ATI Gerontology Final Quiz with Verified Answers Graded A+
A nurse is completing medication reconciliation for an d. Ask the client about over-the-counter medications she
older adult client who is receiving multiple medications. is taking.
which of the following actions should the nurse take first?
a. Clarify the client's list of medications with the pharma- Rationale: When performing medication reconciliation,
cist. it is important that the nurse collect a list of all the
b. Compare the current list against the new medication medications the client takes in order to compare the
prescriptions. full list of medications against any new medications the
c. Investigate any discrepancies on the list. client will take. The list should include prescriptions,
d. Ask the client about over-the-counter medications she over-the-counter medications, and herbal and nutritional
is taking. supplements.
A nurse at a long-term facility is planning care for a client
who has Alzheimer's disease and wanders at night. which c. Assign the client to a room closer to the nurse's station.
of the following interventions should the nurse include in
the plan? Rationale: The nurse should place the client who wanders
a. Place the client in wrist restraints at night. in a room that allows for close observation. The nurse
b. Request a prescription for a psychotropic medication. should provide clients who wander a safe place to walk
c. Assign the client to a room closer to the nurse's station. and supervision when the client is ambulating.
d. Keep the television on at night.
A nurse at a long-term care facility is teaching an older
adult client about ambulating with a quad-cane. Which of b. "Hold the cane in the hand on the stronger side of your
the following statements should the nurse include in the body."
teaching?
a. "Adjust the height of the cane so that you can flex your
elbow at 45 degrees." Rationale: The client should hold the cane with the hand
b. "Hold the cane in the hand on the stronger side of your on the stronger side of her body so that she can move the
body." cane to support the weaker leg. This action allows for a
c. "Place the flat side of the cane away from your foot." more normal gait, with the ipsilateral arm and weaker leg
d. "Move the cane and your stronger leg at the same moving at the same time.
time."
A nurse is performing skin assessments for a group of
older adult clients. Which of the following findings should
the nurse identify as a benign, age-related skin change
, a. Liver spots
Rationale: Also known as age spots or lentigines, are flat,
brownish-black macules that usually occur in sun-exposed
areas of the body. Aging and exposure to sunlight, or other
forms of ultraviolet light, can result in increased pigmen-
tation. Liver spots are extremely common after 40 years
of age; they occur most often on the forearms, shoulders,
face, forehead, and backs of the hands, which are also
the areas of highest sun exposure. They are harmless and
painless, but they can attect the client's cosmetic appear-
ance.
A nurse in an assisted living facility is assessing an older c. Acute grief
adult client who moved in 3 months ago following the
death of his partner. The client reports awakening early
in the morning and admits to feeling very sad. The nurse
should identify that the. client is experiencing which of the Rationale: The client experiencing acute grief will have
following types of grief? both somatic and psychological manifestations of distress,
a. Anticipatory grief such as the inability to sleep well or profound sadness. The
b. Delayed grief nurse should identify that this client is experiencing acute
c. Acute grief grief and further assess his support system, concurrent
d. Disenfranchised grief stressors in his life, and his ability to manage stress.
d. "Discontinue the medication if you develop heart-
A nurse is providing teaching to a client who is to start burn."
taking alendronate sodium. Which of the following rec-
ommendations should the nurse include in the teaching?
a. "The medication may be crushed if you have diflculty
swallowing it." Rationale: The nurse should instruct the client to stop
b. "Drink a full glass of milk when you take the medica- taking the medication if she develops heartburn or if it
tion." worsens and to contact her provider. This is an indication
that esophageal irritation has occurred. Ways to avoid this
A nurse is completing medication reconciliation for an d. Ask the client about over-the-counter medications she
older adult client who is receiving multiple medications. is taking.
which of the following actions should the nurse take first?
a. Clarify the client's list of medications with the pharma- Rationale: When performing medication reconciliation,
cist. it is important that the nurse collect a list of all the
b. Compare the current list against the new medication medications the client takes in order to compare the
prescriptions. full list of medications against any new medications the
c. Investigate any discrepancies on the list. client will take. The list should include prescriptions,
d. Ask the client about over-the-counter medications she over-the-counter medications, and herbal and nutritional
is taking. supplements.
A nurse at a long-term facility is planning care for a client
who has Alzheimer's disease and wanders at night. which c. Assign the client to a room closer to the nurse's station.
of the following interventions should the nurse include in
the plan? Rationale: The nurse should place the client who wanders
a. Place the client in wrist restraints at night. in a room that allows for close observation. The nurse
b. Request a prescription for a psychotropic medication. should provide clients who wander a safe place to walk
c. Assign the client to a room closer to the nurse's station. and supervision when the client is ambulating.
d. Keep the television on at night.
A nurse at a long-term care facility is teaching an older
adult client about ambulating with a quad-cane. Which of b. "Hold the cane in the hand on the stronger side of your
the following statements should the nurse include in the body."
teaching?
a. "Adjust the height of the cane so that you can flex your
elbow at 45 degrees." Rationale: The client should hold the cane with the hand
b. "Hold the cane in the hand on the stronger side of your on the stronger side of her body so that she can move the
body." cane to support the weaker leg. This action allows for a
c. "Place the flat side of the cane away from your foot." more normal gait, with the ipsilateral arm and weaker leg
d. "Move the cane and your stronger leg at the same moving at the same time.
time."
A nurse is performing skin assessments for a group of
older adult clients. Which of the following findings should
the nurse identify as a benign, age-related skin change
, a. Liver spots
Rationale: Also known as age spots or lentigines, are flat,
brownish-black macules that usually occur in sun-exposed
areas of the body. Aging and exposure to sunlight, or other
forms of ultraviolet light, can result in increased pigmen-
tation. Liver spots are extremely common after 40 years
of age; they occur most often on the forearms, shoulders,
face, forehead, and backs of the hands, which are also
the areas of highest sun exposure. They are harmless and
painless, but they can attect the client's cosmetic appear-
ance.
A nurse in an assisted living facility is assessing an older c. Acute grief
adult client who moved in 3 months ago following the
death of his partner. The client reports awakening early
in the morning and admits to feeling very sad. The nurse
should identify that the. client is experiencing which of the Rationale: The client experiencing acute grief will have
following types of grief? both somatic and psychological manifestations of distress,
a. Anticipatory grief such as the inability to sleep well or profound sadness. The
b. Delayed grief nurse should identify that this client is experiencing acute
c. Acute grief grief and further assess his support system, concurrent
d. Disenfranchised grief stressors in his life, and his ability to manage stress.
d. "Discontinue the medication if you develop heart-
A nurse is providing teaching to a client who is to start burn."
taking alendronate sodium. Which of the following rec-
ommendations should the nurse include in the teaching?
a. "The medication may be crushed if you have diflculty
swallowing it." Rationale: The nurse should instruct the client to stop
b. "Drink a full glass of milk when you take the medica- taking the medication if she develops heartburn or if it
tion." worsens and to contact her provider. This is an indication
that esophageal irritation has occurred. Ways to avoid this
