ATI RN
basic geriatric nursing 6th edition test bank Questions
Question 1 of 9
All of the following except___ can occur due to the decreased tactile sensations that occur in the older person.
Correct Answer: B
Rationale: The correct answer is B because social isolation is not directly related to decreased tactile sensations. A, C, and D are consequences of decreased tactile sensations in older individuals. A can occur due to not feeling the temperature, C due to not feeling pressure and injury, and D due to decreased sensation causing falls. Social isolation is more related to emotional or psychological factors rather than physical sensations. It is crucial to differentiate between physical consequences and social consequences when considering the effects of decreased tactile sensations in older individuals.
Question 2 of 9
Identify the Healthy People 2020 emerging issues in the health of older adults.
Correct Answer: A
Rationale: The correct answer is A: Coordinating care for the older adult population. This is a key emerging issue in the health of older adults as it focuses on improving the integration and coordination of healthcare services to ensure comprehensive and efficient care delivery. This includes addressing the complex needs of older adults, promoting continuity of care, and enhancing communication among healthcare providers. Rationale: 1. Coordinating care addresses the holistic needs of older adults. 2. It aims to prevent fragmented care and improve health outcomes. 3. Enhances collaboration among healthcare providers and community resources. 4. Promotes patient-centered care and improves quality of life for older adults. Other Choices: B: Assisting older adults in the management of their own care - While important, this focuses on individual responsibility rather than systemic coordination. C: Identifying levels of training for those caring for older adults - Relevant but not a primary emerging issue in the health of older adults. D: Making community resources available for older adults - Important, but
Question 3 of 9
All of the following conditions except___ can cause renal failure, especially in the older adult.
Correct Answer: D
Rationale: The correct answer is D. Ingesting excessive acetaminophen can lead to liver damage, not renal failure. Diabetes mellitus, prostate hypertrophy causing urinary obstruction, and heart failure are known to cause renal failure due to their effects on kidney function. Diabetic nephropathy can damage the kidneys over time, prostate hypertrophy can obstruct urine flow and lead to kidney damage, and heart failure can result in decreased blood flow to the kidneys, causing renal failure. Thus, D is the correct answer as it does not directly cause renal failure, unlike the other choices.
Question 4 of 9
All of the following except___ are signs or symptoms of Parkinson's disease.
Correct Answer: C
Rationale: The correct answer is C because loss of vision in one eye is not a typical sign or symptom of Parkinson's disease. A, B, and D are all common signs of Parkinson's disease. A - Mask-like facial expressions result from decreased facial muscle movement. B - Shuffling gait is a characteristic walking pattern in Parkinson's patients. D - Tremors without intention (at rest) are a classic symptom of Parkinson's disease due to disrupted brain signals. Therefore, C is the odd one out as it is not directly associated with Parkinson's disease manifestations.
Question 5 of 9
Define Ageism.
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Ageism is defined as prejudice or discrimination against individuals based on their age. 2. Choice A accurately defines ageism by highlighting the prejudicial nature and stereotyping of older adults. 3. Choices B and C are incorrect as ageism can occur against any age group, not just those over 65 or younger people in healthcare. 4. Choice D is incorrect as ageism involves negative stereotypes, not positive ones like assuming all older adults are wise.
Question 6 of 9
An older female patient states reading is difficult in the evening. Which intervention should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A because a high-intensity lamp can provide better lighting for reading, addressing the difficulty the patient experiences in the evening. This intervention can improve visibility and reduce strain on the eyes. Option B is incorrect as arcus senilis is a common age-related condition but not a direct cause of difficulty reading. Option C is incorrect as simply increasing the power of fluorescent lights may not address specific visual needs for reading. Option D is incorrect as examining the retinas may not directly address the patient's difficulty in reading and is not the most appropriate initial intervention.
Question 7 of 9
Primary prevention for older adults includes:
Correct Answer:
Rationale: Correct Answer: Regular physical activity and healthy diet Rationale: 1. Regular physical activity helps maintain cardiovascular health, muscle strength, and balance in older adults, reducing the risk of falls and chronic diseases. 2. A healthy diet provides essential nutrients for overall health and helps prevent conditions like obesity, diabetes, and heart disease. 3. Both components are key in primary prevention by promoting overall well-being, reducing the risk of age-related health issues, and enhancing quality of life. Incorrect Choices: A: Annual health screenings - While important for early detection, screenings alone do not prevent health issues. B: Social isolation prevention programs - Important for mental health, but not primary prevention. C: Routine medication management - Important for managing existing conditions, not primary prevention. D: Memory enhancement exercises - Beneficial for cognitive health but not primary prevention for physical health issues in older adults.
Question 8 of 9
The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B because it directly addresses the older woman's emotional response to the instructions, showing empathy and understanding. By asking how she feels, the nurse can uncover any concerns or fears she may have, leading to effective communication and tailored support. Moving on to medication (A) ignores the woman's distress, potentially worsening the situation. Instructing the interpreter to repeat instructions (C) may not address the underlying issue. Having the woman repeat instructions (D) does not acknowledge her emotional state and may not resolve her tension.
Question 9 of 9
The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home. In which activities should the nurse encourage the patient to participate to maintain brain health?
Correct Answer: A
Rationale: The correct answer is A: Physical exercise. Engaging in physical exercise has been shown to improve blood flow to the brain, promote the growth of new brain cells, and enhance cognitive function. This helps maintain brain health and may reduce the risk of developing dementia. Other choices are not as directly related to brain health. B: Stimulating mental activity is important but not as effective as physical exercise in preventing dementia. C: Socialization is beneficial for overall well-being but does not have a direct impact on brain health. D: Crossword puzzles are a form of mental stimulation, but physical exercise has a greater impact on brain health.