Gerontological Nursing Exam 3 Questions And Rationale
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When a cognitively impaired, wealthy, white client is noted to have burns on
her upper back, her son states that the patient burned herself when attempting
to shower. Which statement by a member of the team reflects a need for
further education on elder abuse? (Select all that apply.)
a. "She is wealthy; abuse does not happen in people of financial means."
b. "Even if we are not sure, we are legally bound to report our suspicions."
c. "We need to consider that most abusers are either adult children or
spouses."
d. "Her cognitive deficiencies put her at risk for elder abuse."
e. "The client is white and race places an important role in who is likely to be
abused."
a. "She is wealthy; abuse does not happen in people of financial means."
e. "The client is white and race places an important role in who is likely to be
abused."
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A nurse is preparing education for a group of older adults and caregivers at a
senior center on elder abuse. The nurse is preparing to discuss seniors who
are more likely to be abused or neglected. The nurse includes which of the
following? (Select all that apply.)
a. Individuals with cognitive impairment
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b. Individuals who abused the caregiver earlier in life
c. Individuals who live in an institutional setting
d. Individuals who are married and living with a spouse
e. Men living alone or in a household with family members
a. Individuals with cognitive impairment
b. Individuals who abused the caregiver earlier in life
c. Individuals who live in an institutional setting
A nurse suspects elder mistreatment in which of the following patients seen in
the emergency department? (Select all that apply.)
a. An 85-year-old male with cardiac disease who is taking blood thinners and
has multiple bruises on his arms and hands.
b. An 86-year-old female nursing home resident admitted to the hospital with
vaginal bleeding and three large bruises on her inner thigh.
c. A 77-year-old woman who fell at home and broke her arm after tripping over
her cat.
d. A 73-year-old man with a history of gastric ulcers who is vomiting blood and
found to be anemic and has a low BMI.
e. A 69-year-old man with a history of diabetes who is admitted for diabetic
foot ulcers wearing dirty clothing and smells like urine.
b. An 86-year-old female nursing home resident admitted to the hospital with vaginal
bleeding and three large bruises on her inner thigh.
e. A 69-year-old man with a history of diabetes who is admitted for diabetic foot
ulcers wearing dirty clothing and smells like urine.
You have four rooms to choose from for your older client to be admitted this
afternoon. Which room would you choose?
a. A brightly lit, blue room with cozy throw rugs
b. An orange-carpeted room with soft lighting and yellow walls
c. A brightly lit, blue room with an EZ-Glide wax floor
d. A fluorescent-lighted room with green walls and a glossy, tiled floor
b. An orange-carpeted room with soft lighting and yellow walls
An older adult client shares with the nurse that, "I don't know what it is but it
seems that I need more light for reading or even watching television as I get
older." The nurse explains that aging may cause this change due to the:
a. yellowing of the lens.
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b. impact arcus senilis has on visual acuity
c. flattening and thinning of the cornea.
d. retinal changes that begin to occur with aging
a. yellowing of the lens.
A 77-year-old client being treated for angle-closure glaucoma asks the nurse
what caused his glaucoma. The nurse's response is:
a. the angle of the iris causes obstruction of fluid in the eye.
b. spasms of the orbicular muscle.
c. changes to the suspensory ligaments, ciliary muscles, and parasympathetic
nerves.
d. bits of broken coalesced vitreous from the peripheral or central part of the
retina
a. the angle of the iris causes obstruction of fluid in the eye.
An older man tells a nurse, "The doctor says I have something wrong with my
eyes, something called presbyopia. Can you explain why I have this? I was
always fortunate to have good eyesight." The nurse formulates a response
based on the knowledge that:
a. the lens of the eye loses elasticity causing a loss of focus for near objects.
b. the cornea of the eye becomes thicker and less curved causing an increase
in astigmatism.
c. the lens of the eye increases in opacity causing a decrease in light
refraction.
d. the cornea of the eye forms a gray ring at the edges
a. the lens of the eye loses elasticity causing a loss of focus for near objects.
An older resident in a long-term care facility reports to the nurse that she has
been noticing changes in her vision, including the appearance of halos around
objects and a yellow tint to most objects. The nurse knows that these
complaints are most often associated with:
a. cataracts.
b. glaucoma.
c. diabetic retinopathy.
d. age-related macular degeneration
a. cataracts.