Gerontology Final

A nurse is caring for an older adult client who came to the clinic reporting insomnia. Which of the following questions should the nurse ask to assess the quality of the client's sleep?

"Do you feel rested in the morning?"

A nurse is caring for an older adult client who is widowed and has come to the clinic for an annual physical examination. The client 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 by the nurse is most therapeutic?

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

A nurse is caring for a healthy older adult client who has chronic constipation. Which of the following is an important teaching point the nurse should include when establishing a bowel training program with this client?

"Increase the fiber content of your diet."

An older adult client is admitted to the hospital after being on bed rest at home. The client has been incontinent and smells strongly of urine. His spouse, who has been caring for him at home, states that she is sorry and embarrassed about the unpleasant smell. Which of the following responses by the nurse is therapeutic?

"It must be difficult to care for someone who is confined to bed."

A nurse is caring for an older adult client who is receiving multiple medications. Which of the following is an appropriate statement by the nurse?

"Receiving multiple medications can lead to drug interactions."

A nurse in a long-term care facility is caring for an older adult client who has dementia. Which of the following assessment findings should the nurse recognize is most likely to be seen in this client?

Agnosia

A public health nurse is planning an immunization clinic for older adults. The nurse should instruct the clients attending the clinic to have an influenza vaccine during which of the following times?

Annually in the fall

A nurse is taking an older adult client's history. The client reports being depressed and having difficulty sleeping for several months. In evaluating the client's sleep disturbance, the nurse should be guided by the knowledge of which of the following?

Anxiety and depression frequently cause disturbed sleep patterns.

A nurse in a long-term care facility is caring for a client. The client's children report to the charge nurse that their father reports another client wandering into his room during the night disrupting his sleep. The family requests that the nurse use restraints on the wandering client. Which of the following alternatives to using restraints should the nurse consider?

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

A nurse is caring for an older adult client who is dying. The client tells the nurse, "I just want to live one more month so I can see my grandchild get married." The nurse should recognize that, according to Kübler-Ross' stages of grief, the client is in the stage of which of the following?

Bargaining.

A nurse is caring for an 85 year old client. Which of the following assessment findings should the nurse report to the provider immediately?

Cannot discriminate between hot and cold sensations below the knee of the left extremity

A nurse is asked to speak to a group of healthy, older adult clients about normal aging and sexual response. The nurse should include in the discussion techniques to help the clients adapt to which of the following?

Decreased vaginal lubrication

A community health nurse is conducting an intake interview on an older adult client who lives alone in public housing. The nurse assesses that, although the client is able to answer all questions appropriately, the client has a decreased attention span, exhibits sadness, and has a low energy level. The nurse should conclude that the client is most likely showing manifestations associated with which of the following?

Depression

A nurse is evaluating the plan of care for an older adult client that will be discharged home with a home health aide. Currently, the client has a home health aide 4 hr a day to assist with meal preparation and hygiene care. Which of the following should be the nurse's primary consideration when making changes to the client's plan of care?

Effectiveness of the interventions for the client's care

A nurse is caring for a client who is in pain and is receiving a transdermal patch. The nurse should understand that transdermal medication should be applied to which of the following places on older adult clients?

Hairless area of the torso

A nurse is caring for an older adult client who is being admitted to the hospital with abdominal pain. During the initial assessment, the nurse notes that the client just nods and smiles in response to the questions asked. Which of the following common developmental concerns is this client exhibiting?

Hearing loss

A nurse is educating a group of older adult clients regarding their diet choices. Which of the following diet modifications should the nurse recommend to the older adult clients?

Increased calcium

A nurse is performing an assessment on an older adult client. Which of the following effects of the aging process should the nurse expect to see?

Increased urinary frequency

A nurse is caring for an older adult client who is expressing feelings of grief and longing for earlier life. Which of the following nursing actions is most appropriate for helping the client cope with these feelings of loss?

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

A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse recognize 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 nursing actions should the nurse perform to provide the safest client transfer?

Maintain a straight back and bend at the knees.

