Test Bank For Ebersole and Hess' Gerontological
Nursing & Healthy Aging, Canadian Edition
A client was diagnosed with depression shortly after relocating to the nursing home 6
weeks ago. What intervention should the nurse perform to address her depression?
A - Teach the client about the problem of suicide in older adults.
B - Direct the client to list all the positive aspects of her present circumstances.
C - Provide opportunities for the client to engage with other residents.
D - Appoint another resident as a "buddy" to accompany the client during the day. -
ANSWER Provide opportunities for the client to engage with other resident
Social, recreational, and cultural activities have the potential to aid in the treatment of
depression. Appointing a "buddy", however, may be unfair to the other resident.
Asking an individual to focus on positives and teaching about suicide are unlikely to
alleviate the signs and symptoms of depression.
Which of the following interventions can assist nursing home residents in promoting
their psychosocial health?
A - Adapting the environment to compensate for residents' sensory impairments
B - Dressing residents exclusively for ease in going to and from the restroom
C - Planning dining room arrangements according to room and hall assignments
D - Positioning the residents who are in wheelchairs solely for ease in getting out of
the dining area - ANSWER Adapting the environment to compensate for residents'
sensory impairments
Table and room arrangements should be made in a way that promotes social
relationships. Older adults should be allowed to choose between at least two
alternatives when dressing. Residents in wheelchairs should be positioned to
promote social interaction.
A nurse on a subacute, geriatric medicine unit is aware that patients' levels of
psychosocial functioning have a significant impact on multiple aspects of their lives.
Which of the following consequences is known to result from impaired psychosocial
function?
A - Cerebrovascular accident (stroke)
B - Elevated blood glucose level
C - Anxiety
D - Increased independence - ANSWER Anxiety
Anxiety is a common result of impaired psychosocial function in older adults. It is
less likely to result in hyperglycemia or stroke and it is not associated with increased
independence.
Which of the following statements about cholinesterase inhibitors is true?
,A - Exelon (Rivastigmine) is more likely to interact with other drugs and may be
poorly tolerated.
B - Older adults should have a "drug holiday" with the cholinesterase inhibitors to
improve their functioning.
C - Nausea, vomiting, diarrhea, and loss of appetite can be prevented or reduced by
starting with a low dose.
D - Galantamine (Reminyl) is effective only for behavioral symptoms with Alzheimer's
and vascular dementia. - ANSWER Nausea, vomiting, diarrhea, and loss of
appetite can be prevented or reduced by starting with a low
When administering medications to older adults, it is imperative to start with lower
doses and increase the doses slowly. Of the other choices, Exelon is less likely to
interact with other drugs and may be safer and better tolerated in people. Reminyl is
effective with cognitive and behavioral symptoms. The effectiveness of
cholinesterase inhibitors is diminished significantly if it is stopped and then restarted.
A long-time resident of an assisted living facility has just been diagnosed with
Alzheimer's disease. A nurse who provides care at the facility has remarked to a
colleague, "It's a real shame, but at least she'll never know what's happening to her."
What fact should underlie the colleague's response?
A - Older adults with Alzheimer's disease and other dementias rarely have insight
into their cognitive deficits.
B - Many persons with dementia are acutely aware of the fact that they are
experiencing a cognitive deficit.
C - Certain types of dementia are occasionally marked by older adults' awareness of
their disease.
D - An awareness of dementia is an indication that the condition is either latent or
resolving. - ANSWER Many persons with dementia are acutely aware of the fact
that they are experiencing a cognitive deficit
One of the myths associated with dementia is that people with dementia deny their
symptoms or have no awareness of their deficits. In recent years, this perception of a
high prevalence of so-called denial in people with dementia has diminished, and
gerontologists are researching insight and self-awareness through all stages of
dementia.
A gerontological nurse has been providing ongoing care for an older adult who has a
diagnosis of dementia. What goal should the nurse prioritize when conducting
ongoing assessment of this client?
A - Identifying strategies that can be used to cure the client's dementia
B - Determining whether the client has Alzheimer's disease, Lewy body dementia,
frontotemporal lobe dementia, or vascular dementia
C - Identifying factors affecting the client's functioning and quality of life
D - Identifying genetic or lifestyle factors that may have contributed to the client's
dementia - ANSWER Identifying factors affecting the client's functioning and quality
of life
A major goal of ongoing assessment of clients with dementia is to identify factors
that interfere with the person's level of functioning or quality of life so that
interventions can be initiated to alleviate these contributing factors. Medical
, diagnosis is not a nursing action and causative factors are not a priority after
diagnosis. Dementia is not curable.
