HESI GERONTOLOGY RN

1 HESI GERONTOLOGY RN Which is a common age-related physical change that may affect digestion and food intake? DECREASED MOTILITY IN THE ESOPHAGUS Which of the following is true about nutrition for older adults? TRANSPORTATION CAN BE A CRITICAL FACTOR IN NUTRITIONAL INSUFFICIENCY IN OLDER ADULTS Which of the following is a true statement about dental health in older adults? DENTURES SHOULD BE CLEANED ONCE A DAY BY BRUSHING AND SOAKING IN A CLEANSING SOLUTION Which intervention should the nurse use to decrease the risk of burns during mealtime in pts with mental and physical impairments? ASSIST PTS WITH WARM DRINKS The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement? PROVIDE NUTRITIOUS FOOD ACCORDING TO THE RESIDENTS’ EXPRESSED FOOD PREFERENCES WITH A LIBERAL USE OF SEASONINGS THAT DO NOT EXCEED ANY SODIUM RESTRICTIONS The nurse instructs the UAP to feed an older adult. If the nurse is unable to observe feeding directly, then which action should the nurse use to access the older adult’s risk for aspiration immediately after feeding? INSPECT FOR POCKETING An older adult with a G-tube has difficulty using the dominant hand. Which of the following should the nurse provide to prevent complications of the G-tube? PROVIDE ORAL CARE Q4H The nursing home staff needs assistance to properly food the residents who need assistance with feeding. Which of the following should the nurse implement to ensure that the residents are properly feed? DRAW ON THE AVAILABILITY OF FAMILY MEMBERS WHO ARE ABLE TO FOLLOW DIRECTIONS The nurse is feeding an older adult pt with hemiparesis as a result of a stroke. Which intervention by the nurse is most important when feeding this pt? ALLOW TIME TO EMPTY MOUTH BETWEEN BITES The nurse is educating the pt who has been recently dx with osteoporosis on foods high in Ca. the nurse should include which food choice? PLAIN YOGURT Which increases the risk for chronic dehydration in older adults? POOR COGNITIVE FUNCTION Which of the following is true about fluid intake for older adults? mL DAILY The nurse notices that the older adult’s urine is greenish-brown. Which step should the nurse implement next? DETERMINE FLUID VOLUME STATUS Which of the following is a true statement about sleep in older adults? THE TIME SPENT IN BED INCREASES, BUT THE TIME SPENT ASLEEP DECREASES 2 An older man has AD, and his wife says he is up and wandering around the house at night. Which intervention should the nurse implement to increase the man’s duration of sleep? INSTRUCT THE WIFE TO INCREASE HIS DAILY PHYSICAL ACTIVITY Exercise is prescribed for an older adults as therapy to improve which of the following qualities? MUSCLE STRENGTH Which of the following is important to include in the initial assessment for older adults who are frail and beginning an exercise program? MED HX AND PHYSICAL EXAM During the night, an older woman complains to the nurse that she has not slept more than 2 hrs since admission to the hospital. Which intervention should the nurse implement to increase the duration of this woman’s sleep? INQUIRE ABOUT HER SLEEP HABITS USED AT HOME What is the difference between rest and sleep? SLEEP IS RESTORATIVE AND RECUPERATIVE An older woman maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night. Which intervention should the nurse implement to improve the quality of this woman’s sleep? INQUIRE ABOUT HER NIGHTLY SLEEP RITUALS The nurse completes an admission assessment on the older adult pt. the nurse identifies which factor that may contribute to sleep problems? POLYPHARMACY The nurse expresses concern about a female nursing home resident in the team meeting. Which resident information determines the team’s priority in planning her care? NEEDS INCREASING HELP WITH PERSONAL HYGIENE A nursing home resident who has type 1 DM is gradually requiring more and more insulin on a PRN basis to treat hyperglycemia. Which of the following should the nurse assess to plan care for improving this individual’s glucose metabolism? TRENDS OVER TIME IN ACTIVITY LEVEL Which one of the following is a true statement about motility and safety for older adults? LOWERING THE BED AND FLOURESCENT TAPES ARE INTERVENTIONS TO INCREASE SAFETY The nurse can place an older adult into one of 4 pt rooms. Which is the most suitable room for an older pt? ROOM WITH ORANGE CARPETING AND SOFT LIGHTING Which of the following is a true statement about assistive devices to aid older adults with impaired mobility? A CANE IS MOST USEFUL FOR UNILATERAL DISABILITIES BUT NOT BILATERAL PROBLEMS The HCP has not ordered the use of a restraint for an alert pt at high risk for falling. The nurse should implement which side rail use? ONE ½ LENGTH RAIL 3 The nurse assess the quality of which of the following