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N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ with Answers 2021/2022

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N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following actions should the nurse take first? A- Clarify the client list of medications with the pharmacist B- compare the current list against the new medication prescriptions C- investigate any discrepancies on that list D- ask the client about over the counter medications she is taking Answer- D The nurse should apply the nursing process priority-setting framework. The nurse can use the nursing process to plan client care and prioritize nursing actions. Each step of the nursing process builds on the previous step, beginning with assessment or data collection. Before the nurse can formulate a plan of action, implement a nursing intervention, or notify the provider of a change in the client’s status, she must first collect adequate data from the client. Assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision. When performing medication reconciliation, it is important that the nurse collect a list of all the medications the client takes in order to compare the full list of medications against any new medications the client will take. The list should include prescriptions, over-the-counter medications, and herbal and nutritional supplements. A- The nurse should clarify the client’s list of medications with the pharmacist, caregivers, providers, and the client; however, this is not the first action the nurse should take. B- The nurse should compare the medication list against any new prescriptions to ensure there is not any duplication of medications or potential medication interactions; however, this is not the first action the nurse should take. C- The nurse should investigate discrepancies on the list with the provider to prevent medication errors; however, this is not the first action the nurse should take. Exam 1? A nurse at a long-term care facility is planning care for a client who has Alzheimer's disease and wanders at night. Which of the following interventions should the nurse include in the plan? A- Place the client in wrist restraints at night B- request a prescription for a psychotropic medication C- assign the client to a room closer to the nurses station D- cheap the television on at night Answer- C The nurse should place the client who wanders in a room that allows for close observation. The nurse should provide clients who wander a safe place to walk and supervision when the client is ambulating. A- The nurse should protect the client from harm, but restraints can result in agitation. B- The nurse can administer a psychotropic medication to treat depression or emotional manifestations of Alzheimer’s disease, but not to treat wandering behaviors. D- The nurse should avoid the use of excessive light and sound stimulation for the client who has Alzheimer’s disease. This can cause further agitation and confusion for the client.

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N212 IGERO IATI ILEARNING ISYSTEM IRN I2.0 IGERONTOLOGY IFINAL IQUIZ


A Inurse Iis Icompleting Imedication Ireconciliation Ifor Ian Iolder Iadult Iclient Iwho Iis Ireceiving
Imultiple Imedications. IWhich Iof Ithe Ifollowing Iactions Ishould Ithe Inurse Itake Ifirst?

A- I Clarify Ithe Iclient Ilist Iof Imedications Iwith Ithe Ipharmacist
B- I compare Ithe Icurrent Ilist Iagainst Ithe Inew Imedication Iprescriptions
C- I investigate Iany Idiscrepancies Ion Ithat Ilist
D- I ask Ithe Iclient Iabout Iover Ithe Icounter Imedications Ishe Iis Itaking

Answer- ID
The Inurse Ishould Iapply Ithe Inursing Iprocess Ipriority-setting Iframework. IThe Inurse Ican Iuse Ithe
Inursing Iprocess Ito Iplan Iclient Icare Iand Iprioritize Inursing Iactions. IEach Istep Iof Ithe Inursing

Iprocess Ibuilds Ion Ithe Iprevious Istep, Ibeginning Iwith Iassessment Ior Idata Icollection. IBefore Ithe

Inurse Ican Iformulate Ia Iplan Iof Iaction, Iimplement Ia Inursing Iintervention, Ior Inotify Ithe Iprovider Iof Ia

Ichange Iin Ithe Iclient’s Istatus, Ishe Imust Ifirst Icollect Iadequate Idata Ifrom Ithe Iclient. IAssessing Ior

Icollecting Iadditional Idata Iwill Iprovide Ithe Inurse Iwith Iknowledge Ito Imake Ian Iappropriate Idecision.

IW hen Iperforming Imedication Ireconciliation, Iit Iis Iimportant Ithat Ithe Inurse Icollect Ia Ilist Iof Iall Ithe

Imedications Ithe Iclient Itakes Iin Iorder Ito Icompare Ithe Ifull Ilist Iof Imedications Iagainst Iany Inew

Imedications Ithe Iclient Iwill Itake. IThe Ilist Ishould Iinclude Iprescriptions, Iover-the-counter

Imedications, Iand Iherbal Iand Inutritional Isupplements.

