NURS6540 / NURS 6540 Exam Study Set Q & A (Latest): Advanced Practice Care of Frail Elders - Walden

NURS 6540 - Advanced Practice Care of Frail Elders Exam Study Set Q & A An 80 -year-old patient is in the terminal stage of Alzheimer disease. The treatment team meets with the patients who are angry and complain about a recent incident in which their parent's dentures were misplaced. The team members realize that: 1. anger at staff i s a sy mptom of grief and needs to be addressed. 2. anxiety about the meeting may have interfered with the children's affect. 3. material items are the focus for the children at this time. 4. the focus of control should shift to th e pa rent. When relocating from a family home to a continuing care community, the most crucial factor in an older person's adjustment is his or her: 1. level of economic independence. 2. perceived control of the move. 3. physical proximity to remaining fa mily . 4. risk -taking abilit y. A 78 -year -old male resident at a long -term care facility, who is a former business executive, has been smoking and extinguishing cigarettes in a paper cup in areas where smoking is prohibited. He has been informed repeatedly of the designated smoking a reas . The resident's behavior indicates an attempt to: 1. express self -transcendence. 2. maintain autonomy by exercising control. 3. maintain his previous professional role. 4. react against the facility's ageism. A gerontolog ical nurse is caring for an o lder adult who has been confined to home for the last 10 weeks due to illness. The patient is anxious, has multiple somatic complaints, and has become unable to follow instructions. The nurse knows that this phenomenon commonly occurs with: 1. environmenta l overload. 2. protective isolation. 3. selective inattention. 4. sensory deprivation. The gerontological nurse facilitates the benefits of life review by: 1. assisting the older adult to accept death as the inevitable last s tage . 2. changing the topic wh en a patient talks about his or her morbid past. 3. encouraging reminiscence, oral histories, and storytelling. 4. helping the older adult explore how spiritual involvement assists with stress relief. The holiday season is a ppro aching and a woman is admit ted to a psychiatric unit. She reports that her husband of 45 years passed away four weeks ago. She frequently cries, eats poorly, periodically complains of back and stomach aches, and has begun isolating herself. What type o f grief is this woman exhibitin g? 1. Acute 2. Anticipatory 3. Disenfranchising 4. Dysfunctional A 92 -year old patient, who recently underwent a below -the-knee leg amputation, is resisting attempts at rehabilitation. The most likely reason for the resista nce is that the patient: 1. has goals that differ from the rehabilitation care plan. 2. has too many disabilities to realistically plan for rehabilitation. 3. is too old to undergo rehabilitation. 4. requires a psychiatrist's assistance to deal with the lo ss. When the gerontological nur se in a clinic asks a 70 -year -old man about his sexual activity, he begins to cry and says, "I feel so bad for my wife; she is only 60, and I can't seem to satisfy her as often as I used to." Which is the nurse's most appro priate response? 1. "At your age, sexual activity diminishes because of changes in your circulation. I will explain this to your wife." 2. "Certain body functions, such as erection s, slow down with age. Could you tell me more about your sexual relations? F or instance, how often do you hav e intercourse?" 3. "Your problem is probably an emotional one. If you could relax, you would be as sexually active as you were 10 years ago." 4. "Y our problem is probably due to a decrease in your sexual hormones. This occu rs naturally as people age." An alert and oriented 82 -year -old woman, who lives with her daughter, has been admitted to the hospital with bruises about the face and head. The dau ghter reports that her mother fell. Which behavior by the daughter raises th e greatest suspicion of elder abus e? 1. Becoming defensive when questions are asked 2. Complaining about care delivered by hospital staff 3. Giving an illogical account of her moth er's fall 4. Refusing to leave her mother alone to answer questions In tea chin g an older adult client, the ge rontological nurse's most appropriate initial strategy is to: 1. assess the client and individualize the teaching methods. 2. set a slow learning pace and begin teaching simple concepts. 3. teach slowly and use repetition . 4. use demonstration and provide ample opportunity for practice. In preparing a presentation for older adults, a gerontological nurse keeps in mind that: 1. older adults are un likely to participate in educational programs due to lack of interest. 2. ol der adult learners are heterogeneous due to diverse educational experiences and learning strategies. 3. the ability to acquire knowledge from a verbal presentation decreases with a ge more than the ability to acquire knowledge through reasoning. 4. the age -related decline in intellectual perf ormance creates obstacles for acquiring new information. Members of a family are caring for their father at home. Which statement by a family member indicates a need for teaching and caregiver instruction? 1. "Dad has gott en lazy about his bathroom habits . He blames his arthritis medication for his toileting acc idents." 2. "Dad's room is close to the bathroom and we keep a light on for him at night." 3. "It's inconvenient, but we stop other activities to remind Dad to g o to the bathroom on a regular schedu le." 4. "We try to avoid coffee and tea at night, but Dad really likes a cup of coffee for breakfast." When hospital quality assurance indicators are assigned, the nursing staff strives to: 1. avoid emphasizing perfor manc e deficits. 2. decrease patient fa lls. 3. focus on achieving 100% compliance. 4. identify h igh-risk, high -volume, or problem -prone areas. The most appropriate environment for a person with chronic dementia is one that: 1. changes often to decrease bo redo m. 2. contains familiar objects. 3. is limited in color and sound. 4. is stimulating so as to challenge thought.