(Complete Latest) Geriatrics HESI/Final
Exam| Questions With 100% Correct
Answers And Rationale
1. A 70-Year-Old Married Man Confides To The Nurse That He Recently Began To
Have Difficulty Achieving An Erection. He States That, "It Wasn't Much Of A Problem
Until Recently." What Would Be The Nurse's Best Response?
Options:
A) "Did You Recently Change Any Medications?"
B) "Have You Been Experiencing Any Emotional Stress?"
C) "It Is Common For Men Your Age To Experience Changes In Sexual Function."
D) "You Should See A Doctor To Check For Possible Hormone Imbalances."
Correct Ans: A)
Rationale: The Nurse’s Response Should Focus On Potential Causes Of Erectile
Dysfunction (ED), Including Medications, Which Are A Common Factor In Older
Adults. Certain Medications, Like Antihypertensives, Antidepressants, Or Sedatives, Can
Interfere With Sexual Function. The Nurse’s Inquiry About Medication Changes Helps
Identify A Modifiable Factor That Can Be Addressed By Adjusting The Medication
Regimen With The Healthcare Provider.
2. A 69-Year-Old Woman Reports That She Avoids Intercourse Because It Is
Uncomfortable. She Asks The Nurse If She Has Any Suggestions To Relieve This
Problem. What Should The Nurse Do?
Options:
A) "Clarify What You Mean By 'Uncomfortable'."
B) "You May Want To Use A Lubricant During Intercourse."
C) "Many Women Experience Discomfort; It’s Normal As You Get Older."
,D) "Have You Tried Different Positions During Intercourse?"
Correct Ans: A)
Rationale: The Nurse Should First Assess The Specific Nature Of The Discomfort By
Asking For More Details. The Cause Of Discomfort Could Vary, Including Vaginal
Dryness, Atrophy, Or Other Physical Or Psychological Factors. A Thorough Assessment
Will Allow The Nurse To Suggest Appropriate Interventions Such As Lubrication Or
Other Treatments Based On The Underlying Cause.
3. An Older Gentleman Who Suffers From Dementia Often Masturbates In The Lounge
Area Of A Long-Term Care Facility. Which Nursing Interventions Would Be
Appropriate? (Select All That Apply.)
Options:
A) Provide Privacy By Escorting Him Back To His Room.
B) Distract Him With An Activity That He Finds Interesting.
C) Approach Him With A Non-Judgmental Attitude And Explain That This Behavior Is
Not Appropriate In A Public Space.
D) Implement A Scheduled Routine To Prevent Him From Engaging In This Behavior.
Correct Ans: A), B)
Rationale: The Patient’s Behavior Should Be Addressed With Respect, Without
Judgment. Providing Privacy By Escorting Him Back To His Room Ensures He Can
Continue His Behavior Without Disturbing Others. Distracting Him With An Engaging
Activity May Help Redirect His Focus. It's Important To Address The Behavior Without
Punishment, As It May Stem From Confusion Or Discomfort Associated With His
Dementia.
4. Why Might An Older Gay Person Be Reluctant To Move Into A Long-Term Care
Facility?
Options:
,A) They Fear That They Will Receive Substandard Care.
B) They Are Concerned That The Staff Might Be Unqualified.
C) They May Feel Isolated From Their Peers.
D) They Worry That Their Sexual Identity Will Be Misunderstood Or Stigmatized.
Correct Ans: A)
Rationale: Older LGBTQ+ Individuals May Have Concerns About Discrimination And
A Lack Of Culturally Competent Care In Long-Term Care Settings. They May Fear That
Their Sexual Orientation Or Gender Identity Will Lead To Mistreatment Or Substandard
Care From Staff Who Are Not Well-Versed In LGBTQ+ Issues.
5. The Nurse Is Precepting A New Graduate Licensed Vocational Nurse (LVN) At A
Nursing Home. Which Statement By The New Graduate Indicates That They Have A
Good Understanding Of Sexuality In The Aging Population?
Options:
A) "Mr. Wang And Mrs. Levy Would Like Some Privacy While They Are In Mrs. Levy's
Room. Would It Be OK To Place A 'Do Not Disturb' Sign On Her Room Door?"
B) "Older Adults Should Not Engage In Sexual Activity; They Are Too Old For That."
C) "I Don’t Think We Should Talk About Sexual Health With The Elderly; It’s Not
Appropriate."
D) "It’s Normal For Older Adults To Lose Interest In Sex As They Age."
Correct Ans: A)
Rationale: The LVN's Statement Demonstrates Respect For The Sexual Needs Of
Elderly Individuals And Acknowledges The Importance Of Privacy In Relationships,
Which Is Crucial For Maintaining Dignity. Older Adults Have The Right To Sexual
Expression, And The LVN Is Demonstrating Cultural Competence In Respecting That.
, 6. A Nurse Is Caring For A 71-Year-Old Immobile Patient Who Has Been In A
Wheelchair For 2 Hours. When Repositioning The Patient, The Nurse Observes A
Reddened Area At The Base Of The Buttocks. How Would This Observation Be Best
Documented?
Options:
A) Stage 1 Pressure Injury At Ischial Tuberosity
B) Stage 2 Pressure Injury At Sacrum
C) Skin Irritation Due To Pressure At Coccyx
D) Suspected Deep Tissue Injury
Correct Ans: A)
Rationale: A Stage 1 Pressure Injury Is Characterized By Non-Blanchable Erythema Of
Intact Skin. The Reddened Area At The Base Of The Buttocks Suggests The Beginning
Stages Of A Pressure Injury. The Ischial Tuberosity Is A Common Site For Pressure
Injuries In Immobile Patients Sitting In A Wheelchair.
7. A Nurse Is Caring For An Older Adult Who Is Bedridden Because Of Progressed
Parkinson Disease. What Is The Most Appropriate Patient Problem For This Patient?
Options:
A) Potential For Altered Skin Integrity Related To Immobility
B) Risk For Aspiration Related To Dysphagia
C) Risk For Falls Related To Motor Weakness
D) Ineffective Coping Related To Chronic Illness
Correct Ans: A)
Rationale: Immobility Due To Parkinson's Disease Increases The Risk Of Developing
Pressure Injuries, Especially In Bedridden Patients. Preventive Measures Like
Repositioning, Skin Assessments, And Proper Nutrition Are Essential In Managing Skin
Integrity.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bestmaxsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.00. You're not tied to anything after your purchase.
