SJSON Gerontology Midterm

Which s a common age-related physical change that may affect digestion and food intake?

Decreased motility in the esophagus

Which of the following is a true statement about elimination in older adults?

Defecation less than once each day is not necessarily constipation.

18. A concern for greenish-brown urine?

Dehydration

Which of the following is a true statement about dental health in older adults?

Dentures should be cleaned once a day by brushing and soaking in a cleaning solution.

3. Nurses cover ruptured skin lesions with non-absorbent dressing for?

Herpes Zoster (also called shingles) They are going to burst anyway but we do not want to get it, very contagious

14. When a nurse sets aside food to cool while feeding a dementia patient it's an example of:

Keeping patient safe from burns, protecting the patient

15. A rehab nurse watching a patient safely ambulate with her walker tells the nurse that?

Maybe ready to go home, Ready for discharge Rehab, walking with walker

Which of the following is important to include in the initial assessment for older adults who are frail and beginning an exercise program?

Medical history & Physical examination

11. Most important Priorities for the nurse when a patient is being discharged, what do we need to go over?

Medication Reconciliation

4. A topical agent safe to apply after bath to moisten skin is?

Mineral oil

Based on current demographic data, which of the following statements identifies a predictive trend regarding the health care needs of society?

More nursing services will be required to serve the needs of the population older than 85 years of age.

A dermatologist should promptly evaluate which one of the following skin lesions?

Multicolored raised lesion with a fuzzy border.

Exercises are prescribed for older adults as therapy to improve which one of the following qualities?

Muscle Strength.

31.An alert patient who is high risk for falling who has an order for restraints can use?

ONE ½ length rail is OK to help them get up & is NOT a restraint

10. A food high in calcium that's good for osteoporosis:

Plain yogurt

The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendation should the nurse implement?

Provide nutritious food according to the residents' expressed food preferences with a liberal use of seasonings that do not exceed any sodium restrictions.

Identify the best statement about gerontological nursing.

Purposes of gerontological nursing include the promotion of health and support for maximal independence.

Through which pathway(s) are drugs and their metabolites eliminated? (Select all that apply)

Sweat Saliva Kidneys

Which gerontological nursing organization welcomes nurses from all educational backgrounds?

The National Gerontological Nursing Association (NGNA).

Which of the following is a true statement about sleep in older adults?

The time spent in bed increases, but the time spent asleep decreases?

An older patient complains of dry skin and asks for advice. Which advice should the nurse offer for improving dry skin?

Use tepid bath water.

Historical influences that have shaped the lives of the majority of the middle-old population in the United States today include which of the following?

World War II

According to researchers, which characteristic will most centenarians share in the future?

Female Gender

Which age-related change contributes to anorexia and weight loss in the older adult?

Fewer taste buds

37. Nursing intervention for an overweight incontinent client?

Frequent Toileting (2-4 hours)

30. A nursing implementation for a male resident in the nursing home who doesn't realize he's incontinent?

Frequent toileting

Which option is not a primary reason that documentation is important?

Documentation helps defend the nurse in the event of a possible lawsuit.

Which was the first formal action the ANA took in relation to gerontological nursing?

Established a national geriatric nursing group.

Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds?

Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from a different ethnicity.

An older man is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this older adult and his family according to the goals of long-term care?

Facilitate family rituals related to death and dying?

What is the most important aspect of care for the nurse to maintain when assisting an older patient with urinary incontinence?

Maintaining an attitude that is respectful and positive about resolving the problem.

An elderly-friendly community includes components that: (Select all that apply)

Maximize independence Address basic needs Provide social engagement Optimise physical health

35. An intervention a nurse can provide when complaints of wakefulness and trouble falling asleep at night?

Nighttime rituals

Which of the following statements is true about social and emotional health of older adults?

Nurses are often significant sources of social and emotional support for older adults.

Which of the following is a true statement about documentation?

Nurses should keep records of the patients' wishes.

13.Although older adults have safer driving habits, what contributes to their higher fatality in car accidents?

