N 407 - PrepU Quizzes

A gerontological nurse at an acute care facility that serves a large older adult population is working to develop appropriate programs to address this population's needs. When developing these programs, which concept would the nurse identify as contributing to the complexity associated with caring for this group?

Numerous health conditions can overlap in the older adult population.

A 74-year-old client has presented to the emergency department with a suspected hip fracture following a fall on the sidewalk outside the home. While gathering the client's history, the nurse suspects which underlying factor most likely contributed to the suspected injury?

Reduced bone minerals and mass.

An older female demonstrates the ability to use the stove and microwave to prepare her own meals at home though the process takes her a long time. What is nurse's next best action?

Reinforce the client's capability for self-care.

A gerontological nurse is reviewing client care data to evaluate how well staff nurses are providing holistic care. Which activity would the nurse identify as exemplifying this concept?

A nurse provides wound care to a client's residual limb, exploring the client's feelings around the loss.

The nurse writes in a journal every evening before going to sleep. What is the advantage of using this self-care technique?

helps work through issues

A gerontological nurse is conducting an in-service program for a group of nurses working at a long-term care facility. After describing the holistic model of gerontological care, the nurse determines that the class has been successful when the group define health as:

integration and quality of life.

The nurse conducts a holistic assessment with an older client. On what should the nurse focus when completing this assessment?

needs related to health promotion and challenges

The gerontological nurse best demonstrates the role of healer by:

promoting clients' optimal function.

The nurse is concerned about an older client returning home alone after recovering from hip replacement surgery. What should the nurse do to support this client's needs?

talk with the client about plans to meet self-care needs

The nurse wants to increase physical activity but lives alone in a major metropolitan area. What should the nurse do to enhance this self-care practice?

Find out if a co-worker lives nearby who is willing to be a buddy for physical activity

The nurse explains to a new graduate that gerontological nursing is challenging yet rewarding. What should the nurse emphasize when explaining a challenge of working with the older population?

Greater diversity in health status that uniquely affects acute illnesses

After a lifetime of good health, a 72-year-old man has been found to have severe hypertension. What can his nurse do that most clearly prioritizes the role of monitoring that nurses play in the management of health challenges?

Guiding the client toward the purchase of a home blood pressure cuff and keeping up to date on his regular readings.

Which activity done by a gerontological nurse would be considered outside the normal scope of gerontological nursing practice?

Intervening in clients' family relationships that have become dysfunctional or estranged

A gerontological nurse is developing programs to foster learning in older adults. Which action(s) demonstrates an appropriate strategy to use? Select all that apply.

Making sure the room is well lit and at a comfortable temperature Engaging the client in the learning session utilizing different teaching methods Giving the client written material to complement the verbal instruction

The nurse manager must consider which factor when preparing the older client for discharge while promoting the older adult's independence?

More time for client to perform care

The experienced gerontological nurse should provide further teaching when a new nurse makes which statement?

Most baby boomers did not have children and do not have much support.

When reviewing theories of aging, the nurse should recognize which accurate explanation?

No single known factor causes or prevents the aging process.

A nursing instructor has overheard a nursing student state, "When I graduate, I want to work somewhere where I'll be challenged. Working in long-term care seems boring." What is the instructor's most appropriate response?

"Gerontological nursing is a multifaceted specialty requiring fine talent."

A 90-year-old client is admitted to a hospital medical unit with a high population of older adults. The nurse notes that the client has been talking about death frequently. Which response by the nurse would be appropriate?

"I have noticed you have brought up the issue of dying a lot. Tell me more about how you feel."

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. When talking with the staff, which statement indicates the need for the nurse manager to intervene?

"It is normal to expect a gradual loss of memory and intelligence with age."

An unlicensed assistive personnel employed on a medical unit of a hospital expresses frustration that "old people get sick so much more often than young people." Which response by the nurse would be most appropriate?

"Older adults experience fewer acute illnesses than younger people; it is just that they tend to take longer to recover from them."

The gerontological nurse should educate a new staff nurse when the staff nurse makes which statement about older adult health and wellness?

"Access to medical care is the main determinant of health and wellness."

The community health nurse is teaching a class on the subject of aging. Which statement will the nurse include in the teaching?