A- IThe Inurse Ishould Iclarify Ithe Iclient’s Ilist Iof Imedications Iwith Ithe Ipharmacist,
Icaregivers, Iproviders, Iand Ithe Iclient; Ihowever, Ithis Iis Inot Ithe Ifirst Iaction Ithe InurseIshould
Itake.
B- IThe Inurse Ishould Icompare Ithe Imedication Ilist Iagainst Iany Inew Iprescriptions Ito Iensure
Ithere Iis Inot Iany Iduplication Iof Imedications Ior Ipotential Imedication Iinteractions;Ihowever,

Ithis Iis Inot Ithe Ifirst Iaction Ithe Inurse Ishould Itake.

C- IThe Inurse Ishould Iinvestigate Idiscrepancies Ion Ithe Ilist Iwith Ithe Iprovider Ito Iprevent
Imedication Ierrors; Ihowever, Ithis Iis Inot Ithe Ifirst Iaction Ithe Inurse Ishould Itake.




Exam I1?
A Inurse Iat Ia Ilong-term Icare Ifacility Iis Iplanning Icare Ifor Ia Iclient Iwho Ihas IAlzheimer's
Idisease Iand Iwanders Iat Inight. IWhich Iof Ithe Ifollowing Iinterventions Ishould Ithe Inurse

Ii nclude Iin Ithe Iplan?

A- I Place Ithe Iclient Iin Iwrist Irestraints Iat Inight
B- I request Ia Iprescription Ifor Ia Ipsychotropic Imedication
C- I assign Ithe Iclient Ito Ia Iroom Icloser Ito Ithe Inurses Istation
D- I cheap Ithe Itelevision Ion Iat Inight

Answer- IC
The Inurse Ishould Iplace Ithe Iclient Iwho Iwanders Iin Ia Iroom Ithat Iallows Ifor Iclose Iobservation.
I The Inurse Ishould Iprovide Iclients Iwho Iwander Ia Isafe Iplace Ito Iwalk IandIsupervision Iwhen

Ithe Iclient Iis Iambulating.

A- IThe Inurse Ishould Iprotect Ithe Iclient Ifrom Iharm, Ibut Irestraints Ican Iresult Iin Iagitation.
B- IThe Inurse Ican Iadminister Ia Ipsychotropic Imedication Ito Itreat Idepression Ior Iemotional
Imanifestations Iof IAlzheimer’s Idisease, Ibut Inot Ito Itreat Iwandering Ibehaviors.

D- IThe Inurse Ishould Iavoid Ithe Iuse Iof Iexcessive Ilight Iand Isound Istimulation Ifor Ithe Iclient
Iwho Ihas IAlzheimer’s Idisease. IThis Ican Icause Ifurther Iagitation Iand Iconfusion Ifor Ithe Iclient.

,N212 IGERO IATI ILEARNING ISYSTEM IRN I2.0 IGERONTOLOGY IFINAL IQUIZ


The Inurse Iat Ia Ilong-term Icare Ifacility Iis Iteaching Ian Iolder Iadult Iclient Iabout Iambulating
Iwith Ia Iquad Icane. IWhich Iof Ithe Ifollowing Istatements Ishould Ithe Inurse Iinclude Iin Ithe

Iteaching?

A- I Adjust Ithe Iheight Iof Ithe Icane Iso Ithat Iyou Ican Iflex Iyour Ielbow Iat I45 Idegrees
B- I hold Ithe Icane Iin Ithe Ihand Ion Ithe Istronger Iside Iof Iyour Ibody
C- I place Ithe Iflat Iside Iof Ithe Icane Iaway Ifrom Iyour Ifoot
D- I the Icane Iand Iyour Istronger Ileg Iat Ithe Isame Itime

Answer- Ib
The Iclient Ishould Ihold Ithe Icane Iwith Ithe Ihand Ion Ithe Istronger Iside Iof Iher Ibody Iso Ithat Ishe
Ican Imove Ithe Icane Ito Isupport Ithe Iweaker Ileg. IThis Iaction Iallows Ifor Ia Imore InormalIgait,

Iwith Ithe Iipsilateral Iarm Iand Iweaker Ileg Imoving Iat Ithe Isame Itime.

