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Geri Final Exam Questions.
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Geri Final Exam Questions.
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Geri Final Exam Questions. Mental health risk factors for older sexual minorities and gender minorities include
which of the following (select all that apply)
a. Lack of caregivers
b. Predictable health care climate
c. Social isolation
d. Homophobia expressed by others - ANS-A C D
87 years gay man, dementia lost partner 8 years ago, admitted to long term care facility
15 days ago, limited financials and family information in his chart. Which of the following
is necessary for his care urgency?
a. Identify who is his primary health care decision maker
b. Find out if his house is sold
c. Contact someone in his biological family - ANS-A
A 68-year-old patient asks, "why do i react differently to some medications than i did
when i was young" a nurse replies based on the understanding that:
a. Older adult should exercise caution with prescription medications but do not need to
worry about over-the-counter drugs
b. Age related changes affect the way drugs are metabolized by older adults c. Adverse
drug reactions occur with the same frequency in older adults as they do in younger
adults
d. Older adults may need larger doses of medication due to pharmacokinetics changes -
ANS-B
A 75-year-old man complains of hearing loss in the right ear that began 3 weeks ago.
He has no pain, fever, tinnitus or discharge from the ear. As his nurse you will inspect
his ears for which of the following?
a. Cerumen impaction
b. Otitis externa
c. Otitis media
d. Trochlear tumor - ANS-A
A 76-year-old female has been admitted with a diagnosis of pneumonia, requiring
antibiotics and respiratory therapy. She is fatigued and short of breath with exertion. Her
activity orders are - "Up as tolerated." To prevent functional decline, the nurse would
perform which intervention? (select all that apply)
a. Assist her to a chair for meals.
, b. Assist her to the bathroom or a bedside commode.
c. Encourage her to stay in bed so she can breathe.
d. Assist her with active and passive range of motion exercises. - ANS-A, B, D
A nurse is teaching an older adult's family about the concept of caregiver burden. Which
point is priority for the nurse to communicate with the family?
a. You'll find it difficult to provide for your loved one's needs if you do not have a strong
support system.
b. If you eventually feel overburdened, moving your loved one to a nursing home will
provide you with relief.
c. You will find that for you, the benefits of providing for your loved one actually outweigh
the negative consequences.
d. Don't feel guilty about having to hire help. Most older Americans' care is currently
provided by professional and other formal services. - ANS-A
A transgender client born a female, actively dying from ovarian cancer. The wife states
the friends and family doesn't know about transgender. The family and friends will want
to visit. What should the nurse do?
a. Assure the wife the medical diagnosis will not be discussed
b. Continue to give hormones independently
c. Write on the door that the patient is male
d. Tell the funeral home that they're going to die - ANS-A
An 80-year-old client is admitted to the hospital because of complications associated
with severe dehydration. The client's daughter asks the nurse "how did my mother
become dehydrated? She is alert and able to care for herself." The nurse's best
response is:
a. "The body's fluid needs decrease with age because of tissue changes." b. "Access to
fluid may be insufficient to meet the daily needs of the older adult." c. "Memory declines
with age, and the older adult may forget to ingest adequate amounts of fluid."
d. "The thirst reflex diminishes with age, and therefore the recognition of the needfor
fluid is decreased." - ANS-D
An older adult with a BMI of 38 (morbid obesity) complains, "I wake up and feel as if i
have been choking." The nurse considers the possibility that this older adult has which
of the following?
a. Chronic insomnia
b. Restless leg syndrome
c. Obstructive sleep apnea
d. Secondary sleep disorder - ANS-C
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