Geri Midterm Study guide

The nurse will be educating a group of senior citizens on adaptations for safer driving. Which adaptation(s) should the nurse include? (Select all that apply.) a. Wide rear-view mirrors b. Pedal extensions c. Global positioning system (GPS) devices d. Antiroll bars

A, B, C

Which factors in the patient care environment should be routinely assessed to decrease the risk of falls? (Select all that apply.) a. Outdoor grounds b. Appropriate footwear c. All four bed rails raised d. Grab bars in place

A, B, D

According to researchers, which characteristic will most centenarians share in the future? a Female b Demented c Malnourished d Wheelchair bound

a. Female

Which medication administered for delirium under a controlled environment can reduce the duration and severity of delirium for high-risk patients? a. Haloperidol (Haldol) c. Fluphenazine (Prolixin) b. Thioridazine (Mellaril) d. Chlorpromazine (Thorazine)

a. Haloperidol (Haldol)

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. c. Is not verbalizing. b. Has stable vital signs. d. Moves during sleep.

a. Holds abdomen tightly

Over 50% of the population, aged 65 years and older, suffers from which one of the following chronic health conditions? a. Hypertension b. Renal failure c. Multiple sclerosis d. Cancer

a. Hypertension

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 womans 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.

a. Inquire about her sleep habits used at home.

A nursing home is converting to a person-centered culture from an institution-centered culture. Which nursing intervention will be suitable in the new culture? a. Maintain consistent resident assignments. b. Provide structured activities for the residents. c. Assign nursing assistants to perform bathing. d. Determine mealtime on the basis of staffing levels.

a. Maintain consistent resident assignments

Which is a healthy practice recommended for a person at risk for OA? a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with spinach covered with melted cheese for dinner; and ice cream for dessert b. Long-term estrogen administration as adjunct therapy c. Alendronate (Fosamax) taken with a snack just before bedtime d. Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog on a high-fiber bun at lunch; cocktails before dinner; steak with brown rice, celery, and red wine for dinner

a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with spinach covered with melted cheese for dinner; and ice cream for dessert

An older woman has a wound infection 5 days after a below-the-knee amputation brought about by diabetes mellitus. Which of the following is the nurse's priority intervention to prevent cognitive dysfunction and postoperative complications in this older adult? a. Remove invasive devices as soon as possible. b. Minimize the administration of opioid analgesics. c. Allow for self-care and independent activities. d. Administer short-acting benzodiazepines as needed.

a. Remove invasive devices as soon as possible

When differentiating the characteristics of depression, delirium, and dementia, the nurse recognized which of the following as an indicator of delirium? a. Sudden onset c. Insidious b. Recent loss d. Life change

a. Sudden onset

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.

a. Talk to the resident about his behavior

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.

a. Ask the patient to state his name

Which of the following is a true statement about fluid intake for older adults? a. Daily total volume should be 1500 ml to 2000 ml. b. Coffee is a suitable beverage for maintaining hydration. c. Caffeinated beverages are sometimes preferable to water. d. Total daily fluid intake should be approximately 10 ml per kg of body weight.

a. Daily total volume should be 1500 ml to 2000 ml

An older woman tells the nurse that she has experienced increasing fatigue and shortness of breath over the last 2 days. Which goal is the nurse's priority? Select one: a. Explore the woman's complaints. b. Balance exercise and rest periods. c. Balance exercise and rest periods. d. Promote safety to prevent injury.

a. Explore the woman's complaints.

Which age-related change contributes to anorexia and weight loss in the older adult? Select one: a. Fewer taste buds b. Wearing dentures c. Softened tooth enamel d. Excessive saliva

a. Fewer taste buds

In differentiating between health and wellness in health care, which of the following statements is true? a. Health is a broad term encompassing attitudes and behaviors. b. The concept of illness prevention was never considered by previous generations. c. Wellness and self-actualization develop through learning and growth. d. Wellness is impossible when one's health is compromised.

a. Health is a broad term encompassing attitudes and behaviors.

