Gerontology Nursing Questions And Answers PDF

Question 1 of 5

An 81-year-old female client was diagnosed one year ago with Alzheimer's disease following a noticeable increase in confusion. She now possesses a durable power of attorney. Which of the following statements most accurately conveys an aspect of this legal arrangement?

A. The parameters of the arrangement must be revisited if the client's condition declines. B. The arrangement was most likely initiated by court order. C. The client appointed someone to take care of her affairs in the event that she becomes incompetent. D. The family has control of logistical arrangements for the client but must gain court permission around financial affairs.

Correct Answer: C

Rationale: The correct answer is C. Usually, a power of attorney becomes invalid if the individual granting it becomes incompetent, except in the case of a durable power of attorney. A durable power of attorney allows competent individuals to appoint someone to make decisions on their behalf in the event that they become incompetent. This legal arrangement is recommended for individuals with conditions like Alzheimer's disease where competency decline can be anticipated. It is not initiated by the court, unlike guardianship. A durable power of attorney encompasses both logistical and financial affairs, providing authority to the appointed person to act on behalf of the individual should they become incapacitated.

Choices A, B, and D are incorrect because they do not accurately describe the purpose and nature of a durable power of attorney in the context of planning for incompetency due to conditions like Alzheimer's disease.

Question 2 of 5

How might the nursing home's social worker help Ms. O's friends in visiting her?

A. The social worker should defer to the nursing staff B. Help her friends find easier transportation C. Tell her to make friends at the dialysis center D. Ask other residents' families to bring her friends with them

Correct Answer: B

Rationale: The correct answer is B. Ms. O's friends, who are elderly and cannot drive, ride buses to visit her. The social worker can help by finding easier transportation options for them. Not having family around, friends' visits can significantly impact Ms. O's well-being. It may be challenging for the friends to ask for help themselves, so the social worker can reach out to volunteer groups for assistance. Making friends at the dialysis center might not be feasible due to the nature of treatments. Asking other residents' families to bring her friends could burden them further and might deter them from helping. It's important to consider the friends' convenience and emotional support for Ms. O.

Question 3 of 5

Nurse R works on the geriatric medicine unit of the university hospital and provides care for numerous older adult clients nearing the end of life, many of whom have no-code orders. Which of the following situations is incompatible with the legal requirements for a no-code order?

A. A client who is mentally competent has declared his wish to have a no-code order despite the availability of treatment options for his condition. B. A client has expressed her desire to have a no-code order but her daughter is adamantly opposed to it. C. A client clearly tells the nurse her desire to have a no-code order, which the nurse documents at the bedside. D. A client has been in a coma and the family has decided to put in place a no-code order.

Correct Answer: C

Rationale: The correct answer is C. No-code orders require a written and signed order by a physician.
Therefore, a client expressing the desire for a no-code order to a nurse, without a documented physician's order, is incompatible with legal requirements.

Choices A and B are not incompatible as competent clients can make their own decisions, regardless of treatment options or family opposition.
Choice D is also not incompatible as family decisions can be made on behalf of incompetent clients.

Question 4 of 5

A 52-year-old woman is preparing to have her father move into her home after his discharge from the hospital. Which of the following subjects should the discharge planning nurse prioritize when preparing the woman for her new caregiving role?

A. The availability and scope of community resources B. The importance of her own self-care and techniques for maximizing it C. Assertiveness training to ensure she can set limits D. Management of finances

Correct Answer: B

Rationale: The correct answer is B. It is crucial for the discharge planning nurse to prioritize the importance of the woman's self-care and provide techniques for maximizing it. When taking on a caregiving role, the caregiver's well-being is essential to ensure effective care for the patient. While community resources (choice
A) are important, the immediate focus should be on self-care. Assertiveness training (choice
C) and financial management (choice
D) are also significant but not as critical as self-care for the caregiver in this scenario.

Question 5 of 5

A nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?

A. The client requires transfusions of packed red blood cells during care. B. Assessment by a male health care provider was required. C. An autopsy was ordered due to the client's unique disease etiology. D. A do-not-resuscitate (DNR) order was recommended by the care team.

Correct Answer: C

Rationale: The correct answer is C. Autopsy is often opposed in the context of Jewish religious and cultural beliefs, as it is seen as desecration of the body. While a person who is a Jehovah's Witness would be opposed to blood transfusions (choice
A), a Muslim client may prefer to be cared for by someone of the same gender (choice
B). A DNR order (choice
D) is not noted to be a particular issue in the context of Jewish culture.

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