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 assistiv...
ATI FINAL GERONTOLOGY | ATI FINAL
GERONTOLOGY; (LATEST 2021) COMPLETE
SOLUTIONS
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?
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, -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?
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