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Geriatric Nursing Review PAPER 1 & 2

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Geriatric Nursing Review PAPER 1 & 2

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  • 28 september 2024
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  • Geriatric Nursing PAPER 1 & 2
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Geriatric Nursing Review PAPER 1 & 2


Reminiscence therapy promotes an older adult's sense of security by:
1. increasing socialization skills.
2. meshing the past with the future.
3. providing praise and recognition.
4. reviewing comforting memories. - ✔️CORRECT ANSWER✅-4


Which is an accurate statement about Medicare?
1. Medicare is a health insurance program with carefully described
benefits that
may restrict the length of hospital stays.
2. Medicare patients can expect to receive routine household and
attendant care
under Part A of their Medicare insurance.
3. Medicare pays for the majority of nursing home care for persons who
are 65
years of age or older.
4. Persons covered by Medicare must pay once-in-a-lifetime
deductibles on both
the physician and hospital portions of the program. - ✔️CORRECT
ANSWER✅-1

,Nursing facilities that receive federal funds must complete for all
residents a:
1. minimum data set and care plan within seven days.
2. resident assessment instrument and care plan on admission.
3. resident assessment instrument and care plan within 14 days.
4. resident assessment instrument within 14 days and a care plan
within 21 days. - ✔️CORRECT ANSWER✅-4


The primary function of an ombudsman is to:
1. act as a clearinghouse for complaints and problems.
2. initiate complaints about the facility's operations.
3. question the facility administrator and the director of nursing.
4. welcome and interview patients and their families. - ✔️CORRECT
ANSWER✅-1


A 73-year-old patient reports "dizzy spells" for the past several weeks.
The patient describes three similar episodes during which the patient
experienced "a swimming in my head," loss of balance without falling,
and numbness in the left arm. These episodes lasted 10 to 30 minutes.
This patient is experiencing:
a) carotid artery stenosis
b) Meniere's disease
c) postural hypotension
d) transient ischemic attacks - ✔️CORRECT ANSWER✅-D

,Which is the main principal age-related change that causes alteration in
drug distribution in older adults?
a) A decrease in absorption
b) A decrease in total body weight
c) An increase in body water
d) An increase in the ratio of body fat to lean body mass - ✔️CORRECT
ANSWER✅-D


An 85-year-old patient has an intestinal viral infection with severe
diarrhea. Laboratory studies are ordered. Which result confirms a
diagnosis of dehydration?
a) Hyperchloremia and hypernatremia
b) Hyperglycemia and hyponatremia
c) Hyperkelemia and hypercapnia
d) Hypermagnesemia and hyponatremia - ✔️CORRECT ANSWER✅-A


In older women, the onset of physical discomfort and bleeding
associated with intercourse often indicates:
a) a friable cervix with possible cellular abnormalities
b) decreased distensibility and mucosal changes of the vaginal vault
c) infrequent sexual activity

, d) thickening of the vaginal mucosa with decreased lubrication -
✔️CORRECT ANSWER✅-B


A physician has just informed an older adult patient that test results
indicate that the
patient has cancer and will require extensive surgery. The patient says,
"I know the
tests are wrong. I feel fine." The gerontological nurse's most
appropriate response is to:
1. acknowledge that the patient looks healthy and encourage seeking a
second
opinion.
2. advise the patient to join a support group.
3. convey availability to talk to the patient.
4. tell the patient that the tests are reliable and accurate. - ✔️CORRECT
ANSWER✅-3


A comprehensive staff development program in a long-term care
facility is based on the:
1. availability of educational resources.
2. nursing director's perceptions of staff learning needs.
3. philosophy, goals, and objectives of the organization.
4. recommendations of the ombudsman. - ✔️CORRECT ANSWER✅-3

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