What is the most important when providing cross-cultural care?

including values and beliefs of the patient

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

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."

Which abilities are required for the clock-drawing test?

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

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

Have the client bring in all medications

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

hand washing and limiting exposure to ill individuals

What are the emerging issues in healthy aging according to Healthy People 2020? (Select all that apply)

fair pay for caregivers, emerging chronic conditions among baby boomers, minimum competency levels for healthcare professionals

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

interaction with prescription medications

What factors contribute to medication misuse in older adults?

Large number of medications, Language barrier, Living alone

How can progression of diabetic retinopathy be prevented?

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

What is age-associated memory impairment?

Memory loss considered normal for age and education level

Why is effective communication important in caring for ill adult clients?

For assessment, planning of care, and therapeutic relationships

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

Decreases medication discrepancies

What should be avoided after cataract surgery?

Bending from the waist, lifting heavy objects

Which of these are considered ADLs?

Toileting, Continence, Bathing, Eating

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

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

What changes occurred in certified nursing facilities in recent years?

Decrease in length of stay, Increase in acuity level, Increase in subacute beds

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

Providing oral explanations and a written copy

Which of the following are examples of elderspeak?

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

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

Renal failure, history of pancreatitis, unmanaged type 2 diabetes

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

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

What initiatives are enhancing the specialty of gerontological nursing?

Scholarships for geriatric nursing, Gerontological nursing excellence

What are the effects of the Hospital Readmission Reduction Program (HRRP)? (Select all that apply)

Readmission rates dropped nationwide, System-wide interventions to prevent readmissions

Why do many baby boomers have multiple chronic conditions?

lack of importance on healthy living

What is the most effective method to help an older patient manage multiple medications?

Providing a pillbox with compartments for each day and dose

What are normal age-related changes of the external eye?

Lower lid may be turned outward, Dry eyes, Drooping eyelids

Why do medications act differently in older adults?

Age-related changes affect drug metabolism

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

watch for nonverbal communication, have interpreter check understanding

Which of these shows that the nurse understands the LEARN Model when providing care to patients? (Select all that apply)

asking client to describe what they think will make them feel better, recognizing nonverbal cues, acknowledging that the client has a different view of appropriate treatment, explaining that herbal remedies may not be best treatment for congestion

What does the Beers Criteria identify in relation to medication therapy in older adults?

Medications with higher than usual risk are on BEERS

Which statement is true?

ethnicity involves recognized traditions, symbols, and literature

Why do memory problems worsen in unfamiliar or stressful situations?

Short-term memory is impacted more

What can older adults do to preserve brain function?

Engage in challenging cognitive activities, Maintain stable attention span, language, and communication skills

What is true about the current health care workforce?

Trends in professions, Shortages in the healthcare workers

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

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GERONTOLOGY- Exam 1 Review

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Answers

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

GERONTOLOGY- Exam 1 Review Flashcards | StudBud