Gerontology Final

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? A. Vary the staff members caring for the client B. Use photographs as memory triggers C. Provide a minimum of three activity choices to the client D. Break client tasks down to three or four steps at a time

B. Use photographs as memory triggers

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? A. Turn the client on his side before starting oral care B. Use the thumb and index finger to keep the client's mouth open C. Cleanse the client's oral mucosa with a toothbrush D. Perform oral care using sterile gloves

A. Turn the client on his side before starting oral care

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? A. "Adjust the height of the cane so that you can flex your elbow at 45 degrees." B. "Hold the cane in the hand on the stronger side of your body." C. "Place the flat side of the cane away from your foot." D. "Move the cane and your stronger leg at the same time."

B. "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? A. "If I miss a dose, I will double it the next day." B. "I can continue to eat green salads." C. "I will need to have laboratory blood testing every 6 months to monitor the effects of the warfarin." D. "I should expect my urine to be pink-tinged while I am taking this medication."

B. "I can continue to eat green salads."

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? A. Speak with exaggerated lip movement B. Speak at a moderate rate C. Speak in a louder voice D. Speak using a higher pitch

B. Speak at a moderate rate

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? A. Once during the client's lifetime B. Every 10 years C. Every 5 years D. Annually in the fall

D. Annually in the fall

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 Kubler-Ross stages of grief should the nurse identify the client is experiencing? A. Depression B. Acceptance C. Denial D. Bargaining

D. Bargaining

A nurse is reviewing the record of a group of older adult clients. Which of the following findings should the nurse identify as an unexpected manifestations of the aging process? A. Decreased absorption of nutrients B. Impaired excretion of medications C. High-pitched frequency hearing loss D. Obesity

D. Obesity

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? A. A banana B. Hash brown potatoes C. An egg and cheese omelet D. Stewed prunes

D. Stewed prunes

A nurse is caring for an older adult client who reports that she has just retired and expresses feeling of loneliness due to the loss of daily interactions with coworkers. Which of the following responses should the nurse make? A. "Do you know about the local senior citizen group?" B. "You need to take a vacation." C. "But now you can finally relax and enjoy your life." D. "Why don't you go into work and visit with your old friends?"

A. "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? A. "Go to bed at the same time every night." B. "Watch television in bed until you are sleepy." C. "Drink a glass of wine before going to bed." D. "Engage in physical activity in the evenings."

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

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? A. Liver spots B. Nevi C. Atopic dermatitis D. Psoriasis

A. Liver spots

A nurse is caring for a client who has aphasia following a stroke. Which of the following actions should the nurse take? A. Present one idea in a sentence B. Avoid using nonverbal communication techniques C. Speak loudly D. Use simplified language

A. 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? A. Rales heard in the bases of the lungs B. Constipation C. Urinary frequency D. Painful intercourse

A. Rales heard in the bases of the lungs

A nurse is reinforcing teaching with an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching? A. "Cottage cheese is a good source of calcium." B. "Increase your caffeine intake." C. "Brisk walking will help prevent bone loss." D. "Hormone replacement therapy with estrogen will increase your risk of osteoporosis."

C. "Brisk walking will help prevent bone loss."

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? A. "Limit physical activity during the day." B. "Set a time limit of 10 minutes when attempting to defecate." C. "Increase the fiber content of your diet." D. "Increase your fluid intake to 5,000 milliliters per day."

C. "Increase the fiber content of your diet."

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? A. Keep the client at arm's length while performing the transfer B. Bend at the waist to get down on the client's level C. Maintain a straight back and bend at the knees D. Place the wheelchair at the head of the bed on the client's right side

C. Maintain a straight back and bend at the knees

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? A. The clients adjusts the height of the walker so the hand grips are at the level of her waist B. The client moves the walker ahead about 15.24 cm and then steps into the walker C. The client uses the walker to pull herself up from a sitting to a standing position D. The client uses the walker to climb the stairs

B. The client moves the walker ahead about 15.24 cm and then steps into the walker

A nurse is collecting data from an 85-year-old client. Which of the following findings should the nurse report to the provider? A. A widened anterior-posterior chest diameter B. Presence of an S4 heart sound C. Differences in pulse strength between lower extremities D. Post-void residual of 75 mL

