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Gerontology Exam 4 Study Guide Questions and Answers

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Gerontology Exam 4 Study Guide Questions and Answers A 62 year old man who works in a factory line takes indomethacin for arthritis. He recently read in a magazine that older individuals should take baby aspirin (81 mg) to decrease incidence of heart disease. Soon has problem with ringing in his ears. Which should nurse suspect? - Ans:-Tinnitus A 65 yr old woman is speaking to her nurse at the primary care clinic. She states that it is very painful when she has sexual relations. She asks the nurse what she can do to alleviate the pain. Which of the following should the nurse suggest? - Ans:-She should use a water soluble lubricant or estrogen cream. A 78 yr old client has alluded to the fact that he often experiences dry eyes, a problem that has not seriously affected his level of function but which he finds an inconvenience and irritant. What measure should the nurse recommend? - Ans:-Over-the-counter artificial tears A gerontological nurse is aware that older adults have different nutritional requirements than younger adults. Which teaching points reflects these changes in nutritional requirements? - Ans:-"Overall, you don't need to take in as many calories as you used to." ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/13 A gerontological nurse is aware that the aging process is accompanied by numerous causes and changes that affect sexual wellness in older adults. Among woman, which of the following factors is usually the primary cause of changes in sexual functioning? - Ans:-Hormonal Factors A new nursing assistant asks how best to approach a hearing - impaired older adult. Which of the following approaches should the nurse recommend? - Ans:-Lower the tone of your voice. A nurse has attempted to use relaxation techniques to aid an older adult with sleep in the knowledge that many hypnotic medications create risk for - Ans:-falls A nurse in long term care facility has noticed that many residents of the facility spend a large amount of time in bed yet frequently complain of fatigue and sleep depravation. What change in facility's environment is most conducive with helping residents achieve adequate amounts of restful sleep? - Ans:-Taking action to keep noise levels in the facility to a minimum during the night A nurse is conducting a health education class for older adults with arthritis that will address relevant issues of sexual dysfunction. Which of the following statements indicates the Rn's teachings have been successful? - Ans:-"I will use a vibrator since my ability to massage is limited." A nurse is providing an educational program about age related macular degeneration to a group of older adults. Which of the following statements by an older adult indicates the need for further teaching? - Ans:-"The dry type of macular degeneration occurs rapidly." ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/13 A nurse is teaching a group of hearing-impaired nursing home residents about hearing aids. Which of the following points should be stressed? - Ans:-While inserting the hearing aid, make sure the volume is turned off. A nurse knows teaching has been effective when the patient states the following: - Ans:-"The development of cataracts has been associated with malnutrition, cigarette smoke, and diabetes." A nurse who oversees the care in a nursing home is aware that the older adults who reside in the facility are vulnerable to impaired thermoregulation. What information source should the nurse prioritize when regulating the temperature in the facility? - Ans:-Readings from an accurate thermometer. A nurse who performs daily visits to an adult daycare notices evidence of hearing loss in the elderly man. How should the nurse ascertain the etiology behind the man's hearing loss? (Select all that apply) - Ans:--Genetic Factors -Environmental Threats -Ototoxic medications A nurse who works with older adults is aware that there are several changes to sleep and rest patterns that occur with aging. Which of the following are normal effect of aging on sleep patterns? - Ans:-A decrease in the amount of time that is spent in deep sleep. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/13 After scheduled trip to optometrist, a 70 yr old woman has been told that she has abnormal accumulation of fluid in her eyeball and that this poses a threat to her optic nerve. What diagnosis is the woman's caregiver explaining? - Ans:-Glaucoma An 81 yr old woman has presented to her NP with urinary incontinence. Further evaluation shows that her window of time from sensing the urge to void and the involuntary leakage of urine is very short. The nurse would recognize that this woman has - Ans:-urge incontinence Despite the lack of history of strokes or ischemic attacks, an 81 year old women states that she occasionally has difficulty in swallowing. The woman's provider attributes this problem to presbyphagia, age related changes in swallowing. This fact should prompt this woman's nu

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Gerontology Exam 4 Study Guide
Questions and Answers

A 62 year old man who works in a factory line takes indomethacin for arthritis. He recently read in a

magazine that older individuals should take baby aspirin (81 mg) to decrease incidence of heart disease.

Soon has problem with ringing in his ears. Which should nurse suspect? - Ans:✔✔-Tinnitus


A 65 yr old woman is speaking to her nurse at the primary care clinic. She states that it is very painful

when she has sexual relations. She asks the nurse what she can do to alleviate the pain. Which of the

following should the nurse suggest? - Ans:✔✔-She should use a water soluble lubricant or estrogen

cream.


A 78 yr old client has alluded to the fact that he often experiences dry eyes, a problem that has not

seriously affected his level of function but which he finds an inconvenience and irritant. What measure

should the nurse recommend? - Ans:✔✔-Over-the-counter artificial tears


A gerontological nurse is aware that older adults have different nutritional requirements than younger

adults. Which teaching points reflects these changes in nutritional requirements? - Ans:✔✔-"Overall,

you don't need to take in as many calories as you used to."




Page 1/13

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




A gerontological nurse is aware that the aging process is accompanied by numerous causes and changes

that affect sexual wellness in older adults. Among woman, which of the following factors is usually the

primary cause of changes in sexual functioning? - Ans:✔✔-Hormonal Factors


A new nursing assistant asks how best to approach a hearing - impaired older adult. Which of the

following approaches should the nurse recommend? - Ans:✔✔-Lower the tone of your voice.


A nurse has attempted to use relaxation techniques to aid an older adult with sleep in the knowledge

that many hypnotic medications create risk for - Ans:✔✔-falls


A nurse in long term care facility has noticed that many residents of the facility spend a large amount of

time in bed yet frequently complain of fatigue and sleep depravation. What change in facility's

environment is most conducive with helping residents achieve adequate amounts of restful sleep? -

Ans:✔✔-Taking action to keep noise levels in the facility to a minimum during the night


A nurse is conducting a health education class for older adults with arthritis that will address relevant

issues of sexual dysfunction. Which of the following statements indicates the Rn's teachings have been

successful? - Ans:✔✔-"I will use a vibrator since my ability to massage is limited."


A nurse is providing an educational program about age related macular degeneration to a group of older

adults. Which of the following statements by an older adult indicates the need for further teaching? -

Ans:✔✔-"The dry type of macular degeneration occurs rapidly."




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