, VERSION 1
1. A nurse is caring for an older adult client who was admitted to a long term
care facility and requires total care. Which of the following is an appropriate
nursing action while providing mouth care?
Turn the client on his side before starting mouth care
2. A nurse is educating a group of assistive personnel about the care of older
adult clients. The nurse educator is including information about the
developmental tasks of older adults. Which of the following should the nurse
use as an example of a nursing action that best meets the psychosocial tasks of
older adults, according to Erikson?
-Providing the client’s opportunity to discuss their lives and losses
3. A nurse working in a community health center is completing an assessment
of an older adult female client. To which of the following findings should the
nurse give immediate action?
- Rales in the bases
4. An older adult client with a moderate hearing loss seeks medical attention
in the clinic The nurse can best meet the needs of the hearing impaired
client by doing which of the following?
Understanding that not all hearing impaired clients communicate the same
way
5. A nurse is educating a group of older adult clients regarding their diet
choices. Which of the following diet modifications should the nurse
recommend to the older adult clients? Increased calcium older adults
have lost bone density and are prone to fractures; therefore, it is
appropriate to recommend a diet that is high in calcium.
6. A nurse is asked to speak to a group of healthy, older adult clients about
normal aging and sexual response. The nurse should include in the discussion
techniques to help the clients adapt to which of the following?
Decreased vaginal lubrication older adult female pts may report painful
intercourse related to vaginal narrowing and decreased vaginal secretions.
The nurse should suggest the use of water-soluble lubricants with intercourse
to ameliorate the effects of these normal changes.
,7. A nurse in a long term care facility is caring for an older adult client who has
ben giving a cane t assist with ambulation. Which of the following nursing
actions puts the client at risk?
Placing the can on the side of the client's weak side
8. A nurse is caring for an 85 year old client. Which of the following
assessment findings should the nurse report to the provider immediately?
-Cannot discriminate between hot and cold sensations below the knee of
the left extremity lack of feeling or sensation below the knee of the leg
can be a manifestation of poor circulation to that extremity.
9. A nurse is caring for an older adult client who is receiving multiple
medication. Which of the following is an appropriate statement by the nurse?
-Receiving multiple medications can lead to drug interactions
10. A nurse is caring for an older adult client who is being admitted to the hospital with
abdominal pan. During the initial assessment, the nurse notes that the client just nods
and smiles in response to the questions asked. Which of the following common
developmental concerns is the client exhibiting?
-hearing loss the senses often diminish with age and it is not unusual for older adult
clients to be hard of hearing. The nurse may not be receiving appropriate responses
because the client is hard of hearing. Hearing loss is not necessarily a normal
physiological change of older adults and should be further evaluated and treated.
11. A nurse is caring for an older adult client who is dying. The client tells the
nurse, "I just want to live one more month so I can see my grandchild get
married." The nurse should recognize that, according to Kubler-Ross'
stages of grief, the client is in which stage? - Bargaining
, 12. A nurse in a long-term care facility recognizes that there is potential for
physical and psychological abuse of older adult residents. Which of the
following is the best nursing action?
Provide staff with education about the abuse of older adult clients and
stress management proactive intervention that will give staff members
the information and skills that are necessary to prevent abuse in this setting.
The nurse should recognize that caring for older adult clients can be stressful
and frustrating at times. Giving staff members training for stress-
management skills addresses this aspect of potential abuse.
13. A nurse is taking an older adult client's history. The client reports being
depressed and having difficulty sleeping for several months. In evaluating
the client's sleep disturbance, the nurse should be guided by the knowledge
of which of the following? -Anxiety and depression frequently cause
disturbed sleep patterns
14. A nurse is caring for a client who is in pain and is receiving a transdermal
patch. The nurse should understand that transdermal medication should be
applied to which of the following places on older adult clients?
Hairless area of the torso circulation in the extremities decreases with
age, therefore when caring for an older adult client, topical or transdermal
skin patches should be applied to the torso where circulation is better.
15. A nurse is caring for an older adult client who is recovering from a left sided
cerebrovascular accident (CVA) and who has hemiparesis of the right arm
and leg. Which of the following is the best place for the nurse to arrange the
items used for hygiene when setting up the client's morning hygiene care
supplies? -Within the client's reach on the left side
16. A nurse is caring for an older adult client who came to the clinic reporting
insomnia. Which of the following questions should the nurse ask to asses
the quality of the client's sleep?
-Do you feel rested in the morning?
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