What is integ - Study guides, Class notes & Summaries

Gerontological Nursing, 4e (Tabloski) Chapter 22 The Neurologic System 1) Which assessment finding places an older patient at the greatest risk factor for the development of Alzheimer's disease? 1. Age 2. Genetic predisposition 3. Environmental exposure 4. History of previous head injury Answer: 1 Explanation: 1. Advanced age is the single greatest factor for the development of Alzheimer's disease. 2. Genetic causes are responsible for fewer than 5% of the cases of Al...

Gerontological Nursing, 4e (Tabloski) Chapter 2 Contemporary Gerontological Nursing 1) The nurse supports an older client's desire to discuss advance directives with the client's family. What action is the nurse performing with this client? 1. Facilitating palliative care 2. Educating the family on healthcare services 3. Collaborating with the interdisciplinary team 4. Advocating for client's rights and autonomy Answer: 4 Explanation: 1. Palliative care alleviates pain a...

Gerontological Nursing, 4e (Tabloski) Chapter 16 The Respiratory System 1) Which respiratory system assessment finding of an older client does the nurse determine is most concerning? 1. Coughing during the night while sleeping 2. Purposefully sitting up straighter to get a deep breath 3. Shortness of breath when crossing a large parking lot 4. Three episodes of diagnosed bronchitis in twelve months Answer: 1 Explanation: 1. Coughing during sleep can be a sign of asthma, hea...

Gerontological Nursing, 4e (Tabloski) Chapter 18 The Musculoskeletal System 1) After assessing an older patient, which musculoskeletal changes will the nurse attribute as being a normal part of the aging process? Select all that apply. 1. Loss in height 2. Lower leg muscle atrophy 3. Calcification of the finger joints 4. Swan neck deformity of the hands 5. Decreased range of motion in the shoulders Answer: 1, 2, 5 Explanation: 1. A change in the musculoskeletal status tha...

Gerontological Nursing, 4e (Tabloski) Chapter 3 Principles of Geriatrics 1) The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history? 1. Scheduling one-half hour for the medical history interview. 2. Requesting the client use the bathroom before starting the interview. 3. Ensuring the client has their identification and insurance card with them upon arrival. 4...

Gerontological Nursing, 4e (Tabloski) Chapter 8 Sleep and the Older Adult 1) The nurse is caring for an older client who is experiencing sleep deprivation due to a prolonged stay in intensive care. Which manifestation is the nurse most likely to observe in this client? 1. Constant fatigue 2. Gustatory hallucinations 3. Increased activity 4. Need for repeated instructions Answer: 4 Explanation: 1. Daytime fatigue is more likely in the client with sleep deprivation. 2. Th...

Gerontological Nursing, 4e (Tabloski) Chapter 15 The Cardiovascular System 1) An older female patient experiences fatigue and nausea, is not sleeping well, and makes a vague complaint of intermittent chest discomfort. How should the nurse interpret these symptoms? 1. Signs of anemia 2. Pancreatic disease 3. Myocardial infarction 4. Normal changes of aging Answer: 3 Explanation: 1. Anemia would present with fatigue but not with nausea or chest discomfort. 2. Pancreatic d...

Gerontological Nursing, 4e (Tabloski) Chapter 14 Sensation: Hearing, Vision, Taste, Touch, and Smell 1) The nurse is performing a vision assessment on an older patient who is having difficulty reading small print. What best explains this finding? 1. Non-reactive to light 2. Weak eye muscles 3. Lack of peripheral vision 4. Altered accommodation Answer: 4 Explanation: 1. Sensitivity to light is caused by an inability of the pupil to adapt to varying degrees of light. 2. D...

Gerontological Nursing, 4e (Tabloski) Chapter 10 Violence and Elder Mistreatment 1) During a home visit of an elderly married patient, the nurse observes listlessness, dry and cracked skin, and skin irritation on both inner thighs; what type of neglect should the nurse be concerned with? 1. Self-neglect 2. Sexual abuse 3. Caregiver neglect 4. Financial exploitation Answer: 3 Explanation: 1. Signs and Symptoms of self-neglect include dehydration, malnutrition, unattended...

Gerontological Nursing, 4e (Tabloski) Chapter 7 Psychological and Cognitive Function 1) During an interview, the nurse notes that an older patient is having mild difficulty with some words and forgets the names of people. The patient is alert, oriented to time, person, and place, and makes appropriate responses. What does the nurse determine this patient's cognitive changes to mean? 1. Normal signs of aging 2. Early symptoms of dementia 3. Indicators of depression in the elder...