ATI PN MATERNITY PROCTORED EXAM
1. Which information from a co-worker on a gerontological unit will cause
the nurse to intervene?
a. Most older people have dependent functioning.
b. Most older people have strengths we should focus on.
c. Most older people should be involved in care decision.
d. Most older people should be encouraged to have independence.
ANS: A
Most older people remain functionally independent despite the increasing
prevalence of chronic disease; therefore, this misconception should be
addressed. It is critical for you to respect older adults and actively involve them
in care decisions and activities. You also need to identify an older adult’s
strengths and abilities during the assessment and encourage independence as an
integral part of your plan of care.
2. A nurse suspects an older-adult patient is experiencing caregiver
neglect. Which assessment findings are consistent with the nurse’s
suspicions?
a. Flea bites and lice infestation
b. Left at a grocery store
c. Refuses to take a bath
d. Cuts and bruises
ANS: A
Caregiver neglect includes unsafe and unclean living conditions, soiled
bedding, and animal or insect infestation. Abandonment includes desertion at
a hospital, nursing facility, or public location such as a shopping center. Self-
neglect includes refusal or failure to provide oneself with basic necessities
such as food, water, clothing, shelter, personal hygiene, medication, and
safety. Physical abuse includes hitting, beating, pushing, slapping, kicking,
physical restraint, inappropriate use of drugs, fractures, lacerations, rope
burns, and untreated injuries.
3. A nurse is teaching a group of older-adult patients. Which teaching strategy
,is best for the nurse to use?
Provide several topics of discussion at once to promote independence
a. and making choices.
Avoid uncomfortable silences after questions by helping patients
b. complete their statements.
Ask patients to recall past experiences that correspond with their
c. interests.
d. Speak in a high pitch to help patients hear better.
ANS: C
Teaching strategies include the use of past experiences to connect new
learning with previous knowledge, focusing on a single topic to help the
patient concentrate, giving the patient enough time in which to respond
because older adults’ reaction times are longer than those of younger
persons, and keeping the tone of voice low; older adults are able to hear low
sounds better than high-frequency sounds.
4. An older patient has fallen and suffered a hip fracture. As a
consequence, the patient’s family is concerned about the patient’s ability
to care for self, especially during this convalescence. What should the nurse
do?
a. Stress that older patients usually ask for help when needed.
Inform the family that placement in a nursing center is a permanent
b. solution.
Tell the family to enroll the patient in a ceramics class to maintain
c. quality of life.
Provide information and answer questions as family members make
d. choices among care options.
ANS: D
Nurses help older adults and their families by providing information and
answering questions as they make choices among care options. Some older
adults deny functional declines and refuse to ask for assistance with tasks that
place their safety at great risk. The decision to enter a nursing center is never
final, and a nursing center resident sometimes is discharged to home or to
another less-acute residence. What defines quality of life varies and is unique
for each person.
5. What is the best suggestion a nurse could make to a family
requesting help in selecting a local nursing center?
Have the family members evaluate nursing home staff according to
a. their ability to get tasks done efficiently and safely.
Make sure that nursing home staff members get patients out of bed
b. and dressed according to staff’s preferences.
Explain that it is important for the family to visit the center and
c. inspect it personally.
, Suggest a nursing center that has standards as close to hospital
d. standards as possible.
ANS: C
An important step in the process of selecting a nursing home is to visit the
nursing home. The nursing home should not feel like a hospital. It is a home, a
place where people live. Members of the nursing home staff should focus on
the person, not the task. Residents should be out of bed and dressed according
to their preferences, not staff preferences.
6. A 70-year-old patient who suffers from worsening dementia is no
longer able to live alone. The nurse is discussing health care services and
possible long-term living arrangements with the patient’s only son. What
will the nurse suggest?
a. An apartment setting with neighbors close by
b. Having the patient utilize weekly home health visits
c. A nursing center because home care is no longer safe
That placement is irrelevant because the patient is retreating to a place
d. of inactivity
ANS: C
Some family caregivers consider nursing center placement when in-home
care becomes increasingly difficult or when convalescence from
hospitalization requires more assistance than the family is able to provide. An
apartment setting and the use of home health visits are not appropriate
because living at home is unsafe.
Dementia is not a time of inactivity but an impairment of intellectual
functioning.
