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GERONTOLOGY FINAL EXAM QUIZ
2021
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VERSION 1
1. A nurse is caring for an older adult client who was admitted to a long term care facility
and requires total care. Which of the following is an appropriate nursing action while
providing mouth care?
Turn the client on his side before starting mouth care
2. A nurse is educng a group of assistive personnel about the care of older adult clients. The
nurse educator is including informon about the developmental tasks of older adults.
Which of the following should the nurse use as an example of a nursing action that best
meets the psychosocial tasks of older adults, according to Erikson?
-Providing the client’s opportunity to discuss their lives and losses
3. A nurse working in a community health center is completing an assessment of an older
adult female client. To which of the following findings should the nurse give immediate
action?
- Rales in the bases
4. An older adult client with a moderate hearing loss seeks medical attention in the clinic
The nurse can best meet the needs of the hearing impaired client by doing which of the
following?
Understanding that not all hearing impaired clients communicate the same way
5. A nurse is educng a group of older adult clients regarding their diet choices. Which of the
following diet modificons should the nurse recommend to the older adult clients?
Increased calcium older adults have lost bone density and are prone to fractures;
therefore, it is appropriate to recommend a diet that is high in calcium.
6. A nurse is asked to speak to a group of healthy, older adult clients about normal aging
and sexual response. The nurse should include in the discussion techniques to help the
clients adapt to which of the following?
Decreased vaginal lubricon older adult female pts may report painful intercourse
related to vaginal narrowing and decreased vaginal secretions. The nurse should suggest
the use of water-soluble lubricants with intercourse to ameliorate the effects of these
normal changes.
7. A nurse in a long term care facility is caring for an older adult client who has ben giving
a cane t assist with ambulon. Which of the following nursing actions puts the client at
risk?
Placing the can on the side of the client's weak side
,8. A nurse is caring for an 85 year old client. Which of the following assessment findings
should the nurse report to the provider immediately?
-Cannot discriminate between hot and cold sensons below the knee of the left
extremity lack of feeling or senson below the knee of the leg can be a manifeston of
poor circulon to that extremity.
9. A nurse is caring for an older adult client who is receiving multiple medicon. Which of
the following is an appropriate statement by the nurse?
-Receiving multiple medicons can lead to drug interactions
10. A nurse is caring for an older adult client who is being admitted to the hospital with abdominal
pan. During the initial assessment, the nurse notes that the client just nods and smiles in response
to the questions asked. Which of the following common developmental concerns is the client
exhibiting?
-hearing loss the senses often diminish with age and it is not unusual for older adult clients to
be hard of hearing. The nurse may not be receiving appropriate responses because the client is
hard of hearing. Hearing loss is not necessarily a normal physiological change of older adults and
should be further evaluated and treated.
11. A nurse is caring for an older adult client who is dying. The client tells the nurse, "I just
want to live one more month so I can see my grandchild get married." The nurse should
recognize that, according to Kubler-Ross' stages of grief, the client is in which stage?
-Bargaining
12. A nurse in a long-term care facility recognizes that there is potential for physical and
psychological abuse of older adult residents. Which of the following is the best nursing
action?
Provide staff with educon about the abuse of older adult clients and stress
management proactive intervention that will give staff members the informon and
skills that are necessary to prevent abuse in this setting. The nurse should recognize that
caring for older adult clients can be stressful and frustrng at times. Giving staff members
training for stress-management skills addresses this aspect of potential abuse.
13. A nurse is taking an older adult client's history. The client reports being depressed and
having difficulty sleeping for several months. In evalung the client's sleep disturbance,
the nurse should be guided by the knowledge of which of the following?
-Anxiety and depression frequently cause disturbed sleep patterns
14. A nurse is caring for a client who is in pain and is receiving a transdermal patch. The
nurse should understand that transdermal medicon should be applied to which of the
following places on older adult clients?
Hairless area of the torso circulon in the extremities decreases with age, therefore
when caring for an older adult client, topical or transdermal skin patches should be
applied to the torso where circulon is better.
, 15. A nurse is caring for an older adult client who is recovering from a left sided
cerebrovascular accident (CVA) and who has hemiparesis of the right arm and leg.
Which of the following is the best place for the nurse to arrange the items used for
hygiene when setting up the client's morning hygiene care supplies?
-Within the client's reach on the left side
16. A nurse is caring for an older adult client who came to the clinic reporting insomnia.
Which of the following questions should the nurse ask to asses the quality of the client's
sleep?
-Do you feel rested in the morning?
17. A nurse on a surgical unit reports that an older adult client is having periods of agiton at night that
include screaming out loudly for help. The nurse manager suggest several interventions to
decrease this behavior. Which of the following interventions should the nurse recognize is least
appropriate for an older adult client?
-requesting that the client’s PCP prescribe a sedve medicon. screaming usually indicates
that the client is afraid. Medicon may sedate the client, but it will not remove the fear. Sedve
medicon should be used very sparingly in a postoperve older adult client who may also be
receiving pain medicon.
18. A nurse in the ED is caring for an older adult client. Which of the following behaviors should
indicate to the nurse neglect of an older adult client by a caregiving family member?
-the client hasn’t been taking necessary medicons because the prescriptions have not been
filled by the family member neglect occurs when the client’s needs is not being met by the
caregiver
19. A nurse in a long-term care facility is caring for an older adult client who has dementia.
Which of the following assessment findings should the nurse recognize is most likely t be
seen in this client?
-Agnosia dementia refers to a group of symptoms involving progressive impairment
of brain function. Disorders that cause dementia include conditions that impair the
vascular or neurologic structures of the brain. Agnosia, the inability to identify familiar
objects is a key finding in dementia.
20. A nurse is evalung the plan of care for an older adult client that will be discharged home with a
home health aide. Currently, the client has a home health aide 4 hr a day to assist with meal
preparon and hygiene care. Which of the following should be the nurse’s primary consideron
when making changes to the client’s plan of care?
-effectiveness of the interventions for the client’s care.
21. A nurse in a day care center is conducting an in-service for assistive personnel (AP) about the
basic needs of older adult clients. Which of the following is an appropriate statement made by the
nurse?
-sleep cycles are impaired.
22. A nurse is performing an assessment on an older adult client. Which of the following
effects of the aging process should the nurse expect to see?