Download Geriatric Nursing Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!
The nurse working in a clinic located in a neighborhood with many elderly Vietnamese individuals is planning programs to decrease health care disparities. What is the most important strategy for this population? A. Educate clinic staff about Vietnamese health beliefs B. Work to improve public transportation C. Seek methods to obtain low-cost medications D. Update equipment and supplies for the clinic - Correct Answers ✅A The gerontologic nurse is planning a presentation at a senior center about healthy aging based on the goals of Healthy People 2020. What should the nurse include? A. Current treatments of specific diseases across the life span B. Racial and ethnic differences in health care practices C. Criteria for Medicare reimbursement for preventive healthcare D. Methods to achieve improved quality of life across the life span. - Correct Answers ✅D The nurse is discussing neighborhood healthcare needs with local planners. Which nursing action is best based on the overall goals of Healthy People 2020? A. Suggest subsidized transportation to religious services B. Plan intergenerational activities.
C. Request a wheelchair ramp at a nurse managed clinic D. Ask for additional intensive care unit beds - Correct Answers ✅C A nurse is part of a team planning for the health need of the community. Which demographic trend should assist the nurse to plan care for the community? A. Cultural diversity of older adults in increasing B. There will be less people in the old-old subgroup C. Educational level is decreasing in the elderly D. Less people will be in the 65 to 74 year old age group - Correct Answers ✅A The nurse utilized concepts from the wear-and-tear theory of aging when planning care for which patient? A. A patient with a total knee replacement r/t repetitive use injury B. A patient with lung cancer r/t long term asbestos exposure C. A patient with (Transient Ischemic Attack) TIA symptoms r/t uncontrolled hypertension D. A patient with peripheral artery disease r/t type 2 diabetes - Correct Answers ✅A
D. Document number of attendees at weekly Sunday brunch - Correct Answers ✅B What is the primary focus of nursing interventions directed at health promotion in the older adult? A. Disease and medication management B. Talking about nutrition to enhance longevity C. Teaching positive health behaviors D. Controlling symptoms of illness. - Correct Answers ✅C Which statement should guide the nurse in evaluating an older patient's potential for dysfunction? A. Spiritual aging interferes with a healthy lifestyle B. Biological aging increases the elder's vulnerability to disease C. Emotional distress rarely influences biologic aging D. Psychological aging impairs an older person's judgement. - Correct Answers ✅B The nurse notices that many of the patient's in a long tern care facility speak about spiritual matters. Which intervention is best to address patient's spiritual needs? A. Give advice on spiritual matters B. Spend uninterrupted time listening ti patient's concerns
C. Reassure the patient that everything will work out D. Discuss the nurse personal religious beliefs - Correct Answers ✅B Which statement, if made by a new employee in a health care setting, should alert the nurse to the need for further education about ageism? A. Older patients never want to take their medication B. Older patient often need me to explain procedures several times C. I try to speak more clearly when the patient is older D. I ask my older patients to tell me stories about their children - Correct Answers ✅A The nurse is providing care for an older patient who is experiencing mild cognitive impairment. Which communication technique is most likely to bring a negative outcome? A. Using very simple sentences and phrasings B. Frequently repeating instructions and requests C. Speaking at a slower than normal speed D. Asking the family to answer interview questions - Correct Answers ✅D A nurse is planning an education program at senior center. Which general principles of aging should the nurse consider in developing the program. (Select all that apply)
D. Stop asking questions - Correct Answers ✅A The action should be the highest priority for the nurse when beginning the hospital admission assessment for a very elderly patient? A. Speak slowly and loudly while standing and facing the patient B. Obtain a detailed and accurate medical history from the patient C. Determine whether the patient uses glasses or hearing aids D. Schedule the interview of the patient before any meals - Correct Answers ✅C An elderly female moved to a senior housing apartment and described the difficulties encountered. She states, "When I was younger my husband was in the military, we moved constantly, and it was easy. I don't know why this move was so hard." How should the nurse respond? A. Older individuals are not able to adapt to stressors as they age B. You may need more time to adjust to the new environment C. Senior apartment living is the main reason for increased stress D. You did not have adequate social support to adjust to the move - Correct Answers ✅B Which statement best identifies the effects of aging on the blood pressure?
