Gero Final

A nurse is teaching an older client diagnosed with hypothyroidism about the treatment plan. Which client statement indicates to the nurse that additional teaching is needed?

"I will not need to refill this prescription once it's completed."

A nurse is providing care to a 65-year-old male client who has just had prostate surgery. The nurse is teaching the client about postoperative activities. The nurse determines that the teaching was successful based on which client statement?

"It's important for me to avoid becoming constipated."

The nurse educator who directs care at an assisted living facility is conducting a health promotion session with residents. Which statement about maintaining and promoting bladder health would the nurse most likely include?

"Making your urine more acidic through your diet can reduce the incidence of infections."

A gerontological nurse who is a certified diabetes educator is conducting an in-service program for nurses providing care to older adults admitted to the subacute medical unit of a hospital. One of the participants asks, "What do we need to know about diagnosing diabetes in this group?" Which response by the nurse would be most appropriate?

"Older persons can often display signs and symptoms of diabetes that are more subtle than those in younger adults."

An older adult has arthritis, asthma, and glaucoma. When the nurse discusses medication use with the client, which information would the nurse be certain to include?

"Take ibuprofen as directed for your arthritis pain."

The nurse manager of a long-term care facility is developing programs for the residents, integrating the concepts of the activity theory of aging. When explaining these programs to the staff, which statement would be most appropriate?

"We have to treat our residents like younger people and keep them engaged in meaningful acts."

A nurse is providing care to an older adult diagnosed with type 2 diabetes. When developing the client's plan of care, which information would the nurse need to integrate into the plan?

A) Older adults' kidneys tolerate higher glucose levels, so hyperglycemia does not necessarily result in glycosuria.

72-year-old client is starting an exercise program. After calculating the adjusted training heart rate for the client, the nurse should recommend reducing the intensity of the exercises as soon as the heart rate is greater than which of the following?

111 beats per minute

A nurse who adheres to the ethical philosophy of relativism is providing care to clients. Which action would be viewed as ethically acceptable by the nurse?

A poor man steals medicine and diabetic supplies from a pharmacy to help his ill child.

A nurse who works in an inner-city clinic provides care for a large number of the older black clients. Which health promotion activity best reflects the specific health needs of this population?

A) A blood sugar and blood pressure monitoring program.

After an assessment, the nurse suspects that an older client may have developed an abdominal aortic aneurysm. Which finding would support the nurse's suspicion? Select all that apply.

A) Diagnosis of angina C) History of arteriosclerosis E) Experienced a myocardial infarction

A nurse providing care to several male clients in the long-term care facility is reviewing the clients' medical records. Which client would the nurse identify as being at greatest risk for a loss of sexual function?

A 65-year-old male who has had a radical prostatectomy.

A nurse is providing care to several clients. Which client would the nurse identify as facing the most immediate threat to vision?

A 67-year-old man who has been diagnosed with narrow-angle glaucoma

A nurse is reviewing the medical records of several clients. Which client would the nurse most likely identify as being at greatest risk for developing esophageal cancer?

A 74-year-old with alcohol abuse who has chewed tobacco for many decades.

A nurse is assisting a group of older adult clients with an exercise regimen. Which client would the nurse expect to achieve the greatest benefits related to musculoskeletal function?

A 76-year-old who swims laps four times weekly and does light weight training on the other 3 days.

A nurse is reviewing the medical records of several clients who come to the clinic for care. Which client would the nurse most likely identify as experiencing the effects of age-related changes to endocrine function?

A 78-year-old whose pancreas is releasing insufficient amounts of insulin, resulting in hyperglycemia

An older male client with end-stage renal disease is sad, believing that death will occur within a few days. Which intervention would be most appropriate to promote hope in the client? Select all that apply.

A) Using humor tactfully at the bedside B) Facilitating a life review for the client C) Helping the client find pleasure during current life activities

An investigation into reports of substandard care on the subacute geriatric unit of an acute care facility has been undertaken. Which event would support malpractice on the part of the nursing staff? Select all that apply.

A. A client with a documented history of seizures was left with the bed raised and with bedrails not in place, resulting in a fall and head injury. D. A client who was immobile was not turned over during the night shift and developed a pressure ulcer on the coccyx.

A nurse is developing a teaching program for a 66-year-old adult who was just diagnosed with type 2 diabetes. When providing this teaching, which educational material would be most appropriate for the nurse to use?

An audio recording of instructions

An exercise physiologist approaches the gerontological nurse manager at a local assisted living facility about beginning an exercise program for the clients at the facility. When developing the program, which characteristic would the nurse manager require as being most important for the program to include?

Addressing cardiovascular endurance, flexibility, and strength training

A nurse is caring for a group of clients and performing various actions during the next shift. The nurse would ensure informed consent for which situation?

Asking a client to complete a questionnaire for a research study

A 77-year-old client is diagnosed with glaucoma and is receiving treatment. When teaching the client about self-care measures to prevent complications, which information would the nurse most likely include?