Which medication(s) affect appetite and nutrition in the older adult? (Select all that apply.) a. Digoxin b. Theophylline c. Iron supplements d. Aspirin e. Phenergan

a. Digoxin b. Theophylline c. Iron supplements d. Aspirin

Which of the following statements is true about dysarthria? a. Does not affect intelligence. b. Stems from severe rheumatoid arthritis. c. Physical therapy can be beneficial. d. Can affect the balance.

a. Does not affect intelligence.

Which of the following is a true statement about heart disease in older adults? a. Myocardial infarction (MI) has many of the same symptoms in older patients as in middle-aged persons. b. Both excessive urination at night and decreased urination can be signs of heart failure (HF). c. Any exertion on the part of an older adult patient with heart disease can bring on another heart attack. d. A person with HF is likely to have trouble breathing, except when lying down.

b. Both excessive urination at night and decreased urination can be signs of heart failure (HF).

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

b. Chronic stable depression

Which of the following should the nurse use to assess a nonverbal older adult for delirium? a. Cranial nerves XI and XII b. Confusion Assessment Method c. MMSE-2 d. Controlled Word Association Test

b. Confusion Assessment Method

Which of the following statements is true about diabetes mellitus? a. Type 2 diabetes is the result of the failure of the pancreas to produce insulin. b. Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dl. c. Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes. d. The incidence of diabetes mellitus does not increase with age.

b. Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dl.

Which of the following statements is true about a safe, effective care environment for older adults? a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day. b. Older drivers are more likely to be in a fatal motor vehicle accident than younger drivers. c. Barrier-free buses and low fares make public transit a safe transportation option. d. A nurse's perception of temperature is a useful guide for patient thermal needs.

b. Older drivers are more likely to be in a fatal motor vehicle accident than younger drivers.

The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult? a. Inform the staff about his risk for falls. b. Place a concave mattress on the bed. c. Provide frequent walks in the hallway. d. Help him learn to use an assistive device.

b. Place a concave mattress on the bed

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

b. Polypharmacy

Which of the following describes the nurse's role for an older patient with a chronic illness? a. Implement an individualized therapeutic regimen that brings about a cure. b. Provide caring to help the patient live at the optimal level of health and wellness. c. Suggest that the patient accept eventual death to reduce the burdens on the patient's family. d. Encourage the patient to minimize the use of services to control costs.

b. Provide caring to help the patient live at the optimal level of health and wellness.

The nurse wants to use exercise according to the recommendations of the American Geriatrics Society (AGS) for an older woman who lost her balance and fell. Which nursing intervention is suitable for this older adult according to the AGS? a. Tell her to use an assistive device until her balance improves. b. Provide information on group exercises for balance training. c. Help her to learn how to exercise the core group of muscles. d. Instruct her to enroll in an exercise program for 8 weeks.

b. Provide information on group exercises for balance training.

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.

b. Provide uninterrupted periods of rest and sleep

Which of the following is a true statement about sleeping in older adults? a. Older adults tend to fall asleep quickly but are awakened throughout the night. b. Sleep disturbances in the older adult can be caused by cardiovascular disease, arthritis, or diabetes. c. Benzodiazepine agents are the medications of choice for sleep disorders. d. Selective serotonin-reuptake inhibitors (SSRIs) can alleviate sleep disturbances caused by depression.

b. Sleep disturbances in the older adult can be caused by cardiovascular disease, arthritis, or diabetes

A nursing home resident who has type 1 diabetes mellitus is gradually requiring more and more insulin on an as-needed (PRN) basis to treat hyperglycemia. Which of the following should the nurse assess to plan care for improving this individuals glucose metabolism? a. New-onset urinary tract infection b. Trends over time in activity level c. Sudden increase in caloric intake d. Big change in diabetic medication use

b. Trends over time in activity level

Which intervention should the nurse use to decrease the risk of burns during mealtime in patients with mental and physical impairments? a. Wait until the drink has cooled. b. Assist patients with warm drinks. c. Use plastic mugs instead of ceramic. d. Serve only cold beverages to patients at risk.

b. Assist patients with warm drinks

An older man dislikes the daily meal he receives from his family because it is always cold. He is underweight and has a hemoglobin of 11.2 g/100 ml. Which recommendation should the nurse implement? a. Assess the man for a potential transfer to an assisted living facility. b. Meet with the man and his family to solve the problem. c. Collaborate with a social worker for food stamps. d. Ask the family about providing hot meals for him.

b. Meet with the man and his family to solve the problem.

