Gerontologic Nursing 6th Edition Meiner Test Bank
1. Your patient reports frequent constipation as a result of prescription medications and asks
the nurse for advice about using a daily over-the-counter laxative. The most appropriate
response by the nurse is to do which of the following?
a. Younger patients not having accomplishments
a. You won’t need so much sleep to be rested for work.
a. You need to have extra nutritional reserves in case of sudden illness.
N R I G B.C
a. You have to give away your pets.
a. Yellow-brown nails
Xerostomia, commonly referred to as dry mouth, is a subjective sensation of abnormal oral
dryness. Reduced salivary flow is a common complaint of older adults. Dry mouth in the
older adult can lead to an increased risk of serious respiratory infection, impaired nutritional
status, and reduced ability to communicate. Offering appropriate fluids with meals will
assist with proper nutrition. The other options will not provide relief for this condition.
Xerostomia is dry mouth, which causes patients to have difficulty forming a food bolus,
chewing, and swallowing. Offering fluids between each bite of food may help the patient
eat. The other options are not related to xerostomia.
b. Wound edges are approximated without redness.
a. Working on jigsaw puzzles for hours at a time
a. work hard to keep families intact.
a. Women tend to smoke and drink less than men
Women are increasing in numbers among the homeless older adult communities.
Approximately 30% of homeless older adults have mental illness or dementia.
Women and men who served in the armed forces during this time became accustomed to
preventive medical and dental care. Those influenced by the Great Depression are more
likely to hoard money. Families started becoming more mobile in this cohort. This cohort is
not as likely to be noncompliant because of cohort influences.
without a full workup is dangerous.
Withdrawal is often a maladaptive behavior due to another factor such as depression. The
nurse should explain that assessing for the cause of withdrawal is an important activity. Fear
of the unknown might be an explanation, but this would not be as common as depression.
a. Withdrawal by an older adult is a normal physiologic response to aging.
With no control over meeting his own needs, the patient may develop a sense of
powerlessness, which can result in a loss of hope. The other concerns might be a problem
, Gerontologic Nursing 6th Edition Meiner Test Bank
for some patients, but powerlessness and loss of hope remain the priority.
With exacerbations, the patient loses some control over an acute phase of the illness. The
patient can be helped to maintain independence, control, and dignity by reassessing what is
still within the patient’s ability and desire to control. The patient may or may not be
adherent, but the nurse should not assume he or she is not. Teaching about the illness
trajectory is one tool for giving control to patients. Medication reviews should be done but
are not the best action.
With age, particularly for malnourished or frail adults, plasma albumin levels may drop and,
therefore, should be monitored. As a result of decreased sites for protein binding, the
activity of highly protein bound drugs, and any side effects caused by these drugs may be
increased. The other options may be appropriate for specific drugs, but not in general.
With age, muscle mass decreases, myocytes are replaced with fibrous tissue, and posture
With age, increased urine formation at night leads to nocturia. The other findings are not
age-related changes.
With age, elastin in vessel walls decreases, making them stiffer. Systolic blood pressure
(SBP) is increased in older adults because of a loss of arterial distensibility resulting from
arterial stiffening. The diagnosis of hypertension is a reading over 130/80 mmHg in older
people taken on three different occasions during more than two office visits. The nurse plans
for the patient to return for another blood pressure reading. The patient needs a diagnosis of
hypertension to begin medications. Many people do have higher blood pressures as they
With age there is a loss of lean body mass and an increase of body fat; therefore, body
weight alone can be misleading.
With advances in drug therapy and active participation by the patient in activities to prevent
joint deformities, the patient should experience less deformity, increased comfort levels, and
understanding of the disease process. By actually discussing exercise, the nurse makes the
greatest impact on the patient’s quality of life. The other options are appropriate but will not
have as great an impact as discussing actual exercises.
will likely encounter resistance as well. Telling the family the conversation has to occur is
paternalistic.
b. widows who have never worked outside of their homes.
c. widowers with at least one chronic illness.
b. Who shops and cleans your house for you?
a. White male
, Gerontologic Nursing 6th Edition Meiner Test Bank
a. White bread
a. White blood count
a. White blood cell count 18,000/mm3
1. While collecting a health history for an older adult patient, the nurse learns that the patient
had been prescribed Elavil 3 weeks ago and wants to stop taking it because “It didn’t make
me feel any better.” What information does the nurse share with the patient?
1. While children voice concern about their father living alone after having a mild stroke, the
patient angrily disagrees, stating that he’s always managed on his own and can do so now.
What action by the nurse would be most helpful to the family?
1. While caring for an older Korean patient, the nurse notes that the patient answers questions
regarding health history when asked but is otherwise silent and does not maintain eye
1. While awaiting the results of testing to determine a diagnosis of cancer, an older adult
patient asks a nurse to explain what happens when cancer metastasizes. What response by
the nurse is best?
which will help this patient’s anxiety. Providing oxygen based on saturations does nothing
for the patient’s distress; the patient may feel short of breath, even with an oxygen saturation
of 100%. A cool fan may help. There is no indication that the patient needs a
bronchodilator. IF the patient has wheezing, this would be appropriate.