pt characteristics when applying the GetUp and Go test from the Hendrich II Fall Risk Model? BALANCE An older woman who receives IV fluids is making wide gesticulations with her arms and loudly insulting the nursing staff. Which intervention should the nurse implement to maintain safe, effective nursing care initially? DETERMONE THE PTS NEEDS The nurse determines that the older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult? HELP HIM LEARN HOW TO USE AN ASSISTIVE DEVICE The nurse is discharging an older woman who uses a walker from rehabilitative care. Which observation does the nurse use to determine whether the pt is prepared for discharge? SHE TAKES THE WALKER TO THE ELEVATOR Which of the following statements is true about the role of grandparents? TODAY, MANY GRANDPARENTS ARE THE PRIMARY CAREGIVERS OF THEIR GRANDCHILDREN An older man is being abused by his daughter, a single working mother of 4 children, with whom he lives. The nurse investigates and learns that the abuse is due to situational stress. Which of the following interventions should the nurse implement to address the ST crisis? ARRANGE RESPITE CARE OR DAY CARE FOR THE PT Which disease has become known as the “great imitator?” HIV Which is the most important element for older adults to have for enhancing the transition into retirement? PRERETIREMENT PLANNING Which one of the following older adults is most likely to need preretirement counseling to avoid significant concerns in retirement? MEXICAN-AMERICAN WOMAN WHO RECEIVES CASH FOR CLEANING SERVICES The community health nurse delivers a program to middle-aged adults about retirement planning and wants them to choose the yr of their retirement. Which is the most important area of which the participants should focus to ease the transition to retirement? ABILITY TO MAINTAIN A STABLE STANDARD OF LIVING Which of the following older adults has the highest economic risk in retirement at the beginning of retirement? DIVORCED WOMAN WHO HAS LIVED IN THIS COUNRTY FOR 3 YRS As the wife of a university president, an older woman met exciting people and traveled extensively until her husband died. Besides losing an intimate partner, the nurse identifies that this woman is most likely to grieve for the loss of which area of her life? STATUS IN THE COMMUNITY Which of the following statements is true about Parkinson Disease? OLDER ADULTS TAKING RASAGILINE (AZILECT) MUST AVOID EATING FOODS CONTAINING TYRAMINE 4 Which of the following statements is true about dysarthria? DOES NOT AFFECT INTELLIGENCE The nurse prepares to discharge an older man who has HF and is in stable condition, when his wife states that she will avoid sexual activities with him because of his heart disease. Which of the following factors should the nurse use in pt teaching about sexual activity for an older adult with HF? FEAR AND LACK OF KNOWLEDGE CAN CAUSE OLDER PEOPLE TO REDUCE THEIR SEXUAL ACTIVITY UNNECESSARILY An older woman recently lost her brother, provides care for her husband who has health needs, and must move to a new location after 35 yrs in the same home. When she comes to the primary care facility with clinical indicators of influenza, the nurse recognizes which of the following? CRISIS AND STRESSORS CAN IMPAIR PHYSICAL HEALTH Which of the following statements is true about the mental health of older adults? THE NURSE AVOIDS ANTIANXIETY MEDS WITHOUT AN ASSESSMENT FOR FACTORS ASSOCIATED WITH ANXIETY An older female resident lowers her voice and tells the nurse that another resident is looking at her behind her back and is going to make her move tonight with a male staff member. Which ideas should the nurse include in the response to this individual? USE THE CALL BELL IS SHE BEOMES FRIGHTENED Which of the following statement is true concerning suicide among older adults? A MAJOR CRISIS EXPERINCED BY THE PT CAN CONTRIBUTE TO THE RISK OF SUICIDE You are evaluating the POC for an older adult who is alcohol-dependent. Which pt documentation indicates the need for follow-up nursing interventions by the nurse? PT STATES THAT HE INTENDS TO DECREASE HIS ALCOHOL CONSUMPTION Which assessment finding for an older adult living in an ALF indicated the highest risk for suicide? OLDER ADULT DECLINES COMPANY, IS PREOCCUPIED WITH LEATHAL WEAPONS To help older adults maintain a healthy mental state, the nurse plans activities at a community center to promote the developmental stages of older adulthood. Which nursing intervention is suitable for the nurse’s plan? PARTICIPATE AT A SOUP KITCHEN FOR OTHER PEOPLE WHO ARE HOMELESS Name the theory of aging that suggests that the adverse physical effects of aging are the result of a gradual loss of control mechanisms in the pituitary and hypothalamus. NEUROENDOCRINE THEORY