Chronic phycial diability
Rationale:
A nurse is reinforcing teaching with a newly hired assistive Physical diability is the most common reason older adult
personnel about her role in helping older adult clients lcients have diflculty performing ADLs. Self-care deficit,
with activities of daily living (ADLs). The nurse should the nursing diagnosis that describes the inability of the
explain that which of the following is the most common client to perform self-care activities necessary for optimum
factor that attects a client's ability to perform ADLs? health and cuntcion, is associated with several physcial
etiologic factors: acticvity interolerance, pain, neuromus-
cular impairment, sensory-perceptual impairment, mus-
culoskeletal impairment, and cognitive impairment.
Ask the client to express her reasons for refusing the
medication and document the event
A nurse is caring for a client who has Alzheimer's disease
and refuses to take her morning antihypertensive med-
Rationale:
ication. The client is oriented to name and place and is
Before interviewing or making a judgement about the
able to perform ADLs with minimal supervision. Which of
client's competence, the nurse should evaluate the client.
the following actions should the nurse take?
The nurse should then determine if the client's reason for
refusal can be addressed.
Navy bean soup
A nurse is reinforcing dietary teaching with an older client
Rationale:
who is on bedrest following development of deep vein
An older adult client who is on bedrest has an increased
thrombosis (DVT) about methods to increase peristal-
risk for constipation due to the decreased peristalsis asso-
sis. Which of the following high-fiber choices should the
ciated with the aging process. Increasing dietary fiber by
nurse recommend?
adding foods like legumes to the diet, as well as ensuring
adequate fluid intake, will promote bowel regularity.
Short-term memory
A nurse at a long-term care facility is assisting with with
planning care for a group of older adult clients. When Rationale:
The ability to process short-term memories decreases as
, ATI- Gerontology Exam Test Questions and Answers Graded A+
part of the aging process. As a result, older adult clients
might require reminders regarding their medications,
planning care, the nurse should consider that older adult
ADLs, or daily schedule. The nurse should recognize that
clients are most likely to exhibit a decrease in which of the
residents might have diflculty remembering their names
following?
from day to day, ask the same question repeatedly, or
need assistance remembering recent events.
Depression
Rationale:
A nurse in the clinic is assessing an older adult client for
Depression, an altered mood state characterized by de-
the second time this week. The client reports a decreased
creases every levels, insomnia, anorexia, and sadness, is a
energy level, insomnia, and anorexia. Diagnostic tests are
common condition among older adult clients. Depression
within the expected reference ranges. For which of the
can be a response to an acute or chronic illness. Depres-
following conditions should the nurse screen the client?
sion in older adult clients can also be the result of medica-
tions such as analgesics, antihypertensives, steroids, and
cardiovascular agents.
Integrity
A nurse is participating on a committee that is developing Rationale:
age-appropriate care standards for older adult clients. Integrity vs. despair is the conflict that older adult clients
Which of the following of Erikson's tasks should the nurse must resolve when they reflect on their lives and their
recommend as the focus? roles. If the client has achieved a sense of unity and ful-
fillment about life, she will accept death with a sense of
integrity, not fear.
Allow suflcient time for the client to respond to the ques-
tions
A nurse is collecting data from an older adult client. Which
of the following actions should the nurse take to collect Rationale:
subjective data? The nurse should recognize that it might take an old-
er adult client longer than other clients to process and
respond to questions. Consequently, the nurse shoulda