ATI Gerontology Final, QUIZ ATI Learning Systems RN 3.0 Gerontology, Older Adult Final ATI Questions from previous exams

ATI Gerontology Final, QUIZ ATI Learning Systems RN 3.0 Gerontology, Older Adult Final ATI Questions from previous exams a nurse at a long term care facility is contributing to a plan for an older adult client who has dementia. which of the following interventions should the nurse include in the plan? use photographs as memory triggers a nurse is reinforcing teaching with an older adult client who is healthy and has chronic constipation about establishing a bowel retraining program. which of the following statements should the nurse include in the teaching? Increase the fiber content of your diet A nurse is caring for an older adult client who has a terminal illness. the client tells the nurse " I just want to live one more month so i can see my grand child get married" which of the following in Kubler-ross stages of grief should the nurse identify the client is experiencing? Bargaining A nurse us reinforcing teaching with a client who is to start taking alendronate sodium. Which of the following recommendation should the nurse include in the teaching? Discontinue the medication if you develop heartburn A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications which of the following action should the nurse take first? Ask the client about over the counter medications A nurse is reinforcing teaching with a group of healthy, older adult clients about age related changes and sexual response. Which of the following changes should the nurse include as an age related change? Decreased vaginal lubrication A nurse is reviewing the basic need of older adult clients with a group of assistive personnel, which of the following statements should he nurse include? Deep Sleep is decrease A Nurse is caring for an older adult client who has moderate hearing loss. Which of the following action should the nurse take to enhance communication? Speak at a moderate rate A nurse is caring for a client and is using a fentanyl transdermal patch for pain control. Which of the following actions should the nurse take when caring for this client? Avoid using heating patch A nurse at a long term care facility is reinforcing teaching with an older adult client about ambulating with a quad cane. Which one of the following statements should the nurse include in the teaching? Hold the cane on the stronger side of your body A nurse is transferring an older adult client who has right sided weakness from bed to a wheelchair. Which of the following action should t nurse take to provide a safe transfer? Maintain a straight back and bend at the knees A nurse collecting data from an older adult who has right sided heart failure. Which of the following findings is the nurse's priority to report? Weight has increased 0.91 kg (2 lb) in 24 hr. A nurse is caring for a patient who is using a CPM device following a right knee replacement. Which of the following actions should the nurse take when applying the CPM device? Line up the frame s=joints of the CPM to the clients knee. A nurse is reinforcing teaching with an older adult client about methods to improve sleep. Which of the following statements should the nurse include in the teaching? Go to the bed at the same time everynight A nurse is reinforcing teaching about skin changes in the older adult client with a newly licensed nurse. Which of he following findings should the nurse identify as benign, age related change commonly seen in older adult clients? Liver spots A nurse is reinforcing teaching with a client who is to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching? I should see a decrease in my PSA levels A nurse is collecting data afrom an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. Which of the following actions should the nurse take? Determine the client's usual sleep habits A nurse is caring for a client who has aphasia following a stroke. Which of the following actions should the nurse take? Present on idea at a time A nurse is collecting data from an older female client. Which of the following findings should the nurse identify as a priority? Rales heard in the bases of the lungs A nurse is collecting data from an older adult client who lives alone. Although the client is able to answer all questions appropriately, the nurse notes that the client has a decreased attentions span, expresses feelings of overwhelming sadness, and has low energy level. The nurse should identify that the client is exhibiting manifestations of which of the following disorders? Depression A nurse is collecting data from an older adult client who had a right sided stroke two days ago. For which of the following findings should he nurse notify the provider immediately? Increased restlessness A nurse is caring for an older adult client who reports that she has just retired and expresses feelings of loneliness due to the of daily interactions with coworkers. Which of the following responses should the nurse make? Do you know about the local senior group? A nurse in an adult day care is contributing to the development of treatment plans for older adult clients. Which of the following therapeutic strategies should the nurse use to help clients achieve ericksons developmental task for this age group? Reminiscence therapy A nurse is caring for an adult older client who is on bed rest. Which of the following foods should the nurse plan to include on the clients breakfast tray to prevent constipation? Stewed prunes A nurse is reinforcing teaching with an older adult client who had total hip athroplasty abut ambulating with a standard walker. Which of the following action by the client indicates understanding? The client moves the walker ahead 15.24 cm (6in) and then steps with the walker The nurse is assisting in the planning of an immunization clinic for older adults. At which of the following times should an older adult client receive the influenza vaccine? Annually in the fall A nurse is reinforcing teaching with an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching? Brisk walking will help prevent bones loss A nurse in an assisted living facility is assisting in the care of an older adult client who moved in 3 months ago following the death of his partner. The client reports awakening in the morning and admits to feeling very sad. The nurse should identify