The following statement is not true.

Questions 43

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geriatric nursing exam questions with rationale Questions

Question 1 of 9

The following statement is not true.

Correct Answer: C

Rationale: The correct answer is C because it provides inaccurate information. Osteoarthritis commonly affects weight-bearing joints like the knees and hips, not the hands, elbows, and shoulders as stated. The other choices are incorrect due to the following reasons: A: Correct - describes osteoarthritis B: Incorrect - describes rheumatoid arthritis D: Incorrect - describes risk factors for osteoarthritis, not rheumatoid arthritis.

Question 2 of 9

Mr. Abramson has been diagnosed with benign prostatic hypertrophy (BPH) by his primary care provider. The most likely symptoms that prompted him to initially seek health care is___

Correct Answer: A

Rationale: The correct answer is A: Nocturia. Nocturia, or waking up at night to urinate, is a common symptom of benign prostatic hypertrophy (BPH) due to the enlarged prostate pressing on the urethra, causing urinary frequency and urgency. Other symptoms like weak urine stream, difficulty starting urination, incomplete emptying, and dribbling may also be present. Recurrent urinary tract infections (B) are less likely to be the initial symptom of BPH, as they are more commonly associated with urinary retention or obstruction. Functional incontinence (C) is not a typical symptom of BPH, as it is more related to mobility or cognitive issues. Hematuria (D) is not a common presenting symptom of BPH, as it is more indicative of other conditions like urinary tract infections or kidney stones.

Question 3 of 9

A nursing home executive interviews registered nurses to fill a full-time position for direct patient care to maintain the standards of eldercare. Which nurse should the nursing home hire?

Correct Answer: C

Rationale: The correct answer is C: Certified gerontological nurse. This nurse has specialized knowledge and training in caring for elderly patients, aligning with the nursing home's focus on eldercare standards. Certification demonstrates expertise in gerontological nursing. A: A nurse from a certified college may not necessarily have specialized training in gerontological nursing. B: Experience is valuable, but without specific gerontological training, the nurse may lack the specialized skills required for eldercare. D: A gerontological nurse practitioner has advanced training, but for direct patient care in a nursing home setting, a certified gerontological nurse may be a better fit.

Question 4 of 9

The nurse is performing an assessment on an older client who is having difficulty sleeping at night. What statement by the client indicates education is needed on improving sleep?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

The nurse plans care for an older African American man who is from Jamaica and resides in New York City. Which should the nurse include in planning care?

Correct Answer: C

Rationale: Correct Answer: C - Maintain blood pressure below 120/70 mm Hg. Rationale: 1. Older African American individuals are at higher risk for hypertension. 2. African American men have a higher prevalence of hypertension compared to other demographic groups. 3. Hypertension is a common health issue among Jamaican individuals. 4. Keeping blood pressure below 120/70 mm Hg helps prevent complications like stroke and heart disease. Summary: A. Attributing illness to voodoo is culturally inappropriate and lacks evidence-based practice. B. Improving social relationships may be beneficial but is not directly related to the man's health needs. D. Reviewing magicoreligious systems is not relevant to addressing the man's health issues like hypertension.

Question 6 of 9

Which of the following statements best conveys an aspect of diabetes and the older adult?

Correct Answer: A

Rationale: The correct answer is A because it accurately reflects the multifactorial nature of diabetes in older adults. Age-related changes, coupled with lifestyle factors like poor diet and lack of exercise, contribute to the high incidence of diabetes in this population. This statement acknowledges the complexity of diabetes in older adults. B is incorrect because while nurses should have knowledge about diabetes in older adults, the statement does not specifically address the multifactorial nature of the disease in this population. C is incorrect because ethnicity can indeed play a role in diabetes risk and should not be dismissed outright. D is incorrect because the development of diabetes is not considered a normal age-related change; it is a medical condition that can be influenced by various factors.

Question 7 of 9

How does the gerontological nurse assess frailty in older adults?

Correct Answer: B

Rationale: The correct answer is B because measuring gait speed, grip strength, and weight loss are key components of assessing frailty in older adults. Gait speed reflects physical function, grip strength indicates muscle weakness, and unintentional weight loss signifies nutritional deficits, all of which are common indicators of frailty. Evaluating cognitive decline and social isolation (choice A) is important but not specific to frailty assessment. Presence of depression and anxiety (choice C) may contribute to frailty but do not directly assess it. Monitoring hydration and electrolyte levels (choice D) is important for overall health but not specific to frailty assessment.

Question 8 of 9

A nurse in an assisted living facility is planning an educational program on exercise for the residents. The nurse needs to consider which of the following when planning the activity?

Correct Answer: B

Rationale: The correct answer is B because using large size fonts on written material is important for elderly individuals in assisted living facilities who may have visual impairments. This accommodation ensures that the residents can easily read and understand the information being presented. This is crucial for effective communication and engagement in the educational program. A: While using simple language is generally beneficial, the primary concern for this specific population is visual accessibility rather than language complexity. C: Providing the program in a quiet area is important for minimizing distractions, but it is not as critical as ensuring the residents can read the material. D: While building on prior knowledge is a good practice in teaching, it is secondary to ensuring that the information is visually accessible to the residents.

Question 9 of 9

Which of the following clients is at greatest risk for orthostatic hypotension?

Correct Answer: B

Rationale: The correct answer is B because straining to void can lead to increased vagal stimulation, resulting in decreased blood pressure upon standing (orthostatic hypotension). A: age and walker use don't directly increase risk. C: a leg cast may not directly affect blood pressure. D: Premarin use is not a common cause of orthostatic hypotension.

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