Test Bank Gero Exam 2
The nurse is caring for a client who has recently had an indwelling catheter placed. The nurse should assess the client for what outcome?
A change in mental status
Which of the following is a true statement about osteoporosis?
A high risk of death follows an osteoporosis-related fracture.
When working with a bereaved individual, what is the goal of nursing interventions?
Assist the individual to attain a healthy adjustment to the loss experience.
The nurse sees an older adult diagnosed with osteoarthritis (OA) who presents with a low-grade fever. The client tells the nurse that the pain is changing; it is worse at night and in the shoulder muscles. Which of the following does the nurse perform to prevent complications of this client's condition?
Direct the client to report temporal or scalp pain.
The son of an older adult couple ends his life suddenly and violently. The husband proceeds with living as usual. After 1 year, the wife remains in seclusion and is hospitalized for dehydration. Which steps should the nurse implement to help improve the wife's mental health and wellness?
Establish an empathic relationship with her.
The health care provider believes an older woman has approximately 6 weeks to live. After 2 months, the family remains at the bedside but, in the last few days, are becoming increasingly impatient and irritable. This pattern is least indicative of which of the following statements?
Family desires that the client be relieved of her misery.
Client reports that she doesn't always make it to the bathroom and often wets herself on the way. The nurse suspects which type of urinary incontinence?
Functional
After assessing the older client in his bed, the nurse determines that he is at high risk for falls. The nurse leaves the room to get a fall risk sign and returns to find him on the floor pleading for help. Which of the following was the most important intervention the nurse should have implemented to prevent this event?
Instruct the client to use call bell for help
Which of the following statements is true about cardiopulmonary disease in older adults?
Mouth hygiene is essential to prevent and treat pneumonia.
The health care provider has not ordered the use of a restraint for an alert patient at high risk for falling. The nurse should implement which side rail use?
One 1/2 length rail
Which of the following characteristics are associated with acute grief? (Select all that apply.)
Preoccupation with the loss of a loved one, Waves of grief or distressing emotion, Inability to perform simple self-care tasks
The nurse prepares an older adult diagnosed with osteoarthritis (OA) for discharge. Which instruction does the nurse include in client teaching to maintain safety for this client?
Report joint instability to the health care provider.
Which of the following pain sensation(s) is(are) associated with neuropathic pain? (Select all that apply.)
Stabbing, Tingling, Burning, Shooting
Which of the following interventions is recommended for an older adult in the final stages of dying?
Support the preservation of energy.
Which of the following is a true statement about joints in older adults?
Surgical joint replacement can effectively manage OA pain.
An older adult client was oriented and responded appropriately in the hospital, but he is now disoriented and confused in his home after discharge. Which of the following issues is the first that the home nurse should examine to determine whether an environmental issue is contributing to the client's condition at home?
Temperature of household
Decreased functioning of which physical structure is likely to result in decreased metabolism in older adults?
Thyroid gland
An older man in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity; consequently, 2 minutes later, he passes out but quickly regains consciousness. Which instruction does the nurse include in client teaching to reinforce the importance of cooling down after exercising to this man?
Baroreceptor function diminishes with age.
Which of the following statements is true about rheumatoid arthritis (RA)?
Can affect body systems other than the joints.
The nurse is educating an older adult on foods high in calcium. Which foods should the nurse include? (Select all that apply.)
Chinese cabbage, Soy milk, Cheese pizza, Almonds
An older adult who is on bed rest after the surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?
Constipation
An older client who has end-stage pulmonary disease decides to accept care from the palliative care nurse. This older adult will most likely benefit from the palliative care nurse in which client needs of Weisman's needs for the dying?
Control
Which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of heart failure (HF) in older adults?
Control fluid balance
Which classic sign of an acute myocardial infarction (AMI) can be absent in an older man with an AMI?
Crushing chest pain
A nurse in a long-term care facility notes that there has been an increase in falls on one unit, and that many of the falls are occurring immediately following mealtime. The nurse recommends that the nursing home conduct a trial of six smaller meals instead of three traditional meals. The nurse makes this recommendation on the understanding that
postprandial hypotension occurs after ingestion of a carbohydrate meal and may be related to the release of a vasodilatory peptide.
