geriatrics HESI&final exam WELL ILLUSTRATED STUDY GUIDE

geriatrics HESI/final exam
r r




YourrolderrfemalerpatientrisrcomplainingrbecausersherisrhavingrfrequentrUTIs.rWhichrnorma
lrage-relatedrchangerisrmostrlikelyrtorberarcontributingrfactor?
ch.r3r-rDecreasedrbladderrmusclertone

Whichrarernormalrage-relatedrchanges?r(Selectrallrthatrapply.)
ch.r3r-r1rDecreasedrvisualracuity
4rIncreasedrgastricrpH
8rDecreasedrserumralbumin
10rDecreasedrraterofrperistalsis

WhatrarerpatientsrwhorhaverhadrParkinsonrdiseaserforr10ryearsrlikelyrtorexhibit?r(Selectrallrt
hatrapply.)
rch.r3r-r1rRigidityrand rtremorsrwhenratrrest

3rDementia

Anrolderradultrisrcomingrtoryourrclinicrforrtreatmentrforrargastricrulcer.rWhichrtreatmentrwould
rthe rnurserexpectrtorberordered?

ch.3r-rAntibiotics

Whatrshouldrthernurserexplainrwhenrdiscussingrexpectedrchangesrinrtherfemalerreproducti
versystemrtoranrolderradult?
ch.r3r-rProductionrofrvaginalrsecretionsrdecreases

Thernurserperformsrarskinrassessmentrofranrolderradult.rWhichrfindingrisrabnormalrandrnee
dsrtorberreported?
ch.r3r-rArdark,relevatedrpatchrthatrbleedsrwhenrtouched

Thernurserencouragesrtherpatientrtormaintainrarsteadyrweightrinrtherrecommendedrrangertor
decreaserriskrofrwhichrcommonrendocrinerdiseaserobservedrinrolderradults?r
ch.r3r-rDiabetesrmellitus

Whatrisrtheractivityrthatrbestrpromotesrhealthrmaintenancerforrthertypicalrolderradult?
ch.r4r-rOner30-minuterwalk,r3rtor5rtimesrarweek

Thernurserrecognizesrthatrregularrdentalrvisitsrare:
ch.4r-rRecommendedronraryearlyrbasisrforrallrolderradults,revenrthoserwithrdentures.

Anrolderradultrdoesrnotrfollowrthroughrwithrhealthrrecommendationsrfromrtherprimaryrhealthr
carerprovider.rTherolderradultrdoesrnotrtakerprescribedrmedicationsrorrkeeprmedicalrappoint
ments.rWhichrpatientrproblemrshouldrtherLPN/LVNranticipaterseeingronrthercarerplan?
ch.r4r-rNonadherencerwithrthertreatmentrplan

, Whichrimmunizationsrshouldrolderradultsrreceiveronraryearlyrbasis?r(Selectrallrthatrapply.)
ch.r4r-rInfluenzarvaccine

Whenrattemptingrtorhelpranrolderradultrimproverhisrorrherrhealthrmaintenancerpractices,rther
nurserwillrneedrtorassessrwhichrfactors?r(Selectrallrthatrapply.)
ch.4r-rCulturalrbeliefs
Socioeconomicrstatusr
Religiousrbeliefs
Educationalrlevel

Yourrpatientrtellsryoursherunderstandsrthatrsherisratrgreaterrriskrofrcertainrdiseasesrbecauser
ofrherrHispanicrAmericanrheritage.rBasedronrwhatryourhaverlearned,rwhichrdisorder(s)rmigh
trsherberatrgreaterrriskrfor?r(Selectrallrthatrapply.)
ch.4r-rObesityr
Stomachrcancerr
Diabetesrmellitus
Cervicalrcancer

Whichrinterventionsrwouldrberappropriaterwhenrteachingrarpatientrwithrpresbycusis?r(Selec
trallrthatrapply.)
ch.r5r-rUservisualrcuesrorrwrittenrmaterials.r
Repeatrinformation.r
Facertherpatientrwhenrtalking.r
Speakrwithoutrfoodrorrdrinkrinryourrmouth.

Thernurserisrcaringrforranrolderradultrinrarrehabilitationrunit.rWhichractionsrbyrthernurserarerm
ostrlikelyrtorenhancercommunicationrwithrtherpatient?r(Selectrallrthatrapply.)
ch.r5r-rIdentifyryourself;rremindrtherpersonrwhoryourare.
Userpicturesrandrgesturesrinradditionrtorwords.r
Berpatient,randravoidrinterrupting.

Arnurserisrcaringrforranrolderradultrwhorisrupsetraboutrhavingrtormoverintorarskilledrnursingrfa
cility.rWhichrcommunicationrtechniquerusedrbyrthernurserisrmostreffectiveratrestablishingranr
empatheticrclimate?
ch.r5r-rOpen-endedrresponses

Arnurserisrdischargingranrolderradultrpatientrfromrarrehabilitationrfacilityrafterrarleftrhiprreplac
ement.rThernurserprovidingrdischargerteachingrknowsrthatrolderradultsrarermostrresponsive
rtorwhatrtype rofrinformation?

ch.r5r-rWhenrtherinformationrisrrelevantrtortheirrlives

Anrolderradultrwhorresidesrinrarlong-
termrcarerfacilityrhasrbeenrrefusingrfoodrandrfluidsrforrtherpastr2rdays.rHerrepeatedlyrsays,r"
Leavermeralone!"rWhatrisrtherbestrinitialrnursingrintervention?
ch.r6r-rAssessrtoridentifyrchangesrinrphysicalrorremotionalrstatus.