"Age stereotypes exist across all cultures, and have changed over time."

While the nurse is performing an assessment on an older adult client, the client states, "I suppose when I get very old I won't be able to be sexually active anymore." How will the nurse respond?

"There is no reason a healthy older adult cannot be sexually active."

The nurse is performing an assessment on an older adult client. Which statement by the nurse demonstrates assessing the client with a whole-person perspective?

"What goals do you have for improving your quality of life?"

A nurse is providing care to several clients. Which client would the nurse identify in the role of grandparents in contemporary society?

A 70-year-old grandparent is raising two grandchildren because the single parent works full time.

A community health nurse provides care for numerous older adult clients. Which client would the nurse identify as demonstrating a deficit in knowledge, experience, and skills that could potentially compromise health?

An 80-year-old man, newly diagnosed with diabetes, who shows an inability to manipulate glucometer and test strips

An older adult with a history of arthritis is diagnosed with type 1 diabetes mellitus while hospitalized. What is the nurse's priority holistic concern to address at discharge?

Ability to draw up insulin

A 78-year-old retired Army serviceman states he would like to locate and connect with his old Army buddies. What suggestion should the nurse give to this man and his family?

Access the internet: Accessing the internet is a great tool for locating friends in other parts of the country with whom they have not had contact with in a while. Not advocacy bc The client may find satisfaction in advocacy but this does not address his desire to contact individuals that he served with.

Circumstances have dictated that an older adult's retirement phase must terminate early. What is the nurse's best action?

Acknowledge this loss and allow the client to explore his or her feelings.

Which statement is true about nursing care of older adults?

Acute care nurses need to know best practices for geriatric care.

Mrs. D, age 77, has been recently diagnosed with type 2 diabetes mellitus. Which of the following questions by her nurse is most indicative of a holistic approach to gerontological nursing care?

Ans: "How do you anticipate this affecting your lifestyle and your daily routines?"

Hospital management is reviewing departmental statistics. Which department most likely has the highest death rate of clients over age 65?

Cardiology because heart disease remains the number one cause of death among older adults.

Which action by a client post-knee surgery most clearly demonstrates holistic healing?

Client describes a sense of peace and well-being

The nurse would expect which older client to exhibit adequate self-care knowledge?

Client teaching his neighbor how to properly change a wound dressing - The client who can properly teach how to perform a dressing change exhibits adequate self-care knowledge.

An older adult client is admitted to the nursing home. What aspect of this client's health status is most likely to pose a risk to nutrition?

Dementia

Which dietary recommendations should the nurse suggest for older adults?

Emphasis should be placed on the quality as well as quantity of foods.

A nurse explains all medical options to older adult clients to ensure they have the information they need to make informed decisions about their care. The nurse implements these actions based on which concept?

Empowerment has a positive effect on health status. -Losing control over one's life can threaten self-confidence and diminish self-care independence. Maximizing control and decision making can have a positive effect on morbidity and mortality although they do not necessarily reduce stress

The nurse wants to ensure "wholeness" when caring for patients. Which term best defines "wholeness" as it relates to the work of the nurse healer?

Optimal function

The majority of older Americans are living in which setting?

Personal residence

What is the priority safety recommendation the nurse should make for the older adult in regards to changes in the respiratory system?

Pneumococcal vaccination

A gerontological nurse is a guest speaker at a local community college career day. During the discussion, the nurse describes gerontological nursing roles and responsibilities. Which aspect do gerontological nurses emphasize in contrast to geriatric nurses?

Promotion of wellness and quality of life throughout the life span

Increased patient acuity at the long-term care facility and recent staff resignations have increased the nurse's workload over the last few months. Which actions would increase the nurse's self-care?

Resolving to work no more than one overtime shift per pay period.

An older patient with end-stage renal disease is telling the nurse about the time spent in the army and how he opened up his own business as a young adult. The nurse realizes this patient is engaging in which activity?

Sharing life stories

A client has just turned 65 years old and retired from full-time employment. The client voices concern about financial well-being. The nurse should tell the client that which benefit check should begin arriving soon?

Social security is a benefit check paid to retired workers of specific minimum age (e.g., 65).

