basic geriatric nursing 6th edition test bank -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Relief from physical, emotional, and spiritual suffering. This is the best indicator of a successful transition to hospice care for older adults because hospice care focuses on providing comfort and improving quality of life rather than curative treatments. Relief from suffering aligns with the goals of hospice care, addressing the holistic needs of patients.
Choice A is incorrect as complete cessation of all medical treatments may not be appropriate for all patients in hospice care.
Choice B is incorrect as improvement in physical strength may not be the primary goal in hospice care.
Choice D is incorrect as long-term emotional stability is important but not necessarily the best indicator of a successful transition to hospice care.

Correct Answer: D

Rationale: The correct answer is D: Facilitate family rituals related to death and dying. In end-of-life care, it is essential to support the older adult and their family in their cultural and spiritual practices to promote comfort and closure. This intervention aligns with the goals of long-term care by addressing the psychological and emotional needs of the patient and family. Providing a basin and towels (
B) focuses on physical self-care, which may not be a priority in end-stage disease. Decreasing analgesic dose (
A) can compromise pain management and quality of life. Informing family members about strict visiting hours (
C) can hinder emotional support and connection during this critical time.

Correct Answer: C

Rationale: The correct answer is C because regular repositioning every 2 hours, along with the use of pressure-relieving devices, is the most effective intervention to prevent pressure ulcers in older adults with limited mobility. Repositioning helps to redistribute pressure, reducing the risk of tissue damage. Pressure-relieving devices like cushions or mattresses further help to alleviate pressure points.


Choice A is incorrect because strict bed rest and minimal repositioning can actually increase the risk of pressure ulcers by concentrating pressure on specific areas.
Choice B is incorrect as high-protein diets and supplements alone do not address the primary cause of pressure ulcers, which is prolonged pressure on the skin.
Choice D is incorrect because leaving wounds uncovered can increase the risk of infection and hinder the healing process.

Correct Answer: C

Rationale: The correct answer is C because loss of vision in one eye is not a typical sign or symptom of Parkinson's disease. A, B, and D are all common signs of Parkinson's disease. A - Mask-like facial expressions result from decreased facial muscle movement. B - Shuffling gait is a characteristic walking pattern in Parkinson's patients. D - Tremors without intention (at rest) are a classic symptom of Parkinson's disease due to disrupted brain signals.
Therefore, C is the odd one out as it is not directly associated with Parkinson's disease manifestations.

Correct Answer: D

Rationale: The correct answer is D: Complicated medication regimens. Older adults often have multiple medical conditions requiring several medications, leading to confusion and difficulty in following complex regimens. This complexity increases the likelihood of medication nonadherence. Lack of health literacy (
A) may contribute but is not the primary factor. High cost of medications (
B) and limited access to healthcare providers (
C) are important barriers, but they are not as directly linked to nonadherence as the complexity of medication regimens.