Gerontological Nursing

NSG4067 SU01 Gerontological Nursing Week 3 Quiz

NSG4067 SU01 Gerontological Nursing Week 3 Quiz

An older African-American client shares that they, “Don’t hear as well as they used to.” Responding based on evidence-based data, the nurse will: p.85

Inquire as to whether the client has tinnitus.

Assess the client for middle ear fluid accumulation.

Ask whether the client has ever been diagnosed with otosclerosis.

Check the client’s ears for a cerumen impaction.

The major focus regarding nursing education for the older adult regarding the use of herbal supplements is the:

High risk of herbal overdose since the manufacturing process lacks effective controls.

Likelihood that the client will substitute herbals for more expensive prescribed medications.

Expense of the herbal supplements since they are seldom covered by insurance.

Possibility of herbals interaction dangerously with the client’s prescribed medications.

When comparing the Older American’s Resources and Services (OARS) with the Katz index of ADLs, what is true?

The Katz index and the OARS both measure only ADL performance.

The OARS is a comprehensive assessment tool that measures ability in five areas; the Katz index measures only ADL performance.

The OARS is used only for older adults in the long-term care setting; the Katz index is used in all settings.

The OARS is not valid for use in older adults who are cognitively impaired, whereas the Katz index is.

The nurse is recommending that a client diagnosed with moderate stage Alzheimer’s disease attend a support group when he becomes defensive about not driving his automobile and the effects Read More

it will have on, “being stuck at home.” Which is the priority outcome expected for this client when attending the group sessions?

NSG4067 SU01 Gerontological Nursing Week 3 Quiz Question 4 options:

Facilitates socialization thus minimizing the effects of social isolation.

Helps with minimizing the loss as a factor in causing depression.

Provides caregivers with respite while assuring the client is well attended to.

Allows for the opportunity for a mental health professional to assess the client.

Question 5

Which intervention is therapeutic when facilitating communication with a cognitively impaired older client?

Question 5 options:

Explain a task using simple, concise phrasing and one step at a time.

Give instructions to a group whenever possible to provide peer support.

Allow for additional time for the client to respond to questions or directions.

Use non-verbal as well as verbal cues to help get your message across to the client.

Speak loudly to gain and retain the client’s attention.

Question 6

When a client’s thyroid panel shows an elevated TSH, the nurse reviews the client’s medication history for a current prescription for:

NSG4067 SU01 Gerontological Nursing Week 3 Quiz Question 6 options:

Lithium.

Heparin.

Aspirin.

Phenytoin (Dilantin).

Question 7

The nurse is completing discharge instructions for an 88-year-old patient who is being discharged from the hospital following a myocardial infarction. He is provided with written literature on heart healthy diets, exercise, and smoking cessation. His daughter states, “I don’t know why you are bothering. What difference is it going to make? He has been smoking and eating poorly for years; he isn’t going to change now.” This statement reflects the concept of:

Question 7 options:

Reality orientation.

Character assessment.

Negative stereotyping.

Senescence.

Question 8

A NANDA nursing diagnosis that could be appropriate for an older adult with a marked hearing impairment is:

Question 8 options:

Fear.

Social Interaction Impaired.

Confusion (Chronic).

Risk for Injury.

Self Esteem Disturbance.

ORDER INSTRUCTION-COMPLIANT NSG4067 PAPERSQuestion 9

The nurse is most concerned by observing when assisting with an older client’s bath:

Question 9 options:

A persistent red lesion with a poorly defined base and an adherent yellow-white scale.

A slightly raised irregular patch that is bluish black in color.

An open sore that bleeds, oozes, or crusts and remains for 3 weeks or more.

Rough, scaly, sandpaper-like patches that are slightly tender.

NSG4067 SU01 Gerontological Nursing Week 3 Quiz Question 10

The original intent of Social Security was to:

Question 10 options:

Provide a hospital insurance plan.

Minimize the dependency of older members on younger members of society.

Provide the blind, older adult, or disabled with adequate financial support.

Penalize women financially for numerous zero wage years while raising children.

Question 11

Which statement by the nurse is the strongest example of ageism by professional nurses?

Question 11 options:

“It takes a special nurse to provide good care to the older population of clients.”