C. Differences in pulse strength between lower extremities

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? A. Oxygen saturation is 92% on room air B. The client consumes 20% of meals C. Weight has increased 0.91 kg in 24 hr D. The client has 1+ edema in the lower extremities

C. Weight has increased 0.91 kg in 24 hr

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? A. Clarify the client's list of medications with the pharmacist B. Compare the current list against the new medication prescriptions C. Investigate any discrepancies on the list D. Ask the client about over-the-counter medications she is taking

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

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 that 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? A. Delusions B. Dementia C. Delirium D. Depression

D. 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? A. Encourage exercise 1 hr prior to the client's bedtime B. Inquire into the client's financial concerns C. Refer the client to the facility's chief financial officer D. Determine the client's usual sleep habits

D. Determine the client's usual sleep habits

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? A. Decreased refractory time B. Decreased vaginal lubrication C. Loss of female client's orgasm ability D. Premature ejaculation

B. Decreased vaginal lubrication

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? A. "You should consume 1,200 milligrams of calcium daily." B. "Consume 4 percent of your diet as fat." C. "You should drink 1,500 milliliters of fluid daily." D. "Consume 40 percent of your diet as protein."

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

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? A. Avoid using a heating pad on the area with the patch B. To decreased the dose, cut the patch in half C. Dispose of the used patch by placing it in the trash can D. Assess the client for urinary retention every 8 hr

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

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? A. Impaired mobility B. Decreased independence C. Decreased self-esteem D. Impaired socialization

A. 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? A. Increased restlessness B. Weak grip on the left side C. Decreased sensation in the lower left extremity D. Absent gag reflex

A. Increased restlessness

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? A. Listen attentively and allow the client to talk about the past B. Change the topic of conversation C. Let the client know that this is a common issue for older adult clients D. Tell the client about some younger clients who are in worse shape than he is

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

A nurse is reinforcing teaching about ways to improve nutritional intake with a client who has chronic obstructive pulmonary disease and has been losing weight. Which of the following statements by the client indicates an understanding of the teaching? A. "I will choose hot foods to decrease the sense of fullness when eating." B. "I should add grated cheese to sauces and vegetables." C. "I will eat my largest meal of the day in the evening." D. "I should consume a diet high in carbohydrates."

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

A nurse is caring for a client who is using a continuous passive motion device following a right total knee replacement. Which of the following actions should the nurse take when applying the CPM device? A. Apply the CPM device in the flexed position B. Line up the frame joints od the CPM device with the client's knee C. Check the range-of-motion settings on the CPM device daily D. Place the head of the client's bed at 45 degrees during CPM use

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

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? A. Capsaicin topical gel B. Oxycodone/acetaminophen 7.5/325 tablet PO C. Celecoxib 200 mg capsule PO D. Aspirin 325 mg tablet PO

B. Oxycodone/acetaminophen 7.5/325 tablet PO

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? A. Music therapy B. Reminiscence therapy C. Meditation therapy D. Pet therapy

B. Reminiscence therapy

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? A. "Caloric needs are increased." B. "Renal function is increased." C. "Deep sleep is decreased." D. "Exercise needs are decreased."

C. "Deep sleep is decreased."

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? A. "I will see improvement in my symptoms within one week." B. "I can expect an increased libido with this medication." C. "I should see a decrease in my PSA levels." D. "I must take this medication within 60 min of sexual activity."

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

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? A. "A lot of clients who are cared for at home have the same problem." B. "Don't worry about it. She will get a bath, and that will take care of the odor." C. "It must be difficult to care for someone who has incontinence." D. "When was the last time that she had a bath?"

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

A nurse is 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? A. Anticipatory grief B. Delayed grief C. Acute grief D. Disenfranchised grief

C. Acute grief

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? A. Place the client in wrist restraints at night B. Request a prescription for a psychotropic medication C. Assign the client to a room closer to the nurse's station D. Keep the television on at night

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

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? A. "The medication may be crushed if you have difficulty swallowing it." B. "Drink a full glass of milk when you take the medication." C. "Take the medication at bedtime." D. "Discontinue the medication if you develop heartburn."

D. "Discontinue the medication if you develop heartburn."

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? A. Omeprazole B. Ferrous sulfate C. Digoxin D. Furosemide

D. Furosemide This can cause ototoxicity