HESI GERONTOLOGY FINAL EXAM (VERSION 3) / GERONTOLOGY H
q q q q q q q q
ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RAT
q q q q q q q q q q
ED 100%: COMPLETE GUIDE q q q
Aqnurseqisqcompletingqmedicationqreconciliationqforqanqolderqadultqclientqwhoqisqreceivingqm
ultipleqmedications.qWhichqofqtheqfollowingqactionsqshouldqtheqnurseqtakeqfirst?
A-q Clarifyqtheqclientqlistqofqmedicationsqwithqtheqpharmacist
B-q compareqtheqcurrentqlistqagainstqtheqnewqmedicationqprescriptions
C-q investigateqanyqdiscrepanciesqonqthatqlist
D-q askqtheqclientqaboutqoverqtheqcounterqmedicationsqsheqisqtaking
Answer-qD
Theqnurseqshouldqapplyqtheqnursingqprocessqpriority-
settingqframework.qTheqnurseqcanquseqtheqnursingqprocessqtoqplanqclientqcareqandqprioritizeqnursin
gqactions.qEachqstepqofqtheqnursingqprocessqbuildsqonqtheqpreviousqstep,qbeginningqwithqassessm
entqorqdataqcollection.qBeforeqtheqnurseqcanqformulateqaqplanqofqaction,qimplementqaqnursingqinterv
ention,qorqnotifyqtheqproviderqofqaqchangeqinqtheqclient’sqstatus,qsheqmustqfirstqcollectqadequateqdata
qfromqtheqclient.qAssessingqorqcollectingqadditionalqdataqwillqprovideqtheqnurseqwithqknowledgeqtoq
makeqanqappropriateqdecision.qWhenqperformingqmedicationqreconciliation,qitqisqimportantqthatqtheq
nurseqcollectqaqlistqofqallqtheqmedicationsqtheqclientqtakesqinqorderqtoqcompareqtheqfullqlistqofqmedica
tionsqagainstqanyqnewqmedicationsqtheqclientqwillqtake.qTheqlistqshouldqincludeqprescriptions,qover-
the-counterqmedications,qandqherbalqandqnutritionalqsupplements.
A-
qTheqnurseqshouldqclarifyqtheqclient’sqlistqofqmedicationsqwithqtheqpharmacist,qcaregivers,q
providers,qandqtheqclient;qhowever,qthisqisqnotqtheqfirstqactionqtheqnurseqshouldqtake.
B-
qTheqnurseqshouldqcompareqtheqmedicationqlistqagainstqanyqnewqprescriptionsqtoqensureqth
ereqisqnotqanyqduplicationqofqmedicationsqorqpotentialqmedicationqinteractions;qhowever,qthi
sqisqnotqtheqfirstqactionqtheqnurseqshouldqtake.
C-
qTheqnurseqshouldqinvestigateqdiscrepanciesqonqtheqlistqwithqtheqproviderqtoqpreventq medicati
onqerrors;qhowever,qthisqisqnotqtheqfirstqactionqtheqnurseqshouldqtake.
Examq1?
Aqnurseqatqaqlong-
termqcareqfacilityqisqplanningqcareqforqaqclientqwhoqhasqAlzheimer'sqdiseaseqandqwande
rsqatqnight.qWhichqofqtheqfollowingqinterventionsqshouldqtheqnurseqincludeqinqtheqplan?
A-q Placeqtheqclientqinqwristqrestraintsqatqnight
B-q requestqaqprescriptionqforqaqpsychotropicqmedication
C-q assignqtheqclientqtoqaqroomqcloserqtoqtheqnursesqstation
D-q cheapqtheqtelevisionqonqatqnight
Answer-qC
Theqnurseqshouldqplaceqtheqclientqwhoqwandersqinqaqroomqthatqallowsqforqcloseqobservation.
q Theqnurseqshouldqprovideqclientsqwhoqwanderqaqsafeqplaceqtoqwalkqandq supervisionqwhenqt
heqclientqisqambulating.
A-qTheqnurseqshouldqprotectqtheqclientqfromqharm,qbutqrestraintsqcanqresultqinqagitation.
B-
qTheqnurseqcanqadministerqaqpsychotropicqmedicationqtoqtreatqdepressionqorqemotionalq ma
nifestationsqofqAlzheimer’sqdisease,qbutqnotqtoqtreatqwanderingqbehaviors.
D-
qTheqnurseqshouldqavoidqthequseqofqexcessiveqlightqandqsoundqstimulationqforqtheqclientq whoq
hasqAlzheimer’sqdisease.qThisqcanqcauseqfurtherqagitationqandqconfusionqforqtheqclient.