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

b. Plain yogurt

Which increases the risk for chronic dehydration in older adults? a. Overuse of diuretic agents b. Poor cognitive function c. Dry mucous membranes d. Fluid loss from vomiting

b. Poor cognitive function

A client comes into a clinic having had a previous stroke. Family members state that they hope the client does not have another stroke. Which is the best response? a. More fruits and vegetables in his diet will decrease the risk for stroke. b. Prevention is the best way to manage clients who have had strokes. c. Wine daily will decrease any risk factor of having a stroke. d. Because of collateral circulation, the incidence of another stroke is extremely low.

b. Prevention is the best way to manage clients who have had strokes.

An older adult with a gastrostomy tube has difficulty using the dominant hand. Which of the following should the nurse provide to prevent complications of the gastrostomy tube? a. Use foam swabs to brush the teeth. b. Provide oral care every 4 hours. c. Supply a soft tooth brush and floss. d. Position the patient at 90 degrees for tube feedings.

b. Provide oral care every 4 hours

Which of the following is a true statement about nutrition for older adults? a. The older person should be encouraged to practice strict controls on cholesterol intake to ensure protection against heart disease. b. Transportation can be a critical factor in nutritional insufficiency in older adults. c. Soul food is a concern primarily for the African-American culture. d. No government programs promote congregate dining among older adults.

b. Transportation can be a critical factor in nutritional insufficiency in older adults

A new nurse in a long-term care facility is caring for a patient with PD. The nurse should note which one of the following actions related to PD that is observed during the assessment? a. Tremors during sleep b. Cogwheel rigidity c. Frequent blinking d. Fast movements

b. Cogwheel rigidity

Which intervention(s) can be used to improve intake for individuals with dementia? (Select all that apply.) 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.

b. Cut up foods before serving d. Provide one utensil at a time.

Mezey and Fulmer (2002) justify gerontological nursing research and the work of gerontological advanced practice nurses by concluding the following: a. Other scientists devalue gerontological nursing research. b. The research influences outcomes from nursing care in a positive way. c. Gerontological care is expensive but required in long-term care. d. Gerontological nursing research is well known to practicing nurses.

b. The research influences outcomes from nursing care in a positive way.

The overall temperature in your gerontological unit is 62° F during the evening shift. In documenting this concern to the administration, which factor is the most important for the health and well-being of older adults? a. It is not fair for older adults to have to deal with an uncomfortable environment. b. Some of the residents are wearing blankets around their shoulders to keep warm. c. An ambient temperature of 62° F is unsuitable for older people because they have impaired thermoregulation. d. It feels much warmer in the administration wing than out in the patient care areas.

c. An ambient temperature of 62° F is unsuitable for older people because they have impaired thermoregulation.

The nurse assesses the quality of which of the following patient characteristics when applying the Get-Up-and-Go test from the Hendrich II Fall Risk Model? a. Stride b. Speed c. Balance d. Flexibility

c. Balance

Which of the following statements is true about RA? a. Strikes unilaterally. b. Affects more men than women. c. Can affect body systems other than the joints. d. Glucosamine can be helpful for patients in the first 2 years of RA.

c. Can affect body systems other than the joints.

An older woman with dementia exhibits new behaviors including crying and repeatedly verbalizing the same phrase; further, the behavior has increased over 2 days. Which intervention should the nurse implement in response to this behavior? a. Tell her you will remember what she says if she stops crying. b. Attribute these findings to a deterioration in cognitive function. c. Check the medication administration record for missed doses. d. Present probing questions to the patient about her behavior. c

c. Check the medication administration record for missed doses.

