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ATI Final Gerontology questions with correct answers

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ATI Final- Gerontology 1. A nurse is caring for an older adult client who was admitted to a long term care facility and requires total care. Which of the following is an appropriate nursing action... while providing mouth care? 2. A nurse is educating a group of assistive personnel about the care of older adult clients. The nurse educator is including information about the developmental tasks of older adults. Which of the following should the nurse use as an example of a nursing action that best meets the psychosocial tasks of older adults, according to Erikson? - 3. A nurse working in a community health center is completing an assessment of an older adult female client. To which of the following findings should the nurse give immediate action? 4. An older adult client with a moderate hearing loss seeks medical attention in the clinic The nurse can best meet the needs of the hearing impaired client by doing which of the following? 5. A nurse is educating a group of older adult clients regarding their diet choices. Which of the following diet modifications should the nurse recommend to the older adult clients? . 6. A nurse is asked to speak to a group of healthy, older adult clients about normal aging and sexual response. The nurse should include in the discussion techniques to help the clients adapt to which of the following? 7. A nurse in a long term care facility is caring for an older adult client who has ben giving a cane t assist with ambulation. Which of the following nursing actions puts the client at risk? 8. A nurse is caring for an 85 year old client. Which of the following assessment findings should the nurse report to the provider immediately? - 9. A nurse is caring for an older adult client who is receiving multiple medication. Which of the following is an appropriate statement by the nurse? 10. A nurse is caring for an older adult client who is being admitted to the hospital with abdominal pan. During the initial assessment, the nurse notes that the client just nods and smiles in response to the questions asked. Which of the following common developmental concerns is the client exhibiting? 11. A nurse is caring for an older adult client who is dying. The client tells the nurse, "I just want to live one more month so I can see my grandchild get married." The nurse should recognize that, according to Kubler-Ross' stages of grief, the client is in which stage? - 12. A nurse in a long-term care facility recognizes that there is potential for physical and psychological abuse of older adult residents. Which of the following is the best nursing action? 13. A nurse is taking an older adult client's history. The client reports being depressed and having difficulty sleeping for several months. In evaluating the client's sleep disturbance, the nurse should be guided by the knowledge of which of the following? - 14. A nurse is caring for a client who is in pain and is receiving a transdermal patch. The nurse should understand that transdermal medication should be applied to which of the following places on older adult clients? 15. A nurse is caring for an older adult client who is recovering from a left sided cerebrovascular accident (CVA) and who has hemiparesis of the right arm and leg. Which of the following is the best place for the nurse to arrange the items used for hygiene when setting up the client's morning hygiene care supplies? - 16. A nurse is caring for an older adult client who came to the clinic reporting insomnia. Which of the following questions should the nurse ask to asses the quality of the client's sleep? 17. A nurse on a surgical unit reports that an older adult client is having periods of agitation at night that include screaming out loudly for help. The nurse manager suggest several interventions to decrease this behavior. Which of the following interventions should the nurse recognize is least appropriate for an older adult client? 18. A nurse in the ED is caring for an older adult client. Which of the following behaviors should indicate to the nurse neglect of an older adult client by a caregiving family member? 19. A nurse in a long-term care facility is caring for an older adult client who has dementia. Which of the following assessment findings should the nurse recognize is most likely t be seen in this client? 20. A nurse is evaluating the plan of care for an older adult client that will be discharged home with a home health aide. Currently, the client has a home health aide 4 hr a day to assist with meal preparation and hygiene care. Which of the following should be the nurse’s primary consideration when making changes to the client’s plan of care? . 21. A nurse in a day care center is conducting an in-service for assistive personnel (AP) about the basic needs of older adult clients. Which of the following is an appropriate statement made by the nurse? 22. A nurse is performing an assessment on an older adult client. Which of the following effects of the aging process should the nurse expect to see? 23. A nurse is performing a skin assessment on an older adult client Which of the following findings should the nurse recognize as a benign, age related skin change commonly seen in older adult clients? 24. A nurse runs a day care treatment group for older adult clients. Which of the following intervention strategies should the nurse recognize is the most appropriate to help the clients achieve their developmental task, according to Erikson? 25. A nurse is an assisted living facility is assessing an older adult client who moved in 3 months ago following the death of a spouse. The nurse notes that the client has frequently forgotten to take prescribed medications and has been skipping meals. The client reports awakening early in the morning and admits to feeling very sd. which of the following statements should guide the nurse in planning care for this client? 26. A nurse is transferring an older adult client who has right sided weakness from the bed to a wheelchair. Which of the following nursing actions should the nurse perform to provide the safest client transfer? 27. A nurse is caring for an older adult client who is widowed and has come to the clinic for an annual physical examination. The client reports that she just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. Which of the following responses by the nurse is most therapeutic? 28. A public health nurse is planning an immunization clinic for older adults. The nurse should instruct the clients attending the clinic to have an influenza vaccine during which of the following times? 29. A nurse is caring for an older adult client who is expressing feelings of grief and longing for earlier life. Which of the following nursing actions is most appropriate for helping the client cope with these feelings of loss? 30. A nurse is caring for an older adult client. The nurse should be guided by 31. A nurse is caring for an older adult client who is on bed rest following a knee arthroplasty. Which of the following items should the nurse include on the client's breakfast tray to help the client avoid a common complication of immobility? 32. A community health nurse is conducting an intake interview on an older client who lives along in public housing. The nurse assesses that, although the client is able to answer all questions appropriately, the client has a decreased attention span, exhibits sadness, and has a low energy level. The nurse should conclude that the client is most likely showing manifestations associated with which of the following? 33. A nurse is caring for a healthy older adult client who has chronic constipation. Which of the following is an important teaching point the nurse should include when establishing a bowel training program with this client? 34. An older adult client is admitted to the hospital after being on bed rest at home. The client has been incontinent and smells strongly of urine. His spouse, who has been caring for him at home, states that she is sorry and embarrassed about the unpleasant smell. Which of the following responses by the nurse is therapeutic? 35. A nurse in a long-term care facility is caring for a client. The client's children report to the charge nurse that their father report another client wandering into his room during the night disrupting his sleep. The family requests that the nurse use restraints on the wandering client. Which of the following alternatives to using restraints should the nurse consider? ………………………………….CONTINUED……………………………………. [Show More]

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