“It’s difficult for a nurse to develop an effective relationship with an older client because of the barriers their age creates.”

“It is so difficult to find nurses who are truly effective geriatric nurses.”

“With the older population increasing so dramatically in numbers, nursing will have a difficult time meeting their needs.”

Question 12

Which nursing statement shows a true appreciation for an older client’s willingness to tell their personal stories about “the war?”

Question 12 options:

“It’s so nice to see them excited and engaged as they tell the stories.”

“It helps their memory so much to re-tell their stories.”

“I learn so much about a client when they share their life story with me.”

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Question 13

Ethnocentrism is defined as:

Question 13 options:

An understanding of another’s cultural beliefs and practices.

A conflict that occurs when an individual interacts with another whose beliefs differ from his own.

Application of limited knowledge about one person with characteristics specific to another person.

A belief that one’s ethnic group is superior to that of another.

Question 14

Which factor is the greatest barrier to an older adult living independently?

Question 14 options:

Deficits in vision and/or hearing resulting in safety issues.

Limited finances that prevent upkeep and maintenance of a residence.

Depression that occurs after the death of a spouse or significant other occurs.

The manifestation of cognitive impairment resulting from dementia or Alzheimer’s.

Question 15

An older adult client is being seen for the first time at the outpatient geriatric clinic. As a component of the nursing admission history, the nurse inquires about the use of herbs and other supplements. The basis for this inquires is that such herbal therapy:

Question 15 options:

May interact with prescription medications.

Are hazardous when used by older adults.

Replace the need for prescription medications.

Cause excessive sedation in older adults.

Question 16

A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be “senile.” The advanced practice nurse administers the clock drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance, the nurse concludes that the patient:

Question 16 options:

Probably has Alzheimer’s disease.

Needs further evaluation.

Probably has delirium.

Needs a functional status assessment.

Question 17

The nurse is reviewing the post surgical laboratory values of an older adult client. The client’s Erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:

Question 17 options:

The nurse is reviewing the post surgical laboratory values of an older adult client. The client’s Erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:

Recognizing that the value is normal for older adults.

Notifying the client’s health care provider immediately.

Requesting that the laboratory re-run the test.

 

Question 18

It has been projected that the cultural group presenting the greatest growth rate among the older adult population will be the:

Question 18 options:

African-Americans.

Asian/Pacific Island Americans.

Native Americans.

Hispanic Americans.

Question 19

What is true about instruments to assess for depression in older adults?

Question 19 options:

Older adults tend to score inaccurately low (indicating less depression) than younger adults on the Zung Self-Rating Depression Scale.

The shortened Geriatric Depression Scale does not contain a question to evaluate suicide potential.

The Beck Depression Inventory is designed for gerontological patients.

The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult. NSG4067 SU01 Gerontological Nursing Week 3 Quiz

 

 

MORE INFO 

Gerontological Nursing

Introduction

Gerontological nursing is the practice of caring for the elderly and those nearing the end of their lives. Gerontological nurses work in several settings including: Caring for a patient physically Caring for a patient’s emotional needs The role of a gerontological nurse can be immensely rewarding. Nurses must be prepared to socially interact with patients, families, and colleagues over an extended period of time. They take on challenging and difficult conversations that are sometimes uncomfortable. A gerontology nurse may also act as a confidant and trusted advisor for the elderly. Nurses play a vital role in ensuring health care is provided to all members of society, especially the elderly

Gerontological nursing is the practice of caring for the elderly and those nearing the end of their lives.

Gerontological nurses are trained to understand the aging process, its physical and emotional challenges, and how best to help patients deal with them. They can provide patient care in many settings including:

  • Skilled nursing facilities (SNFs)

  • Hospitals

  • Home health agencies/home health agencies that are affiliated with a hospital or another specialty facility like an SNF or rehab hospital (such as hospice)

Gerontology nurses work in several settings including:

You can find gerontological nurses in many different settings. Some of the most common places you may find them include:

  • Hospitals

  • Long-term care facilities (such as nursing homes)

  • Retirement communities and housing communities that offer assisted living services to seniors

  • Government agencies providing social security and other programs for older Americans

  • Home health care personnel who provide assistance with daily activities like bathing, dressing, eating and toileting to older adults who live at home

Caring for a patient physically

  • Provide personal care. As a gerontological nurse, you will be involved in providing physical care to your patient. This includes helping with hygiene and grooming, mobility support, transfer assistance and repositioning. You may also assist with eating or drinking for your patient as well as dressing them appropriately for comfort and ambulation.