7. A nurse is caring for an older adult. Which goal is priority?
a. Adjusting to career
b. Adjusting to divorce
c. Adjusting to retirement
d. Adjusting to grandchildren
ANS: C
LINKS FOR ALL ATI RESOURCES:
1. Which information from a co-worker on a gerontological unit will cause
the nurse to intervene?
a. Most older people have dependent functioning.
b. Most older people have strengths we should focus on.
c. Most older people should be involved in care decision.
d. Most older people should be encouraged to have independence.
ANS: A
Most older people remain functionally independent despite the increasing
prevalence of chronic disease; therefore, this misconception should be
addressed. It is critical for you to respect older adults and actively involve them
in care decisions and activities. You also need to identify an older adult’s
strengths and abilities during the assessment and encourage independence as an
integral part of your plan of care.
2. A nurse suspects an older-adult patient is experiencing caregiver
neglect. Which assessment findings are consistent with the nurse’s
suspicions?
a. Flea bites and lice infestation
b. Left at a grocery store
c. Refuses to take a bath
d. Cuts and bruises
ANS: A
Caregiver neglect includes unsafe and unclean living conditions, soiled
bedding, and animal or insect infestation. Abandonment includes desertion at
a hospital, nursing facility, or public location such as a shopping center. Self-
neglect includes refusal or failure to provide oneself with basic necessities
such as food, water, clothing, shelter, personal hygiene, medication, and
safety. Physical abuse includes hitting, beating, pushing, slapping, kicking,
physical restraint, inappropriate use of drugs, fractures, lacerations, rope
burns, and untreated injuries.
3. A nurse is teaching a group of older-adult patients. Which teaching strategy
,is best for the nurse to use?
Provide several topics of discussion at once to promote independence
a. and making choices.
Avoid uncomfortable silences after questions by helping patients
b. complete their statements.
Ask patients to recall past experiences that correspond with their
c. interests.
d. Speak in a high pitch to help patients hear better.
ANS: C
Teaching strategies include the use of past experiences to connect new
learning with previous knowledge, focusing on a single topic to help the
patient concentrate, giving the patient enough time in which to respond
because older adults’ reaction times are longer than those of younger
persons, and keeping the tone of voice low; older adults are able to hear low
sounds better than high-frequency sounds.
4. An older patient has fallen and suffered a hip fracture. As a
consequence, the patient’s family is concerned about the patient’s ability
to care for self, especially during this convalescence. What should the nurse
do?
a. Stress that older patients usually ask for help when needed.
Inform the family that placement in a nursing center is a permanent
b. solution.
Tell the family to enroll the patient in a ceramics class to maintain
c. quality of life.
Provide information and answer questions as family members make
d. choices among care options.
ANS: D
Nurses help older adults and their families by providing information and
answering questions as they make choices among care options. Some older
adults deny functional declines and refuse to ask for assistance with tasks that
place their safety at great risk. The decision to enter a nursing center is never
final, and a nursing center resident sometimes is discharged to home or to
another less-acute residence. What defines quality of life varies and is unique
for each person.
5. What is the best suggestion a nurse could make to a family
requesting help in selecting a local nursing center?
Have the family members evaluate nursing home staff according to
a. their ability to get tasks done efficiently and safely.
Make sure that nursing home staff members get patients out of bed
b. and dressed according to staff’s preferences.
Explain that it is important for the family to visit the center and
c. inspect it personally.
, Suggest a nursing center that has standards as close to hospital
d. standards as possible.
ANS: C
An important step in the process of selecting a nursing home is to visit the
nursing home. The nursing home should not feel like a hospital. It is a home, a
place where people live. Members of the nursing home staff should focus on
the person, not the task. Residents should be out of bed and dressed according
to their preferences, not staff preferences.
6. A 70-year-old patient who suffers from worsening dementia is no
longer able to live alone. The nurse is discussing health care services and
possible long-term living arrangements with the patient’s only son. What
will the nurse suggest?
a. An apartment setting with neighbors close by
b. Having the patient utilize weekly home health visits
c. A nursing center because home care is no longer safe
That placement is irrelevant because the patient is retreating to a place
d. of inactivity
ANS: C
Some family caregivers consider nursing center placement when in-home
care becomes increasingly difficult or when convalescence from
hospitalization requires more assistance than the family is able to provide. An
apartment setting and the use of home health visits are not appropriate
because living at home is unsafe.
Dementia is not a time of inactivity but an impairment of intellectual
functioning.
7. A nurse is caring for an older adult. Which goal is priority?
a. Adjusting to career
b. Adjusting to divorce
c. Adjusting to retirement
d. Adjusting to grandchildren
ANS: C
LINKS FOR ALL ATI RESOURCES:
