Gero: Test #2

D. attitudes toward aging & sexuality

"What is a barrier to sexual health in an older adult?" A- depression B- homosexuality C- fear D- attitudes towards aging and sexuality

B. Assisted Living

1. The nurse is screening a client with mild dementia who is unsafe in the home and needs minimal assistance with activities of daily living. The nurse should recommend which of the following facilities as the most appropriate placement for this client? a.) Skilled nursing care b.) Assisted living c.) Subacute care d.) Rehabilitation unit

C. Loss of recent & long-term memory

A 68-year-old patient is diagnosed with moderate dementia after multiple strokes. During assessment of the patient, the nurse would expect to find: a. excessive nighttime sleepiness. b. difficulty eating and swallowing. c. loss of recent and long-term memory. d. fluctuating ability to perform simple tasks.

A. The patient was oriented & alert when admitted.

A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia? A. The patient was oriented and alert when admitted B. The patient's speech is fragmented and incoherent C. The patient is oriented to person but disoriented to place and time D. The patient has a history of increasing confusion over several years.

B. The patient needs to be reminded of the purpose of his visit

A 72 year old man was recently diagnosed with early dementia as a result of an earlier diagnosis of Alzheimer's Disease. What is one typical symptom that the nurse would expect to find during an assessment? A. The patient needs assistance with ambulation. B. The patient needs to be reminded of the purpose of his visit. C. The patient does not appear to display any indication of facial expression. D. The patient speaks incoherently at times and his speech often does not fit the context of the conversation.

A. arranging inpatient respite care for the spouse

A frail 80-year-old patient, who cares for a spouse at home without assistance, requires minor surgery. Lacking any family members residing in the area, the patient expresses concern about the spouse's care while the patient is recovering. The gerontological nurse's recommendation is: A. arranging inpatient respite care for the spouse. B. having the patient remain in the hospital during the post operative period. C. hiring around-the-clock help for two weeks. D. hospitalizing the spouse.

D. "It must be difficult to care for someone who is incontinent."

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. "You should have changed her brief before you came." B. "That odor means that your wife has a severe UTI." C. "Do you know how to properly clean a woman's perineum?" D. "It must be difficult to care for someone who is incontinent."

A. Place patient on side before performing oral care

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 mouth care. A. Place patient on side before performing oral care B. use antiseptic mouthwash C. only use dry mouth swabs D. sit the patient in high Fowler's

A. "Older adults can't get pregnant, so there is less need for sexual protection."

A nurse is providing education to newly licensed nurses about the impact of sexuality on the life quality & experiences of older patients. The nurse should realize that which of the following statements from the nurses would require further education? A-"Older adults can't get pregnant, so there is less need for sexual protection." B-"Despite popular perception, older adults still enjoy sexual intercourse." C-"Barriers to finding sexual partners more adversely affect older adult women." D-"Absence of sexual activity doesn't always occur by choice, but due to isolation or current living situations."

A. Older people seem to have so many more chronic health problems than younger people

A nurse manager at a long-term care facility is engaged in efforts to change many staff members' inaccurate and negative views of older adults. Which of the following statements made by staff is most clearly indicative of ageism? A)"Older people seem to have so many more chronic health problems than younger people." B)"Older adults' motor skills get progressively slower as they age." C)"It's normal to expect a gradual loss of memory and intelligence with age." D) "A lot of the physical changes that accompany aging are inevitable."

B. Vision

A patient comes to the hospital for complications involving their diabetes, hypertension and arteriosclerosis. What sense does the nurse know may be impaired as a result of this other illnesses? A hearing B vision C taste D smell

d. A score of > 5 suggests that the patient has depression, and warrants a follow-up comprehensive assessment

A student nurse brings concerns about the mental health of a patient they are following to the attention of the charge nurse. The charge nurse proceeds to administer the Geriatric Depression Scale assessment in which the patient's answers calculate to 6. This would indicate which of the following responses from the nurse? a. Nothing, as this score does not indicate that the patient has depression b. A score of > 5 suggests that the patient has depression c. A score of > 5 is almost always indicative of depression and needs to be reported to the physician d. A score of > 5 suggests that the patient has depression, and warrants a follow-up comprehensive assessment

C. Assisted living

An 89 year old female has rapidly progressing CHF and requires significant help with ADL's. She has been living with her Daughter's family for the past few years. The daughter and her husband both work demanding jobs and are unable to provide proper care during the day and the mother needs to move to a facility that can provide proper care. Which type of facility would best meet these needs: A. Nursing Home B. Independent Living C. Assisted Living D. Hospice

D. "Unfortunately, depression rates are high among those over 65. Please tell more specifically what you have noticed."

Demelza is concerned about her 82-year-old grandmother who is a patient at a long-term care facility. Recently, she has shown little interest in eating, conversation or hobbies since the passing of her husband of 53 years. Demelza asks you if her concerns for her grandmother are valid. What would be the best response in this situation? A) "You are so kind to worry about your grandmother but thankfully, the rate of suicide is low among person's of her age." B) "Why are you so concerned?" C) "I initially was feeling the same way, but after privately sharing my concerns were her pastor, he agreed to have a talk with her." D) "Unfortunately, depression rates are high among those over 65. Please tell more specifically when you have noticed."

C. Frequent staff education and empowering of residents and their caregivers.

How does a culture change movement occur throughout a long term care facility? A. Creating an environment where the residents are focused on dependence. B. Frequently switching staff assignments to various parts of the building to learn the facility. C. Frequent staff education and empowering of residents and their caregivers. D. Cater to the population of the long term care facility as a whole rather than adjusting care plans to the individual to better care.

A. Andropause

Jim explains to his primary care physician that he is experiencing a loss of bone and muscle mass, increased body fat, mood changes, and a low sex drive. These manifestations can be described as.. A: Andropause B: Erectile Dysfunction C: Perimenopause D: Alopecia

C. "Many older adults have similar concerns. We can work together to keep you independent as long as possible."

Nurse Mary is employed in an assisted living facility and is privy to many of the changes that accompany the aging process. An older female resident of the facility has expressed a fear that her decreased mobility will make her increasingly dependent on her daughter. How can the nurse best respond to the resident's concerns? A) "There are treatments and drugs that we can explore which might prevent this from happening." B) "This is a normal part of the aging process and you don't necessarily need to fear it." C) "Many older adults have similar concerns. We can work together to keep you independent as long as possible." D) "I'm sure this is very stressful for you, but it's fortunate that you are not experiencing severe pain or illness."

A. move the client to a room near the nurse's station & install a bed alarm.

Nursing staff are trying to provide for the safety of an elderly female client with moderate dementia. She is wandering at night and has trouble keeping her balance. She has fallen twice but has had no resulting injuries. The nurse should: a. Move the client to a room near the nurse's station and install a bed alarm. b. Have the client sleep in a reclining chair across from the nurse's station. c. Help the client to bed and raise all four bed rails. d. Ask a family member to stay with the client at night.

C. Speech & language therapist: the treatment of swallowing disorders.

Select the member of the healthcare team that is paired with one of the main functions of this team member. A. Occupational therapist: Gait exercises B. Physical therapist: The provision of assistive devices to facilitate the activities of daily living C. Speech and language therapist: The treatment of swallowing disorders D. Case manager: Ordering medications and treatments

B. Depression

The most common affective or mood disorder of old age is: A. dementia B. depression C. delirium D. Alzheimer's

B. 6 months or less to live

The nurse is caring for a patient who has been admitted to the hospital while receiving home hospice care. The nurse interprets that the patient has a general prognosis of which of the following? A. 3 months or less to live B. 6 months or less to live C. 12 months or less to live D. 18 months or less to live

D. "I understand you are angry. I'll just sit here if you would like to talk."

The nurse is caring for a patient who recently learned he is terminally ill and enters the room to check on the patient. The patient exclaims, "Get out! There's nothing you can do for me. Just leave me alone!" What is the best response on the part of the nurse? A) "I'm sorry; have I done something to upset you?" B) Say nothing, but leave the room and shut the door C) "I'm just trying to help you; there's no need to be angry with me" D) "I understand you are angry. I'll just sit here if you would like to talk"

B. Assisted living

The nurse is screening a client with mild dementia who is unsafe in the home and needs minimal assistance with activities of daily living. The nurse should recommend which of the following facilities as the most appropriate placement for this client? A. Subacute care B. Assisted living C. Rehabilitation unit D. Skilled nursing care

D. Develop large-print handouts that reflect the verbal information presented.

The nurse is setting up an education session with an 85-year-old patient who will be going home on anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this patient? A. Show a colorful video about anticoagulation therapy. B. Present all the information in one session just before discharge. C. Give the patient pamphlets about the medications to read at home. D. Develop large-print handouts that reflect the verbal information presented.

A. Facilitate a move into the same room if possible.

Two residents of a long-term care facility have been married for over 50 years and lived in the same house until health problems caused them to be admitted to the facility. They are currently assigned to different rooms. How can the nursing staff best facilitate the couple's sexuality? A) Facilitate a move into the same room if possible B) Locate a place in the facility where they can spend time alone C) Regularly assess and document their feelings and issues around sexuality D) Educate the couple on the ways that they can expect their situation to affect their sexuality

B. Older people lose interest in sex as they age.

What is NOT a barrier to sexual intimacy in older adults? A. The tendency for older men to marry younger women. B. Older people lose interest in sex as they age. C. Concerns about body image. D. Physical conditions can affect sexual function.

C. Depression

What is the most frequent psychiatric problem treated in older adults? A. Bipolar Disorder B. Eating Disorder C. Depression D. Schizophrenia

B. Elevate the head of their bed.

What nursing intervention can be implemented in order relief a client's significant discomfort from dyspnea at the end of their life? A. Increase pain medication B. Elevate the head of their bed C. Ensure their room is calm and quiet D. Administer bronchodilator

C. That older adults are often still interested in having sexual relations.

When caring for the older adult, it is important to understand: A. You must repeat oneself often because older adults are hard of hearing. B. That you should treat each client the same because they are all part of the geriatric population. C. That older adults are often still interested in having sexual relations. D. That the older adult's experiences are not useful because older people are too old-fashioned to be of value today.

C. Decreased Grey Matter

Which of the following brain changes is NOT associated with Alzheimer's Disease: A Degeneration of neurons and synapses B Neuritic Beta Amyloid Plaques C Decreased Grey matter D Changes in NT systems

C. Aids in preventing cataracts

Which of the following is a benefit of selenium in the eyes ? A. Maintains healthy rods and cones in retina B. Promotes adaptation to the dark C. Aids in preventing cataracts D. Reduces visual loss in macular degeneration

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

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.

A. Cleaning the hearing aid w/ alcohol to remove bacteria

Which of the following is improper handling of hearing aids? A. Cleaning the hearing aid with alcohol to remove bacteria B. Use toothpick or pipe cleaner to clean the channel C. Make sure the aid is turned off before changing the battery D. Avoid exposure extreme heat or cold

B. Hope

Which part of the dying process commonly permeates all stages of dying, is used as a temporary form of denial, a rationalization for unpleasant therapies and is a source of motivation? A. Denial B. Hope C. Bargaining D. Acceptance