Avoid stress, coughing, sneezing, or the Valsalva maneuver.

The nurse assesses a group of older adults at a senior center for conditions related to changes on the endocrine system related to aging. Which assessment findings should the nurse prioritize and address first?

Blood glucose of 300 in an 88-year-old adult

A nurse is providing care to an older female Jewish American who is dying. Which intervention would the nurse most likely identify as being problematic for this client and her family?

C) An autopsy was ordered due to the client's unique disease etiology.

A 66-year-old male client has had a diagnosis of benign prostatic hyperplasia (BPH) for several months and is now slated for transurethral prostate resection (TURP) surgery. The man states to the nurse, "Finally I'll be able to get my sex life back in order." Which information would the nurse most likely include in the response?

Explaining that surgery is unlikely to bring a rejuvenation of sexual performance

A nurse is assessing an 84-year-old female Chinese American's pain following her left hemiarthroplasty 2 days prior. Which characteristic of this cultural group would the nurse need to keep in mind during this assessment?

Chinese Americans often exhibit a reluctance to acknowledge pain.

Relatives brought an older adult relative to the health center because they noticed a behavior that seems to be getting progressively worse. After assessing the client, the nurse practitioner explained that the behavior they noticed was characteristic of Parkinson's disease. Which symptom did the relatives most likely notice?

Faint tremor in the hands or feet

A gerontological nurse is providing care to a group of older Native Americans and a group of older Asian Americans. When interacting with each group, which concept would be most important for the nurse to recognize?

Clients from each group may be reluctant to express their thoughts and feelings openly.

A rehabilitation health facility has a high percentage of Jewish American older adults recovering from a variety of ailments. When providing care to this population, which information would be most important for the facility's staff to integrate into the clients' plans of care?

D) Modern medical care is encouraged but may be opposed during the Sabbath.

A nurse is conducting an educational program for a client newly diagnosed with type 2 diabetes. The nurse determines that the teaching has been successful based on which outcome? Select all that apply.

Demonstration of the correct method of blood glucose testing B) Demonstration of the proper technique for medication administration Verbalization of understanding of diabetes and its management

A nurse is assessing an older adult male client. The client tells the nurse, "I'm urinating quite often but it feels like I'm not emptying my bladder completely." The nurse interprets the client's statement as suggesting which condition?

Enlargement of the prostate

A 75-year-old client has presented to the emergency department with recent fatigue, nausea, and vomiting. The client's temperature is 101.8 °F orally and urinalysis indicates proteinuria and slight hematuria. Based on these findings, which condition would the nurse most likely suspect?

Glomerulonephritis

During client education of a 71-year-old who has a recent diagnosis of diabetes, the nurse has emphasized the importance of consistently maintaining blood glucose levels within the normal range rather than simply reacting to high or low levels. Which test would the nurse most likely identify as providing the best evaluation of the client's blood sugar control over time?

Hemoglobin A1c

The nurse practitioner is interviewing an 80-year-old client who has come to the health center for a visit. The client tells the nurse, "I've been dealing with constipation for so long, but now, it seems to have stopped and I'm having normal bowel movements again. I've been hungrier lately and I've been having trouble sleeping." Based on the client's statement, which condition would the nurse most likely suspect?

Hyperthyroidism

A nurse is assessing a client diagnosed with Parkinson's disease. Which finding would the nurse report immediately?

Hypoglycemia

An older adult client comes to the clinic for a yearly checkup. During the interview, the abirb.com/test client states, "I don't really eat that much, I'm not that hungry, but I keep gaining weight. Just look at my fat face!" The nurse interprets the client's statement as suggesting which condition?

Hypothyroidism

The nurse practitioner is assessing an 84-year-old client who has come to the health center for an evaluation. The client reports feeling tired and chilly, and having dry skin and coarse hair. The nurse practitioner interprets these findings as suggestive of which condition?

Hypothyroidism

The nurse at the wellness center promotes activity by leading exercise programs for older adults. The nurse implements these programs based on the understanding that these programs achieve which effect?

Improvement of mood

A nurse is monitoring a group of older adults exercising at the local senior wellness center. The nurse immediately calls 9-1-1 based on assessment of which finding?

Inability to speak and imbalance

An older client with a history of anginal syndrome and congestive heart failure is admitted to the cardiac care unit with a myocardial infarction. When assessing this client, which finding would the nurse most likely report to the health care provider?

Increase in body temperatur

A nurse obtains a signature on an informed consent form from a client who is later shown to have a fluctuating level of mental competency. Which outcome best reflects the nurse's legal position in this case?

May be held liable for a violation of the client's rights

The nurse receives medication orders for an 84-year-old client with glaucoma. Which medication would the nurse expect to administer?

Miotic

The nurse is assessing an older adult client brought to the emergency department by the daughter. Which finding would lead the nurse to suspect that the client is experiencing congestive heart failure?

Moist lung crackles on auscultation with shortness of breath on exertion

A 76-year-old client has been prescribed a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which assessment would the nurse most likely identify as the priority during the initial days of the client's drug therapy?