,HESI GERONTOLOGY FINAL EXAM (VERSION 3) / GERONTOLOGY H
q q q q q q q q
ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RAT
q q q q q q q q q q
ED 100%: COMPLETE GUIDEq q q
Theqnurseqatqaqlong-
termqcareqfacilityqisqteachingqanqolderqadultqclientqaboutqambulatingqwithqaqquadqcane.qW
hichqofqtheqfollowingqstatementsqshouldqtheqnurseqincludeqinqtheqteaching?
A-q Adjustqtheqheightqofqtheqcaneqsoqthatqyouqcanqflexqyourqelbowqatq45qdegrees
B-q holdqtheqcaneqinqtheqhandqonqtheqstrongerqsideqofqyourqbody
C-q placeqtheqflatqsideqofqtheqcaneqawayqfromqyourqfoot
D-q theqcaneqandqyourqstrongerqlegqatqtheqsameqtime
Answer-qb
Theqclientqshouldqholdqtheqcaneqwithqtheqhandqonqtheqstrongerqsideqofqherqbodyqsoqthatqshe
qcanqmoveqtheqcaneqtoqsupportqtheqweakerqleg.qThisqactionqallowsqforqaqmoreqnormalq gait,qw
ithqtheqipsilateralqarmqandqweakerqlegqmovingqatqtheqsameqtime.
A-
qTheqnurseqshouldqinstructqtheqclientqthatqtheqcane’sqheightqshouldqallowqtheqelbowqtoq beqsli
ghtlyqflexed.qqHavingqaqflexionqofq45ºqwouldqmakeqtheqcaneqtooqtallqforqsafequse.
C-
qTheqclientqshouldqplaceqtheqflatqedgeqofqtheqbaseqofqtheqcaneqfacingqtowardqherqfoot.q This
qallowsqtheqclientqtoqambulateqwithoutqtheqriskqofqgettingqherqfootqcaughtqinqtheqbaseq
ofqtheq
caneqandqfalling.
D-
qTheqnurseqshouldqinstructqtheqclientqtoqmoveqtheqcaneqandqherqweakerqlegqatqtheqsameqti
me.qThisqactionqallowsqforqaqmoreqnormalqgaitqwithqtheqipsilateralqarmqandqweakerqlegqmovi
ngqatqtheqsameqtime.
Aqnurseqisqperformingqaqskinqassessmentqforqaqgroupqofqolderqadultqclients.qWhichqo
fqtheqfollowingqfindingsqshouldqtheqnurseqidentifyqasqaqbenign,qageqrelatedqskinqcha
ngeqcommonlyqseenqinqolderqadultqclients?
A-q Liverqspots
B-qNevi
C-q atopicqdermatitis
D-q psoriasis
Answer-qa
Liverqspots,qalsoqknownqasqageqspotsqorqlentigines,qareqflat,qbrownish-
blackqmaculesqthatqusuallyqoccurqinqsun-
exposedqareasqofqtheqbody.qAgingqandqexposureqtoqsunlight,qorqotherqformsqofqultravioletqli
ght,qcanqresultqinqincreasedqpigmentation.qLiverqspotsqareqextremelyqcommonqafterq40qyea
rsqofqage;qtheyqoccurqmostqoftenqonqtheqforearms,qshoulders,qface,qforehead,qandqbacksqof
qtheqhands,qwhichqareqalsoqtheqareasqofqhighestqsunqexposure.qTheyqareqharmlessqandqpai
nless,qbutqtheyqcanqaffectqtheqclient’sqcosmeticqappearance.
B-qNeviqareqmoles,qaqgrowthqofqpigment-
formingqcellsqthatqmightqbeqbenignqorqmalignant.qTheqnurseqshouldqidentifyqthatqneviqoccurq
throughoutqtheqlifespan.qFurtherqevaluationqofqtheqneviqshouldqincludeqevaluationqofqanyqa
symmetry,qborderqirregularity,qcolorqvariation,qdiameter,qandqevolution,qwhichqcanqindicateq
melanoma.
C-
qAtopicqdermatitis,qorqeczema,qisqaqchronicqskinqdisorderqthatqoccursqinqallqages,qbutqisq
moreq
commonqinqinfancyqandqchildhood.qClientsqwhoqhaveqatopicqdermatitisqcanqhaveqscalyqandqi
tchingqrashes.
D-
qPsoriasisqisqaqcommonqskinqinflammationqwithqfrequentqepisodesqofqredness,qitching,qandqt
, HESI GERONTOLOGY FINAL EXAM (VERSION 3) / GERONTOLOGY H
q q q q q q q q
ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RAT
q q q q q q q q q q
ED 100%: COMPLETE GUIDE q q q
hick,qdry,qsilveryqscalesqonqtheqskin.qTheqnurseqshouldqidentifyqthatqwhileqgenerallyqa
q q q q q q q q
ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RAT
q q q q q q q q q q
ED 100%: COMPLETE GUIDE q q q
Aqnurseqisqcompletingqmedicationqreconciliationqforqanqolderqadultqclientqwhoqisqreceivingqm
ultipleqmedications.qWhichqofqtheqfollowingqactionsqshouldqtheqnurseqtakeqfirst?