Which classic sign of an acute myocardial infarction (AMI) can be absent in an older man with an AMI? a. Vague complaints b. Epigastric burning c. Crushing chest pain d. Dyspnea and fatigue

c. Crushing chest pain

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

c. Development of neurofibrillary tangles

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.

c. Examine her mood and functional status.

Which laboratory results are goals for reducing a person's risk for diabetes and heart disease? a. Triglycerides over 150 mg/dl b. Cholesterol 250 mg/dl c. High-density lipoprotein (HDL) over 40 mg/d d. Fasting blood glucose under 150 mg/dl

c. High-density lipoprotein (HDL) over 40 mg/d

Which cultural group is predicted to have the fastest growing older adult population in the United States between the years 2010 and 2050? a. Native Americans b. African Americans c. Hispanic Americans d. Asian/Pacific Island Americans

c. Hispanic Americans

An older woman maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night. Which intervention should the nurse implement to improve the quality of this womans sleep? a. Recommend preparation for sleep. b. Suggest trying a cup of warm milk at bedtime. c. Inquire about her nightly sleep rituals. d. Propose volunteer work at a thrift shop.

c. Inquire about her nightly sleep rituals.

The safest opioid analgesic choice for an older patient who has severe acute pain is which of the following? a. Meperidine (Demerol) b. Pentazocine (Talwin) c. Morphine sulfate (Morphine) d. Safe opioids do not exist.

c. Morphine sulfate (Morphine)

The nurse recognizes which of the following displays may indicate hyperactive delirium? a. Lethargy b. Withdrawn behavior c. Nonpurposeful repetitive movements d. Decreased psychoactive activity

c. Nonpurposeful repetitive movements

Identify the best statement about gerontological nursing. a. Nurses have only recently become involved in the care of the older adult. b. Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program. c. Purposes of gerontological nursing include the promotion of health and support for maximal independence. d. ANA certification is available only for gerontological nurses in research positions.

c. Purposes of gerontological nursing include the promotion of health and support for maximal independence

Which of the following should the nurse recommend for a moderate-intensity exercise for older adults who are ambulatory and in good health? a. Walk 4 miles in 60 minutes. b. Work in the garden for 45 minutes. c. Swim laps in the pool for 20 minutes. d. Wash and wax the car for 75 minutes.

c. Swim laps in the pool for 20 minutes

An older adult who is on bed rest has tachycardia and dry mucous membranes after surgery. Which of the following is the nurse's priority for preventive care because of the patient's fluid volume status? a. Bowel obstruction b. Delirious behavior c.Thromboembolic events d. Delayed wound healing

c. Thromboembolic events

Which of the following is a true statement about dental health in older adults? a. Most people can expect to lose most of their teeth by old age. b. Excessive saliva production is a common problem among older adults. c. Dentures should be cleaned once a day by brushing and soaking in a cleaning solution. d. A little blood on the toothbrush is normal.

c. Dentures should be cleaned once a day by brushing and soaking in a cleaning solution

The nurse instructs the unlicensed assistive personnel to feed an older adult. If the nurse is unable to observe feeding directly, then which action should the nurse use to assess the older adult's risk for aspiration immediately after feeding? a. Note food volume eaten. b. Observe skin color c. Inspect for pocketing d. Monitor for bradypnea

c. Inspect for pocketing

A man is terminally ill with end-stage prostate cancer. Which is the best statement about this man's wellness? Select one: a. Wellness is the same thing as faith healing, and if the client would be more receptive, then he could be back at work in a few weeks. b. Wellness is possible in the management of his medical care. c. Nursing interventions can help empower a client to achieve a higher level of wellness d. Wellness is unfortunately not a real option for this client.

c. Nursing interventions can help empower a client to achieve a higher level of wellness

The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement? a. Develop a seating chart for the main dining room based on the unit to facilitate a more organized and efficient meal delivery. b. Replace the fluorescent lighting with candles at every table to create a cozy, restaurant-like atmosphere. c. Provide nutritious food according to the residents' expressed food preferences with a liberal use of seasonings that do not exceed any sodium restrictions. d. Distribute "med-pass" nutritional supplements.

c. Provide nutritious food according to the residents' expressed food preferences with a liberal use of seasonings that do not exceed any sodium restrictions.

