ATI Gerontology Final Quiz (3 Versions), Document to Secure HIGHSCORE
A nurse is caring for an older adult client who was admitted to a
long term care
... [Show More] facility and requires total care. Which of the
following is an appropriate nursing action while providing mouth
care?
Turn the client on his side before starting 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?
-Providing the client’s opportunity to discuss their lives and
losses
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?
‐ Rales in the bases
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?
Understanding that not all hearing impaired clients
communicate the same way
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?
Increased calcium older adults have lost bone density and are
prone to fractures; therefore, it is appropriate to recommend a diet
that is high in calcium.
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?
Decreased vaginal lubrication older adult female pts may
report painful intercourse related to vaginal narrowing and
decreased vaginal secretions. The nurse should suggest the use of
water-soluble lubricants with intercourse to ameliorate the effects
of these normal changes.
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?
Placing the can on the side of the client's weak side
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?
-Cannot discriminate between hot and cold sensations below
the knee of the left extremity lack of feeling or sensation
below the knee of the leg can be a manifestation of poor circulation
to that extremity.
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?
-Receiving multiple medications can lead to drug interactions
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?
-hearing loss the senses often diminish with age and it is not
unusual for older adult clients to be hard of hearing. The nurse may
not be receiving appropriate responses because the client is hard of
hearing. Hearing loss is not necessarily a normal physiological
change of older adults and should be further evaluated and treated.
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?
-Bargaining
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?
Provide staff with education about the abuse of older adult
clients and stress management proactive intervention that will
give staff members the information and skills that are necessary to
prevent abuse in this setting. The nurse should recognize that
caring for older adult clients can be stressful and frustrating at
times. Giving staff members training for stress-management skills
addresses this aspect of potential abuse.
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?
-Anxiety and depression frequently cause disturbed sleep
patterns
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?
Hairless area of the torso circulation in the extremities
decreases with age, therefore when caring for an older adult client,
topical or transdermal skin patches should be applied to the torso
where circulation is better.
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?
-Within the client's reach on the left side
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?
-Do you feel rested in the morning?
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?
-requesting that the client’s PCP prescribe a sedative
medication. screaming usually indicates that the client is afraid.
Medication may sedate the client, but it will not remove the fear.
Sedative medication should be used very sparingly in a
postoperative older adult client who may also be receiving pain
medication.
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?
-the client hasn’t been taking necessary medications because
the prescriptions have not been filled by the family member
neglect occurs when the client’s needs is not being met by the
caregiver
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?
-Agnosia dementia refers to a group of symptoms involving
progressive impairment of brain function. Disorders that cause
dementia include conditions that impair the vascular or neurologic
structures of the brain. Agnosia, the inability to identify familiar
objects is a key finding in dementia.
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?
-effectiveness of the interventions for the client’s 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?
-sleep cycles are impaired.
22.
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