Which mental health nursing diagnosis is most closely associated with the aging
client and fatigue?
A - Activity Intolerance
B - Fear
C - Anxiety
D - Social Isolation - ANSWER Activity Intolerance
Activity intolerance is associated with the aging client and fatigue. Anxiety is
associated with the threat to self-concept and losses. Fear is associated with new or
misperceived environments and losses. Social isolation is associated with anxiety,
depression, paranoia, cognitive impairment.
An older client has recent signs and symptoms that suggest Lewy body dementia.
What assessment question best addressing the possible etiology of the disease?
A - Do you have a history of vascular disease?
B - Did you work in an occupation with environmental toxins?
C - Do you have a history of sundowner syndrome?
D - Do you have a history of a family member with dementia? - ANSWER Do you
have a history of a family member with dementia?
Do you have a history of a family member with dementia is the best response
because about one fourth of people diagnosed with Lewy body dementia have a
history of a family member with dementia. Sundowner syndrome, toxin exposure and
vascular disease are not known precursors to Lewy body dementia.
Which time is most preferable to administer an antidepressant drug that has a
sedative effect on the older client?
A - Afternoon
B - Morning
C - Bedtime
D - Evening - ANSWER Bedtime
Bedtime administration is most preferable. Morning, afternoon, and evening are not
preferable because the sedative would affect activities of daily living.
An older client asks the nurse to differentiate delirium and dementia. The nurse
would include which important information in the explanation? Select all that apply.
A - Delirium is chronic confusion, usually irreversible.
B - Dementia is progressive impairment in cognitive function.
C - Delirium is acute confusion, usually reversible.
D - Delirium is acute confusion, usually irreversible.
E - Dementia is irreversible impairment in cognitive function. - ANSWER Dementia
is progressive impairment in cognitive function.
Delirium is acute confusion, usually reversible
Dementia is irreversible impairment in cognitive function.
Nursing & Healthy Aging, Canadian Edition
A client was diagnosed with depression shortly after relocating to the nursing home 6
weeks ago. What intervention should the nurse perform to address her depression?
A - Teach the client about the problem of suicide in older adults.
B - Direct the client to list all the positive aspects of her present circumstances.
C - Provide opportunities for the client to engage with other residents.
D - Appoint another resident as a "buddy" to accompany the client during the day. -
ANSWER Provide opportunities for the client to engage with other resident
Social, recreational, and cultural activities have the potential to aid in the treatment of
depression. Appointing a "buddy", however, may be unfair to the other resident.
Asking an individual to focus on positives and teaching about suicide are unlikely to
alleviate the signs and symptoms of depression.
Which of the following interventions can assist nursing home residents in promoting
their psychosocial health?
A - Adapting the environment to compensate for residents' sensory impairments
B - Dressing residents exclusively for ease in going to and from the restroom
C - Planning dining room arrangements according to room and hall assignments
D - Positioning the residents who are in wheelchairs solely for ease in getting out of
the dining area - ANSWER Adapting the environment to compensate for residents'
sensory impairments
Table and room arrangements should be made in a way that promotes social
relationships. Older adults should be allowed to choose between at least two
alternatives when dressing. Residents in wheelchairs should be positioned to
promote social interaction.
A nurse on a subacute, geriatric medicine unit is aware that patients' levels of
psychosocial functioning have a significant impact on multiple aspects of their lives.
Which of the following consequences is known to result from impaired psychosocial
function?
A - Cerebrovascular accident (stroke)
B - Elevated blood glucose level
C - Anxiety
D - Increased independence - ANSWER Anxiety
Anxiety is a common result of impaired psychosocial function in older adults. It is
less likely to result in hyperglycemia or stroke and it is not associated with increased
independence.
Which of the following statements about cholinesterase inhibitors is true?
,A - Exelon (Rivastigmine) is more likely to interact with other drugs and may be
poorly tolerated.
B - Older adults should have a "drug holiday" with the cholinesterase inhibitors to
improve their functioning.
