A family member of a resident in a long-term care facility inquires about the role of gerontological nursing certification. What is the most accurate response the nurse can provide?

Correct Answer: A

Rationale: The correct answer is A: Gerontological nursing certification indicates that a nurse has advanced knowledge and skills specifically related to the care of older adults. This is accurate because gerontological nursing certification is a voluntary certification that demonstrates a nurse's specialized expertise in caring for the elderly population. Nurses who obtain this certification have undergone additional training and education in gerontological nursing, making them more competent in addressing the unique needs of older adults. Choices B, C, and D are incorrect: B: All nurses in long-term care must obtain gerontological certification after completing their initial training - This is false as gerontological certification is not mandatory for all nurses in long-term care. C: Certification in gerontology is only necessary for nurses working in rehabilitation centers - This is incorrect as gerontological certification is beneficial for nurses caring for older adults in various settings, not just rehabilitation centers. D: Only nurses with a master's degree can achieve certification in gerontology - This is not true as nurses with

Correct Answer: A

Rationale: The correct answer is A because neglecting personal grooming indicates a lack of self-care, which is a common sign of ineffective coping after the loss of a loved one. This behavior suggests the client may be struggling emotionally and unable to engage in basic self-care tasks. Looking at old pictures, participating in social activities, and visiting the husband's grave are all healthy coping mechanisms that can help the client process her grief and maintain connections with her late husband.

Correct Answer: A

Rationale: The correct answer is A: Gerontological nursing certification indicates that a nurse has advanced knowledge and skills specifically related to the care of older adults. This is accurate because gerontological nursing certification is a voluntary certification that demonstrates a nurse's specialized expertise in caring for the elderly population. Nurses who obtain this certification have undergone additional training and education in gerontological nursing, making them more competent in addressing the unique needs of older adults. Choices B, C, and D are incorrect: B: All nurses in long-term care must obtain gerontological certification after completing their initial training - This is false as gerontological certification is not mandatory for all nurses in long-term care. C: Certification in gerontology is only necessary for nurses working in rehabilitation centers - This is incorrect as gerontological certification is beneficial for nurses caring for older adults in various settings, not just rehabilitation centers. D: Only nurses with a master's degree can achieve certification in gerontology - This is not true as nurses with

Correct Answer: B

Rationale: The correct answer is B: Consistent mental and physical activity. Engaging in mental and physical activities can help improve cognitive function, increase brain plasticity, and reduce the risk of cognitive decline. Regular stimulation of the brain through activities like puzzles, reading, and learning new skills can help delay the onset of dementia. Physical activity also promotes overall brain health by improving circulation and reducing inflammation. Choices A, C, and D are incorrect: A: Strict dietary restrictions may have some benefits for overall health, but there is limited evidence to suggest that it directly delays the onset of dementia. C: Regular social isolation can actually increase the risk of cognitive decline and dementia, as social interaction is important for brain health. D: Pharmacologic interventions to control hypertension may be important for overall health, but they are not specifically shown to delay the onset of dementia in older adults.

Correct Answer: A

Rationale: The correct answer is A: Unsecured scattered rugs. This requires immediate nursing action as it poses a significant fall risk for the older adult. Rugs can cause tripping hazards, leading to potential injuries. The nurse should secure or remove the rugs to ensure the safety of the patient. Summary of other choices: B: Operable smoke detector - While important for safety, it does not require immediate nursing action as it is already in working condition. C: Prefilled medication cassette - This is not an immediate safety concern and can be addressed during routine medication management. D: Unsecured scattered rugs (repeated) - This choice is the same as the correct answer, so it is incorrect.

Correct Answer: D

Rationale: The correct answer is D because assisting with upper endoscopy is not a standard nursing intervention for CHF. Nursing interventions for CHF focus on managing symptoms, medication adherence, and lifestyle modifications. Choices A, B, and C are correct as they address important aspects of CHF management such as monitoring symptoms, educating on medications, and promoting a low-sodium diet. Helping with an upper endoscopy is unrelated to the management of CHF and falls outside the scope of nursing care for this condition.

Correct Answer: D

Rationale: The correct answer is D: Circulatory problems related to age and a chronic illness. Severe edema, hair loss on the legs, and foot ulcerations are indicative of poor circulation, often seen in conditions like peripheral artery disease. Age and chronic illnesses can contribute to circulatory issues. A diet low in protein (choice A) would not directly cause these symptoms. Exposure to cold (choice B) would not explain the specific symptoms mentioned. Frequent falls (choice C) do not align with the symptoms provided.

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).

Correct Answer: A

Rationale: The correct answer is A: Diarrhea. Diarrhea is not a risk factor for developing pneumonia in elderly individuals. The rationale for this is that pneumonia is primarily caused by respiratory infections, not gastrointestinal issues like diarrhea. Neurological disease, heart failure, and COPD are all risk factors for pneumonia because they can weaken the immune system or impair lung function, making individuals more susceptible to respiratory infections. These conditions can lead to aspiration, impaired cough reflex, or compromised lung function, increasing the likelihood of developing pneumonia.