Geriatric Exam 1 NCLEX Practice Questions

Geriatric Exam 1 NCLEX Practice Questions 31 studiers today 5.0 (1 review) Students also studied Terms in this set (146) University of TorontoBiology Save NCLEX Practice Questions for geriat...16 terms JacquelineLynn2016 Preview Geriatrics NCLEX Questions 30 terms marissaxxcarol Preview Older Adult Nclex questions 45 terms Shaun_Simmons Preview Geriatr 23 terms cj3g the nurse visits the home of an older person with chronic lung disease. which observation indicates that the person is engaged in health improvement activities?

• walks a pet twice a day
• prepares pasta for dinner
• talks with family once a week
• sleeps in a recliner in the living room

a.the nurse visits the home of an older person recovering from an exacerbation of a chronic illness. which observation indicates to the nurse that the person has dispelled the myth that older people cannot learn new things?

• planning to meet friends for lunch
• researching medications on the internet
• scheduling an ophthalmologic examination
• preparing a shopping list

b.the nurse prepares an educational program on healthy aging for a community group. which segment of the population should the nurse explain as being the fastest growing in the US?

• middle-age
• middle-old
• old-old
• young-old

c.

A resident of an assisted-living facility enjoys her new apartment but is disappointed that so many females reside there alone. what does this resident's observation suggest about older men?

• they are healthy enough to live in their own homes
• they tend to live with family when they age
• they do not live as long as women
• they do not like to live in assisted living facilities

c.the nurse notes that an older person has difficulty removing clothes in preparation for a physical assessment. on which area should the nurse focus when determining this person's ability to perform activities of daily living?

• housekeeping
• laundry
• bathing
• walking

c.the nurse plans an educational wellness program for a group of older adults residing in the community. on which topic should the nurse focus the majority of the information?

• benefits of treating depression with medications
• managing alzheimer's disease symptoms
• benefits of remaining socially active
• managing heart failure symptoms

d.an older person who recently retired expresses delight in not having to get up and go work every morning. which theory of aging does this person's statement demonstrate to the nurse?

• individualism
• disengagement
• continuity
• activity

c.(in the continuity theory, the pace of activities may be slower and for some, the relief from time pressures and deadlines is a bounty of older age. the activity theory proposes that older adults should stay active and engaged if they are to age successfully. in the theory of individualism, the focus shifts away from the external world toward inner experiences as the older person searches for answers to life's riddles and find the essence of the true self. in the disengagement theory, the pattern of behavior in later life is for the older person to withdraw so that social equilibrium is maintained) an older person states that "it's just a matter of time" before a knee and hip replacement will be needed. which theory of aging is this older person describing to the nurse?

• endocrine
• programmed longevity
• wear and tear
• immunological

c.

the nurse learns that an older person takes several vitamin and nutritional supplements everyday. which theory of aging is supported by this older person's behavior?

• free radical
• somatic DNA damage
• cross link
• wear and tear

a.an adult daughter is concerned about her 85 year old mother's disinterest in activities since retiring from a full- time teaching position. which theory of aging should the nurse use to help explain this older person's behavior?

• developmental
• disengagement
• activity
• continuity

b.1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The nurse states to a colleague, "This client has been smoking for years and isn't going to stop now." Which negative stereotype of aging does the nurse's statement most reflect?

• Old people are expected to be sick.
• Old people are set in their ways.
• Old people do not value health promotion education.
• Old people are a drain on societal resources.

Answer: 3

Explanation:

• Many older adults have chronic disease but function well.
• Often people characterize the elderly in a negative way, believing that after a

certain age, things cannot be changed. Older people can learn new things and take up new hobbies they can enjoy and give life meaning and pleasure.

• Although it may not be possible to reverse all the damage, it is never too late to

stop smoking cigarettes. People who quit smoking at an older age enjoy better health outcomes.

• Older people contribute greatly to society by volunteering, helping with

grandchildren, mentoring others, and continue working.2) The nurse is planning to conduct education for older adult clients regarding preventative health screenings.Which type of screening does the nurse anticipate educating this population on?

• Glaucoma
• Nutrition
• An annual mammogram
• Prostate-specific antigen

Answer: 3

Explanation:

• A glaucoma screening is recommended annually for those at risk for glaucoma.
• Nutritional assessment and counseling are encouraged for those with diabetes

or renal disease.

