geriatric nursing practice questions -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Biomedical. Biomedical health belief system focuses on treating diseases and conditions by repairing or replacing specific body parts through medical interventions such as surgeries, medications, and therapies. This approach is based on scientific evidence and aims to address the physical aspects of health.

Incorrect choices:
A: Holistic - Holistic health belief system emphasizes treating the whole person, including physical, emotional, and spiritual aspects, rather than focusing solely on repairing specific body parts.
C: Personalistic - Personalistic health belief system attributes illnesses to external factors such as curses or supernatural forces, rather than treating specific body parts.
D: Magicoreligious - Magicoreligious health belief system relies on magical or religious rituals to heal illnesses, rather than repairing body parts through medical interventions.

Correct Answer: B

Rationale: The correct answer is B because antibiotics are not standard therapy for congestive heart failure in the elderly. The rationale is that antibiotics are used to treat bacterial infections, not heart failure.
A: ACE inhibitors are standard therapy as they help dilate blood vessels and reduce the workload on the heart.
C: Diuretics help reduce fluid buildup in the body, which is beneficial for managing CHF symptoms.
D: Beta blockers are used to reduce the heart's workload and help manage the stress response, making them standard therapy for CHF.

Correct Answer: D

Rationale: The correct answer is D because assisting residents with ambulation to meals promotes physical activity, which is known to reduce the risk of Alzheimer's disease. Physical activity increases blood flow to the brain, reduces inflammation, and promotes the growth of new brain cells. Keeping curtains open (choice
A) may offer natural light but does not directly reduce the risk of AD. Offering beads for stringing (choice
B) and showing movies (choice
C) may provide cognitive stimulation but do not address the physical activity needed to decrease the risk of AD.

Correct Answer: D

Rationale: The correct answer is D, dramatic loss of melanin. Melanin is a pigment responsible for skin color and does not play a role in the development of pressure ulcers. Shearing, decreased body weight, and malnutrition (decreased serum albumin) are all known risk factors for pressure ulcers in the elderly. Shearing can lead to tissue damage, decreased body weight can indicate poor nutrition and muscle wasting, and malnutrition can impair wound healing and skin integrity.
Therefore, D is the correct answer as it does not contribute to the likelihood of an elderly person developing a pressure ulcer.

Correct Answer: B

Rationale: The correct answer is B because older adults with chronic conditions are often prescribed multiple medications to manage their various health issues, leading to polypharmacy and increased risk of adverse drug reactions. This challenge can result in medication mismanagement, drug interactions, and medication non-adherence. The other choices are incorrect because comorbidities are common in older adults, medical intervention is generally accepted, and older adults often experience declines in physical and cognitive health with age.