ATI Geri and Geri final

A nurse is caring for an older adult client who has a terminal illness. The client tells the nurse, "I just want to live one more month so I can see my grandchild get married." Which of the following Kübler-Ross stages of grief should the nurse identify the client is experiencing

Bargaining

A nurse is reinforcing teaching with an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching

"Brisk walking will help prevent bone loss."

A nurse is reviewing the basic needs of older adult clients with a group of assistive personnel. Which of the following statements should the nurse include

"Deep sleep is decreased."

A nurse is reinforcing teaching with a client who is to start taking alendronate sodium. Which of the following recommendations should the nurse include in the teaching

"Discontinue the medication if you develop heartburn."

A nurse is caring for an older adult client who reports that she has just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. Which of the following responses should the nurse make

"Do you know about the local senior citizen group?"

A nurse is reinforcing teaching with an older adult client about methods to improve sleep. Which of the following statements should the nurse include in the teaching

"Go to bed at the same time every night."

A nurse at a long-term care facility is reinforcing teaching with an older adult client about ambulating with a quad-cane. Which of the following statements should the nurse include in the teaching

"Hold the cane in the hand on the stronger side of your body."

A nurse is reinforcing teaching with an older adult client who is to start taking warfarin. Which of the following statements indicates the client understands the teaching

"I can continue to eat green salads."

A nurse is reinforcing teaching about ways to improve nutritional intake with a client who has chronic obstructive pulmonary disease (COPD) and has been losing weight. Which of the following statements by the client indicates an understanding of the teaching

"I should add grated cheese to sauces and vegetables."

A nurse is reinforcing teaching with a client who is to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching

"I should see a decrease in my PSA levels."

A nurse is reinforcing teaching with an older adult client who is healthy and has chronic constipation about establishing a bowel retraining program. Which of the following statements should the nurse include in the teaching

"Increase the fiber content of your diet."

A nurse is assisting with the admission of an older adult client who has urinary incontinence and smells strongly of urine. The client's partner, who has been caring for her at home, states that he is sorry and embarrassed about the unpleasant smell. Which of the following responses should the nurse make

"It must be difficult to care for someone who has incontinence."

An older adult client tells a nurse at a health fair "I am always forgetting things. I cannot even remember where I parked my car! Do you think I have Alzheimer's disease" Which of the following is a therapeutic response by the nurse

"That must be very upsetting. Can you tell me about your forgetfulness?"

A nurse is reinforcing teaching with an older adult client who has osteoarthritis of the right hip and lower lumbar vertebrae. Which of the following statements by the client indicates an understanding of the teaching

"To relieve the pressure on my hip, I can use a cane while ambulating."

A nurse is reinforcing teaching with a group of older adult clients about dietary needs. Which of the following dietary recommendations should the nurse include in the teaching

"You should consume 1,200 milligrams of calcium daily."

A nurse is reinforcing discharge teaching about calcium supplements with an older adult female client who has osteoporosis and a recent repair of a fracture in her right hip. Which of the following instructions should the nurse include

"You should take your calcium supplement with a large glass of water."

A nurse in an assisted living facility is assisting in the care of an older adult client who moved in 3 months ago following the death of his partner. The client reports awakening early in the morning and admits to feeling very sad. The nurse should identify that the client is experiencing which of the following types of grief

Acute grief

A nurse is reinforcing teaching with a group of older adult female clients who are postmenopausal about dietary requirements. Which of the following statements about the role of folic acid should the nurse make

Adequate folic acid intake is associated with a reduced risk for heart disease."

A nurse is collecting data from an older adult client. Which of the following actions should the nurse take to collect subjective data

Allow sufficient time for the client to respond to the questions.

A nurse is assisting in the planning of an immunization clinic for older adults. At which of the following times should an older adult client receive the influenza vaccine

Annually in the fall

A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following actions should the nurse take first

Ask the client about over-the-counter medications she is taking.