• The nurse will discuss the importance of annual mammograms. Older women

are the fastest growing population in the United States.

• A prostate-specific antigen is recommended yearly for men under the age of

70.3) While completing an admission assessment, the nurse learns that a female adult patient has smoked a pack of cigarettes daily for 20 years and works at a chemical plant. From this information, what is this patient most at risk for?

• Decline in muscle mass
• Nutritional deficiencies
• Depression and social isolation
• Occupational hazard shortening life expectancy

Answer: 4

Explanation:

• While muscle mass does naturally decline in older adults, there is no indication

that she is not physically active.

• In older adults, adequate nutrition can be a concern, yet there is no indication

that she is not adequately nourished.

• In older adults, depression and social isolation are a risk, yet there is no

indication that she is not socially active.

• Exposure to occupational risk factors has been known to affect life expectancy

in men and will have the same effect on women given similar circumstances

4) The nurse is caring for an older adult with a chronic disease. Which is reflective of a tertiary intervention to help slow down the progression of the client's illness?

• Assess the client's mobility
• Integrate physical therapy
• Discuss injury-prevention measures within the home
• Obtain a referral for occupational therapy

Answer: 2

Explanation:

• Assessment of the client's mobility is reflective of secondary prevention.
• The integration of physical therapy for a client with chronic disease reflects a

tertiary intervention to promote restoration and prevent or slow down further debilitation.

• Discussing injury prevention is health promotion or primary prevention.
• Obtaining a referral for an occupational therapist reflects a secondary measure

of prevention in which there is an early diagnosis and prompt treatment.5) The nurse is caring for an older client with heart disease that is experiencing fatigue. Which will the nurse initially implement to enhance the overall quality of life and functional ability of the client?1. Assess the need for assistive devices

• Provide education on health screenings
• Reinforce the importance of rehabilitation
• Instruct the client on techniques for self-management

Answer: 3

Explanation:

• Assistive devices may be necessary to increase the independence of the client.

The assessment for an assistive device occurs during the rehabilitation time.

• Education regarding health screenings focuses on prevention of disease.
• Rehabilitation after a chronic illness can enhance the quality of life and

functional ability of the client. Managing chronic fatigue that occurs with heart disease can require rehabilitation.

• Techniques of self-management can reduce pain and cost of chronic disease by

teaching the client to manage their own chronic condition.6) The nurse is assessing an older female patient admitted to the hospital for generalized weakness and a cough.Which assessment findings indicate normal changes of aging? Select all that apply.

• Blood pressure of 160/90
• Needing to urinate every 3 hours
• Needing to wear eye glasses for reading
• Pulse rate 110 bpm
• Respiratory rate 22 per minute after walking a short

distance

Answer: 2, 3, 5

Explanation:

• Even though the arteries stiffen with age, an elevation in blood pressure needs

to be investigated and not assumed that it is a normal change related to aging.

• With aging, bladder capacity declines. Needing to urinate every 3 hours would

be evidence of reduced bladder capacity.

• With aging, difficulty focusing up close would necessitate the need for reading

glasses. This would be considered a normal change with aging.

• Even though the heart muscle thickens with age, a pulse rate of 110 needs to be

investigated and not assumed that it is a normal change related to aging.

• Maximum breathing capacity may decline by about 40% between the ages of

40 and 70. A respiratory rate of 22 per minute after walking a short distance can be considered a normal change related to aging.7) The family of an older male patient asks why the patient needs to be hospitalized for pneumonia when the youngest daughter had the same infection a few months ago and was treated at home. How should the nurse respond to the family?

• "The patient has chronic illnesses that put him at risk."
• "I don't think you can compare your grandfather to

yourself."

• "There are some differences between men and women

and illness."

• "Aging decreases the body's ability to restore balance

to body systems with an infection."

Answer: 4

Explanation:

• There is not enough information to determine if the patient has chronic illnesses.
• This response does not address the issue that body systems return to balance

slower after an illness as a part of aging.

• This response does not address that the patient's age impacts the body's ability

to fight an infection and return to homeostasis.

• The loss of organ reserve that can occur with aging can lead to the concept of

homeostenosis or inability of the body to restore homeostasis after even minor environmental challenges, such as trauma or infection. An older person may die from pneumonia, which may have only been a minor illness to a younger person