An older adult client is immobile and suffers for impairment in breathing. Which intervention would the nurse perform when applying the holistic model?

Teach and encourage turning

Which statement made by a gerontological nurse to a new graduate nurse is accurate?

The health care system is currently greatly impacted by the aging of baby boomers.

A gerontological nurse is implementing interventions with an older adult client to promote the client's use of inner resources for self-care. Which outcome would the nurse want the client to achieve?

active participation in care on a regular basis

The nurse who works in the intensive care unit reads the Bible and attends church every week. Which statement best captures the role of spirituality in nursing practice?

Being spiritually active allows the nurse to better understand and meet patients' and families' spiritual needs.

The nurse is reading an article that explains nursing as being a healing art. Which statement explains how nursing is a healing art?

Compassion and support are as important as caregiving.

A gerontological nurse is providing care to a large older adult population with diverse problems. To effectively care for the clinical complexities of these clients and ensure best practices, the nurse would rely on which information as the foundation?

Evidence-based practice

The staff development trainer prepares an educational program on geriatric nursing for a group of new graduate employees. What should the trainer emphasize when teaching about this type of nursing care?

Focuses on the care of sick older persons

A 67-year-old male client comes to the clinic for an evaluation. When obtaining the client's history, a report of which finding would the nurse identify as a common age-related issue?

Frequent urination

A gerontological nurse is working with the staff to ensure that older adults receive holistic gerontological care. Which action would the nurse integrate to achieve this goal?

Guiding the clients in understanding and finding meaning in life

The gerontological nurse practitioner prepares teaching material about home safety for an older client. Which standard of practice is the nurse implementing with this activity?

Health teaching and promotion

What is the nurse's best holistic nursing action for an older client facing health challenges?

Identify appropriate interventions for health promotion.

During a home visit the nurse determines that an older client who lives alone is not capable of living safely in the home. Despite discussing this, the client adamantly refuses to relocate or leave the home environment. What action should the nurse take?

Notify the health care provider about the situation

A grandmother from the baby boomer generation is planning to retire soon and expresses to a nurse concern over taking care of her grandchildren. Her daughter has assumed she would be saving in daycare costs because her mother is retiring and can take care of the children. What discussion topic should the nurse prioritize with the grandmother?

"Do you have a desire to provide daycare for your grandchildren?"

The gerontological nurse is providing education to an older adult client about this nursing specialty. Which statement will the nurse use to describe the nurse's role for supporting high-level wellness for this client?

"I will work with you and all of your caretakers to ensure your care is moving in the best possible direction for you."

A nurse who works on a subacute medical unit of a hospital has noticed that the population of older adults being admitted to the unit has been increasing over the past few years. The nurse engages a colleague in a discussion about this finding. Which statement by the colleague would be most reflective of current thinking about older adults?

"It is reassuring older adults are receiving more concern than in decades past."

A nurse is employed in an assisted living facility. An older adult client has expressed a fear that decreased mobility will cause increasing dependence on an adult child. Which response by the nurse would be appropriate to address the client's concern?

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

The nurse is teaching a community health class on the topic of ageism. What statement will the nurse include in the teaching?

"Most older adults live independently and have high levels of self-reported health."

The nurse is discussing the care plan of an older adult client with the client's family member. Which statement by the client requires further follow up by the nurse?

"My loved one wants to withdraw from life and should be allowed to do so."

The nurse is performing a wellness assessment on an older adult client. Which statement by the client requires further follow up by the nurse?

"My previous attempts to become a healthier person have not worked out."

The nurse is assessing an older adult client's understanding of the client's overall wellness. Which statement by the client requires further follow up by the nurse?

"My spiritual and personal growth is complete now that I'm advanced in years."

A nurse at a long-term care facility is providing orientation to a group of newly hired nurses. During the orientation, the nurse determines that the group has a clear understanding about the older adult population based on which statement?

"Older adults are still interested in sex."

A gerontological nurse is conducting an in-service program for a group of nurses who provide care to a large older adult population in several community health centers. After teaching the group, the nurse determines that the in-service was successful when the group identifies which concept about the complexity of gerontological nursing?

"Older adults often have multiple co-existing health conditions with symptoms being a typical."