A nurse is reinforcing teaching with a newly hired assistive personnel about her role in helping older adult clients with activities of daily living (ADLs). The nurse should explain that which of the following is the most common factor that affects a client's ability to perform ADLs

Chronic physical disability

A nurse is assisting with the admission of an older adult client who fell at home 3 days ago. The client has a fractured hip, malnutrition, and dehydration. Which of the following laboratory values, noted on admission, should indicate to the nurse prolonged malnutrition

Decreased albumin

A nurse is collecting data from an older adult client for signs of dehydration. Which of the following findings should the nurse consider an expected part of the aging process

Decreased creatinine clearance

A nurse is caring for an older adult client. Which of the following physiologic changes associated with aging can affect medication dosage in this client

Decreased gastric motility

A nurse is caring for an older adult client who has pneumonia. Which of the following physiologic changes associated with aging places the client at a greater risk for pneumonia

Decreased number of cilia

A nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. Which of the following physiologic changes contribute to the development of type 2 diabetes

Decreased sensitivity to the circulating insulin

A nurse is reinforcing teaching with a group of healthy, older adult clients about expected age-related changes and sexual response. Which of the following changes should the nurse include as an age-related change

Decreased vaginal lubrication

A nurse is collecting data from an older adult client who states he is homeless. Which of the following findings should the nurse document as comorbidities for this client

Dementia and tuberculosis

A nurse in the clinic is assessing an older adult client for the second time this week. The client reports a decreased energy level, insomnia, and anorexia. Diagnostic tests are within the expected reference ranges. For which of the following conditions should the nurse screen the client

Depression

A nurse is collecting data from an older adult client who lives alone. Although the client is able to answer all questions appropriately, the nurse notes that the client has a decreased attention span, expresses feelings of overwhelming sadness, and has a low energy level. The nurse should identify that the client is exhibiting manifestations of which of the following disorders

Depression

A nurse is collecting data from an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. Which of the following actions should the nurse take

Determine the client's usual sleep habits.

A nurse is collecting data from an 85-year-old client. Which of the following findings should the nurse report to the provider

Differences in pulse strength between lower extremities

A nurse is reinforcing teaching with an older adult client who has anemia. Which of the following foods should the nurse recommend to increase the client's iron intake

Dried fruit

A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. Which of the following findings in the client's history should the nurse recognize is a contraindication to this medication

Esophageal stricture

A nurse is collecting data from an older adult client during an annual physical. Which of the following findings should the nurse report to the provider

Fasting blood glucose level 160 mg/dL

A nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse request a hearing assessment of the client

Furosemide

A nurse at an ophthalmology clinic is collecting data from a client referred by the provider for a potential cataract. Which of the following client reports should the nurse recognize is consistent with cataracts

Halos when looking at lights

A nurse is collecting data from an older adult client who has chronic pain. Which of the following effects of unrelieved pain should the nurse identify as a priority finding to report

Impaired mobility

A nurse is collecting data from an older adult client who had a right-sided stroke two days ago. For which of the following findings should the nurse notify the provider immediately

Increased restlessness

A nurse in a long-term care facility is promoting reminiscence among older adult clients. Which of the following actions should the nurse take

Institute a daily storytelling hour.

A nurse is participating on a committee that is developing age-appropriate care standards for older adult clients. Which of the following of Erikson's developmental tasks should the nurse recommend as the focus

Integrity

A nurse is caring for an older adult client who has gout and refuses to eat. The client's provider has approved the family to bring food from home. Which of the following foods should the nurse recommend that the client not eat

Lentil soup

A nurse is caring for a client who is using a continuous passive motion (CPM) device following a right total knee replacement. Which of the following actions should the nurse take when applying the CPM device

Line up the frame joints of the CPM device with the client's knee.

A nurse is caring for an older adult client who is expressing feelings of grief and longing for his earlier life. Which of the following actions should the nurse take

Listen attentively and allow the client to talk about the past.

A nurse is reinforcing teaching about skin changes in the older adult client with a newly licensed nurse. Which of the following findings should the nurse identify as a benign, age-related skin change commonly seen in older adult clients

Liver spots

A nurse is transferring an older adult client who has right-sided weakness from the bed to a wheelchair. Which of the following actions should the nurse take to provide a safe transfer

Maintain a straight back and bend at the knees.

