How can the nurse effectively elicit an accurate medication assessment from a new client?

Have the client bring in all medications

Which strategies are considered primary prevention for older adults? (Select all that apply)

smoking cessation program, influenza immunization

Which health challenges did baby boomers face during their childhood?

scarlet fever, rubella, measles

Why do medications act differently in older adults?

Age-related changes affect drug metabolism

What factors contribute to medication misuse in older adults?

Living alone, Language barrier, Large number of medications

What are the goals of the NICHE program?

Improving outcomes for hospitalized older adults

What contributes to the growth of community-based care?

Preferences to 'age in place', Rapidly escalating health care costs

Who are the high-risk groups for developing glaucoma?

African Americans, Mexican Americans, Diabetic individuals

What are the effects of medication reconciliation during transitions of care?

Decreases medication discrepancies

How does the nurse interpret an older client who pauses before responding to questions?

client is sorting through experiences

Which abilities are required for the clock-drawing test?

Number fluency, Familiarity with analog clocks, Ability to hear and see

When providing an annual flu prevention workshop, what activities does the community health nurse include?

hand washing and limiting exposure to ill individuals

What is therapeutic when facilitating communication with a cognitively impaired older client?

use nonverbal and verbal cues to help get message across to client, allowing additional time for the client to respond to instructions, explaining a task using simple, concise phrasing and one step at a time

What is the main concern for older adults taking herbal supplements?

interaction with prescription medications

Which of the following are examples of elderspeak?

CNA refers to patient as "grandma", nurse says "come on, be a good girl" when giving patient medications, nurse tells patient, "It's time for our bath now."

What factors contribute to poor outcomes for older adults during transitions of care? (Select all that apply)

Inability to read and understand instructions, High levels of nurse-patient engagement, Inadequate financial resources

What laboratory tests should be done for an elderly man with increasing confusion?

Urine analysis, Vitamin B12, Vitamin D level, Thyroid stimulating panel

What do primary prevention strategies focus on for older adults?

preventing illnesses before they occur

What initiatives are enhancing the specialty of gerontological nursing?

Scholarships for geriatric nursing, Gerontological nursing excellence

Which interventions promote healthy biological aging?

using moisturizers, stress reduction, yearly influenza vaccinations

What does gerotranscendence theory propose? (Select all that apply)

losing status and value of elders, older adults withdraw from society for self-reflection and exploration, time and superficial relationships have less importance

What should the nurse ask when a client reports being unable to take furosemide?

Can you describe what happened when you took Lasix?

What is age-associated memory impairment?

Memory loss considered normal for age and education level

What should be avoided after cataract surgery?

Bending from the waist, lifting heavy objects

What does recent guidelines from the American Heart Association say about cholesterol levels?

Recommendations must be individualized

What factors complicate the assessment of older adults?

Multiple comorbid conditions, Difficulty differentiating symptoms, Atypical presentation of illness, Increase in iatrogenic illness

What is the main cause of angle-closure glaucoma?

Obstruction of fluid in the eye by the angle of the iris

Why do many baby boomers have multiple chronic conditions?

lack of importance on healthy living

How can the nurse ensure an understanding of oral hypoglycemic medications in an older diabetic client?

Providing oral explanations and a written copy

How can progression of diabetic retinopathy be prevented?

Control of blood pressure, Laser photocoagulation treatments, Control blood glucose levels

What could be causing high triglyceride levels in a client who is careful about their diet?

Renal failure, unmanaged type 2 diabetes, history of pancreatitis

What should the nurse do to have an effective interview with a non-English-speaking client?

have interpreter check understanding, watch for nonverbal communication

Which nursing statement shows appreciation for an older client's willingness to tell personal stories?

"I learn so much about clients when they share their life story with me."

What should a nurse consider when teaching older adults about fall prevention?

Use large readable font for pamphlets, Provide ongoing positive feedback during the session

Why do memory problems worsen in unfamiliar or stressful situations?