A magazine geared toward older adult women contains an advertisement for an antiwrinkle cream purported to remove wrinkles caused by the drying effects of years of soap use. A client asks the nurse, "Do you think this will work?" Which explanation will the nurse offer to address this concern?

"Wrinkles are caused by repeated exposure to ultraviolet light. Using a cream with an SPF of 15 or higher makes more sense."

The nurse is developing a care plan with an older adult client who wishes to quit smoking. Which statement by the nurse is consistent with the motivational interviewing model?

"You have successfully decreased your smoking frequency over the past month."

A nurse is educating an older adult client about the role of the immune response and autoimmune activity in the aging process. Which statement by the nurse leads to effective teaching?

"You may have more difficulty fighting off infections because of a weaker immune system, and it is possible your body will attack itself."

The nurse is providing education to an older adult client who is moving into an assisted living facility. Which statement will the nurse include in the teaching?

"Your assisted living facility will likely be able to support needs for skilled nursing, if you require it."

The nurse is caring for an older adult client and the client's family. Which actions will the nurse take to help this client achieve high-level wellness? Select all that apply.

- Identifying ways to maximize the client's functioning - Assisting each family member with their roles in the client's care - Maintaining a continuum of balance and purpose in the client's care plan

The nurse is concerned that a 70-year-old client is aging faster than the chronological age suggests. What should the nurse recommend to this client to help delay the effects of aging? Select all that apply.

-Attend religious services as desired -Increase eating fresh fruits and vegetables -Play bridge with the ladies club every week -Take a walk with the neighbor every morning

What are some characteristics that enable nurses to engage as healers for older adults? Select all that apply.

-Availability of mind, body, and spirit -Modeling holism -Being present in the moment -Making connections

A nurse is assessing a client who has just entered the age-range to be considered a senior. The client asks, "I have never seen a doctor before. Now that I am a senior citizen, what should I do differently?" Which teaching will the nurse provide? Select all that apply.

-Check your blood pressure regularly. -Get regular physical check-ups. -Exercise regularly. -Engage in activities to exercise your mind.

A gerontological nurse working at an assisted living facility is developing programs for the clients to promote healthy aging. Which area(s) will the nurse include? Select all that apply.

-Discussing current events with clients who read and watch television. -Challenging clients to learn new skills and develop pre-existing talents. -Facilitating introductions between new and existing clients.

The nurse wants to demonstrate presence with a patient newly diagnosed with heart disease. Which actions will the nurse perform when caring for this patient? (Select all that apply.)

-Use the senses -Actively listen -Focus on what the patient says Presence entails being truly with patients and providing them undivided attention, regardless of the quantity of time that is available. To demonstrate presence the nurse will use the senses, actively listen, and focus on what the patient says.

A nurse is assessing several older adult clients. Which client would the nurse identify as continuing to struggle with achieving Erikson's task of reconciling ego integrity with despair?

A 77-year-old man is trying to determine whether his life has had deep significance and meaning.

A community health nurse has been invited to speak to a group of older adults in the context of the local community center. Which of the following nursing actions best reflects an approach that emphasizes the importance of health promotion in gerontological nursing care?

A class that presents the beneficial effects of regular exercise and practical methods for integrated exercise into daily routines

A nurse is assessing several clients. Which client history would the nurse most likely identify as belonging to a person older than 65 years of age?

A client who takes medications daily for arthritis pain relief and reduction of blood pressure levels.

The nurse suspects that an older client's quality of life has been deteriorating over the last several years. Which chronic health problem most likely has contributed to this client's change in health status?

Arthritis

An older client who lives alone is being discharged after having an exacerbation of heart failure. What should the nurse do first to meet this client's needs after discharge?

Ask the client what help might be needed in the home

An older adult has left-sided weakness following a stroke. How should the gerontological nurse initially promote optimal health and wellness?

Assess mobility limitations.

An older adult is diagnosed with heart failure in addition to existing diabetes mellitus and hypertension. How can the nurse best promote health in this individual?

Assist with scheduling appointments and coordinating care.

The nurse learns that within the last 6 months an older client has experienced pneumonia, a skin infection, and a urinary tract infection. Which theory of aging might help explain why this client is experiencing an increase in infections?

Autoimmune reaction