A. Autonomy - Answers Which ethical principle underlies nursing actions respecting each patient's
values and beliefs?
a. Autonomy.
b. Beneficence.
c. Justice.
d. Responsibility.
C. intermittency, hesitancy, and dribbling. - Answers The most common symptoms of benign prostatic
hypertrophy are:
A. chills, fever, and nausea.
B. dysuria, abdominal pain, and urinary retention.
C. intermittency, hesitancy, and dribbling.
D. nocturia, bladder spasms, and hematuria.
B. The resident was not included in the decision making. - Answers A resident in a nursing home
requests a new room because he or she does not like the view from the current room. While the
resident is away from the home on a provider visit, the staff moves the resident's belongings to another
room with a better view. The resident and the resident's family later file a formal complaint regarding
the move. Which statement gives the best justification for the resident's complaint?
a. The change was made without a provider's order.
B. The resident was not included in the decision making.
c. The resident's belongings were moved without his or her assistance.
d. The resident's family was not included in the decision making.
a. ask the supervisor to get an interpreter. - Answers A recently admitted nursing home resident and the
resident's family only speak Spanish. One evening during a visit, the resident and the family begin to wail
and sob loudly. The gerontological nurse is unable to determine what is wrong. The nurse's most
appropriate action is to:
a. ask the supervisor to get an interpreter.
b. attempt to make the resident and the family comfortable.
c. contact the provider for orders.
,d. find an escort to take the resident and the family to the chapel for privacy.
c. informing how data and outcomes are directly related to the staff's daily work. - Answers The
gerontological nurse manager involves the nursing staff in the utilization of trend data and analysis for
quality improvement by:
a. encouraging staff to volunteer for The Joint Commission's onsite surveys.
b. highlighting the quality improvement work of experts in the specialty area.
c. informing how data and outcomes are directly related to the staff's daily work.
d. using scatter diagrams to identify the root cause of unresolved concerns.
d. serving soup in a mug, and offering finger foods. - Answers An effective way to adequately provide
nourishment to a patient with moderate dementia is:
a. allowing the patient to choose foods from a varied menu.
b. hand feeding the patient's favorite foods.
c. routinely reminding the patient about the need for adequate nutrition.
d. serving soup in a mug, and offering finger foods.
a. "Did you have the pain before the rash appeared?" - Answers An 82-year-old patient has a painful,
vesicular rash that burns over the left abdomen. The patient indicates that he or she has tried multiple
creams that have not helped. Which question does the gerontological nurse first ask?
a. "Did you have the pain before the rash appeared?"
b. "Do you have any food or drug allergies?"
c. "Have you been around anyone with a rash?"
d. "Have your grandchildren visited recently?"
c. "Do you take a diuretic?" - Answers Which question does the gerontological nurse prioritize for an 86-
year-old patient with abdominal pain, muscle weakness, and leg cramps?
a. "Do you eat a lot of meat?"
b. "Do you have heart problems?"
c. "Do you take a diuretic?"
d. "Do you walk every day?"
, c. distortion of lines and print. - Answers Signs and symptoms of age-related macular degeneration
include:
a. decreases in depth perception.
b. deficits in peripheral vision.
c. distortion of lines and print.
d. reports of flashes of light.
a. arranging inpatient respite care for the spouse. - Answers A frail 80-year-old patient, who cares for a
spouse at home without assistance, requires minor surgery. Lacking any family members residing in the
area, the patient expresses concern about the spouse's care while the patient is recovering. The
gerontological nurse's recommendation is:
a. arranging inpatient respite care for the spouse.
b. having the patient remain in the hospital during the post operative period.
c. hiring around-the-clock help for two weeks.
d. hospitalizing the spouse.
d. rephrase the questions slightly, and slowly repeat them in a lower voice. - Answers A 90-year-old
patient comes to the clinic with a family member. During the health history, the patient is unable to
respond to questions in a logical manner. The gerontological nurse's action is to:
a. ask the family member to answer the questions.
b. ask the same questions in a louder and lower voice.
c. determine if the patient knows the name of the current president.
d. rephrase the questions slightly, and slowly repeat them in a lower voice.
b. that the health status data of older adult patients be documented in a retrievable form. - Answers The
American Nurses Association's Gerontological Nursing: Scope and Standards of Practice emphasizes:
a. that abnormal responses to the aging process determine the appropriate nursing diagnoses.
b. that the health status data of older adult patients be documented in a retrievable form.
c. the role of the older adult patient as the sole decision maker in planning his or her care.
d. the unchanging nature of the goals and plans of care for older adult patients.
a. The ombudsman may proceed with the investigation without identifying the individual who made the
complaint, and without obtaining a court order or written consent. - Answers A state ombudsman