Caring for a patient’s emotional needs

You can be a great nurse if you are prepared to talk with patients about their emotional needs. It’s important that nurses understand that they must be able to respond appropriately when dealing with the physical and mental health of older adults.

Nurses need to be able to talk with patients about death and dying, as well as the past experiences of their lives. Understanding what makes people happy and sad is also an important aspect of caring for older adults in a spiritual way (e.g., prayer).

The role of a gerontological nurse can be immensely rewarding.

The role of a gerontological nurse is rewarding and challenging. Gerontological nurses are critical to the care of older adults and their families, as well as to the health and well-being of society at large. They work with people who are aging out of the workforce or may no longer be able to work due to illness or disability. They look after individuals who have been institutionalized because they cannot live independently; assist caregivers with providing for frail seniors; help evaluate whether older adults need assistance with activities of daily living (ADLs); counsel families on how best to care for their loved ones; assist professionals with planning services when needed by clients/patients/residents—and much more!

The role demands excellence in all areas: interpersonal skills, communication skills, problem solving abilities…you name it! But most importantly it requires you to think outside the box when solving problems that arise often during your career path as a Gerontological Nurse

Nurses must be prepared to socially interact with patients, families, and colleagues over an extended period of time.

As a nurse, you must be able to communicate with patients, families and colleagues over an extended period of time. You will need to work in a team that includes doctors and other health professionals. You may also be called upon to care for individuals who have been involved in accidents or other traumatic events. These patients often need extra support from nurses because they are unable to participate in activities outside their own homes due to physical limitations such as paralysis or amputation; however some will still want help from others around them so it’s important that all staff members working together as a team can communicate effectively at all times during their shifts!

As well as being able deal with interpersonal challenges related directly back into patient care (elders), there may be situations where these types of issues arise: abuse/neglect; financial hardship; homelessness etcetera…

They take on challenging and difficult conversations that are sometimes uncomfortable.

It is a hard job, but the rewards are great. They take on challenging and difficult conversations that are sometimes uncomfortable. They are the ones who have to tell people that their loved one has died, or is about to die, or will die soon—all before anyone else knows it!

They also manage your family’s grief and loss from one day until another as you go through different stages of adjusting to this new reality in your life: denial (“I refuse to believe my mother/father/childhood friend isn’t coming back), anger (Why did this happen? Why didn’t I do something?), bargaining (If only someone could save him…), depression (What am I going to do without them around me anymore?)

A gerontology nurse may also act as a confidant and trusted advisor for the elderly.

A gerontology nurse may also act as a confidant and trusted advisor for the elderly. The elderly often feel isolated and lonely, which can make it difficult for them to express their needs. They may not be able to make decisions for themselves due to cognitive impairment or physical limitations, so they need someone else who can help them with these issues.

Nurses play a vital role in ensuring health care is provided to all members of society, especially the elderly.

Nurses are the backbone of the health care system. Without nurses, there would be no way to provide quality care for all members of society, especially those who are elderly. Nurses play a vital role in ensuring health care is provided to all members of society, especially the elderly.

Nurses have a responsibility to be aware of their own health and wellness so they can recognize when they are too stressed or overworked. They should also take time for themselves so that they can remain healthy and productive at work as well as in their personal lives.

Takeaway:

You are a nurse, and you help people every day. You are part of the healthcare team, and it’s important to remember that nurses will always be needed.

It can be hard work being a nurse, but it’s also rewarding when your patients tell you “thank you” for everything you do for them!

You’ll need to be prepared for challenging situations: death or injury at home or in hospital; difficult conversations with family members; difficult conversations with other health professionals (physicians).

Conclusion

Gerontological nursing is a rewarding career choice for those who are interested in working with older adults. It can be challenging, but the rewards are great and so is the work. Gerontology nurses play an important role in ensuring that they’re able to continue living independently as they age past their prime years. This field of nursing has many opportunities for advancement and growth within itself which makes it an extremely valuable career choice for those looking into becoming a nurse someday!


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