Physical and Sensory Changes, vision changes, slow reflexes

12. Preparing the house for an elderly parent reducing the risk of falls or accidents, the idea of this is for?

Preventative measures

25. How does a nurse determine who makes important decisions based on cultural differences and give informed consent to avoid any misunderstanding?

Process of decision-making Figure out who is the lead person to make the decisions (I don't like this answer)

Which statement is true about living arrangements for older adults?

Program fo All-Inclusive Care for the Elderly (PACE) is a community alternative to nursing home care for frail older adults.

The nurse prepares to transfer an older adult to a long-term care facility and calls the facility to give a report. Which nursing actions are the responsibilities of the transferring nurse and the receiving nurse?

Providing continuity of care during the transfer.

An older female patient is reading a large-print magazine and states that reading is difficult for her in the evening. Which intervention should the nurse implement?

Put a high-intensity lamp at the head of her bed.

26. Most important consideration of the skin of the older adult?

Really thin skin- vulnerable to damage

What is a SOAP note?

Record of patient data listing the patient's subjective complaint, objective data recorded by the nurse, the nurse's assessment of the situation, and the nurse's plan of action.

Which change in the skin is abnormal in an older person?

Red, swollen 3-day old wound

28. A nursing priority for protecting a patient's skin who is placed on her side?

Repositioning & having a turning schedule

Which documentation tool does the nurse use to achieve optimal functional status for a nursing home resident?

Resident Assessment Instrument (RAI)

Which option refers to the highest level of human functioning according to Maslow?

Self-Actualization

Which of the following is an important consideration about the skin of an older adult person?

Skin becomes more vulnerable to damage

38. Polypharmacy can contribute to?

Sleep Problems

16. Cardiovascular disease, arthritis or diabetes can cause ___________ disturbance?

Sleep disturbance

Which had a major influence in shifting the care of older adults away from almshouses and public institutions and stimulated the growth of commercial nursing homes?

Social Security Act

27. Skin cancer that might look like a wart:

Squamous Cell Carcinoma

20. Patient that goes home at a baseline but goes home and gets disoriented Home nurse should assess?

Temperature - Too cold can cause confused, disoriented

7. Keeping personal items & photos at the bedside in a nursing home allows the patient to maintain?

Maintaining Personal Space, always allow them to have their pictures, etc.

Which pharmacokinetic parameter is affected most by decreased intestinal motility related to the aging process?

Absorption

Which combination is suitable for the daily diet of older adults?

Calcium 1200 mg; vitamin D, 600 to 800 units.

In questioning an older adult, which question is likely to elicit the most accurate information about the individual's adherence to the medication plan?

"How many doses of digoxin (Lanoxin) do you think you missed?"

An older patient who was just diagnosed with a terminal disease states, "All my life I attended church, but I am still worried about what will happen after death." The nurse's best response is which of the following?

"The unknown may be frightening. Do you want to talk about this?"

A family is touring selected nursing homes in preparation for their mother's future. Which qualities of a nursing home should the family include if they decide on a person-centered nursing home? (Select all that apply)

- Staff members respond to residents' needs - Staff members help residents stay well groomed - Residents and families have a council - Residents choose stimulating activities

17. Difference between Sleep and Rest:

-Sleep is an important survival tool to rest restore and rejuvenate. Rest occurs with sleep -We sleep to rejuvenate ourselves but you rest while you're sleeping -Just because you're resting, you may not be sleeping -But when you sleep, you're resting

Which home modification interventions are designed to enhance the ability of older adults to remain in their homes (Select all that apply)?

A bathroom on the first floor A 36 inch wide doorway

Which of the following is a true statement about assistive devices to aid older adults with impaired mobility?

A cane is most useful for unilateral disabilities, but not bilateral problems.

19. Nursing priority for patient with large infected wound and decreased response for increased cardiac demand?

Maintain patients Oxygen saturation above 95% Oxygen really important for healing wound

Which statement is true about residential living for older adults?

Administrators are realizing that their duty is to care for the residents as people.

Which cultural group is more likely to distrust the health care system than other cultural groups in the United States?