A- IThe Inurse Ishould Iinstruct Ithe Iclient Ithat Ithe Icane’s Iheight Ishould Iallow Ithe Ielbow ItoIbe
Islightly Iflexed. I IHaving Ia Iflexion Iof I45º Iwould Imake Ithe Icane Itoo Itall Ifor Isafe Iuse.

C- IThe Iclient Ishould Iplace Ithe Iflat Iedge Iof Ithe Ibase Iof Ithe Icane Ifacing Itoward Iher Ifoot.
IThis Iallows Ithe Iclient Ito Iambulate Iwithout Ithe Irisk Iof Igetting Iher Ifoot Icaught Iin Ithe IbaseIof

Ithe Icane Iand Ifalling.

D- IThe Inurse Ishould Iinstruct Ithe Iclient Ito Imove Ithe Icane Iand Iher Iweaker Ileg Iat Ithe Isame
Itime. IThis Iaction Iallows Ifor Ia Imore Inormal Igait Iwith Ithe Iipsilateral Iarm Iand IweakerIl eg

Imoving Iat Ithe Isame Itime.




A Inurse Iis Iperforming Ia Iskin Iassessment Ifor Ia Igroup Iof Iolder Iadult Iclients. IWhichIof
Ithe Ifollowing Ifindings Ishould Ithe Inurse Iidentify Ias Ia Ibenign, Iage Irelated Iskin

Ichange Icommonly Iseen Iin Iolder Iadult Iclients?

A- I Liver Ispots
B- INevi
C- I atopic Idermatitis
D- I psoriasis

Answer- Ia
Liver Ispots, Ialso Iknown Ias Iage Ispots Ior Ilentigines, Iare Iflat, Ibrownish-black Imacules Ithat
Iusually Ioccur Iin Isun-exposed Iareas Iof Ithe Ibody. IAging Iand Iexposure Ito Isunlight, Ior Iother

Iforms Iof Iultraviolet Ilight, Ican Iresult Iin Iincreased Ipigmentation. ILiver Ispots Iare Iextremely

Icommon Iafter I40 Iyears Iof Iage; Ithey Ioccur Imost Ioften Ion Ithe Iforearms, Ishoulders, Iface,

Iforehead, Iand Ibacks Iof Ithe Ihands, Iwhich Iare Ialso Ithe Iareas Iof Ihighest Isun Iexposure.

IThey Iare Iharmless Iand Ipainless, Ibut Ithey Ican Iaffect Ithe Iclient’s IcosmeticIappearance.

B- INevi Iare Imoles, Ia Igrowth Iof Ipigment-forming Icells Ithat Imight Ibe Ibenign Ior Imalignant.
IThe Inurse Ishould Iidentify Ithat Inevi Ioccur Ithroughout Ithe Ilifespan. IFurther Ievaluation Iof

Ithe Inevi Ishould Iinclude Ievaluation Iof Iany Iasymmetry, Iborder Iirregularity, Icolor Ivariation,

Idiameter, Iand Ievolution, Iwhich Ican Iindicate Imelanoma.

C- IAtopic Idermatitis, Ior Ieczema, Iis Ia Ichronic Iskin Idisorder Ithat Ioccurs Iin Iall Iages, Ibut Iis
Imore Icommon Iin Iinfancy Iand Ichildhood. IClients Iwho Ihave Iatopic Idermatitis Ican Ihave

Iscaly Iand Iitching Irashes.

D- IPsoriasis Iis Ia Icommon Iskin Iinflammation Iwith Ifrequent Iepisodes Iof Iredness, Iitching,
Iand Ithick, Idry, Isilvery Iscales Ion Ithe Iskin. IThe Inurse Ishould Iidentify Ithat Iwhile Igenerally Ia

, N212 IGERO IATI ILEARNING ISYSTEM IRN I2.0 IGERONTOLOGY IFINAL IQUIZ


benign Icondition, Ipsoriasis Iis Ia Ichronic, Irecurring Icondition Iin Iclients Iof Iall Iages, Imost
Icommonly Iin Iclients Ifrom I15 Ito I35 Iyears Iof Iage.




