GERONTOLOGIC NURSING FINAL PAPER
QUESTIONS AND CORRECT ANSWERS FULL
REVIEW GUIDE
●● The nurse who volunteers at a senior citizens' center is planning
activities for the members. What activity would best promote health and
maintenance?
Answer: Walking 3-5 times per week for 30 minutes. Exercise and
activity are essential for health promotion and maintenance.
●● The home health nurse is visiting a client for the first time. While
assessing the client's medication, it is noted that there are 19 prescription
and several over the counter medications that the client is taking. What
intervention should the nurse take first?
Answer: Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
●● The nurse is working with older clients in a long term care facility.
Which activities performed by the nurse fosters reminiscence among
these clients?
Answer: Having storytelling hours- clients who like to retell stories or
past events need to be provided time to do so. It is a way for the older
adult to relive and restructure life experiences and is a part of achieving
ego identity.
,●● The home care nurse is performing an environmental assessment in
the home of an older adult. Which of the following requires immediate
nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled
medication cassette?
Answer: Unsecured scattered rugs- trauma to the older client in the
home may be caused by a variety of factors. These include unsteady gait,
the presence of unsecured scatter rugs, clattered passageways, and
inoperable smoke detectors.
●● The nurse is teaching an older client about measures to prevent
constipation. What statement made by the client indicates further
teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday"
Answer: "I need to decrease fiber in my diet" -Adequate dietary fiber is
an important factor in aiding bowel function. Dietary fiber increases
fecal weight and water content and accelerates the transit of fecal mass
through the GI tract.
●● Define Ageism.
,Answer: Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their
group. Fundamental to ageism is the view that older persons are
different from "me" and will remain different from "me." Therefore, they
are portrayed as not experiencing the same desires, needs, and concerns.
●● The nurse is providing medication instructions to an older client who
is taking digoxin (Lanoxin) daily. What age related body changes could
place the client at risk for digoxin toxicity?
Answer: Decreased lean body mass and decreased glomerular filtration
rate.
●● The nurse employed in a long term care facility is caring for an older
male client. What nursing action contributes to encouraging autonomy in
the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Answer: Client choosing own activities. Autonomy is the personal
freedom to direct one's own life as long as it does not impinge on the
rights of others. An autonomous person is capable of rational thought.
●● The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
, - Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave
Answer: Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some
cases may be harmful to the individual.
●● The nurse is providing instructions to a nursing assistant regarding
care of an older client with hearing loss. The nurse tells the assistant that
clients with a hear loss:
Answer: Respond to low pitched tones. Prebycusis refers to the age
related irreversible degenerative changes of the inner eat that lead to
decreased hearing ability. As a result of these changes, the older client
has a decreased response to high frequency sounds. Low pitched voice
tones are heard more easily and can be interpreted by the older client.
●● The nurse is providing an educational session to new employees, and
the topic is abuse of the older adult. The nurse helps the employees
identify that which client is most typical of a victim of abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
QUESTIONS AND CORRECT ANSWERS FULL
REVIEW GUIDE
●● The nurse who volunteers at a senior citizens' center is planning
activities for the members. What activity would best promote health and
maintenance?
Answer: Walking 3-5 times per week for 30 minutes. Exercise and
activity are essential for health promotion and maintenance.
●● The home health nurse is visiting a client for the first time. While
assessing the client's medication, it is noted that there are 19 prescription
and several over the counter medications that the client is taking. What
intervention should the nurse take first?
Answer: Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
●● The nurse is working with older clients in a long term care facility.
Which activities performed by the nurse fosters reminiscence among
these clients?
Answer: Having storytelling hours- clients who like to retell stories or
past events need to be provided time to do so. It is a way for the older
adult to relive and restructure life experiences and is a part of achieving
ego identity.
,●● The home care nurse is performing an environmental assessment in
the home of an older adult. Which of the following requires immediate
nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled
medication cassette?
Answer: Unsecured scattered rugs- trauma to the older client in the
home may be caused by a variety of factors. These include unsteady gait,
the presence of unsecured scatter rugs, clattered passageways, and
inoperable smoke detectors.
●● The nurse is teaching an older client about measures to prevent
constipation. What statement made by the client indicates further
teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday"
Answer: "I need to decrease fiber in my diet" -Adequate dietary fiber is
an important factor in aiding bowel function. Dietary fiber increases
fecal weight and water content and accelerates the transit of fecal mass
through the GI tract.
●● Define Ageism.
,Answer: Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their
group. Fundamental to ageism is the view that older persons are
different from "me" and will remain different from "me." Therefore, they
are portrayed as not experiencing the same desires, needs, and concerns.
●● The nurse is providing medication instructions to an older client who
is taking digoxin (Lanoxin) daily. What age related body changes could
place the client at risk for digoxin toxicity?
Answer: Decreased lean body mass and decreased glomerular filtration
rate.
●● The nurse employed in a long term care facility is caring for an older
male client. What nursing action contributes to encouraging autonomy in
the client?
-Planning meals -Scheduling appts
-Decorating his room -He chooses activities
Answer: Client choosing own activities. Autonomy is the personal
freedom to direct one's own life as long as it does not impinge on the
rights of others. An autonomous person is capable of rational thought.
●● The home care nurse is visiting an older female client whose
husband died 6 months ago. What behavior by the client indicates
ineffective coping?
, - Neglect personal grooming
-Looking at old pictures
-Participating in senior citizens' program
-Visiting her husband's grave
Answer: Neglecting personal grooming. Coping mechanisms are
behaviors used to decrease anxiety and stress. In response to death,
ineffective coping is manifested by an extreme behavior that in some
cases may be harmful to the individual.
●● The nurse is providing instructions to a nursing assistant regarding
care of an older client with hearing loss. The nurse tells the assistant that
clients with a hear loss:
Answer: Respond to low pitched tones. Prebycusis refers to the age
related irreversible degenerative changes of the inner eat that lead to
decreased hearing ability. As a result of these changes, the older client
has a decreased response to high frequency sounds. Low pitched voice
tones are heard more easily and can be interpreted by the older client.
●● The nurse is providing an educational session to new employees, and
the topic is abuse of the older adult. The nurse helps the employees
identify that which client is most typical of a victim of abuse?
- 75 y.o man with moderate hypertension
- 68 y.o man with newly dx cataracts
- 90 y.o woman with advanced Parkinson's dz