African Americans

The overall temperature in your gerontological unit is 62 degrees F during the evening shift. In documenting this concern to the administration, which factor is the most important for the health and well-being of older adults?

An ambient temperature of 62 degrees F is unsuitable for older people because they have impaired thermoregulation.

Which is characteristic of relocation stress syndrome in a resident of a long-term care facility?

Apprehension

6. A Major defining characteristic of Relocation Stress Syndrome?

Apprehension (stressed out, anxiety, fear)

5. Inspecting a patient for pocketing after they eat prevents?

Aspiration

The nurse understands that stress incontinence occurs:

Because of emotional straint

Which herbal supplement(s) when taken with an anticoagulant increases the effectiveness of the medication and should be avoided during anticoagulant therapy? (Select all that apply)

Chamomile Garlic Ginko Ginseng Green Tea

36. Patient who had an indwelling catheter placed needs to be monitored for?

Change in mental status (from UTI)

33. What does a nurse do when reviewing a patient that suddenly needs more help with personal hygiene?

Changing Priorities

32. The first thing the nurse reviews with a postoperative patient that is complaining of 3/10 pain and constipation is?

Check their med list, not in a lot of pain, opiates will slow down digestion

The nurse monitors for which clinical indicator when the older adult complains of pruritus (itching)?

Coarse skin

23. Something a nurse can do for an underweight man who dislikes food from his family because it's cold:

Collaborate with family & patient to solve problem

21. Term for when a nurse coordinates with other specialty teams

Collaboration

The gerontological nurse collaborates with the wound care team about an older patient who has an ulcer. How is this nurse demonstrating leadership in the care of older people?

Coordinating members of the health care team.

2. For what would a nurse cut an oval pad into a U Shape to avoid pressure?

Corn

In differentiating between health and wellness in healthcare, which of the following statements is true?

Health is a broad term encompassing attitudes and behaviors.

Which cultural group is predicted to have the fastest growing older adult population in the United States between the years 2010 and 2050?

Hispanic Americans

34. Exercise promotion for patients in assisted living facility are planning to go on a trip. How long should they exercise to build stamina?

How long: 30 minutes a week but can do it in 10-minute intervals (10 minutes continuously)

1. What can reduce the risk of Xerosis?

Hydration

Which of the following is a true statement about differing health belief systems?

In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals.

9. Administrators at residential living centers are realizing that care needs to be more____?

Institutionalized to a more person/ patient centered care!

An older man has Alzheimer's disease, and his wife says he is up and down wandering around the house at night. Which intervention should the nurse implement to increase the man's duration of sleep?

Instruct the wife to increase his daily physical activity.

Which role is most likely to have a significant effect on the type of aging process experienced by the older adult?

Loss of a Spouse

Which one of the following is a true statement about mobility and safety for older adults?

Lowering the bed and fluorescent tapes are interventions to increase safety.

Which of the following consideration is most likely to be true when working with an interpreter?

The nurse should face the patient rather than the interpreter.

Decreased functioning of which physical structure is likely to result in decreased metabolism in older adults?

Thyroid Gland

Which action should be included in all bladder-retraining programs?

Toileting at bedtime

Which of the following is a true statement about nutrition for older adults?

Transportation can be a critical factor in nutritional insufficiency in older adults.

24. What is the nurse's responsibility to get information to a non English-speaking patient?

Use an interpreter

The nurse provides opportunities for nursing home residents to read aloud to others. Which cognitive skill is this nursing intervention most likely to improve?

Verbal Fluency

22. Homecare Standardized documentation MUST includes this information per the government:

Vital Signs

8. Requirements for the booming population that will be older than 65 in 2050, what do we need?

We need more nurses / nursing services

Which is an accurate statement regarding gerontological nursing education?

When content is integrated through a curriculum, less than 25% is devoted to geriatric care.

39. Eliminate problems by clean and dry skin thoroughly and apply cream daily to prevent:

Yeast/ fungal infection

29. Can you place a concave mattress on the floor of a patient for a high risk of falls?

Yes, you can do that so maybe they fall to mattress not fall on hard floor (Not a restraint)