A-q Clarifyqtheqclientqlistqofqmedicationsqwithqtheqpharmacist
B-q compareqtheqcurrentqlistqagainstqtheqnewqmedicationqprescriptions
C-q investigateqanyqdiscrepanciesqonqthatqlist
D-q askqtheqclientqaboutqoverqtheqcounterqmedicationsqsheqisqtaking
Answer-qD
Theqnurseqshouldqapplyqtheqnursingqprocessqpriority-
settingqframework.qTheqnurseqcanquseqtheqnursingqprocessqtoqplanqclientqcareqandqprioritizeqnursin
gqactions.qEachqstepqofqtheqnursingqprocessqbuildsqonqtheqpreviousqstep,qbeginningqwithqassessm
entqorqdataqcollection.qBeforeqtheqnurseqcanqformulateqaqplanqofqaction,qimplementqaqnursingqinterv
ention,qorqnotifyqtheqproviderqofqaqchangeqinqtheqclient’sqstatus,qsheqmustqfirstqcollectqadequateqdata
qfromqtheqclient.qAssessingqorqcollectingqadditionalqdataqwillqprovideqtheqnurseqwithqknowledgeqtoq
makeqanqappropriateqdecision.qWhenqperformingqmedicationqreconciliation,qitqisqimportantqthatqtheq
nurseqcollectqaqlistqofqallqtheqmedicationsqtheqclientqtakesqinqorderqtoqcompareqtheqfullqlistqofqmedica
tionsqagainstqanyqnewqmedicationsqtheqclientqwillqtake.qTheqlistqshouldqincludeqprescriptions,qover-
the-counterqmedications,qandqherbalqandqnutritionalqsupplements.
A-
qTheqnurseqshouldqclarifyqtheqclient’sqlistqofqmedicationsqwithqtheqpharmacist,qcaregivers,q
providers,qandqtheqclient;qhowever,qthisqisqnotqtheqfirstqactionqtheqnurseqshouldqtake.
B-
qTheqnurseqshouldqcompareqtheqmedicationqlistqagainstqanyqnewqprescriptionsqtoqensureqth
ereqisqnotqanyqduplicationqofqmedicationsqorqpotentialqmedicationqinteractions;qhowever,qthi
sqisqnotqtheqfirstqactionqtheqnurseqshouldqtake.
C-
qTheqnurseqshouldqinvestigateqdiscrepanciesqonqtheqlistqwithqtheqproviderqtoqpreventq medicati
onqerrors;qhowever,qthisqisqnotqtheqfirstqactionqtheqnurseqshouldqtake.
Examq1?
Aqnurseqatqaqlong-
termqcareqfacilityqisqplanningqcareqforqaqclientqwhoqhasqAlzheimer'sqdiseaseqandqwande
rsqatqnight.qWhichqofqtheqfollowingqinterventionsqshouldqtheqnurseqincludeqinqtheqplan?
A-q Placeqtheqclientqinqwristqrestraintsqatqnight
B-q requestqaqprescriptionqforqaqpsychotropicqmedication
C-q assignqtheqclientqtoqaqroomqcloserqtoqtheqnursesqstation
D-q cheapqtheqtelevisionqonqatqnight
Answer-qC
Theqnurseqshouldqplaceqtheqclientqwhoqwandersqinqaqroomqthatqallowsqforqcloseqobservation.
q Theqnurseqshouldqprovideqclientsqwhoqwanderqaqsafeqplaceqtoqwalkqandq supervisionqwhenqt
heqclientqisqambulating.
A-qTheqnurseqshouldqprotectqtheqclientqfromqharm,qbutqrestraintsqcanqresultqinqagitation.
B-
qTheqnurseqcanqadministerqaqpsychotropicqmedicationqtoqtreatqdepressionqorqemotionalq ma
nifestationsqofqAlzheimer’sqdisease,qbutqnotqtoqtreatqwanderingqbehaviors.
D-
qTheqnurseqshouldqavoidqthequseqofqexcessiveqlightqandqsoundqstimulationqforqtheqclientq whoq
hasqAlzheimer’sqdisease.qThisqcanqcauseqfurtherqagitationqandqconfusionqforqtheqclient.
