basic geriatric nursing 6th edition test bank -Nurselytic

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: B

Rationale: The correct answer is B: Delirium in older adults results from reversible metabolic changes, such as electrolyte imbalances. Delirium is a multifactorial condition often triggered by physiological imbalances, including electrolyte disturbances. These imbalances can disrupt normal brain function, leading to confusion and cognitive impairment. Other choices are incorrect: A is more typical of sepsis, C is more associated with conditions like dementia, and D is not a primary cause of delirium.

Correct Answer: C

Rationale: The correct answer is C: Home health care support. This is because having access to home health care support can provide ongoing monitoring, medication management, and assistance with activities of daily living, which can help prevent complications and reduce the need for hospital readmissions.

Minimizing polypharmacy (
A) is important but may not have as significant an impact as continuous home health care support. Frequent medication adjustments (
B) may lead to confusion and potential adverse effects in older adults. Specialized geriatric assessments (
D) are beneficial but may not directly address the day-to-day support needed to prevent hospital readmissions.

Correct Answer: B

Rationale: The correct answer is B because super-centenarians, who are individuals aged 110 years or older, often exhibit a high level of functional independence despite their advanced age. This is supported by research showing that many super-centenarians maintain physical and cognitive abilities that allow them to perform daily activities without significant assistance. This statement aligns with the concept of successful aging, where individuals maintain autonomy and independence in later years.

Option A is incorrect because a significant number of super-centenarians are not dependent on full-time nursing care for daily activities. Option C is incorrect as many super-centenarians can still engage in social activities despite health limitations. Option D is incorrect as most super-centenarians do not experience severe cognitive decline that affects their daily living.

Correct Answer: D

Rationale: The correct answer is D: Infection. Older adults with diabetes are more vulnerable to infections due to weakened immune systems caused by high blood sugar levels. Infections can lead to severe complications and hospitalization. Stroke (
A) is a common complication of diabetes but not the most common cause of hospitalization. Hypoglycemia (
B) and diabetic ketoacidosis (
C) are acute complications of diabetes but are less common causes of hospitalization compared to infections.