A. As people age, the ability to maintain homeostasis ceases B. Decrease in total body water results in increased sodium levels C. Skeletal muscle atrophy decreases exercise tolerance D. Increased peripheral resistance increases the work of the heart - Correct Answers ✅D When implementing care for an elderly patient on complete bedrest, which action should the nurse to take? A. Obtain daily laboratory specimens. B. Administer prophylactic antibiotics C. Insert 3 intravenous lines for fluid resuscitation D. Reposition every 1-2 hours - Correct Answers ✅D An older adult asks the nurse about skin care and aging. How should the nurse respond? A. Apply sunscreen and wear a hat when you spend time outdoors B. Limit your fluid intake in the winter maintain normal bladder C. Using a moisturizing lotion on the feet will increase the risk of falling D. Daily showers with antibacterial soap are necessary to prevent infection - Correct Answers ✅A
D. Show the patient how to do isotonic exercises twice a day - Correct Answers ✅B The nurse is teaching patient to decrease the effects of wear and tear on the aging process. What is the best instruction? A. Recommend annual influenza immunization B. Avoid exposure to excessively loud noise C. Encourage 6-9 servings of fruits and vegetables daily D. Suggest music therapy and realization for healthy promotion - Correct Answers ✅B Of the following techniques, which is the most essential to meet the long-term goal of increasing the health literacy of minority elders through the introduction of computer technology? A. Offer incentives to the participants B. Ensure adequate access to the technology C. Recruit a large numbers of participants for the first session D. Limiting the age group of the participants to the young old. - Correct Answers ✅B A nurse is unsure about meeting the spiritual needs of a Buddhist patient. What is the nest patient-centered action in this situation A. Request a chaplain or a priest to visit the patient
B. Request a change of assignment based on a lack of knowledge C. Assess the patient's spiritual need as a Buddhist D. Ask another nurse to assist with the patient's spiritual care - Correct Answers ✅C The nurse provides discharge instructions including written literature on prudent heart living for an older male diagnosed with a myocardial infarction. His daughter states, "I don't know why you are bothering. He has been smoking and eating poorly for years; he isn't going to change at his age." What concept does this statement reflect? A. Character assessment B. Reality orientation C. Negative stereotyping D. Senescence - Correct Answers ✅C Which statement should the nurse analyze as a predictive trend regarding the health care needs of older adults? A. There will be an increasing need for health promotion programs for married males. B. To serve the needs of the population over age 85, more nursing services will be needed C. Older women lining along will become a small minority of the older population
A patient develops delirium on the third post-operative day. Which intervention should the nurse consider the highest priority. A. Orient to person, place and time at every encounter B. Ambulate daily in the hallways C. Reduce the brightness of the lights D. Assign same staff member each day - Correct Answers ✅A A family member reports no improvement in an elderly patient with depression 10 days after starting a selective serotonin reuptake inhibitor (SSRI). What nursing response is most appropriate? A. Depression is the mental health problem of greatest frequency in the aged. B. Side effects may include dry mouth and constipation. C. The medication may take up to 4 weeks or more to demonstrate effectiveness. D. SSRI's must be take with meals for maximum efficacy. - Correct Answers ✅C The nurse in a long-term care facility will plan which activity to foster reminiscence? A. Encourage participation in a pottery class B. Display colorful calendars and clocks C. Schedule regular storytelling hours
D. Set up weekly pet therapy sessions - Correct Answers ✅C The nurse is teaching nutrition at a senior center. One of the older participation asks about changing nutritional needs. What advice the nurse should include? A. Eliminate saturated and unsaturated fat B. Drink about 8 cups of water daily C. Increase daily calorie intake from simple sugars D. Eat starches that are easy to digest such as white bread - Correct Answers ✅B An older patient is admitted to the medical-surgical unit with a diagnosis of heart failure and says to the nurse, "I am of no use to anyone. I just want to die." What should the nurse do to ensure the patient's safety? A. Ask if the patient would like a visit from the hospital chaplain B. Report the patient's statement to the healthcare provider C. Report the patient's statement to the family D. Encourage the patient to rest with the expectation of feeling better in the morning - Correct Answers ✅B What data would be considered a primary risk factor for delirium? A. History of recent stress
subjective data about instrumental activities of daily living (IADL), the nurse should question the older adult about their ability to perform which activity? A. Dressing B. Food shopping C. Bathing D. Toiling - Correct Answers ✅B A patient in a long-term facility is losing weight and has a nursing diagnosis of Imbalanced Nutrition: Less than Body requirement. What outcome should the nurse set for the patient? A. Moist tongue and mucous membranes B. No evidence of skin breakdown C. Normal serum albumin level D. One pound a month weight gain - Correct Answers ✅D A patient is diagnosed with delirium. Which nursing intervention is appropriate? A. Rorate caregivers every two to four hours B. Dim the light in the patient'r room during the day C. Orient the patient with every staff encounter D. vary the patient's schedule - Correct Answers ✅C
A long term care patient states, "Leave me alone. Spend your time on someone who can use it. I don't want to live if I have to stay here." What is the priority nursing action? A. Allow the patient to have periods of solitude B. Create a calm atmosphere C. Encourage the patient to talk about their feelings D. Assess for intention and means to commit suicide - Correct Answers ✅D What demographic group is at greatest risk for suicide> A. Caucasian men B. Caucasian women C. African-American men D. African-American women - Correct Answers ✅A An alert and oriented older patient with multiple health problems rarely gets out of bed, complains of little energy, and describes an 11 pound weight loss over the last year. What is the initial nursing action? A. Discuss long term care placement B. Describe normal changed of aging C. Teach passive range-og-motion exercises
