Geri Quiz 3

A nurse working in a gerontology clinic sees older adult women on a long term basis. Which assessment finding alerts the nurse to the presence of osteoporosis in the client? Select one: a. Unstable and wide gait ambulation b. A measurable loss of height c. The presence of bowed legs d. A poor appetite and aversion to dairy products

b. A measurable loss of height

Compared with acute pain, which of the following statements is true of persistent pain? Select one: a. Can bring about long term changes in lifestyle. b. Is usually described as a burning pain. c. Leads to significantly altered vital signs. d. Is generally gone within 4 months.

a. Can bring about long term changes in lifestyle.

A 79-year-old man is admitted to a long-term care facility after a stroke that has left him with left sided hemiparesis and aphasia. A daughter visiting from out of town approaches the gerontological nurse and expresses concern about how best to communicate with her father. Which one of the following communication strategies should the nurse explain to the daughter? Select one: a.Use word boards and picture charts. b. Explain procedures in detail. c. Face her father; speak loudly and clearly. d. Face her father with adequate light on her face.

a. Use word boards and picture charts.

Which of the following interventions should the nurse use when communicating with a hearing impaired older patient? Select one: a. Stand beside the chair to the patient's left when speaking. b. Always clearly identify yourself and others with you. c. Select colors for paint, furniture, and pictures with rich intensity. d. Exaggerate your voice, depending on the cause of the hearing loss

b. Always clearly identify yourself and others with you.

An older female resident in the skilled nursing facility had hip replacement surgery1 day ago, and the nurse thinks that the woman also has dementia. When assessing this resident, which indicator does the nurse use to determine whether this resident is experiencing pain? Select one: a. Moves during sleep. b. Holds abdomen tightly. c. Is not verbalizing. d. Has stable vital signs.

b. Holds abdomen tightly.

Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina? Select one: a. Glaucoma b. Macular degeneration c. Cataract d. Presbyopia

b. Macular degeneration

A hearing assessment revealed that an older adult client has a sensorineural hearing loss related to presbycusis. She is fitted with binaural hearing aids. The gerontological nurse should advise the client to do which one of the following? Select one: a. "Wear the hearing aid for approximately 10-12 hours a day at first, gradually decreasing the time of use." b. "Keep the volume high on your hearing aid until you adjust to conditions with many noises." c. "Experiment with the volume and hearing ability in a quiet environment." d. "Use only one hearing aid initially, and add the second hearing aid when you are fully adjusted to one aid."

c. "Experiment with the volume and hearing ability in a quiet environment."

A dermatologist should promptly evaluate which one of the following skin lesions? Select one: a. Bright red, glazed area with satellite lesions around it b. Circumscribed, raised area resembling a blob of brown wax c. Multicolored raised lesion with an irregular border d. Brown spot on the skin with no raised area

c. Multicolored raised lesion with an irregular border

The nurse recognizes which of the following signs and symptoms as a sign of hypothyroidism? Select one: a. Irritability and agitation, intolerance to heat, weight loss, and atrial fibrillation b. Nausea and vomiting, irritability and agitation, intolerance to cold, and atrial fibrillation c. Nausea and vomiting, lethargy and fatigue, intolerance to heat, weight loss d. Lethargy and fatigue, intolerance to cold, weight gain, and bradycardia

d. Lethargy and fatigue, intolerance to cold, weight gain, and bradycardia

Peripheral sensory neuropathy places the diabetic resident at risk for injury to their feet. The nurse teaches the resident to do which one of the following? Select one: a. Use over-the-counter agents to soak his feet daily and alleviate pain. b. Cut away any corns and calluses that interfere with the fitting and wearing of shoes. c. Go barefoot to allow feet aeration, circulation, and sun exposure. d. Maintain feet hygiene and perform daily inspection for cuts, scratches, and blisters

d. Maintain feet hygiene and perform daily inspection for cuts, scratches, and blisters.