A Inurse Iin Ian Iassisted Iliving Ifacility Iis Iassessing Ian Iolder Iadult Iclient Iwho ImovedIin
Ithree Imonths Iago Ifollowing Ia Ideath Iof Ihis Ipartner. IThe Iclient Ireports IAwakening

Iearly Iin Ithe Imorning Iand Iadmit Ito Ifeeling Ivery Isad. IThe Inurse Ishould Iidentify Ithat

Ithe Iclient Iis Iexperiencing Iwhich Iof Ithe Ifollowing Itypes Iof I Grief?

A- I Anticipatory Igrief
B- I delayed Igrief
C- I acute Igrief
D- I disenfranchised Igrief

Answer- Ic
The Iclient Iexperiencing Iacute Igrief Iwill Ihave Iboth Isomatic Iand Ipsychological
I manifestations Iof Idistress, Isuch Ias Ithe Iinability Ito Isleep Iwell Ior Iprofound Isadness. IThe

Inurse Ishould Iidentify Ithat Ithis Iclient Iis Iexperiencing Iacute Igrief Iand Ifurther Iassess Ihis

Isupport Isystem, Iconcurrent Istressors Iin Ihis Ilife, Iand Ihis Iability Ito Imanage Istress.

A- IThe Inurse Ishould Iidentify Ianticipatory Igrief Ias Ian Iexpected Iresponse Ioccurring IpriorIto
Ian Iactual Iloss. IClients Iexperiencing Ianticipatory Igrief Imight Ibe Ipreoccupied Iwith Ithe

Ii mpending Iloss, Imake Iextensive Ifuneral Iarrangements, Ior Iexhibit Ia Ichange Iin Iattitude

Itoward Ithe Ilost Ithing Ior Iindividual.

B- IThe Iclient Iexperiencing Idelayed Igrief Iis Iunable Ito Iaccept Ithe Ireality Iof Ia Iloss. IThe
Iclient Iremains Iin Ithe Idenial Istage Iof Igrief Iand Iis Iunable Ito Iallow Ihimself Ito Iexperience

Ifeelings Iof Isorrow Iand Iloss.

C- IThe Iclient Iexperiencing Iacute Igrief Iwill Ihave Iboth Isomatic Iand Ipsychological
I manifestations Iof Idistress, Isuch Ias Ithe Iinability Ito Isleep Iwell Ior Iprofound Isadness. IThe

Inurse Ishould Iidentify Ithat Ithis Iclient Iis Iexperiencing Iacute Igrief Iand Ifurther Iassess Ihis

Isupport Isystem, Iconcurrent Istressors Iin Ihis Ilife, Iand Ihis Iability Ito Imanage Istress.

D- IThe Iclient Iexperiencing Idisenfranchised Igrief Icannot Iopenly Iacknowledge Ithe Iloss
Ibecause Iof Isocietal Ior Ireligious Inorms.




A Inurse Iis Iproviding Iteaching Ito Ia Iclient Iwho Iis Ito Istart Itaking Ialendronate Isodium.
IWhich Iof Ithe Ifollowing Irecommendations Ishould Ithe Inurse Iinclude Iin Ithe

Iteaching?

A- I The Imedication Imay Ibe Icrushed Iif Iyou Ihave Idifficulty Iswallowing Iit
B- I drink Ia Ifull Iglass Iof Imilk Iwhen Iyou Itake Ithe Imedication
C- I take Ithe Imedication Iat Ibedtime
D- I discontinue Ithe Imedication Iif Iyou Idevelop Iheartburn

Answer- Id
The Inurse Ishould Iinstruct Ithe Iclient Ito Istop Itaking Ithe Imedication Iif Ishe Idevelops
Iheartburn Ior Iif Iit Iworsens Iand Ito Icontact Iher Iprovider. IThis Iis Ian Iindication Ithat

Iesophageal Iirritation Ihas Ioccurred. IWays Ito Iavoid Ithis Iare Ito Itake Ialendronate Iwith I240

ImL I(8 Ioz) Iof Iwater Iand Ito Iavoid Ilying Idown Ifor I30 Ito I60 Imin Iafter Itaking Ithe Imedication.

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