Short-term memory is impacted more

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GERONTOLOGY- Exam 1 Review

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Questions 82

Answers

1
How can the nurse effectively elicit an accurate medication assessment from a new client?
Make a list of all current medications
Have the client bring in all medications
Work with a family member to make a list of medications
Allow the previous primary care provider to provide a list of medications
2
Which strategies are considered primary prevention for older adults? (Select all that apply)
smoking cessation program
influenza immunization
cardiac rehabilitation program
prostate screening program
3
What theory of aging should be used to emphasize the importance of exercise after knee replacement?
role theory
cross-link theory
socioemotional selectivity theory
activity theory
4
What is the role of melatonin in regulating sleep?
decreasing sleep onset latency
improving morning wakefulness
regulating sleep-wake cycle
improving sleep quality
5
Which health challenges did baby boomers face during their childhood?
scarlet fever
HIV/AIDS
rubella
measles
smallpox
6
Why do medications act differently in older adults?
Adverse drug reactions occur with similar frequency in older adults
Age-related changes affect drug metabolism
Older adults may need larger doses of medication
OTC drugs have standardized dosages for all ages
7
Which color room is recommended for older clients?
Green room
Orange room
Black room
Blue room
8
What factors contribute to medication misuse in older adults?
Living alone
Language barrier
Large number of medications
Ethnic background
9
What are the goals of the NICHE program?
Increase number of iatrogenic complications that occur in hospitals
decrease 30-day readmission rates for hospitalized older adults
increase the number of older adults cared for in hospitals
Improving outcomes for hospitalized older adults
10
What contributes to the growth of community-based care?
Decreasing numbers of family caregivers
Preferences to 'age in place'
Decrease in nursing home beds
Rapidly escalating health care costs
11
Who are the high-risk groups for developing glaucoma?
African Americans
Mexican Americans
Diabetic individuals
Asian Americans
12
What is the role of a nurse in a senior center according to gerotranscendence theory?
role theory
continuity theory
activity theory
gerotranscendence theory
13
What are the effects of medication reconciliation during transitions of care?
Increases nurse-patient engagement
Patients comply with discharge instructions
Improves transitions of care
Decreases medication discrepancies
14
How does the nurse interpret an older client who pauses before responding to questions?
client is nervous and having difficulty concentrating
client is exhibiting signs of mild cognitive impairment
client is reluctant to share information
client is sorting through experiences
15
What is the importance of screenings for older adults?
promotion of wellness
low utilization rate
paucity of research
early detection of diseases
16
Which abilities are required for the clock-drawing test?
Number fluency
Familiarity with analog clocks
Ability to hear and see
Ability to speak English
17
When providing an annual flu prevention workshop, what activities does the community health nurse include?
hand washing and limiting exposure to ill individuals
wear and tear
influenza immunization clinic
lecture on preventing infections
18
What is therapeutic when facilitating communication with a cognitively impaired older client?
speaking loudly
use nonverbal and verbal cues to help get message across to client
allowing additional time for the client to respond to instructions
explaining a task using simple, concise phrasing and one step at a time
19
What is the main concern for older adults taking herbal supplements?
substituting prescription meds
interaction with prescription medications
herbal overdose
expense of supplements
20
Which of the following are examples of elderspeak?
CNA refers to patient as "grandma"
nurse says "come on, be a good girl" when giving patient medications
nurse tells patient, "It's time for our bath now."
a nurse explains procedure to a patient using simple, non medical terms
21
What factors contribute to poor outcomes for older adults during transitions of care? (Select all that apply)
Inability to read and understand instructions
High levels of nurse-patient engagement
Inadequate financial resources
Lack of desire to comply
22
What laboratory tests should be done for an elderly man with increasing confusion?
Urine analysis
Vitamin B12
Vitamin D level
Thyroid stimulating panel
23
What do primary prevention strategies focus on for older adults?
preventing illnesses before they occur
early detection of diseases
addressing existing wellness challenges
promoting biological wellness
24
What initiatives are enhancing the specialty of gerontological nursing?
Mandate of a Baccalaureate degree
Scholarships for geriatric nursing
Nursing certification for long-term care
Gerontological nursing excellence
25
What characteristics are typical of a centenarian, according to the 2015 census reports?
Japanese woman, chronic inflammation
American man, lifelong vegetarian
Chinese man, immune disorder
American woman, no dementia
26
Which interventions promote healthy biological aging?
antioxidant supplements
physical activity and social interaction
using moisturizers, stress reduction, yearly influenza vaccinations
immunity enhancement
27
What does gerotranscendence theory propose? (Select all that apply)
losing status and value of elders
older adults withdraw from society for self-reflection and exploration
