N212 GERO ATI 2.0 GERONTOLOGY QUIZ. Latest Update. Download To Score A.The nurse is teaching an older adult client who is on bed rest
... [Show More] following
development of deep vein thrombosis DVT about methods to increase peristalsis.
Which of the following high-fiber food choices should the nurse recommend?
A- Navy bean soup
B- canned fruit juice
C- white rice pudding
D- soy milk
Answer- A
An older adult client who is on bedrest has an increased risk for constipation due to the
decreased peristalsis associated with the aging process. Increasing dietary fiber by
adding foods like legumes to the diet, as well as ensuring adequate fluid intake, will
promote bowel regularity.
B- The nurse should recommend canned fruit and fruit juices without pulp as a low-fiber
choice, which can help decrease peristalsis.
C- The nurse should recommend white rice pudding as a low-fiber choice, which can
help decrease peristalsis.
D- The nurse should recommend soy milk as a low-fiber choice, which can help
decrease peristalsis.
A home health nurse is visiting an older adult client who has anemia. Which of
the following foods should the nurse recommend to increase the clients iron
intake?
A- Greek yogurt
B- bran muffin
C- peanut butter sandwich
D- dried fruit
Answer- d
The nurse should recommend the client eat more dried fruit to increase iron in the diet.
A- The nurse should recommend greek yogurt to increase the client’s intake of zinc and
calcium.
B- The nurse should recommend bran muffins to increase the client’s intake of fiber.
C- The nurse should recommend a peanut butter sandwich to increase the client's
intake of a complementary protein, which is when two incomplete proteins are together,
making the sandwich a complete protein.
The nurse is caring for an older adult client who has a new onset of type 2
diabetes mellitus. Which of the following psychological changes can contribute
to the development of type 2 diabetes?
A- Increased production of insulin by the pancreas
B- decrease sensitivity to be circulating insulin
C- increase rate of glucose metabolism
D- decreased release of glycogen by the liver
N212 GERO ATI 2.0 GERONTOLOGY QUIZ
Answer- b
The pancreas in older adult clients demonstrates reduced tissue sensitivity to circulating
insulin, leading to an increased risk of developing type 2 diabetes mellitus.
A- There is an insufficient release of insulin by the beta cells within the pancreas with
type 2 diabetes mellitus.
C- There is a decrease in the rate of glucose metabolism in older adult clients. This is
especially true if there is a sudden, high concentration of glucose consumed.
D- Glucose is stored in the liver as glycogen. A decrease in the amount of glycogen
converted to glucose and released to the body results in a decrease in blood glucose,
rather than an elevation.
The nurse is teaching a newly hired assistive Personnel about her role in helping
older adult clients with activities of daily living ADLs. the nurse should explain
that which of the following is the most common factor for the FX a client's
performance of adl's?
A- social withdrawal
B- chronic physical disability
C- emotional impairment
D- cognitive dysfunction
Answer- b
Physical disability is the most common reason older adult clients have difficulty
performing ADLs. Self-care deficit, the nursing diagnosis that describes the inability of
the client to perform self-care activities necessary for optimum health and function, is
associated with several physical etiologic factors: activity intolerance, pain,
neuromuscular impairment, sensory-perceptual impairment, musculoskeletal
impairment, and cognitive impairment.
A- Although some older adult clients might become socially withdrawn due to
depression, physical debilitation, or lack of transportation, it should not affect their ability
to perform ADLs.
C- Emotional stability does not decrease in older adult clients as a consequence of the
aging process. While depression is common in older adult clients, it is often associated
with a serious or disabling medical diagnosis, physical impairment, or as a side effect of
medications. Clients who are depressed might, as a result of their mood disorder, be
reluctant to perform their ADLs and need assistance or encouragement.
D- Cognition does not decrease in older adults as a consequence of the aging process.
Even clients who have dementia and other neurologic disorders might still be able to
learn and perform tasks, such as ADLs, or adjust to new situations or routines.
The nurse is planning care for a client who had a stroke. Which of the following
goals should the nurse identify as the priority for this client?
A- The clients skip will remain intact during hospitalization
B- the client will verbalize one new word each week
C- the client will begin to help turn himself in bed, indicating improve Mobility
N212 GERO ATI 2.0 GERONTOLOGY QUIZ
D- the clients airway will remain clear, as evidenced by clear breath sounds
Answer- d
The nurse should apply the ABC priority-setting framework when caring for this client.
This framework emphasizes the basic core of human functioning: having an open
airway, being able to breathe in adequate amounts of oxygen, and circulating oxygen to
the body's organs via the blood. An alteration in any of these can indicate a threat to life
and is the nurse’s priority concern. When applying the ABC priority-setting framework,
airway is always the highest priority because the airway must be clear and open for
oxygen exchange to occur. Breathing is the second highest priority in the ABC prioritysetting framework because adequate ventilatory effort is essential in order for oxygen
exchange to occur. Circulation is the third highest priority in the ABC priority-setting
framework because delivery of oxygen to critical organs only occurs if the heart and
blood vessels are capable of efficiently carrying oxygen to them. The priority nursing
action is to promote pulmonary hygiene as evidenced by clear breath sounds.
A- Prevention of skin breakdown following a stroke is an important goal; however, there
is another goal that is the priority.
B- Relearning speech is important for communication skills following a stroke; however,
there is another goal that is the priority.
C- Following a stroke, one goal of rehabilitation is to encourage self-help. Activity goals
are important; however, there is another goal that is the priority. [Show Less]