Chapter 13: Promoting Safety

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/41187

Sample Questions

Q1) The nurse can place an older adult into one of four patient rooms.Which is the most suitable room for an older adult?

A) Brightly lit, blue room with cozy throw rugs

B) Room with orange carpeting and soft lighting

C) Brightly lit, blue room with waxed vinyl floors

D) Room for television and children's playtime

Q2) The nurse is discharging an older woman who uses a walker from rehabilitative care.Which observation does the nurse use to determine whether the patient is prepared for discharge?

A) She holds the front of the walker.

B) She has a walker with four wheels.

C) She takes four steps into the walker.

D) She takes the walker to the elevator.

Q3) Which of the following is a true statement about assistive devices to aid older adults with impaired mobility?

A) A walker can be used when climbing stairs.

B) Cane tips should be smooth.

C) Older adults save money by adapting assistive devices from their friends.

D) A cane is most useful for unilateral disabilities but not bilateral problems.

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Page 15

Chapter 14: Living With Chronic Illness

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) Which of the following statements is true about rehabilitation and restorative care for older adults?

A) The purpose of rehabilitation and restorative care is to regain specific abilities lost because of a condition.

B) Rehabilitation consists primarily of regular physical therapy sessions.

C) A person can learn skills and gain abilities that enable functioning.

D) The patient's capabilities are recognized at the time of admission.

Q2) Acute illness is to chronic illness as to which of the following comparisons?

A) An emergency department is to a nursing home

B) A hospital staff nurse is to a nurse practitioner

C) Health insurance is to Medicare for older adults

D) Inpatient surgical care is to outpatient medical care

Q3) An older woman has severe osteoporosis in the long bones,impaired mobility,and chronic pain.Which acute illness or condition is this woman most likely to experience as a result of osteoporosis?

A) Peripheral neuropathy

B) Chronic stable depression

C) Intertrochanteric fracture

D) Opioid analgesic addiction

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Page 16

Chapter 15: Pain and Comfort

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) An older woman had hip replacement surgery 1 day ago,and the nurse thinks that the woman also has dementia.Which patient assessment does the nurse use to determine whether this woman is experiencing pain?

A) Holds abdomen tightly.

B) Has stable vital signs.

C) Is not verbalizing.

D) Moves during sleep.

Q2) The older adult is at a higher risk for acute psychological pain than a younger adult because older adults:

A) Have many illnesses.

B) Possess fewer assets.

C) Experience more loss.

D) Live with impairments.

Q3) Each of the following is a nonpharmacological intervention for pain except which one?

A) Acupuncture treatments

B) Adjuvant therapy

C) Lidocaine patch

D) Capsaicin

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Page 17

Chapter 16: Diseases Affecting Vision and Hearing

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/41190

Sample Questions

Q1) The nurse recognized which of the following as symptoms of wet age-related macular degeneration (AMD)?

A) Rarely causes severe visual impairment

B) Yellow deposits under the retina

C) Decrease in central vision

D) Visual distortion

Q2) The nurse plans the care of an older female resident of a nursing home who has experienced a sudden deterioration in visual acuity.Which intervention should the nurse complete first?

A) Prevent behavioral and social decline.

B) Tell her to hold onto the rails during ambulation.

C) Examine her mood and functional status.

D) Use problem solving involving the resident.

Q3) Which of the following interventions should the nurse use when communicating with a hearing impaired older patient.

A) Stand beside the patient's chair when speaking.

B) Always clearly identify yourself and others with you.

C) Exaggerate your voice, depending on the cause of the hearing loss.

D) Select colors for paint, furniture, and pictures with rich intensity.

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Page 18

Chapter 17: Metabolic Disorders

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) An older man comes to a primary care setting,and his reason for seeking health care is to get a prescription for sildenafil (Viagra).Which of the following laboratory reports can help explain why this individual needs sildenafil?

A) Serum potassium 4.5 mEq/L

B) Prothrombin time 13 seconds

C) Alanine transferase (ALT) 50 units/L

D) Glycosylated hemoglobin (Hgb A1c) over 8%

Q2) The nurse teaches an older adult who has diabetes mellitus and takes metoprolol (Lopressor)to recognize clinical indicators of hypoglycemia.Which clinical indicators of hypoglycemia does the nurse include in patient teaching as the indicators this man is most likely to detect?

A) Shaking

B) Dizziness

C) Weakness

D) Diaphoresis

E) Tachycardia

F)Impaired vision

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Chapter 18: Bone and Joint Problems

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/41192

Sample Questions

Q1) An older adult who has OA receives a prescription for alendronate (Fosamax).Which instruction should the nurse include in patient teaching?

A) Use with a bisphosphonate medication.

B) Is available for oral use.

C) Take this medication for up to 2 years.

D) Consume up to 600 mg of calcium daily.

Q2) After living with OA for 2 years,an older woman's bone density scan shows no improvement,despite consistent bisphosphonate therapy.Which intervention should the nurse implement to reduce bone loss for this older adult?

A) Add tai chi or yoga exercises.

B) Instruct her to drink fortified milk.

C) Increase weight-bearing exercises.

D) Review her daily nutritional habits.

Q3) Which assessment is typical for a patient with OA?

A) Narrow joint spaces with crepitus

B) Effects in symmetrical joints

C) Morning stiffness for at least an hour

D) Swelling from excess synovial fluid

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Chapter 19: Cardiovascular and Respiratory Disorders

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse should instruct a patient on which of the following modifiable risk factor(s)for essential hypertension?