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.

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

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.

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

Which of the following is a true statement about osteoporosis (OA)? a. OA is indicative of an underlying health problem. b. The most common site for OA fractures is in long bones. c. African-American women have the highest risk for OA. d. A high risk of death follows an OA-related fracture.

d. A high risk of death follows an OA-related fracture.

Which of the following is a true statement concerning suicide among older adults? a. Older adults and younger adults manifest a suicidal intent in a similar manner. b. Older African-American women have the highest risk of suicide among older adults. c. Ethics require that the nurse respects a person's intent to terminate his or her own life. d. A major crisis experienced by the patient can contribute to the risk of suicide.

d. A major crisis experienced by the patient can contribute to the risk of suicide

A man who is 60 years of age and lives in the British Isles develops dementia. Which qualities of dementia does the nurse assess to prevent patient injury related to the type of dementia this man most likely has? a. Visual hallucinations b. Unilateral tremors c. Visuospatial problems d. Clumsy movements

d. Clumsy movements

An older woman who receives intravenous (IV) fluids is making wide gesticulations with her arms and loudly insulting the nursing staff. Which intervention should the nurse implement to maintain safe, effective nursing care initially? a. Apply bilateral upper extremity restraints. b. Administer haloperidol (Haldol) for agitation. c. Close the door to her room to reduce the noise. d. Determine the patients needs.

d. Determine the patients needs

Which of the following approaches to hygienic care is beneficial for a patient with dementia? a. Schedule the patient's full shower at 7 AM, three mornings every week. b. Have a team give the bath with each member washing a different body area. c. Wash the perineal region first to remove potentially infectious material. d. Explain each step as you go, and keep the patient covered as much as possible while bathing.

d. Explain each step as you go, and keep the patient covered as much as possible while bathing.

Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds? a. The fact that a nurse is white has no bearing on the nurse's ability to care for minority patients or patients of color. b. An encyclopedic accumulation of details of a particular culture is the best preparation for caring for persons from that culture. c. A nurse who works in Illinois does not need to be as concerned about sensitivity to multiple cultures as the nurse who works in California. d. Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from a different ethnicity.

d. Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from a different ethnicity.

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%

d. Glycosylated hemoglobin (Hgb A1c) over 8%

An older man with severe knee pain tells the nurse how he lost his job and his home after starting a new business when he was 48 years old. Now he lives alone and relies on Social Security. Using Jung's theory, what in this individual's life is the most pivotal in his personality development? a. Living alone b. Meager income c. Severe knee pain d. Job and home loss

d. Job and home loss

Name the theory of aging that suggests that the adverse physical effects of aging are the result of a gradual loss of control mechanisms in the pituitary and hypothalamus. a. Free-radical theory b. Programmed theory c. Stochastic theory d. Neuroendocrine theory

d. Neuroendocrine theory

Which of the following is a true statement about tuberculosis (TB) in older adults? a. The principal threat from TB is its highly contagious nature. b. The tuberculin purified protein derivative (PPD) is a conclusive test for TB. c. Antimicrobial drugs have made TB an infection of the past. d. Older persons, particularly those in nursing homes, are at risk for TB.

d. Older persons, particularly those in nursing homes, are at risk for TB.

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.

d. She takes the walker to the elevator.

The older adult residents of an assisted-living facility are preparing for a 14-day trip to Europe. Which is the most important exercise for the nurse to recommend for the group? a. Practice standing on one foot for 30 seconds. b. Move light weights in a rowing motion eight times. c. Stretch the hips by pulling the knee to the chest. d. Swim laps in the pool for 10 minutes continuously.

d. Swim laps in the pool for 10 minutes continuously.

