Geriatrics Final Exam - Questions and Answers

Geriatrics Final Exam - Questions and Answers What is the primary focus of a fall prevention program in a long-term care facility? a. Improving balance b. Improving muscle mass c. Improving circulation d. Increase in the knowledge base about falls An older adult man has been diagnosed as having diminished depth perception. What does the nurse expect him to have difficulty with in his everyday activities? a. Judging the height of steps. b. Reading small print on food labels. c. Reading street signs. d. Seeing in dim light. The daughter of an 80-year-old woman asks the home health nurse for advice in selecting a cane for her mother, who has an unsteady gait. What cane would be a poor choice? a. Wooden cane with a rubber tip b. Four-footed cane with a rubber grip c. Clear acrylic cane with a nonslip tip d. Colorful carved cane with a wooden tip What is an expected assessment finding in an older adult suffering from hyperthermia? a. Excessive perspiration b. Bradycardia c. Temperature of 100° F d. Leg cramps The home health nurse has evaluated the community for measures that support pedestrian safety. What safety measures would be appropriate modifications to increase safety in the community? (Select all that apply.) a. Pedestrian-controlled crosswalks b. Safety islands on wide street intersections c. Decreased time to cross at walks d. Clearly marked crosswalks at intersections e. Overhead crossings over busy streets How should the nurse adapt the environment for a person with right-sided hemianopsia? a. Approach the patient from the right side. b. Arrange personal articles on the left side of the bed. c. Remind the patient to avoid turning his or her head to reduce added perceptual problems. d. Touch the patient on the right side to get his or her attention. What would be the most effective intervention by the nurse when a patient with a cognitive disorder begins to exhibit delusional behavior as a result of excessive stimulation? a. Medicate with a psychoactive drug such as lorazepam or diazepam. b. Send the patient to his or her room for "time out." c. Remind the patient that acting out behavior will not be tolerated. d. Distract the patient with a quiet activity. In what ways can a nurse help a demented person maintain orientation? (Select all that apply.) a. Consistently calling the patient by name, usually the first name b. Referring the patient to a calendar to note special events c. Reminding the patient about the time of day by pointing to the clock d. Calmly taking the patient to an appointment without explanation e. Reminding the patient of her or his whereabouts frequently How does the concept of ageism portray older adults? a. An inactive population of self-indulgent persons b. A group that has opted to isolate themselves c. Physically inept and nonproductive d. An antisocial but active group An older adult has recently moved to a long-term care facility. The family asks what can be done to ease the transition. What would be the most appropriate suggestion of the nurse? a. Send cards or gifts instead of personal visits. b. Visit and call often to remind the resident that she or he is cared for. c. Limit contact for several weeks to encourage independence. d. Communicate with the long-term facility's staff to inquire about the resident's well- being. The nurse in a long-term care facility notes signs of depression in a resident who is ordinarily positive. What newly prescribed medication could contribute to the depression? a. Erythropoietin b. Corticosteroids c. Calcium replacement d. Broad-spectrum antibiotics Which patient would have the highest risk of suicide? a. 85-year-old male with a history of an affective disorder b. 50-year-old female with a recent divorce c. 70-year-old female with high blood pressure d. 65-year-old male with chronic asthma The long-term care facility nurse is aware that the resident most at risk for suicide related to depression is the a. 70-year-old man with diabetes. b. 75-year-old woman with chronic obstructive pulmonary disease. c. 80-year-old woman with a bipolar disorder. d. 85-year-old man with schizophrenia. The 70-year-old woman who had a stroke 3 months ago has a body image disturbance related to her spastic right arm and contracted fingers of the right hand. How can the nurse assist the patient in improving her body image? a. Teach her to write with her left hand. b. Place articles within easy reach of her left hand. c. Help her select colorful scarves or accessories to cover her right arm. d. Show her massage techniques to increase circulation in her right arm. What influences the older adult's self-perception? (Select all that apply.) a. Family support b. Ethnic heritage c. Health status d. Financial status e. Sense of independence What influences an older adult's self-concept? (Select all that apply.)