ATI RN
basic geriatric nursing 6th edition test bank Questions
Question 1 of 5
A home care nurse discusses turning a patient every 2 hours, but the patient’s daughter removes the turning clock. The best response by the nurse is:
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy, collaboration, and a patient-centered approach. By asking how to work together, the nurse acknowledges the daughter's concerns and fosters a collaborative relationship. This approach respects the daughter's role in her mother's care and encourages open communication. Choice A is incorrect as it uses a threatening tone and may alienate the daughter, leading to a breakdown in communication. Choice B is incorrect as it dismisses the daughter's cultural values, which are important in providing holistic care. Choice C is incorrect as it suggests that the daughter is incapable of caring for her mother, which can be disempowering and offensive.
Question 2 of 5
Which of the following interventions is most effective in preventing the development of pressure ulcers in older adults with limited mobility?
Correct Answer: C
Rationale: The correct answer is C because regular repositioning every 2 hours, along with the use of pressure-relieving devices, is the most effective intervention to prevent pressure ulcers in older adults with limited mobility. Repositioning helps to redistribute pressure, reducing the risk of tissue damage. Pressure-relieving devices like cushions or mattresses further help to alleviate pressure points. Choice A is incorrect because strict bed rest and minimal repositioning can actually increase the risk of pressure ulcers by concentrating pressure on specific areas. Choice B is incorrect as high-protein diets and supplements alone do not address the primary cause of pressure ulcers, which is prolonged pressure on the skin. Choice D is incorrect because leaving wounds uncovered can increase the risk of infection and hinder the healing process.
Question 3 of 5
An older man in a nursing home has high cholesterol (245 mg/dL). Which intervention helps him achieve the highest level of wellness?
Correct Answer: D
Rationale: The correct answer is D because reviewing a menu with the older man allows for personalized food selection, taking into account his preferences and dietary restrictions. This approach promotes adherence to a healthy eating plan, leading to better cholesterol management and overall wellness. Choice A is not the best option as simply instructing him to increase dietary fiber may not address his specific dietary needs. Choice B suggests asking the health care provider for a low-fat diet, which may not consider the individual's food preferences or cultural background. Choice C of scheduling a consultation with a dietitian is a good option, but it may not be as immediately accessible or practical as reviewing a menu together with the individual.
Question 4 of 5
An older adult reports increasing loss of balance. Which teaching should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Stand on one foot at a time while supported. This exercise helps improve balance by challenging the proprioceptive system. By standing on one foot while supported, the older adult can gradually strengthen their muscles and improve their balance. Other choices like exercising with light weights may not specifically target balance, training with sit-ups focuses more on core strength, and working out in a swimming pool may provide buoyancy but may not directly address the balance concern.
Question 5 of 5
Which of the following best describes the pathophysiology of delirium in older adults?
Correct Answer: B
Rationale: The correct answer is B: Delirium in older adults results from reversible metabolic changes, such as electrolyte imbalances. Delirium is a multifactorial condition often triggered by physiological imbalances, including electrolyte disturbances. These imbalances can disrupt normal brain function, leading to confusion and cognitive impairment. Other choices are incorrect: A is more typical of sepsis, C is more associated with conditions like dementia, and D is not a primary cause of delirium.
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