older adults transfer power to younger individuals
time and superficial relationships have less importance
28
What should the nurse ask when a client reports being unable to take furosemide?
Do you have any questions regarding your reaction to Lasix?
When was the last time you took Lasix?
Can you describe what happened when you took Lasix?
Is your health care provider aware of your allergy?
29
What should a nurse do when a patient shows new onset urinary incontinence in the SPICES assessment?
Obtain antibiotic order
Send urine specimen
Conduct in-depth assessment
Develop plan of care
30
What is age-associated memory impairment?
Memory loss considered normal for age and education level
Decline in both short- and long-term memory
Unusual forgetting of recently learned things
Uncommon decrease in memory abilities
31
What is the main sign of cataracts?
Blurring
Decreased perception of light
Sensitivity to glare
Yellow tint to objects
32
What should be avoided after cataract surgery?
Keeping a sterile dressing
Maintaining blood sugar control
Bending from the waist
lifting heavy objects
33
Can Echinacea be taken by people with asthma?
when asthma symptoms are absent
only after cold onset
yes
no
34
Serious and well-controlled research studies on aging have been available:
since the turn of the 20th century
since the year 2000
only in the past 60 years
following the Great Depression
35
What does recent guidelines from the American Heart Association say about cholesterol levels?
Cholesterol level below 100
Recommendations must be individualized
Different recommendations for age groups
Cholesterol level over 200
36
What factors complicate the assessment of older adults?
Multiple comorbid conditions
Difficulty differentiating symptoms
Atypical presentation of illness
Increase in iatrogenic illness
37
What is the main cause of angle-closure glaucoma?
Vitreous floaters
Changes to ligaments and muscles
Muscle spasms
Obstruction of fluid in the eye by the angle of the iris
38
Why do many baby boomers have multiple chronic conditions?
lack of immunizations
lack of importance on healthy living
lack of medication access
rampant poverty
39
How can the nurse ensure an understanding of oral hypoglycemic medications in an older diabetic client?
Giving the package insert and assessing reading skills
Providing website address for American Diabetes Association
Using paragraph form instead of numbered lines
Providing oral explanations and a written copy
40
What is the potential risk of taking ginkgo before surgery?
no risk
excess anesthetic sedation
allergic reaction
increased bleeding
41
What is the purpose of elderspeak?
Nonverbal cues
Clear communication
Patronizing speech
Effective listening
42
How can progression of diabetic retinopathy be prevented?
Wearing sunglasses to protect eyes
Control of blood pressure
Laser photocoagulation treatments
Control blood glucose levels
43
What type of belief views illness as caused by a higher power?
magico-religious
ayurvedic
naturalistic
biomedical
44
What could be causing high triglyceride levels in a client who is careful about their diet?
Well managed type 2 diabetes
Renal failure
unmanaged type 2 diabetes
history of pancreatitis
45
What should the nurse do to have an effective interview with a non-English-speaking client?
have interpreter check understanding
watch for nonverbal communication
speak only to the interpreter
use medical terminology
46
The family member of a patient asks if vitamin C will prevent aging. What theory should the nurse consider?
continuity theory
free radical theory
autoimmune theory
wear-and-tear theory
47
What is the impact of technology on older adults?
Used by older American men for social networking sites
Use only for social networking and recreational purposes
Improves quality of life
Decreases Internet use in individuals over age 75
48
Which nursing statement shows appreciation for an older client's willingness to tell personal stories?
"It helps their memory to retell stories."
"It's so nice to see them excited and engaged while telling stories."
"I learn so much about clients when they share their life story with me."
"They are so proud of the things they've accomplished in life."
49
Which foods should an older patient on warfarin avoid?
Spinach
Red meats
Kale
Milk
50
What should a nurse consider when teaching older adults about fall prevention?
Use large readable font for pamphlets
Provide ongoing positive feedback during the session
Present all information at once
Start education from the beginning
51
Why do memory problems worsen in unfamiliar or stressful situations?
New information overload
Short-term memory is impacted more
Long-term memory is impacted more
Increased age-related changes
52
What statement made by a client would prompt the nurse to cancel a surgical procedure?
taking echinacea with water
starting St. John's wort
not taking ginkgo for 10 days
taking garlic pill
53
What does the Beers Criteria identify in relation to medication therapy in older adults?
Medications not typically covered by drug benefit plans
Medications that generally cause allergic reactions
Medications likely to be abused
Medications with higher than usual risk are on BEERS
54
What is true about the current health care workforce?
Trends in professions
Decrease in geriatricians
Shortages in the healthcare workers
Gerontological nursing certification
55
What are the effects of the Hospital Readmission Reduction Program (HRRP)? (Select all that apply)
System-wide interventions to prevent readmissions
Readmission rates dropped nationwide
Increasing nursing home hospitalizations
Keeping patients longer to avoid readmissions
56
What is health literacy?