Which of the following statements is true about cognitive impairments in older adults? a. Loss or interruption of sleep can lead to delirium. b. Confusion is a normal and unavoidable consequence of aging. c. Older patients who are agitated often have a lower cognitive status than those who are quietly sitting. d. The Mini-Mental State Examination-2nd edition (MMSE-2) should be administered on admission to detect delirium.

d. The Mini-Mental State Examination-2nd edition (MMSE-2) should be administered on admission to detect delirium.

Which of the following statements is true about the mental health of older adults? a. Nurses should discourage denial and regression so older adults can directly face underlying causes of anxiety. b. Anxiety is easily distinguished from depression, dementia, and the effects of disease or medication. c. Compulsive rituals surrounding toileting and sleep are signs of a serious mental disorder. d. The nurse avoids antianxiety medications without an assessment for factors associated with anxiety.

d. The nurse avoids antianxiety medications without an assessment for factors associated with anxiety.

The nurse admits an older man who had abdominal surgery. Admission vital signs are heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per minute; blood pressure (BP), 136/84 mm Hg. He is receiving intravenous (IV) fluids but has not requested pain medication since surgery. Seven hours later, his vital signs are P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain. Which intervention should the nurse implement? a. Administer an opioid medication by IV route. b. Check the surgical dressing for bleeding. c. Report the vital signs to the health care provider. d. Ask if he has about discomfort at the surgical site or any other location.

d. Ask if he has about discomfort at the surgical site or any other location.

The nurse notices that an older adult's urine is greenish-brown. Which step should the nurse implement next? a. Increase oral fluid intake. b. Review laboratory reports. c. Evaluate the medication list. d. Determine fluid volume status.

d. Determine fluid volume status.

A older man is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this older adult and his family according to the goals of long-term care? a. Decrease the analgesic dose to prevent sedation. b. Provide a basin and towels for morning self-care. c. Inform family members about strict visiting hours. d. Facilitate family rituals related to death and dying.

d. Facilitate family rituals related to death and dying.

Which of the following is a true statement? a. Urine flow gradually decreases in older age. b. Older adults generally need less fluid than younger people because of their lower body water content. c. Urine-specific gravity and skin turgor can be used to diagnose dehydration in older adults and in younger people. d. Multiple physiological changes of aging place older adults at a greater risk of dehydration than middle-aged persons or children.

d. Multiple physiological changes of aging place older adults at a greater risk of dehydration than middle-aged persons or children

Which of the following is a true statement? a. Urine flow gradually decreases in older age. b. Older adults generally need less fluid than younger people because of their lower body water content. c. Urine-specific gravity and skin turgor can be used to diagnose dehydration in older adults and in younger people. d. Multiple physiological changes of aging place older adults at a greater risk of dehydration than middle-aged persons or children.

d. Multiple physiological changes of aging place older adults at a greater risk of dehydration than middle-aged persons or children.

Which of the following statements is true about Parkinson disease (PD)? a. Drinking large amounts of alcohol can relieve symptoms of essential tremor. b. Motor tremors and slow movement accompany severe cognitive impairment. c. Lewy body dementia (LBD) is the most common form of dementia. d. Older adults taking rasagiline (Azilect) must avoid eating foods containing tyramine

d. Older adults taking rasagiline (Azilect) must avoid eating foods containing tyramine

An older adult complains about experiencing dry eyes daily. Which of the following should the nurse assess to help determine the cause of the patient's complaint? a. Vitamin B deficiency b. Use of humidifier at home c. History of diabetes mellitus d. Prescription antihistamine use

d. Prescription antihistamine use

A medical illustration shows a man with the blunt end of a tuning fork pressed to the center of his forehead. The man is being tested for which of the following? a. Sensorineural hearing loss b. Presbycusis c. Tinnitus d. Unilateral conductive hearing loss

d. Unilateral conductive hearing loss

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.

d. Help each person with individual activities.