Reference no: EM133922184
Questions
1. A frail 80-year-old patient, who cares for a spouse at home without assistance, requires minor surgery. Lacking any family members residing in the area, the patient expresses concern about the spouse's care while the patient is recovering. The gerontological nurse's recommendation is:
a. arranging inpatient respite care for the spouse.
b. having the patient remain in the hospital during the post operative period.
c. hiring around-the-clock help for two weeks.
d. hospitalizing the spouse.
2. A 90-year-old patient comes to the clinic with a family member. During the health history, the patient is unable to respond to questions in a logical manner. The gerontological nurse's action is to:
a. ask the family member to answer the questions.
b. ask the same questions in a louder and lower voice.
c. determine if the patient knows the name of the current president.
d. rephrase the questions slightly, and slowly repeat them in a lower voice.
3. The American Nurses Association's Gerontological Nursing: Scope and Standards of Practice emphasizes:
a. that abnormal responses to the aging process determine the appropriate nursing diagnoses.
b. that the health status data of older adult patients be documented in a retrievable form.
c. the role of the older adult patient as the sole decision maker in planning his or her care.
d. the unchanging nature of the goals and plans of care for older adult patients.
4. A state ombudsman initiates an investigation after a complaint about the care of a nursing home resident. Which statement about the investigation process is true?
a. The ombudsman may proceed with the investigation without identifying the individual who made the complaint, and without obtaining a court order or written consent.
b. The ombudsman must identify the individual who made the complaint.
c. The ombudsman must obtain a court order to review documentation, if the resident described in the complaint does not give written permission.
d. The ombudsman must obtain the written permission of the resident who is described in the complaint.
5. Which patient is at greatest risk for developing arteriosclerotic heart disease?
a. A 68-year-old female patient with a triglyceride level of 135 mg/dL, and a high-density lipoprotein level of 68 mg/dL.
b. A 70-year old male patient with a total cholesterol level of 181 mg/dL, and a low-density lipoprotein level of 90 mg/dL.
c. A 75-year old female patient with a triglyceride level of 189 mg/dL, and a low-density lipoprotein level of 149 mg/dL.
d. An 86-year-old male patient with a low-density lipoprotein level of 100 mg/dL, and a high-density lipoprotein level of 50 mg/dL.
6. A 76-year-old male patient reports hesitancy, decreased force of the urinary flow, a sensation of incomplete emptying of the bladder, and dribbling. The gerontological nurse first asks:
a. "Have you experienced abdominal pain?"
b. "Have you had a daily bowel movement?"
c. "Have you had low back pain?"
d. "Have you noticed blood in your urine?"
7. A 65-year-old patient exhibits symptoms of hemianopsia. The most appropriate nursing intervention is to:
a. arrange the patient's meal tray so that all the food is in the patient's field of vision.
b. explain all tasks thoroughly to help allay the patient's fears.
c. look directly at the patient when speaking to maximize comprehension.
d. minimize the operating stimuli to reduce distractions to the patient.
8. An 80-year-old patient, who lives at home with a spouse, is instructed to follow a 2 g sodium diet. The patient states, "I've always eaten the same way all my life, and I'm not going to change now." To promote optimal dietary adherence, the gerontological nurse's initial approach is to:
a. inform the patient about the need to follow the diet.
b. inquire about the patient's current food preferences and eating habits.
c. list the variety of foods that are allowed on the diet.
d. provide dietary instruction to the patient's spouse, who prepares the meals.