A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). Which of the following instructions should the nurse include regarding clients who are hearing impaired

Maintain eye contact with the clients.

A nurse is reinforcing dietary teaching with an older adult client who is on bedrest following development of deep vein thrombosis (DVT) about methods to increase peristalsis. Which of the following high-fiber food choices should the nurse recommend

Navy bean soup

A nurse is reviewing the records of a group of older adult clients. Which of the following findings should the nurse identify as an unexpected manifestation of the aging process

Obesity

A nurse is assisting with planning care for an older adult client following abdominal surgery for a bowel obstruction. Which of the following information about pain management should the nurse include in the plan of care

Older adult clients are sensitive to the analgesic effect of opiates.

A nurse is caring for an older adult client who has a hip fracture and is rating his pain at 8 on a scale of 0 to 10. Which of the following medications should the nurse administer

Oxycodone/acetaminophen 7.5/325 tablet PO

A nurse is assisting with the care of an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. Which of the following actions should the nurse take

Place the client's mattress on the floor.

A nurse is caring for a client who has aphasia following a stroke. Which of the following actions should the nurse take

Present one idea in a sentence.

A nurse is collecting data from an older adult female client. Which of the following findings should the nurse identify as a priority

Rales heard in the bases of the lungs

A nurse is caring for a client who has Alzheimer's disease and refuses to take her morning antihypertensive medication. The client is oriented to name and place and is able to perform ADLs with minimal supervision. Which of the following actions should the nurse take

Ask the client to express her reasons for refusing the medication and document the event.

A nurse is contributing to the plan of care for a client who had a recent stroke and a history of gastroesophageal reflux disease (GERD). For which of the following disorders should the nurse plan to monitor this client

Aspiration pneumonia

A nurse at a long-term care facility is contributing to the plan of care for a client who has Alzheimer's disease and wanders at night. Which of the following interventions should the nurse include in the plan

Assign the client to a room closer to the nurse's station.

A nurse is caring for a client who has cancer and is using a fentanyl transdermal patch for pain control. Which of the following actions should the nurse take when caring for this client

Avoid using a heating pad on the area with the patch.

A nurse in an adult day care facility is contributing to the development of treatment plans for older adult clients. Which of the following therapeutic strategies should the nurse use to help the clients achieve Erikson's developmental task for this age group

Reminiscence therapy

A nurse is planning to administer diphenhydramine hydrochloride to an older adult client. Which of the following actions should the nurse plan to take prior to administration

Review the medical record for a client history of glaucoma.

A nurse at a long-term care facility is assisting with planning care for a group of older adult clients. When planning care, the nurse should consider that older adult clients are most likely to exhibit a decrease in which of the following

Short-term memory

A nurse is caring for an older adult client who has moderate hearing loss. Which of the following actions should the nurse take to enhance communication

Speak at a moderate rate.

A nurse is caring for an older adult client who is on bed rest. Which of the following foods should the nurse plan to include on the client's breakfast tray to prevent constipation

Stewed prunes

A nurse is reinforcing teaching with an older adult client who had a total hip arthroplasty about ambulating with a standard walker. Which of the following actions by the client indicates an understanding of the teaching

The client moves the walker ahead about 15.24 cm (6 in) and then steps into the walker.

A nurse is contributing to the plan of care for a client who had a stroke. Which of the following goals should the nurse identify as the priority for this client

The client's airway will remain clear, as evidenced by clear breath sounds.

A nurse is caring for an older adult client who is unresponsive following a stroke. Which of the following actions should the nurse take while providing oral care

Turn the client on his side before starting oral care.

A nurse at a long-term care facility is contributing to the plan of care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan

Use photographs as memory triggers.

A nurse is reinforcing teaching with a group of healthy older adult clients about health screenings after age 50 years. Which of the following health screenings should the nurse recommend that the clients complete annually

Visual acuity

A nurse is collecting data from an older adult client who has right-sided heart failure. Which of the following findings is the nurse's priority to report

Weight has increased 0.91 kg (2 lb) in 24 hr.