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: C

Rationale: The most appropriate interview question for assessing a client's respiratory function is C: "Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?" This question directly relates to potential occupational exposures that could impact respiratory health. It helps gather specific information relevant to respiratory assessment. Choice A is unrelated to respiratory function assessment. Choice B focuses on familial history, which is important but not as direct as occupational exposure. Choice D is too general and does not specifically address respiratory issues. Therefore, C is the most appropriate choice for assessing respiratory function.

Correct Answer: B

Rationale: The correct answer is B because the holistic health movement emphasizes treating the whole person - mind, body, and spirit. This shifts the focus from merely treating symptoms to considering individual well-being and lifestyle factors. Choice A is not the best answer because while disease prevention is part of holistic health, it is not the primary impact on health care. Choice C is incorrect as the movement does not directly improve access to health care. Choice D is also incorrect as while alternative modalities are part of holistic health, they are not the main impact on health care.

Correct Answer: C

Rationale: The correct answer is C: Coordinating members of the health care team. This demonstrates leadership as the nurse is taking charge of organizing and communicating with various healthcare professionals to ensure the best care for the older patient. By collaborating with the wound care team, the nurse shows effective coordination and communication skills, which are crucial in managing complex cases in older adults. Assessing older adults effectively (choice A) is important but does not specifically address leadership in coordinating care. Facilitating access to eldercare programs (choice B) is important but does not directly demonstrate leadership in coordinating care. Empowering older adults to manage chronic illness (choice D) is important for patient education but does not directly show leadership in coordinating the healthcare team.

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: B

Rationale: The correct answer is B: Increased risk of falls. Benzodiazepines are central nervous system depressants that can cause drowsiness, dizziness, and impaired coordination, leading to an increased risk of falls in older adults. This is due to the sedative effects of benzodiazepines, which can affect balance and motor skills. Increased alertness (choice A) is not a common side effect of benzodiazepines, as they typically have a calming and sedating effect. Improved memory (choice C) is also unlikely, as benzodiazepines are more commonly associated with memory impairment. Enhanced muscle strength (choice D) is not a known side effect of benzodiazepines, as they do not directly affect muscle strength. In summary, the correct answer is B because benzodiazepines can increase the risk of falls in older adults due to their sedative properties.

Correct Answer: C

Rationale: The correct answer is C because regular repositioning and the use of pressure-relieving devices are essential to prevent skin breakdown in immobile older adults. Repositioning helps redistribute pressure, maintaining blood flow to the skin and preventing tissue damage. Pressure-relieving devices such as cushions or special mattresses further reduce pressure on vulnerable areas. Choices A and B do not address the root cause of skin breakdown and may even exacerbate the issue. Choice D is incorrect as complete bed rest can lead to further complications like pressure ulcers. In summary, choice C is the most effective intervention as it directly targets the risk factors for skin breakdown in immobile older adults.

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: Integration of gerontological content throughout the curriculum. This is because integrating gerontological content throughout the curriculum ensures that nursing students are exposed to and learn about caring for older adults in various courses, rather than just in a standalone course. This approach better prepares students to provide holistic care to older adults in different clinical settings. A: Provision of a free-standing course in gerontology within the curriculum may limit exposure to gerontological content and may not provide a comprehensive understanding of caring for older adults. C: Requiring gerontological certification for all students before completion of a BSN program is not mentioned in the document and may not be feasible or necessary for all nursing students. D: While structured clinical experiences with older adults across the continuum of care are essential, this alone may not ensure that students receive a comprehensive education in gerontological care if the content is not integrated throughout the curriculum.