Basic Geriatric nursing

MULTIPLE CHOICE 1. The patient reports “My medications keep sticking in my throat.” Which response will the nurse appropriately make? a. Suggesting taking all the pills at one time with a mouthful of water b. Offering the patient one pill at a time c. Crushing all the pills and mixing them in the patient’s breakfast cereal d. Offering a sip of water before and after each pill ANS: D Offering water before and after administration counteracts the dry mouth that causes the p...

MULTIPLE CHOICE 1. Which amount is the recommended daily allowance of protein for an adult? a. 200 grams b. 20 grams c. 150 grams d. 56 grams ANS: D The recommended daily allowance for protein is 46 grams for adult women and 56 grams for adult men. DIF: 2 REF: p. 114 OBJ: 2 TOP: Protein Intake Equivalent KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. An older patient is having trouble with hydration. W...

MULTIPLE CHOICE 1. The health care provider states that the patient with Alzheimer disease has progressed from the preclinical stage of the disease to the mild cognitive impairment stage. Which finding would the nurse expect to find upon assessment of the patient? a. Inability to communicate b. Incontinent episodes c. Total dependency d. Forgetfulness ANS: D Patients in the mild cognition impairment stage of Alzheimer disease will have some forgetfulness. The inability to commu...

MULTIPLE CHOICE 1. Which suggestion would be an appropriate suggestion for an 80-year-old person who recently placed a deadbolt lock on the door? a. Keep the door securely locked. b. Apply similar locks on all the windows. c. Leave the door unlocked, with the key in place while at home. d. Replace the lock with a security chain to secure the premises. ANS: C Unlocked deadbolts allow rapid access by emergency personnel and allow the individual to leave in the event of fire. DI...

MULTIPLE CHOICE 1. During the health interview, the older adult reports sadness, poor temperament and a decline in “being able to think straight.” The nurse will ask further questions regarding which aspect? a. Feelings of depression b. Time of last bowel movement c. Environmental stimuli that disturb sleep d. Frequency and size of meals ANS: A Sadness, loss of hope, poor temperament, decline in cognitive function are signals of possible depression. PTS: 1 DIF: 7 REF:...

MULTIPLE CHOICE 1. What is the major objection to the disengagement theory? a. The theory justifies ageism. b. The theory addresses the diversity of older adults. c. The theory does not clarify the aging process. d. The theory diminishes the self-esteem of the older adult. ANS: A The disengagement theory seems to justify ageism by proposing that there is a mutual desire between the community and the older adult to be disengaged. According to the theory, this desire apparently d...

MULTIPLE CHOICE 1. Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults? a. American Association of Retired Persons (AARP) b. National Council of Senior Citizens (NCSC) c. National Alliance of Senior Citizens (NASC) d. Gray Panthers ANS: A The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults. PTS: 1 DIF: 2 REF: p. 12 OBJ: 7 TOP: Political Action Groups KEY: Nursing ...

MULTIPLE CHOICE 1. The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, “I know you can’t do anything more, but I hurt so bad.” Which nursing intervention would be most effective? a. Bring pain medication when it is time for it. b. Assure the patient that the pain medication will take effect soon. c. Touch the patient’s arm and sit quietly without speaking. d. Distract the patient by offering a sip of water. ANS: C U...

MULTIPLE CHOICE 1. The 78-year-old patient asks the nurse when the shingles vaccination should be given. Which response by the nurse is accurate? a. 1 dose now b. 1 dose every year c. 1 dose now, and another dose in 2 to 6 months d. 1 dose now, and another dose the year after the 1st dose ANS: C The shingles vaccination should be given with one dose now, and the other dose in 2 to 6 months. PTS: 1 DIF: 3 REF: p 81 OBJ: 1 TOP: Shingles Vaccine KEY: ...

MULTIPLE CHOICE 1. What is the pathophysiology of emphysema? a. Constriction of the bronchial tree, excessive mucus, and nonproductive cough b. Calcification of the alveoli and a dry cough c. Overinflation of the alveoli, making them ineffective for gas exchange d. Inflammation of the trachea and bronchioles, excessive mucus, and productive cough ANS: C Emphysema causes overinflation of the nonelastic alveoli, which disallows gas exchange in the affected alveoli and results in ...