Question 1

An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?

Accepted Answer

A)  Notify the health care provider immediately to rule out cranial nerve damage. 
B)  Schedule the patient for an appointment at a smell and taste disorders clinic. 
C)  Perform testing on the vestibulocochlear nerve and a hearing test. 
D)  Explain to the patient that diminished senses are normal findings. 
A)  Notify the health care provider immediately to rule out cranial nerve damage. 
B)  Schedule the patient for an appointment at a smell and taste disorders clinic. 
C)  Perform testing on the vestibulocochlear nerve and a hearing test. 
D)  Explain to the patient that diminished senses are normal findings. D

Question 2

A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?

Accepted Answer

A)  Oily skin 
B)  Faster nail growth 
C)  Decreased elasticity 
D)  Increased facial hair in men 
A)  Oily skin 
B)  Faster nail growth 
C)  Decreased elasticity 
D)  Increased facial hair in men C

Question 3

A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. The nurse is discussing health care services and possible long-term living arrangements with the patient's only son. What will the nurse suggest?

Accepted Answer

A)  An apartment setting with neighbors close by 
B)  Having the patient utilize weekly home health visits 
C)  A nursing center because home care is no longer safe 
D)  That placement is irrelevant because the patient is retreating to a place of inactivity 
A)  An apartment setting with neighbors close by 
B)  Having the patient utilize weekly home health visits 
C)  A nursing center because home care is no longer safe 
D)  That placement is irrelevant because the patient is retreating to a place of inactivity C

Question 4

Which assessment finding of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?

Accepted Answer

A)  Confusion 
B)  Presbycusis 
C)  Temperature of 97.9° F 
D)  Death of a spouse 2 months ago 
A)  Confusion 
B)  Presbycusis 
C)  Temperature of 97.9° F 
D)  Death of a spouse 2 months ago

Question 5

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

Accepted Answer

A)  Sexuality 
B)  Retirement 
C)  Environment 
D)  Social isolation 
A)  Sexuality 
B)  Retirement 
C)  Environment 
D)  Social isolation

Question 6

What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

Accepted Answer

A)  Have the family members evaluate nursing home staff according to their ability to get tasks done efficiently and safely. 
B)  Make sure that nursing home staff members get patients out of bed and dressed according to staff's preferences. 
C)  Explain that it is important for the family to visit the center and inspect it personally. 
D)  Suggest a nursing center that has standards as close to hospital standards as possible. 
A)  Have the family members evaluate nursing home staff according to their ability to get tasks done efficiently and safely. 
B)  Make sure that nursing home staff members get patients out of bed and dressed according to staff's preferences. 
C)  Explain that it is important for the family to visit the center and inspect it personally. 
D)  Suggest a nursing center that has standards as close to hospital standards as possible.

Question 7

An outcome for an older-adult patient living alone is to be free from falls. Which statement indicates the patient correctly understands the teaching on safety concerns?

Accepted Answer

A)  "I'll take my time getting up from the bed or chair." 
B)  "I should dim the lighting outside to decrease the glare in my eyes." 
C)  "I'll leave my throw rugs in place so that my feet won't touch the cold tile." 
D)  "I should wear my favorite smooth bottom socks to protect my feet when walking around." 
A)  "I'll take my time getting up from the bed or chair." 
B)  "I should dim the lighting outside to decrease the glare in my eyes." 
C)  "I'll leave my throw rugs in place so that my feet won't touch the cold tile." 
D)  "I should wear my favorite smooth bottom socks to protect my feet when walking around."

Question 8

A nurse is using different strategies to meet older patients' psychosocial needs. Match the strategy the nurse is using to its description.
-Therapeutic communication

Accepted Answer

A) Respecting the older adult's uniqueness 
B) Improving level of awareness 
C) Listening to the patient's past recollections 
D) Accepting describing of patient's perspective 
E) Offering help with grooming and hygiene 
A) Respecting the older adult's uniqueness 
B) Improving level of awareness 
C) Listening to the patient's past recollections 
D) Accepting describing of patient's perspective 
E) Offering help with grooming and hygiene

Question 9

An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is concerned about the patient's ability to care for self, especially during this convalescence. What should the nurse do?

Accepted Answer

A)  Stress that older patients usually ask for help when needed. 
B)  Inform the family that placement in a nursing center is a permanent solution. 
C)  Tell the family to enroll the patient in a ceramics class to maintain quality of life. 
D)  Provide information and answer questions as family members make choices among care options. 
A)  Stress that older patients usually ask for help when needed. 
B)  Inform the family that placement in a nursing center is a permanent solution. 
C)  Tell the family to enroll the patient in a ceramics class to maintain quality of life. 
D)  Provide information and answer questions as family members make choices among care options.

Question 10

A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?

Accepted Answer

A)  This is multiple side effects experienced when taking medications. 
B)  This is many adverse drug effects reported to the pharmacy. 
C)  This is the multiple risks of medication effects due to aging. 
D)  This is concurrent use of many medications. 
A)  This is multiple side effects experienced when taking medications. 
B)  This is many adverse drug effects reported to the pharmacy. 
C)  This is the multiple risks of medication effects due to aging. 
D)  This is concurrent use of many medications.

Question 11

A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.)

Accepted Answer

A)  Electrolyte imbalance 
B)  Sensory deprivation 
C)  Hypoglycemia 
D)  Drug effects 
E)  Dementia 
A)  Electrolyte imbalance 
B)  Sensory deprivation 
C)  Hypoglycemia 
D)  Drug effects 
E)  Dementia

Question 12

A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?