then the client is experiencing which of the following types of grief. Acute grief A nurse is collecting data from an 85 yr old client. Which of the following findings should the nurse report to the provider? Differences in pulse strength between lower extremities A nurse is reviewing the records of a group of older adults. Which of the following findings should the nurse identify as an unexpected manifestation of the aging process Obesity A nurse is assisting with the admission of an older adult client who has urinary incontinence and smells strongly of urine. The clients partner who has been caring for her a home, states the he is sorry and embarrassed about the unpleasant smell. Which of the following responses should the nurse make? It must be difficult to care for someone who is incontinence A nurse is caring for an older adult client who is expressing feelings of grief and longing for his earlier life. Which of the following actions should the nurse take? Listen attentively and allow the client to talk about the past A nurse is reinforcing teaching to a client with COPD and has been losing weight about ways to improve his nutritional intake. which of the following statements by the client indicate and understanding of the teaching? i should add grated cheese to sauces and vegetables A nurse is caring for an older adult client who has a hip fracture and is rating her pain at 8 on a 0 to 10 scale. Which of the following medications should the nurse adminster? oxycodone/acetaminophen 7.5/325 tablet PO A nurse at a long term care facility is contributing to the plan of 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? Assign the client to a room closer to the nurses station. A nurse is reinforcing teaching with an older adult client who is to start taking warfarin. Which of the following statement indicates the client understands the teaching i can continue to eat green salads A nurse is collecting data from an older adult client who has chronic pain. Which of the following effects of unrelieved pan should the nurse identify as a priority finding to report? Impaired mobility A nurse is reviewing the medical record of an older client. For which of the following medications should the nurse request a hearing assessment of the client? Furosemide A nurse is caring for an older adult client who is unresponsive following a stroke. Which of the following actions should the nurse take while providing mouth care. Turning the client in the side before starting oral care. A nurse is reinforcing teaching with a group of older adults clients about dietary needs. Which of the following dietary recommendations should the nurse include in the teaching? You should consume 1200 milligrams of calcium a day A nurse is conducting an admission assessment for an older adult client. Which of the following actions should the nurse take to collect subjective data? A. Leave the client a written questionnaire to fill out in private. B. Allow sufficient time for the client to respond to the questions. C. Talk to family members to obtain the client's health history. D. Obtain the health history from the client's medical record. B. Allow sufficient time for the client to respond to the questions. A nurse is caring for an older adult client. Which of the following physiological changes associated with aging can affect medication dosage in this client? A. Increased glomerular filtration rate B. Decreased body fat C. Decreased gastric motility D. Decreased gastric pH C. Decreased gastric motility A nurse is caring for an older adult client who has a new onset of Type 2 Diabetes Mellitus. Which of the following physiological changes can contribute to the development of Type 2 Diabetes? A. Increased production of insulin by the pancreas B. Decreased sensitivity to the circulating insulin C. Increased rate of glucose metabolism D. Decreased release of glycogen by the liver B. Decreased sensitivity to the circulating insulin A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). Which pf the following instructions should the nurse include regarding clients who are hearing impaired? A. Maintain eye contact with the clients. B. Stand to one side of the clients and speak into their good ears. C. Speak loudly with exaggerated enunciation. D. Ask only questions with yes or no answers. A. Maintain eye contact with the clients A nurse is caring for an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. Which of the following actions should the nurse take? A. Place the client's mattress on the floor. B. Restrain the client during the nighttime hours. C. Provide continuous orientation to the client. D. Turn out the lights in the client's room at night. A. Place the client's mattress on the floor. An older adult client tells a nurse at a health fair "I am always forgetting things. I cannot even remember where I parked my car! Do you think I have Alzheimer's disease?" Which of the following is a therapeutic response by the nurse? A. "Perhaps you should discuss your concerns with your doctor." B. "I am forgetful too. I can't remember where I parked my car either!" C. "You're probably just having 'senior moments.' Everyone has memory lapses." D. "That must be very upsetting. Can you tell me about your forgetfulness?" D. "That must be very upsetting. Can you tell me about your forgetfullness?" A nurse is participating in a committee that is developing age-appropriate care standards for older adult clients. Which of the following of Erikson's developmental tasks should the nurse recommend as the focus? A. Intimacy B. Identity C. Integrity D. Initiative C. Integrity A nurse is planning to administer diphenhydramine hydrochloride to an older adult client. Which of the following actions should the nurse plan to take prior to administration? A. Review the medical record for a client history of glaucoma. B. Plan to administer the medication 30 min prior to a meal. C. Explain to the client he will need to restrict his fluid intake once he takes the medication. D. Remind the client that his appetite might increase when starting the medication. A. Review the medical record for a client history of glaucoma. A nurse is developing a plan of care for a client who had a recent stroke and has a history of gastroesophageal reflux disease (GERD). For which of the following disorders should the nurse plan to monitor for? A. Duodenal ulcer disease