A nurse is working in a gerontology clinic. Which of the following should the nurse recognize as an unexpected manifestation of the aging process?

Obesity

A nurse in a long term care facility is caring for an older adult client who has been given a cane to assist with ambulation. Which of the following nursing actions puts the client at risk?

Placing the cane on the side of the client's weak leg

A nurse in a long-term care facility recognizes that there is potential for physical and psychological abuse of older adult residents. Which of the following is the best nursing action?

Provide staff with education about the abuse of older adult clients and stress management.

A nurse is educating a group of assistive personnel about the care of older adult clients. The nurse educator is including information about the developmental tasks of older adults. Which of the following should the nurse use as an example of a nursing action that best meets the psychosocial tasks of older adults, according to Erikson?

Providing clients opportunities to discuss their lives and losses

A nurse is caring for an older adult client who is on bed rest following a knee arthroplasty. Which of the following items should the nurse include on the client's breakfast tray to help the client avoid a common complication of immobility?

Stewed prunes

A nurse is in charge of an assistive personnel (AP) who avoids working with older adult clients and asks to be assigned to care for young adult clients on the unit. Which of the following factors should the nurse recognize is most likely responsible for the AP's discomfort with older adult clients?

The AP has fears and preconceived notions about aging.

A nurse in the emergency department is caring for an older adult client. Which of the following behaviors should indicate to the nurse neglect of an older adult client by a caregiving family member?

The client hasn't been taking necessary medications because the prescriptions have not been filled by the family member.

A nurse is caring for an older adult client who had a total hip arthroplasty and is learning how to ambulate with a standard walker. Which of the following actions, witnessed by the nurse, indicates that the client is using the walker correctly?

The client lifts the walker in front while balancing on both feet, then walks into the walker, supporting his body weight on his hands while advancing his affected side.

A nurse is performing a physical examination on an older adult client. The nurse should identify the risk for which of the following manifestations during tympanometry?

Transient vertigo

A nurse is caring for an older adult client who was admitted to a long term care facility and requires total care. Which of the following is an appropriate nursing action while providing mouth care?

Turn the client on his side before starting mouth care.

An older adult client with a moderate hearing loss seeks medical attention in the clinic. The nurse can best meet the needs of the hearing impaired client by doing which of the following?

Understanding that not all hearing impaired clients communicate the same way

A nurse in an assisted living facility is assessing an older adult client who moved in 3 months ago following the death of a spouse. The nurse notes that the client has frequently forgotten to take prescribed medications and has been skipping meals. The client reports awakening early in the morning and admits to feeling very sad. Which of the following statements should guide the nurse in planning care for this client?

Unresolved grief in response to loss is a major factor in depression and subsequent suicide in older adults.

A nurse is caring for an older adult client who is recovering from a left sided cerebrovascular accident (CVA) and who has hemiparesis of the right arm and leg. Which of the following is the best place for the nurse to arrange the items used for hygiene when setting up the client's morning hygiene care supplies?

Within the client's reach on the left side.

A nurse is caring for an older adult client. The nurse should be guided by Erikson's observation that older adults need to resolve conflicts between

integrity and despair.

A nurse working in a community health center is completing an assessment of an older adult female client. To which of the following findings should the nurse give immediate attention?

Rales in the bases

A nurse is caring for an older adult client. Which of the following interventions should the nurse recommend to maintain muscle function and bone integrity?

Regular exercise

A nurse runs a day care treatment group for older adult clients. Which of the following intervention strategies should the nurse recognize is most appropriate to help the clients achieve their developmental task, according to Erikson?

Reminiscence therapy

A nurse on a surgical unit reports that an older adult client is having periods of agitation at night that include screaming out loudly for help. The nurse manager suggests several interventions to decrease this behavior. Which of the following interventions should the nurse recognize is least appropriate for an older adult client?

Requesting that the client's primary care provider prescribe a sedative medication

A nurse in a day care center is conducting an in-service for assistive personnel (AP) about the basic needs of older adult clients. Which of the following is an appropriate statement made by the nurse?

Sleep cycles are impaired