Accepted Answer

A)  Review the patient's list of medications at each visit. 
B)  Teach that polypharmacy is to be avoided at all cost. 
C)  Avoid information about adverse effects. 
D)  Focus only on prescribed medications. 
A)  Review the patient's list of medications at each visit. 
B)  Teach that polypharmacy is to be avoided at all cost. 
C)  Avoid information about adverse effects. 
D)  Focus only on prescribed medications.

Question 13

Which information from a co-worker on a gerontological unit will cause the nurse to intervene?

Accepted Answer

A)  Most older people have dependent functioning. 
B)  Most older people have strengths we should focus on. 
C)  Most older people should be involved in care decision. 
D)  Most older people should be encouraged to have independence. 
A)  Most older people have dependent functioning. 
B)  Most older people have strengths we should focus on. 
C)  Most older people should be involved in care decision. 
D)  Most older people should be encouraged to have independence.

Question 14

A nurse is using different strategies to meet older patients' psychosocial needs. Match the strategy the nurse is using to its description.
-Reality orientation

Accepted Answer

A) Respecting the older adult's uniqueness 
B) Improving level of awareness 
C) Listening to the patient's past recollections 
D) Accepting describing of patient's perspective 
E) Offering help with grooming and hygiene 
A) Respecting the older adult's uniqueness 
B) Improving level of awareness 
C) Listening to the patient's past recollections 
D) Accepting describing of patient's perspective 
E) Offering help with grooming and hygiene

Question 15

A male older-adult patient expresses concern and anxiety about decreased penile firmness during an erection. What is the nurse's best response?

Accepted Answer

A)  Tell the patient that libido will always decrease, as well as the sexual desires. 
B)  Tell the patient that touching should be avoided unless intercourse is planned. 
C)  Tell the patient that heterosexuality will help maintain stronger libido. 
D)  Tell the patient that this change is expected in aging adults. 
A)  Tell the patient that libido will always decrease, as well as the sexual desires. 
B)  Tell the patient that touching should be avoided unless intercourse is planned. 
C)  Tell the patient that heterosexuality will help maintain stronger libido. 
D)  Tell the patient that this change is expected in aging adults.

Question 16

Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?

Accepted Answer

A)  "I need to increase my fat intake and limit protein." 
B)  "I still keep my dentist appointments even though I have partials now." 
C)  "I should discontinue my fitness club membership for safety reasons." 
D)  "I'm up-to-date on my immunizations, but at my age, I don't need the influenza vaccine." 
A)  "I need to increase my fat intake and limit protein." 
B)  "I still keep my dentist appointments even though I have partials now." 
C)  "I should discontinue my fitness club membership for safety reasons." 
D)  "I'm up-to-date on my immunizations, but at my age, I don't need the influenza vaccine."

Question 17

A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?

Accepted Answer

A)  Provide several topics of discussion at once to promote independence and making choices. 
B)  Avoid uncomfortable silences after questions by helping patients complete their statements. 
C)  Ask patients to recall past experiences that correspond with their interests. 
D)  Speak in a high pitch to help patients hear better. 
A)  Provide several topics of discussion at once to promote independence and making choices. 
B)  Avoid uncomfortable silences after questions by helping patients complete their statements. 
C)  Ask patients to recall past experiences that correspond with their interests. 
D)  Speak in a high pitch to help patients hear better.

Question 18

A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will be assisting the patient with which activity?

Accepted Answer

A)  Taking a bath 
B)  Getting dressed 
C)  Making a phone call 
D)  Going to the bathroom 
A)  Taking a bath 
B)  Getting dressed 
C)  Making a phone call 
D)  Going to the bathroom

Question 19

A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?

Accepted Answer

A)  Flea bites and lice infestation 
B)  Left at a grocery store 
C)  Refuses to take a bath 
D)  Cuts and bruises 
A)  Flea bites and lice infestation 
B)  Left at a grocery store 
C)  Refuses to take a bath 
D)  Cuts and bruises

Question 20

A nurse is assessing an older adult for cognitive changes. Which symptom will the nurse report as normal?

Accepted Answer

A)  Disorientation 
B)  Poor judgment 
C)  Slower reaction time 
D)  Loss of language skills 
A)  Disorientation 
B)  Poor judgment 
C)  Slower reaction time 
D)  Loss of language skills

Exam 14: Older Adult

An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?

A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?

A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. The nurse is discussing health care services and possible long-term living arrangements with the patient's only son. What will the nurse suggest?

Which assessment finding of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

An outcome for an older-adult patient living alone is to be free from falls. Which statement indicates the patient correctly understands the teaching on safety concerns?

A nurse is using different strategies to meet older patients' psychosocial needs. Match the strategy the nurse is using to its description. -Therapeutic communication

An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is concerned about the patient's ability to care for self, especially during this convalescence. What should the nurse do?

A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?

A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.)

A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?

Which information from a co-worker on a gerontological unit will cause the nurse to intervene?

A nurse is using different strategies to meet older patients' psychosocial needs. Match the strategy the nurse is using to its description. -Reality orientation

A male older-adult patient expresses concern and anxiety about decreased penile firmness during an erection. What is the nurse's best response?

Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?

A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?

A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will be assisting the patient with which activity?

A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?

A nurse is assessing an older adult for cognitive changes. Which symptom will the nurse report as normal?

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