,HESI GERONTOLOGY FINAL EXAM (VERSION 3) / GERONTOLOGY H
q q q q q q q q
ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RAT
q q q q q q q q q q
ED 100%: COMPLETE GUIDEq q q
Theqnurseqatqaqlong-
termqcareqfacilityqisqteachingqanqolderqadultqclientqaboutqambulatingqwithqaqquadqcane.qW
hichqofqtheqfollowingqstatementsqshouldqtheqnurseqincludeqinqtheqteaching?
A-q Adjustqtheqheightqofqtheqcaneqsoqthatqyouqcanqflexqyourqelbowqatq45qdegrees
B-q holdqtheqcaneqinqtheqhandqonqtheqstrongerqsideqofqyourqbody
C-q placeqtheqflatqsideqofqtheqcaneqawayqfromqyourqfoot
D-q theqcaneqandqyourqstrongerqlegqatqtheqsameqtime
Answer-qb
Theqclientqshouldqholdqtheqcaneqwithqtheqhandqonqtheqstrongerqsideqofqherqbodyqsoqthatqshe
qcanqmoveqtheqcaneqtoqsupportqtheqweakerqleg.qThisqactionqallowsqforqaqmoreqnormalq gait,qw
ithqtheqipsilateralqarmqandqweakerqlegqmovingqatqtheqsameqtime.
A-
qTheqnurseqshouldqinstructqtheqclientqthatqtheqcane’sqheightqshouldqallowqtheqelbowqtoq beqsli
ghtlyqflexed.qqHavingqaqflexionqofq45ºqwouldqmakeqtheqcaneqtooqtallqforqsafequse.
C-
qTheqclientqshouldqplaceqtheqflatqedgeqofqtheqbaseqofqtheqcaneqfacingqtowardqherqfoot.q This
qallowsqtheqclientqtoqambulateqwithoutqtheqriskqofqgettingqherqfootqcaughtqinqtheqbaseq
ofqtheq
caneqandqfalling.
D-
qTheqnurseqshouldqinstructqtheqclientqtoqmoveqtheqcaneqandqherqweakerqlegqatqtheqsameqti
me.qThisqactionqallowsqforqaqmoreqnormalqgaitqwithqtheqipsilateralqarmqandqweakerqlegqmovi
ngqatqtheqsameqtime.
Aqnurseqisqperformingqaqskinqassessmentqforqaqgroupqofqolderqadultqclients.qWhichqo
fqtheqfollowingqfindingsqshouldqtheqnurseqidentifyqasqaqbenign,qageqrelatedqskinqcha
ngeqcommonlyqseenqinqolderqadultqclients?
A-q Liverqspots
B-qNevi
C-q atopicqdermatitis
D-q psoriasis
Answer-qa
Liverqspots,qalsoqknownqasqageqspotsqorqlentigines,qareqflat,qbrownish-
blackqmaculesqthatqusuallyqoccurqinqsun-
exposedqareasqofqtheqbody.qAgingqandqexposureqtoqsunlight,qorqotherqformsqofqultravioletqli
ght,qcanqresultqinqincreasedqpigmentation.qLiverqspotsqareqextremelyqcommonqafterq40qyea
rsqofqage;qtheyqoccurqmostqoftenqonqtheqforearms,qshoulders,qface,qforehead,qandqbacksqof
qtheqhands,qwhichqareqalsoqtheqareasqofqhighestqsunqexposure.qTheyqareqharmlessqandqpai
nless,qbutqtheyqcanqaffectqtheqclient’sqcosmeticqappearance.
B-qNeviqareqmoles,qaqgrowthqofqpigment-
formingqcellsqthatqmightqbeqbenignqorqmalignant.qTheqnurseqshouldqidentifyqthatqneviqoccurq
throughoutqtheqlifespan.qFurtherqevaluationqofqtheqneviqshouldqincludeqevaluationqofqanyqa
symmetry,qborderqirregularity,qcolorqvariation,qdiameter,qandqevolution,qwhichqcanqindicateq
melanoma.
C-
qAtopicqdermatitis,qorqeczema,qisqaqchronicqskinqdisorderqthatqoccursqinqallqages,qbutqisq
moreq
commonqinqinfancyqandqchildhood.qClientsqwhoqhaveqatopicqdermatitisqcanqhaveqscalyqandqi
tchingqrashes.
D-
qPsoriasisqisqaqcommonqskinqinflammationqwithqfrequentqepisodesqofqredness,qitching,qandqt
, HESI GERONTOLOGY FINAL EXAM (VERSION 3) / GERONTOLOGY H
q q q q q q q q
ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RAT
q q q q q q q q q q
ED 100%: COMPLETE GUIDE q q q
hick,qdry,qsilveryqscalesqonqtheqskin.qTheqnurseqshouldqidentifyqthatqwhileqgenerallyqa
