ATI Gerontology Final Exam & Prep Quiz

ATI GERONTOLOGY FINAL EXAM & PREP QUIZ 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 educating a group of assistive personnel about the care of older adult clients. The nurse educator is including information 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 educating a group of older adult clients regarding their diet choices. Which of the following diet modifications 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 lubrication  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 ambulation. 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 sensations below the knee of the left extremity  lack of feeling or sensation below the knee of the leg can be a manifestation of poor circulation to that extremity. 9. A nurse is caring for an older adult client who is receiving multiple medication. Which of the following is an appropriate statement by the nurse? -Receiving multiple medications 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 education about the abuse of older adult clients and stress management  proactive intervention that will give staff members the information 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 frustrating 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 evaluating 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 medication should be applied to which of the following places on older adult clients? Hairless area of the torso  circulation 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 circulation 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 agitation 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 sedative medication.  screaming usually indicates that the client is afraid. Medication may sedate the client, but it will not remove the fear. Sedative medication should be used very sparingly in a postoperative older adult client who may also be receiving pain medication. 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 medications 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 evaluating 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 preparation and hygiene care. Which of the following should be the nurse’s primary consideration 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? -Increased urinary frequency 23. A nurse is performing a skin assessment on an older adult client Which of the following findings should the nurse recognize as a benign, age related skin change commonly seen in older adult clients? -Liver spots age spots or lentigines are flat, brownish black macules that usually occur in sun-exposed areas of the body. Unrelated to the liver or liver function. 24. A nurse runs a day care treatment group for older adult clients. Which of the following intervention strategies should the nurse recognize is the most appropriate to help the clients achieve their developmental task, according to Erikson? -Reminiscence therapy 25. A nurse is an assisted living facility is assessing an older adult client who moved in 3 months ago following the death of a spouse. The nurse notes that the client has frequently forgotten to take prescribed medications and has been skipping meals. The client reports awakening early in the morning and admits to feeling very sd. which of the following statements should guide the nurse in planning care for this client? -Unresolved grief in response to loss is a major factor in depression and subsequent suicide in older adults 26. A nurse is transferring an older adult client wh