Hesi Geriatric Study Guide Questions With Complete Solutions

Hesi Geriatric Study Guide Questions With Complete Solutions The theory that identifies an unstable molecule as the causative factor in aging is the _____ theory. - CORRECT ANSWERS free radical What fact explains the shift of health care focus toward the older adult in the late 1960s? - CORRECT ANSWERS Preventive health care practices increased longevity. The Certified Nursing Assistant (CNA) caring for an older adult asks if the yellow, waxy, crusty lesions on the patient s axilla and groin are contagious. Which response shows the nurse s understanding for the cause of the lesions? - CORRECT ANSWERS No. It is seborrheic dermatitis caused by excessive sebum. What does the presence of a caregiver provide for the older adult living at home? - CORRECT ANSWERS Source of motivation What can suppress the defecation reflex? - CORRECT ANSWERS Repeatedly ignoring the urge When do the conditions of a living will go into effect? - CORRECT ANSWERS When two physicians agree in writing that the criteria in the living will have been met What housing option for the older adult offers the privacy of an apartment with restaurant-style meals and some medical and personal care services? - CORRECT ANSWERS Assisted-living center The nurse must tell a 94-year-old resident of a nursing home that his wife has fallen and has been hospitalized with a broken hip. What is the most effective method for the nurse to deliver the news? - CORRECT ANSWERS Gather all pertinent information that is accurate. Which assessment finding is the cardinal signs and symptoms of congestive heart failure? - CORRECT ANSWERS Dyspnea and edema The patient asks the nurse to describe the neuroendocrine theory of aging. What would be an appropriate response by the nurse? - CORRECT ANSWERS The stimulation and/or inhibition of the hypothalamus causes age-related changes. The home health nurse suggests to the 82-year-old man that he should wear a Medic Alert bracelet. Which of the following health conditions prompted the nurse to make this suggestion? - CORRECT ANSWERS Pacemaker Which patient would require special precautions when the nurse is performing a digital rectal exam? - CORRECT ANSWERS Patient with congestive heart failure The home health nurse is discussing oral hygiene with the older adult. Which practice would be appropriate to add to the current maintenance plan? - CORRECT ANSWERS Using a fluoride toothpaste What is a cause of pernicious anemia? - CORRECT ANSWERS A deficiency of vitamin B12 A 70-year-old male patient taking corticosteroids for rheumatoid arthritis asks the nurse if he should take the vaccination to prevent shingles. What would be the nurse's most helpful response? - CORRECT ANSWERS "No. Persons with impaired immune systems should not take that vaccine." What is the correct term for the area between 18 inches and 4 feet of a person? - CORRECT ANSWERS Personal space What can the nurse do to improve communication with an older adult patient who has a hearing impairment? - CORRECT ANSWERS Speak in a low tone, bending close to the patient. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? - CORRECT ANSWERS American Association of Retired Persons (AARP) What is a symptom of inadequate insulin coverage in a patient with diabetes mellitus type I? - CORRECT ANSWERS Ketones in the urine