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Geri exam chapters 12-18
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Geri exam chapters 12-18
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Geri exam chapters 12-18A 75-year-old woman asks a nurse, "I know I should be moving, but how much is the
right amount of exercise for me?" The best response of the nurse is:
a. "You need to engage in 30 minutes of moderate intensity exercise on at least 5 days
a week."
b. "You need to engage in at least 30 minutes of moderate-intensity exercise every day
of the week."
c. "Because you are 75 years old, the recommendation is for 30 minutes of
moderate-intensity exercise three times a week."
d. "There are no specific recommendations for someone of your age; just keep moving."
- ANS-a. "You need to engage in 30 minutes of moderate intensity exercise on at least 5
days a week."
A 79-year-old client resides independently in the community. The visiting home health
nurse finds even though it is 90 °F outside, the windows are closed, and the client is
wearing a sweater. The nurse initially recognizes that this behavior may be related to
a. cognitive changes that diminish the individual's awareness of temperature changes.
b. age-related neurosensory changes that diminish awareness of temperature changes.
c. delirium related to an acute illness that is affecting body heat production.
d. age-related motor deficiencies that result in self-neglect. - ANS-b. age-related
neurosensory changes that diminish awareness of temperature changes.
A dermatologist should promptly evaluate which one of the following skin lesions?
a. Circumscribed, raised area resembling a blob of brown wax
b. Multicolored raised lesion with a fuzzy border
c. Bright red, glazed area with satellite lesions around it
d. Brown spot on the skin with no raised area - ANS-b. Multicolored raised lesion with a
fuzzy border
A group of older women in an assisted living facility are talking about one of the
residents who fell and fractured her hip. The women ask a nurse the following: "It seems
like so many of us fall and break our hips, and then it is downhill from there. Is this really
true?" In formulating a response, the nurse considers which of the following? (Select all
that apply.)
a. Hip fractures are a leading cause of hospitalization for older people.
b. The major cause of hip fractures is falls.
c. Women have significantly higher mortality rates from hip fractures than do men.
,d. Nearly all older patients who sustain a hip fracture will regain prefracture mobility
status within 1 year.
e. Hip fractures are associated with very high morbidity and mortality rates. - ANS-a. Hip
fractures are a leading cause of hospitalization for older people.
b. The major cause of hip fractures is falls
e. Hip fractures are associated with very high morbidity and mortality rates.
A home care nurse in an area of the country that is prone to tornadoes routinely
discusses disaster preparedness with older adult clients. What is the primary rationale
for this intervention?
a. Older adults are less likely to seek formal and informal help when affected by natural
disasters.
b. The older adult is more likely to live in a communal environment that provides
assistance in times of natural disasters.
c. Most older adults have insurance to help them recover from material losses because
of a natural disaster.
d. Federal and private assistance agencies generally provide older adults with priority
attention in time of natural disasters. - ANS-a. Older adults are less likely to seek formal
and informal help when affected by natural disasters.
A home health nurse is making a home visit to an older patient. A nurse conducts a
home safety assessment and screens the environment for potential hazards for falls.
The nurse recommends that the patient eliminate which of the following? (Select all that
apply.)
a. Night lights
b. Railings on the stairway
c. Loose carpeting on the floors
d. The use of a cane
e. Excess clutter - ANS-c. Loose carpeting on the floors
e. Excess clutter
A homecare nurse visits a client in the home to conduct a fall risk assessment. The
nurse assesses the client and the home for extrinsic risk factors for falls. Which of the
following are extrinsic risk factors? (Select all that apply.)
a. The client has an unsteady gait.
b. The client uses a cane but the cane is not the appropriate size for the client.
c. The client's home is cluttered.
d. The client is on two different medications that cause orthostatic hypotension.
e. There are no grab bars in the client's bathroom. - ANS-b. The client uses a cane but
the cane is not the appropriate size for the client.
, c. The client's home is cluttered.
e. There are no grab bars in the client's bathroom.
A homecare nurse visits an older patient who lives in a smart medical home community
environment. The nurse understands that smart homes are:
a. an emerging technology to enhance safety of older adults by using environmental
control systems.
b. an assistive technology that keeps data on vital signs, gait, behavior, and sleep
without providing an interactive medical-advising system.
c. an emerging technology to aid in the prevention and later detection of disease
through the use of sensors and monitors.
d. elder-friendly communities where residents participate in the design and operation of
the home. - ANS-a. an emerging technology to enhance safety of older adults by using
environmental control systems.
A large residual urine volume characterizes what type of incontinence?
a. Urge
b. Stress
c. Overflow
d. Functional - ANS-c. Overflow
A nurse in a long-term care facility notes that there has been an increase in falls on one
unit and that many of the falls are occurring immediately after mealtime. The nurse
recommends that the nursing home conduct a trial of six smaller meals instead of the
three traditional meals. The nurse makes this recommendation on the understanding
that
a. postural changes in blood pressure are common in older adults and frequently occur
around mealtimes.
b. postprandial hypotension occurs after ingestion of a carbohydrate meal and may be
related to the release of a vasodilatory peptide.
c. residents of long-term care facilities are often on many different medications that are
given at mealtimes.
d. it is common practice in to take long-term care residents to the bathroom immediately
after meals. - ANS-b. postprandial hypotension occurs after ingestion of a carbohydrate
meal and may be related to the release of a vasodilatory peptide.
A nurse is admitting and orienting an older adult to the hospital unit. She discusses fall
prevention and demonstrates the use of the call bell to the patient. The patient's
daughter asks: "Why don't you just put up all the side rails to prevent my mother from
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