2. Which theory of aging does the student learn is related to problems with DNA transcription?
1. Which statement made by a nurse reflects a lack of understanding regarding sexual intimacy
and the older adult patient?
2. Which patient is most likely to be seen at a clinic that services older adults who are at or
below the poverty level?
2. Which of the following statements, when made by family members caring for an older
patient with dementia, indicates peaceful acceptance of the situation?
1. Which of the following are appropriate steps to take when removing cerumen from an older
person’s ear? (Select all that apply.)
1. Which nursing intervention best demonstrates the understanding that older adults are at
increased risk for falls because of normal age-related changes?
1.
N R I G B.C M
Which individual would t h e nUursS
e reN
fer T
to the loOcal Area Agency on Aging?
, Gerontologic Nursing 6th Edition Meiner Test Bank
1. Which documentation demonstrates that the nurse effectively assessed an older adult
diabetic patient’s cardiac status?
2. Which action does the nurse delegate to the unlicensed assistive personnel (UAP) pertaining
N R
to pressure ulcer prevention? I G B.C M
1. Which action by the nurse N
h as R
the I
greaGt es tBi m
. pCactMo n a patient’s health promotion?
U S N T
1. Which action by the nurse most effectively implements guided reminiscence during a
patient interview?
1. Which action by the nurse caring for a cognitively impaired older adult admitted to an acute
care facility best minimizes this particular patient’s risk for developing infections?
a. Whether the patient takes low-dose aspirin regularly
b. Whether the patient requires rest periods during the day
c. Whether the patient has ever had glaucoma-related surgery
d. Whether the patient feels the asthma is well controlled
e. Whether the patient experience frequent respiratory infections
f. Whether the patient believes he or she has the support of family and friends
When working with older adults, the gerontologic nurse must provide a standard of care that
promotes safety and prevents foreseeable accidents or injuries while also respecting
2. When working with older adults with chronic illness and exacerbations, what action by the
nurse is most appropriate?
2. When working with a patient suspected of substance abuse, the nurse is particularly
interested in determining the cause of a patient’s
a. When the patient is stable
b. When the patient is awake
2. When the home health nurse assists the older adult patient with rearranging furniture within
the home to prevent the patient from falling, the nurse is demonstrating
c. When the family requests it
2. When teaching older adult asthmatic patients, the nurse stresses the importance of which of
the following? (Select all that apply.)
2. When teaching an older patient with type 2 diabetes about the importance of regular
exercise, what statement is most important?
1. Your patient reports frequent constipation as a result of prescription medications and asks
the nurse for advice about using a daily over-the-counter laxative. The most appropriate
response by the nurse is to do which of the following?
a. Younger patients not having accomplishments
a. You won’t need so much sleep to be rested for work.
a. You need to have extra nutritional reserves in case of sudden illness.
N R I G B.C
a. You have to give away your pets.
a. Yellow-brown nails
Xerostomia, commonly referred to as dry mouth, is a subjective sensation of abnormal oral
dryness. Reduced salivary flow is a common complaint of older adults. Dry mouth in the
older adult can lead to an increased risk of serious respiratory infection, impaired nutritional
status, and reduced ability to communicate. Offering appropriate fluids with meals will
assist with proper nutrition. The other options will not provide relief for this condition.
Xerostomia is dry mouth, which causes patients to have difficulty forming a food bolus,
chewing, and swallowing. Offering fluids between each bite of food may help the patient
eat. The other options are not related to xerostomia.
b. Wound edges are approximated without redness.
a. Working on jigsaw puzzles for hours at a time
a. work hard to keep families intact.
a. Women tend to smoke and drink less than men
Women are increasing in numbers among the homeless older adult communities.
Approximately 30% of homeless older adults have mental illness or dementia.
Women and men who served in the armed forces during this time became accustomed to
preventive medical and dental care. Those influenced by the Great Depression are more
likely to hoard money. Families started becoming more mobile in this cohort. This cohort is
not as likely to be noncompliant because of cohort influences.
without a full workup is dangerous.
Withdrawal is often a maladaptive behavior due to another factor such as depression. The
nurse should explain that assessing for the cause of withdrawal is an important activity. Fear
of the unknown might be an explanation, but this would not be as common as depression.
a. Withdrawal by an older adult is a normal physiologic response to aging.
With no control over meeting his own needs, the patient may develop a sense of
powerlessness, which can result in a loss of hope. The other concerns might be a problem
, Gerontologic Nursing 6th Edition Meiner Test Bank
for some patients, but powerlessness and loss of hope remain the priority.
With exacerbations, the patient loses some control over an acute phase of the illness. The
patient can be helped to maintain independence, control, and dignity by reassessing what is
still within the patient’s ability and desire to control. The patient may or may not be
adherent, but the nurse should not assume he or she is not. Teaching about the illness
trajectory is one tool for giving control to patients. Medication reviews should be done but
are not the best action.