Ability to read and execute health care documents
Ability to obtain, process, and understand health information
Ability to access health care
Ability to read and write
57
How can a nurse promote functional wellness in an 85-year-old client with diabetes?
maintaining physical activity
recommended preventative screenings
using a rolling walker
attending chess games
58
What is the recommended INR number for an individual with atrial fibrillation?
4.0-5.0
3.0-4.0
2.0-3.0
1.0-2.0
59
Which sociological theory of aging applies to a married couple in a life care community?
continuity theory
disengagement theory
role theory
personality theory
60
What is the importance of annual physical examinations for older adults?
preventive measure
low efficacy
health promotion
abundance of research
61
What theory of aging is used when a retired teacher leads an art class and a retired nurse assists with a health fair?
gerotranscendence
continuity theory
activity theory
role theory
62
What is the highest priority nursing intervention for an older woman with breast cancer after chemotherapy?
Replacing fluids
Preventing infection
Maintaining skin integrity
Preventing falls
63
What are the emerging issues in healthy aging according to Healthy People 2020? (Select all that apply)
minimum competency levels for healthcare professionals
emerging chronic conditions among baby boomers
fair pay for caregivers
longevity and genetics
64
What should the nurse do when an older patient has an elevated blood urea nitrogen (BUN)?
Rerun test
Assure client elevation is normal
Review medication list
Collect 24-hour urine specimen
65
Which of these shows that the nurse understands the LEARN Model when providing care to patients? (Select all that apply)
suggesting that the healthcare provider is right and should trust them
acknowledging that the client has a different view of appropriate treatment
explaining that herbal remedies may not be best treatment for congestion
asking client to describe what they think will make them feel better
recognizing nonverbal cues
66
What is the most important when providing cross-cultural care?
following guidelines even if it goes against patient's beliefs
including values and beliefs of the patient
tell patient that they have to do it your way or receive no care at all
completely ignoring the values and beliefs of the patient
67
Which statement is true?
ethnicity involves recognized traditions, symbols, and literature
ethnic groups always share common geographic origin and religion
culture is the same as ethnicity
most members of ethnic groups show identical traits
68
What is the most effective method to help an older patient manage multiple medications?
Providing a written list of medications
Having the client's daughter administer the medications
Providing a pillbox with compartments for each day and dose
Giving package inserts from all medications
69
What are the defining characteristics of tardive dyskinesia?
Facial muscle twisting and involuntary limb movements
Tremors and difficulty drinking from a cup
Inability to stop moving
client can't get up from a chair
70
What are normal age-related changes of the external eye?
Lower lid may be turned outward
Loss of eyelashes
Dry eyes
Drooping eyelids
71
What is the definition of ethnocentrism?
belief that one's ethnic group is superior to that of another
application of limited knowledge about specific characteristics of another
an understanding of another's cultural beliefs
a conflict that occurs when 2 people interact with different beliefs
72
What does the FANCAPES assessment tool focus on?
Cognitive abilities
ability to meet personal needs to identify the amount of assistance needed
Level of dementia present
ability to perform ADLs
73
What is the most effective technique when communicating with a client who is positioned in bed?
sitting in a chair at the bedside facing the client
sitting in a chair at the foot of the bed
standing at the foot of the bed
standing near the client's head on their dominant side
74
Why is completing a cultural assessment important?
culture provides direction on how to interact during health care encounters
all members of a culture react the same way
culture guides healthcare decisions
culture impacts attitude
75
What can older adults do to preserve brain function?
Engage in challenging cognitive activities
Lower prevalence of dementia than younger individuals
Develop new cognitive abilities
Maintain stable attention span, language, and communication skills
76
Which of these are considered ADLs?
Eating
Bathing
Continence
Toileting
77
What are common symptoms of age-related macular degeneration?
Yellow tint to objects
Halos around objects
Peripheral vision loss
Complete blindness
78
What should the nurse focus on when discussing herbal supplement use with a client?
knowledge of side effects
reason for taking supplements
start date of supplementation
effectiveness
79
What changes occurred in certified nursing facilities in recent years?
Increase in subacute beds
Increase in acuity level
Decrease in length of stay
Decrease in registered nurses employed
80
Why is effective communication important in caring for ill adult clients?
To reflect their physical and emotional well-being
To assess their needs
To establish a social connection
For assessment, planning of care, and therapeutic relationships
81
According to the activity theory, what is important for successful aging?
documenting end-of-life interventions
active lifestyle
avoiding exposure to crowds
refrain from increase in physical activity
82
What was the overall life expectancy at birth in the United States in 2015?
late 80s
78.8
65
late 90s

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