ATI RN
basic geriatric nursing 8th edition test bank Questions
Question 1 of 5
________ is a factor that contributes to a high incidence of falls in the elderly.
Correct Answer: B
Rationale: The correct answer is B: high likelihood of orthostatic hypotension upon rising quickly. Orthostatic hypotension is a common issue in the elderly, causing a sudden drop in blood pressure when standing up quickly, leading to dizziness and falls. This factor directly contributes to the high incidence of falls in the elderly. Increased muscle mass and tone (A) actually reduce the risk of falls, while improving eyesight in dim light (C) would decrease the risk. Constipation (D) is not directly related to falls in the elderly.
Question 2 of 5
What is the primary role of the gerontological nurse when providing end-of-life care for a terminally ill older adult?
Correct Answer: B
Rationale: The correct answer, B, is the primary role of the gerontological nurse when providing end-of-life care for a terminally ill older adult. This choice emphasizes the importance of pain management, comfort care, and preserving the patient's dignity. The nurse's focus should be on enhancing the quality of life and ensuring the patient's comfort rather than pursuing aggressive curative treatments (A). Administering sedatives (C) should be based on individual needs and preferences, not as a blanket approach. While family involvement is crucial, the nurse should still advocate for the patient's autonomy and preferences, rather than solely relying on family decisions (D).
Question 3 of 5
A family member asks if vitamin C will prevent aging. The nurse considers which theory?
Correct Answer: A
Rationale: The correct answer is A: Free radical theory. Vitamin C is thought to prevent aging by combatting free radicals, which are highly reactive molecules that can damage cells and contribute to aging. Vitamin C acts as an antioxidant, neutralizing free radicals and protecting cells from oxidative damage. Immunological theory (B) focuses on the role of the immune system in aging. Oxidative stress theory (C) is related to free radical theory but does not specifically address the role of vitamin C. Telomere theory (D) pertains to the shortening of telomeres, which are protective structures at the end of chromosomes, but is not directly related to the role of vitamin C in preventing aging.
Question 4 of 5
In treating depression in older adults, which of the following is considered the most effective treatment modality?
Correct Answer: B
Rationale: The correct answer is B, cognitive-behavioral therapy (CBT) combined with antidepressant medications, for treating depression in older adults. CBT helps address negative thought patterns and behaviors associated with depression, while antidepressant medications provide physiological support. Combining both approaches has been shown to be more effective than either treatment alone in older adults. A: Long-term pharmacological therapy with SSRIs may have side effects and limited effectiveness in older adults. C: Antidepressant medications alone may not address the underlying psychological factors contributing to depression. D: Psychodynamic therapy may not be as effective in older adults as it focuses on unresolved issues from early life rather than targeting current depressive symptoms.
Question 5 of 5
The term health disparity is defined as
Correct Answer: B
Rationale: The correct answer is B because health disparity refers to variations in health outcomes among different groups due to factors such as socioeconomic status, race, ethnicity, etc. This definition accurately captures the essence of health disparity as it highlights the unequal distribution of health outcomes. Choice A is incorrect because it refers to cultural elimination, which is not the definition of health disparity. Choice C is incorrect as it talks about differences in expected and actual incidence, not health outcomes among groups. Choice D is incorrect as it focuses on values and perspectives rather than health outcomes.
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