A) Tobacco use

B) Alcohol

C) Stress management

D) Adequate rest

Q2) The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual.Which should the nurse do to determine if pneumonia is a potential cause of the change in her status?

A) Obtain a specimen for aerobic blood cultures.

B) Promptly send the resident for a chest x-ray examination.

C) Analyze sputum for color, texture, and volume.

D) Compare tympanic temperature to the baseline.

Q3) Which of the following is a true statement about heart disease in older men and women?

A) More women than men die from MIs.

B) Cardiac care for men and women is equally aggressive.

C) Cardiac medications have been tested on men and women equally.

D) Women generally receive less aggressive treatment than men do.

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Page 21

Chapter 20: Neurological Disorders

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Persons with _____________ _______________ usually understand others but speak very slowly and use a minimal number of words.

Q2) The nurse in a rehabilitation center is caring for a patient who has new-onset stroke with right-side hemiparesis.Which intervention should the nurse implement when caring for this patient?

A) Orders a two-person assist with a transfer.

B) May need to incorporate repetition.

C) Gives the patient a dry erase board.

D) Raises all four side rails.

Q3) A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA).During the assessment,the patient begins to complain of a severe headache and numbness in his left arm.Which action should the nurse take next?

A) Instruct the patient to take Tylenol.

B) Ask whether patient suffers from migraine headaches.

C) Reschedule the visit.

D) Call 9-1-1.

Q4) _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).

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Chapter 21: Cognitive Impairment

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) A definitive diagnosis of Alzheimer disease (AD)can be made by detecting or using which one of the following methods?

A) Clinical observation of dementia

B) Inability to speak with relevance

C) Development of neurofibrillary tangles

D) Computed axial tomographic (CAT) scan

Q2) An older woman is recovering from a bowel resection in the intensive care unit but remains intubated and on a mechanical ventilator.Which of the following should the nurse implement to help prevent delirium in this woman?

A) Assess cognition with MMSE-2.

B) Provide uninterrupted periods of rest and sleep.

C) Maintain adequate sedation and pain management.

D) Cover the patient's eyes with protective ophthalmic ointment.

Q3) At 10 PM,an older male resident attempts to climb over the bedrails.Which intervention should the nurse implement first?

A) Talk to the resident about his behavior.

B) Call the physician, and ask for a sedative.

C) Apply a vest restraint on the resident.

D) Get a companion to keep him in the bed.

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Page 23

Chapter 22: Mental Health

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20 Flashcards

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Sample Questions

Q1) An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.Which ideas should the nurse include in the response to this individual?

A) The staff receives training in ethics.

B) Validate the woman's impression.

C) Avoid suspicious, paranoid thinking.

D) Use the call bell if she becomes frightened.

Q2) An older woman recently lost her brother,provides care for her husband who has health needs,and must move to a new location after 35 years in the same home.When she comes to the primary care facility with clinical indicators of influenza,the nurse recognizes which of the following?

A) She is exhibiting attention-seeking behaviors.

B) Crises and stressors can impair physical health.

C) Her greatest need is respite care for her husband.

D) Crisis leads to a lower functional status for the victim.

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Chapter 23: Economic and Legal Issues

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/41197

Sample Questions

Q1) A health care provider asks the nurse about an older man's durable power of attorney (DPA)because consent is needed for a medically necessary invasive procedure.The patient has end-stage disease,is intubated,and is on mechanical ventilation.Which steps should the nurse implement?

A) Refer to the patient's advance directive for a name.

B) Assist with obtaining informed consent from the patient.

C) Use the oral trail-making test to measure cognitive function.

D) Apply the Confusion Assessment Method for critical care.

Q2) The older adult wants to appoint an attorney-in-fact with DPA for a specific period around a forthcoming surgery.Which should the nurse implement?

A) Help the patient find a qualified attorney.

B) Explain the legal rights and responsibilities of an attorney-in-fact with a DPA.

C) Suggest using a guardian for the surgical period.

D) Offer to act as the patient's guardian during surgery.

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Chapter 24: Relationships, Roles, and Transitions

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16 Flashcards

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Sample Questions

Q1) As the wife of a university president,an older woman met exciting people and traveled extensively until her husband died.Besides losing an intimate partner,the nurse identifies that this woman is most likely to grieve for the loss of which area of her life?

A) Self-confidence

B) Economic security

C) Status in community

D) Intellectual stimulation

Q2) The community health nurse delivers a program to middle-aged adults about retirement planning and wants to them to choose the year of their retirement.Which is the most important area on which the participants should focus to ease the transition to retirement?

A) Kind of legacy they want to leave behind

B) Type of setting for their personal residence

C) Location of convenient health care services

D) Ability to maintain a stable standard of living

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Chapter 25: Loss, Death, and Palliative Care

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/41199

Sample Questions

Q1) Which of the following statements is true about end-of-life care?

A) The physician is the ultimate authority in the decision to use or not to use life-sustaining medical treatment.

B) The proxy appointed in a living will cannot speak for the testator in health care matters other than terminal illness.

C) A patient with dementia cannot be capable of making personal wishes known about life-sustaining treatment.

D) The American Nurses Association encourages nurses to participate in assisted suicide.

Q2) Those who cope less effectively may exhibit which of the following?

A) Avoids avoidance

B) Confronts reality

C) Is demanding

D) Is rigid

Q3) Which of the following indicate a person is effectively coping?

A) Avoids avoidance

B) Confronts realities

C) Focuses on solutions

D) Redefines problems

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