Monitoring for changes in the client's nutritional status

A gerontological nurse is conducting an orientation for a group of newly hired nurses and reviewing the legal policies of the facility. When explaining informed consent to the group, the nurse emphasizes the need for nurses to avoid acting in place of the physician for this situation based on which reason?

Nurses may not be able to answer some of the medical questions the client asks

A Chinese American female brings her grandmother to the health clinic. When the grandmother finds out that all the clinic health care providers on duty are males, she appears embarrassed and becomes quiet and withdrawn. All the office staff were schooled in traditional Western medicine. Which action would be most appropriate to help put the grandmother more at ease about receiving health care?

Observe the grandmother more closely and ask specific questions.

The nurse is caring for older clients in a long-term care facility working to ensure their dignity. Which concept would the nurse integrate into the plans of care for these clients to address their spiritual needs?

Older adults may lack many of the attributes that are valued in society, but they can derive a sense of dignity from spirituality.

An older client is recovering from hip replacement surgery. When assessing the client's status, which factor would most likely affect tissue perfusion in this older client?

Prolonged immobility after surgery

A nurse is conducting a health promotion class for a group of older adults at a local community health center. During the class, several members of the group asks the nurse, "What can we do to make sure that we do all we can to stay neurologically healthy?" Which response by the nurse would be most appropriate?

Quitting smoking and maintaining a healthy body weight can cut your risk of neurological diseases."

A 71-year-old male client has presented to the nurse practitioner's clinic complaining of abdominal and flank pain and blood in his urine for the past 48 hours. Assessment reveals the client's temperature is 102 °F orally. Based on these findings, which condition would the nurse suspect first?

Renal calculi

A 70-year-old male who has undergone prostate surgery is preparing for discharge. When developing this client's discharge plan, the nurse would most likely include teaching related to which area?

Resumption of sexual relations

An older female Chinese client tells the nurse that blockage of qi in one of her meridians is causing her severe headaches. The health care provider has diagnosed migraines and has prescribed a triptan drug. Which action would be most appropriate for the nurse to implement?

Suggest that the prescribed medicine may stimulate the flow of qi

The nurse manager of a medical unit providing care to older adult clients learns that spiritual care services are underused by clients and their families. Which phenomenon would the nurse most likely identify as the underlying explanation for this finding?

While spiritual needs are a universal part of the human condition, many people do not acknowledge these needs.

A state committee is looking to improve the lives of the state's older adult population. It wants to recommend that health care facilities that cater to them be required to base their practices on the activity theory of aging. Which area might be problematic with implementing this theory?

The assumption that older people want to maintain their middle-aged lifestyle

A gerontological nurse is working with an older adult to develop an individual exercise program. Which information would the nurse need to integrate into the development of the program?

The number and size of muscle fibers decline leading to a decrease in grip strength

A 76-year-old resident of an assisted living facility has just been diagnosed with chronic glaucoma. Which information would the nurse expect to share with the client about treatment?

You will most likely be prescribed eye drops that you will need to instill regularly."

During a health promotion seminar, a nurse is teaching a group of older adults at a senior center about some of the normal changes that accompany the aging process. After teaching the group, the nurse determines that the seminar was successful based on which statement made by the group?

Your brain actually becomes smaller as you age and this affects how quickly we older adults react."

A gerontological nurse is conducting an in-service program for a group of nurses working at a large urban health care center that serves a widely diverse older adult population. When describing the projections for the future related to the diversity of older Americans, which information would the nurse most likely include?

The percentage of black older adults will decrease slightly due to lower life expectancies.

A gerontological nurse is preparing a presentation for a group of older adults at a local senior center. The topic is the "Aging of the Endocrine System." Which information would the nurse most likely include in the presentation? abi

The thyroid, pancreas, and adrenal glands are at risk for problems in older adults.

A nurse is developing a teaching plan for a 90-year-old client about ways to minimize urinary retention. The nurse discusses measures such as ensuring good fluid intake, massaging the bladder area, and running water while voiding. The nurse institutes this teaching as a means to prevent which condition?

Urinary tract infections

An older client who recently retired from working as a waitress for 40 years describes leg cramps that interfere with sleeping. The client also experiences dizziness when getting out of bed first thing in the morning. The nurse interprets these findings as suggesting which condition?

Varicose veins

An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods?

dairy and lean meats

An unconscious 84-year-old client in the emergency department is wearing a medical alert identification that states diabetes and glaucoma. Lab tests indicate the client has a low blood sugar level. Which agent would the nurse most likely expect to administer?

intravenous glucose

A nurse is preparing a seminar on neurologic health issues in older adults to a group of staff members at a local senior center. Which information would the nurse most likely incorporate into the seminar about neurological health in older adults?

low body mass index reduces the risk of neurovascular disease.

A 76-year-old client with hypothyroidism is prescribed levothyroxine sodium. The nurse administers the initial dose of medication to the client. Which findings would the nurse report immediately?

tachycardia