C - Nausea, vomiting, diarrhea, and loss of appetite can be prevented or reduced by
starting with a low dose.
D - Galantamine (Reminyl) is effective only for behavioral symptoms with Alzheimer's
and vascular dementia. - ANSWER Nausea, vomiting, diarrhea, and loss of
appetite can be prevented or reduced by starting with a low
When administering medications to older adults, it is imperative to start with lower
doses and increase the doses slowly. Of the other choices, Exelon is less likely to
interact with other drugs and may be safer and better tolerated in people. Reminyl is
effective with cognitive and behavioral symptoms. The effectiveness of
cholinesterase inhibitors is diminished significantly if it is stopped and then restarted.
A long-time resident of an assisted living facility has just been diagnosed with
Alzheimer's disease. A nurse who provides care at the facility has remarked to a
colleague, "It's a real shame, but at least she'll never know what's happening to her."
What fact should underlie the colleague's response?
A - Older adults with Alzheimer's disease and other dementias rarely have insight
into their cognitive deficits.
B - Many persons with dementia are acutely aware of the fact that they are
experiencing a cognitive deficit.
C - Certain types of dementia are occasionally marked by older adults' awareness of
their disease.
D - An awareness of dementia is an indication that the condition is either latent or
resolving. - ANSWER Many persons with dementia are acutely aware of the fact
that they are experiencing a cognitive deficit
One of the myths associated with dementia is that people with dementia deny their
symptoms or have no awareness of their deficits. In recent years, this perception of a
high prevalence of so-called denial in people with dementia has diminished, and
gerontologists are researching insight and self-awareness through all stages of
dementia.
A gerontological nurse has been providing ongoing care for an older adult who has a
diagnosis of dementia. What goal should the nurse prioritize when conducting
ongoing assessment of this client?
A - Identifying strategies that can be used to cure the client's dementia
B - Determining whether the client has Alzheimer's disease, Lewy body dementia,
frontotemporal lobe dementia, or vascular dementia
C - Identifying factors affecting the client's functioning and quality of life
D - Identifying genetic or lifestyle factors that may have contributed to the client's
dementia - ANSWER Identifying factors affecting the client's functioning and quality
of life
A major goal of ongoing assessment of clients with dementia is to identify factors
that interfere with the person's level of functioning or quality of life so that
interventions can be initiated to alleviate these contributing factors. Medical
, diagnosis is not a nursing action and causative factors are not a priority after
diagnosis. Dementia is not curable.
Which mental health nursing diagnosis is most closely associated with the aging
client and fatigue?
A - Activity Intolerance
B - Fear
C - Anxiety
D - Social Isolation - ANSWER Activity Intolerance
Activity intolerance is associated with the aging client and fatigue. Anxiety is
associated with the threat to self-concept and losses. Fear is associated with new or
misperceived environments and losses. Social isolation is associated with anxiety,
depression, paranoia, cognitive impairment.
An older client has recent signs and symptoms that suggest Lewy body dementia.
What assessment question best addressing the possible etiology of the disease?
A - Do you have a history of vascular disease?
B - Did you work in an occupation with environmental toxins?
C - Do you have a history of sundowner syndrome?
D - Do you have a history of a family member with dementia? - ANSWER Do you
have a history of a family member with dementia?
Do you have a history of a family member with dementia is the best response
because about one fourth of people diagnosed with Lewy body dementia have a
history of a family member with dementia. Sundowner syndrome, toxin exposure and
vascular disease are not known precursors to Lewy body dementia.
Which time is most preferable to administer an antidepressant drug that has a
sedative effect on the older client?
A - Afternoon
B - Morning
C - Bedtime
D - Evening - ANSWER Bedtime
Bedtime administration is most preferable. Morning, afternoon, and evening are not
preferable because the sedative would affect activities of daily living.
An older client asks the nurse to differentiate delirium and dementia. The nurse
would include which important information in the explanation? Select all that apply.
A - Delirium is chronic confusion, usually irreversible.
B - Dementia is progressive impairment in cognitive function.
C - Delirium is acute confusion, usually reversible.
D - Delirium is acute confusion, usually irreversible.
E - Dementia is irreversible impairment in cognitive function. - ANSWER Dementia
is progressive impairment in cognitive function.
Delirium is acute confusion, usually reversible
Dementia is irreversible impairment in cognitive function.
