Questions 44

ATI RN

ATI RN Test Bank

basic geriatric nursing test bank Questions

Question 1 of 5

Which action should the nurse take when addressing older adults?

Correct Answer: D

Rationale: The correct answer is D: Speak clearly. This is important when addressing older adults as many may have hearing impairments. Speaking clearly helps ensure they can understand and follow instructions. Using an exaggerated pitch (
A) may come across as patronizing. Using a lower quality of speech (
B) can be perceived as disrespectful. Using endearing terms (
C) may not be appropriate for all individuals and can be seen as condescending. In summary, speaking clearly is the most effective way to communicate respectfully with older adults.

Question 2 of 5

What is the most common type of dementia in older adults?

Correct Answer: A

Rationale: The correct answer is A: Alzheimer's disease. It is the most common type of dementia in older adults, accounting for around 60-80% of cases. Alzheimer's is characterized by the presence of beta-amyloid plaques and tau protein tangles in the brain, leading to memory loss and cognitive decline. Vascular dementia (
B) is caused by impaired blood flow to the brain, Lewy body dementia (
C) is characterized by abnormal protein deposits in the brain, and Frontotemporal dementia (
D) affects the frontal and temporal lobes of the brain, leading to changes in behavior and personality. However, in older adults, Alzheimer's disease is the most prevalent form of dementia due to its widespread impact on memory and cognition.

Question 3 of 5

On which biological theory of aging is the prevention of telomere shortening based?

Correct Answer: A

Rationale: The correct answer is A: Genetic research. Telomere shortening is primarily based on the theory of cellular senescence, which is related to genetic research. Telomeres are protective caps at the end of chromosomes that shorten with each cell division. Genetic research has shown that telomere shortening is associated with aging and age-related diseases. Caloric restriction, oxidative stress, and cross-link theories of aging are not directly linked to telomere shortening. Caloric restriction focuses on extending lifespan by reducing calorie intake, oxidative stress theory suggests that aging is caused by cumulative damage from reactive oxygen species, and cross-link theory emphasizes the accumulation of non-reversible bonds between molecules as a cause of aging.

Question 4 of 5

Which of the following organizations have interdisciplinary membership?

Correct Answer: A

Rationale: The correct answer is A, the Gerontological Society of America, because it includes members from various disciplines such as sociology, psychology, biology, and medicine. This interdisciplinary approach allows for a holistic understanding of aging. The other choices focus specifically on nursing (
B), aging (
C), or higher education (
D), and do not encompass a wide range of disciplines like choice A. This makes them more specialized and less likely to have a diverse membership across different fields.

Question 5 of 5

The nurse is performing a basic assessment on an older client. Which of the following is a common age-related change?

Correct Answer: A

Rationale:
Step-by-step rationale:
1. Aging causes decreased collagen production, leading to decreased skin elasticity and thinning.
2. Loss of subcutaneous fat contributes to the appearance of aging skin.
3. Wrinkles and sagging are common signs of decreased skin elasticity in older adults.
4. Increased muscle mass, increased cardiac output, and increased renal filtration rate are not typical age-related changes.
Summary: Skin changes such as decreased elasticity and thinning are common in older adults due to reduced collagen production and loss of subcutaneous fat. Increased muscle mass, cardiac output, and renal filtration rate are not typical age-related changes.

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