With age, particularly for malnourished or frail adults, plasma albumin levels may drop and,
therefore, should be monitored. As a result of decreased sites for protein binding, the
activity of highly protein bound drugs, and any side effects caused by these drugs may be
increased. The other options may be appropriate for specific drugs, but not in general.
With age, muscle mass decreases, myocytes are replaced with fibrous tissue, and posture
With age, increased urine formation at night leads to nocturia. The other findings are not
age-related changes.
With age, elastin in vessel walls decreases, making them stiffer. Systolic blood pressure
(SBP) is increased in older adults because of a loss of arterial distensibility resulting from
arterial stiffening. The diagnosis of hypertension is a reading over 130/80 mmHg in older
people taken on three different occasions during more than two office visits. The nurse plans
for the patient to return for another blood pressure reading. The patient needs a diagnosis of
hypertension to begin medications. Many people do have higher blood pressures as they
With age there is a loss of lean body mass and an increase of body fat; therefore, body
weight alone can be misleading.
With advances in drug therapy and active participation by the patient in activities to prevent
joint deformities, the patient should experience less deformity, increased comfort levels, and
understanding of the disease process. By actually discussing exercise, the nurse makes the
greatest impact on the patient’s quality of life. The other options are appropriate but will not
have as great an impact as discussing actual exercises.
will likely encounter resistance as well. Telling the family the conversation has to occur is
paternalistic.
b. widows who have never worked outside of their homes.
c. widowers with at least one chronic illness.
b. Who shops and cleans your house for you?
a. White male
, Gerontologic Nursing 6th Edition Meiner Test Bank
a. White bread
a. White blood count
a. White blood cell count 18,000/mm3
1. While collecting a health history for an older adult patient, the nurse learns that the patient
had been prescribed Elavil 3 weeks ago and wants to stop taking it because “It didn’t make
me feel any better.” What information does the nurse share with the patient?
1. While children voice concern about their father living alone after having a mild stroke, the
patient angrily disagrees, stating that he’s always managed on his own and can do so now.
What action by the nurse would be most helpful to the family?
1. While caring for an older Korean patient, the nurse notes that the patient answers questions
regarding health history when asked but is otherwise silent and does not maintain eye
1. While awaiting the results of testing to determine a diagnosis of cancer, an older adult
patient asks a nurse to explain what happens when cancer metastasizes. What response by
the nurse is best?
which will help this patient’s anxiety. Providing oxygen based on saturations does nothing
for the patient’s distress; the patient may feel short of breath, even with an oxygen saturation
of 100%. A cool fan may help. There is no indication that the patient needs a
bronchodilator. IF the patient has wheezing, this would be appropriate.
2. Which theory of aging does the student learn is related to problems with DNA transcription?
1. Which statement made by a nurse reflects a lack of understanding regarding sexual intimacy
and the older adult patient?
2. Which patient is most likely to be seen at a clinic that services older adults who are at or
below the poverty level?
2. Which of the following statements, when made by family members caring for an older
patient with dementia, indicates peaceful acceptance of the situation?
1. Which of the following are appropriate steps to take when removing cerumen from an older
person’s ear? (Select all that apply.)
1. Which nursing intervention best demonstrates the understanding that older adults are at
increased risk for falls because of normal age-related changes?
1.
N R I G B.C M
Which individual would t h e nUursS
e reN
fer T
to the loOcal Area Agency on Aging?
, Gerontologic Nursing 6th Edition Meiner Test Bank
1. Which documentation demonstrates that the nurse effectively assessed an older adult
diabetic patient’s cardiac status?
2. Which action does the nurse delegate to the unlicensed assistive personnel (UAP) pertaining
N R
to pressure ulcer prevention? I G B.C M
1. Which action by the nurse N
h as R
the I
greaGt es tBi m
. pCactMo n a patient’s health promotion?
U S N T
1. Which action by the nurse most effectively implements guided reminiscence during a
patient interview?
1. Which action by the nurse caring for a cognitively impaired older adult admitted to an acute
care facility best minimizes this particular patient’s risk for developing infections?
a. Whether the patient takes low-dose aspirin regularly
b. Whether the patient requires rest periods during the day
c. Whether the patient has ever had glaucoma-related surgery
d. Whether the patient feels the asthma is well controlled
e. Whether the patient experience frequent respiratory infections
f. Whether the patient believes he or she has the support of family and friends
When working with older adults, the gerontologic nurse must provide a standard of care that
promotes safety and prevents foreseeable accidents or injuries while also respecting
2. When working with older adults with chronic illness and exacerbations, what action by the
nurse is most appropriate?
2. When working with a patient suspected of substance abuse, the nurse is particularly
interested in determining the cause of a patient’s
a. When the patient is stable
b. When the patient is awake
2. When the home health nurse assists the older adult patient with rearranging furniture within
the home to prevent the patient from falling, the nurse is demonstrating
c. When the family requests it
2. When teaching older adult asthmatic patients, the nurse stresses the importance of which of
the following? (Select all that apply.)
2. When teaching an older patient with type 2 diabetes about the importance of regular
exercise, what statement is most important?
