ATI Learning System Gerontology Final Quiz

a nurse is teaching 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

decreased vaginal lubrication

a nurse is assessing an 85-year-old client. which of the following findings should the nurse report to the provider

differences in pulse strength between lower extremities

a nurse is reviewing the medical record of an older adult client. for which of the following medications should the nurse conduct a hearing assessment of the client

furosemide

a nurse is performing an assessment on 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

impaired mobility

a community health nurse is visiting the home of an older adult client and her caregiver. the client has excoriations two her wrists and ankles. which of the following actions should the nurse take first

interview the client in private

a nurse is caring for an older adult client who is having a stroke. after assessing airway, breathing, and circulation, which of the following assessments is the nurses's priority

level of consciousness

a nurse is caring for a client who is using a continuous passive motion (CPM) device following a right total knee replacement. which of the following actions should the nurse take when applying the CPM device

line up the frame joints of the CPM device with the clients knee

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

listen attentively and allow the client to talk about the past

a nurse is performing skin assessments for a group of older adult clients. which of the following findings should the nurse identify as a benign, age-related skin change commonly seen in older adult clients

liver spots

a nurse is reviewing the records of a group of older adult clients. which of the following should the nurse identify as an unexpected manifestation of the aging process

obesity

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

oxycodone/acetaminophen 7.5/325 tablet PO

a nurse working in a community health center is completing an assessment of an older adult female client. which of the following findings should the nurse identify as a priority

rales heard in the bases of the lungs

a nurse managing an adult day care is developing 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

reminiscence therapy

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 clients breakfast that to prevent constipation

stewed prunes

a nurse is teaching 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

the client moves the walker ahead about 15.24 cm (6 in) and then steps into the walker

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

turn the client on his side before starting oral care

a nurse at a long-term care facility is planning care for an adult client who has dementia. which of the following interventions should the nurse include in the plan

use photographs as memory triggers

a nurse in an assisted living facility is assessing 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

acute grief

a public health nurse is planning an immunization clinic for older adults. at which of the following times should an older adult client receive the influenza vaccine

annually in the fall

a nurse is assessing an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. which of the following factors should the nurse identify as a factor in clients sleep pattern

anxiety can cause disturbed sleep patterns

a nurse at a long term facility is planning 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

assign the client to a room closer to the nurse's station

a home-health 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

avoid using a heating pad on the area with the patch

a nurse is admitting 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

"it must be difficult to care for someone who has incontinence"

a nurse is teaching a group of older adult clients about dietary needs. which of the following recommendations should the nurse include in the teaching

"you should consume 1,200 mg of calcium daily"

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

maintain a straight back and bend at the knees

a nurse is caring for a client who has aphasia following a stroke. which of the following actions should the nurse take

present one idea in a sentence

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

ask the client about over-the-counter medications she is taking

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 Kübler-Ross stages of grief should the nurse identify the client is experiencing

bargaining

a community health nurse is assessing an older adult client who lives alone. the nurse finds that, although the client is able to answer all questions appropriately, the 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

depression

a nurse is teaching an older adult client about methods to improve sleep. which of the following statements should the nurse include in the teaching

"go to bed at the same time every night"

a nurse is teaching a client who has chronic obstructive pulmonary disease (COPD) and has been losing weight, about ways to improve his nutritional intake. which of the following statements by the client indicates an understanding of the teaching

"i should add grated cheese to sauces and vegetables"

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

speak at a moderate rate

a nurse is assessing an older adult client who has right-sided heart failure. which of the following findings is the nurse's priority

weight has increased 0.91 kg (2 lb) in 24 hours

a nurse is teaching an older adult client about osteoporosis. which of the following statements should the nurse include in the teaching

"brisk walking will help prevent bone loss"

a nurse is conducting an in-service for a group of assistive-personnel about the basic needs of older adult clients. which of the following statements should the nurse include in the teaching

"deep sleep is decreased"

a nurse is providing teaching to a client who is to start taking alendronate sodium. which of the following recommendations should the nurse include in the teaching

"discontinue the medication if you develop heartburn"

a nurse is caring for an older adult client who reports that he has just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. which of the following responses should the nurse make

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

a nurse at a long-term care facility is teaching an older adult client about ambulating with a quad-cane. which of the following statements should the nurse include in the teaching

"hold the cane in the hand on the stronger side of your body"

a nurse is providing teaching to a client who is to start taking finasteride. which of the following statements by the client indicates an understanding of the teaching

"i should see a decrease in my PSA levels"

a nurse is teaching 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

"increase the fiber content of your diet"